3 ms·

Remember folks, physicians are the root of the problem. Don't let anybody fool you into thinking otherwise. It's easier politically to blame corporations and w

Remember folks, physicians are the root of the problem. Don't let anybody fool you into thinking otherwise. It's easier politically to blame corporations and whatnot. And it's true - there's plenty of leeching downstream by pharmas, PBMs, hospital admins, device makers, insurance companies, vendors, labs, and many others. But at the base of the supply funnel sit the doctors (and numerous associations like AMA, ACR, ABP, AHA, AAMC, etc) who control the entire supply through licensing and state-level regulations, and are entirely responsible for all of the atrocities. It's effectively a cartel. There's a reason why any time there's a talk about pro-consumer regulation on the Hill like anti-surprise billing, pro-price transparency, and Medicare for All, each of these association is blasting their members with calls to contact their representatives and resist at all cost. Their argument is easy to understand emotionally - doctors will protect you from the harm, and hence there should be more licensing and supply restrictions. But this is the root of all problems in US healthcare.

avocado4 7y ago
Here's a couple sources https://www.usnews.com/news/health-news/articles/2019-07-03/california-doctors-oppose-expanding-nurse-practitioner-authorities https://www.usnews.com/news/health-news/articles/2019-07-03/... Amid Provider Shortage, California Doctors Oppose Expanding Nurse Practitioner Abilities https://thedo.osteopathic.org/2018/10/dos-help-defeat-bills-that-seek-to-cut-doctors-out-of-health-care/ https://thedo.osteopathic.org/2018/10/dos-help-defeat-bills-... As APRNs and nurse-midwives ramp up their efforts to practice independently, DOs are fighting back. https://www.kcur.org/post/nurse-practitioners-try-shake-free-doctors-kansas-physicians-resist#stream/0 https://www.kcur.org/post/nurse-practitioners-try-shake-free... As Nurse Practitioners Try To Shake Free Of Doctors, Kansas Physicians Resist https://www.wabe.org/bid-to-loosen-rules-on-mid-level-providers-draws-legislative-debate/ https://www.wabe.org/bid-to-loosen-rules-on-mid-level-provid... But the vote for recommending the imaging change was 3-2 in favor, with two physicians on the panel, Sens. Ben Watson (R-Savannah) and Kay Kirkpatrick (R-Marietta), voting against. https://www.aei.org/carpe-diem/whod-a-thunk-it-a-medical-cartel-doesnt-like-competition/ https://www.aei.org/carpe-diem/whod-a-thunk-it-a-medical-car... the American Academy of Pediatrics declared that retail health clinics are “an inappropriate source of primary care for pediatric patients, as they fragment medical care and are detrimental to the medical home concept of longitudinal and coordinated care.” https://www.politico.com/agenda/story/2017/10/25/doctors-salaries-pay-disparities-000557 https://www.politico.com/agenda/story/2017/10/25/doctors-sal... https://fee.org/articles/the-medical-cartel-is-keeping-health-care-costs-high/ https://fee.org/articles/the-medical-cartel-is-keeping-healt... https://www.modernhealthcare.com/patients/surprise-medical-bills-becoming-more-frequent-and-costly https://www.modernhealthcare.com/patients/surprise-medical-b... Stanford University researchers found that from 2010 through 2016, 39% of 13.6 million trips to the ED at an in-network hospital by privately insured patients resulted in an out-of-network bill. That figure increased during the study period from about a third of ED visits nationwide in 2010 to 42.8% in 2016. https://www.npr.org/sections/health-shots/2019/12/23/787403509/for-her-head-cold-insurer-coughed-up-25-865 https://www.npr.org/sections/health-shots/2019/12/23/7874035... https://www.medscape.com/viewarticle/922816 https://www.medscape.com/viewarticle/922816 More Than Half of Doctors Get Industry Payments/Meals: Poll https://revcycleintelligence.com/news/aha-others-to-sue-hhs-over-new-hospital-price-transparency-rule https://revcycleintelligence.com/news/aha-others-to-sue-hhs-... AHA, Others to Sue HHS Over New Hospital Price Transparency Rule

avocado4 7y ago

Here's a couple sources https://www.usnews.com/news/health-news/articles/2019-07-03/california-doctors-oppose-expanding-nurse-practitioner-authorities https://www.usnews.com/news/health-news/articles/2019-07-03/... Amid Provider Shortage, California Doctors Oppose Expanding Nurse Practitioner Abilities https://thedo.osteopathic.org/2018/10/dos-help-defeat-bills-that-seek-to-cut-doctors-out-of-health-care/ https://thedo.osteopathic.org/2018/10/dos-help-defeat-bills-... As APRNs and nurse-midwives ramp up their efforts to practice independently, DOs are fighting back. https://www.kcur.org/post/nurse-practitioners-try-shake-free-doctors-kansas-physicians-resist#stream/0 https://www.kcur.org/post/nurse-practitioners-try-shake-free... As Nurse Practitioners Try To Shake Free Of Doctors, Kansas Physicians Resist https://www.wabe.org/bid-to-loosen-rules-on-mid-level-providers-draws-legislative-debate/ https://www.wabe.org/bid-to-loosen-rules-on-mid-level-provid... But the vote for recommending the imaging change was 3-2 in favor, with two physicians on the panel, Sens. Ben Watson (R-Savannah) and Kay Kirkpatrick (R-Marietta), voting against. https://www.aei.org/carpe-diem/whod-a-thunk-it-a-medical-cartel-doesnt-like-competition/ https://www.aei.org/carpe-diem/whod-a-thunk-it-a-medical-car... the American Academy of Pediatrics declared that retail health clinics are “an inappropriate source of primary care for pediatric patients, as they fragment medical care and are detrimental to the medical home concept of longitudinal and coordinated care.” https://www.politico.com/agenda/story/2017/10/25/doctors-salaries-pay-disparities-000557 https://www.politico.com/agenda/story/2017/10/25/doctors-sal... https://fee.org/articles/the-medical-cartel-is-keeping-health-care-costs-high/ https://fee.org/articles/the-medical-cartel-is-keeping-healt... https://www.modernhealthcare.com/patients/surprise-medical-bills-becoming-more-frequent-and-costly https://www.modernhealthcare.com/patients/surprise-medical-b... Stanford University researchers found that from 2010 through 2016, 39% of 13.6 million trips to the ED at an in-network hospital by privately insured patients resulted in an out-of-network bill. That figure increased during the study period from about a third of ED visits nationwide in 2010 to 42.8% in 2016. https://www.npr.org/sections/health-shots/2019/12/23/787403509/for-her-head-cold-insurer-coughed-up-25-865 https://www.npr.org/sections/health-shots/2019/12/23/7874035... https://www.medscape.com/viewarticle/922816 https://www.medscape.com/viewarticle/922816 More Than Half of Doctors Get Industry Payments/Meals: Poll https://revcycleintelligence.com/news/aha-others-to-sue-hhs-over-new-hospital-price-transparency-rule https://revcycleintelligence.com/news/aha-others-to-sue-hhs-... AHA, Others to Sue HHS Over New Hospital Price Transparency Rule