The American healthcare system is crippled by a number of things.

Too many hands, trying to make a bigger mess by offering universal healthcare or “Medicare for All.” It’s a major disaster, waiting to destroy the economy of the US.

The doctor-patient relationship no longer exists, too many staff members handling patient needs without a strong medical background. In many cases it increases the malpractice risk 10X.

Time is of little importance. Patient requests can take 4-6 weeks just for a simple letter or arrange a doctor’s needed medical test by staff. Delays can be a matter of life, serious medical setbacks, or even death. The medical industry has forgotten that a patient is first a consumer, they’re the one’s paying the freight.

What is the actual cost to deliver healthcare to American citizens, and why does the medical field wait months for reimbursement? Underwriters seem to be using the income for 3-6 months, before paying billings six-plus months old. Reimbursement should be mandatory 45 days or payment doubles. Stop payment rejections, over minor coding issues corrected with a simple phone call or email.

Doctors don’t need to see so many patients to make a reasonable living. They need a better reimbursement schedule in exchange for cutting heavy administrative and semi-medical staff by 30%. Twelve to fifteen patients per day (average 14) 14x4.5 workdays = 63 patients per week, 252 per month, and 3,024 per year. At $100 per patient yearly, equals $302,400+. Many patients are seen several times per year.

Hospitals, doctors, and labs need to post their fees as a matter of Law, and all hospitals, clinics, and labs including insurance underwriters, should be required to post the salaries, and benefits of all top executives individually.

Develop a standardized pricing for all diagnostic testing, no matter if paid by insurance or an individual out-of-pocket. It might be a major benefit to hospitals and labs, to offer a 10% discount for cash payment

A recent list published on the billing and payments accepted by doctors, hospitals & labs was as follows:

• Comprehensive metabolic-liver & kidney function: hospital charge $179; insurance & Medicare reimbursement $15

• Blood count complete: hospital charge $51; insurance & Medicare $11.

• MRI cervical spine: hospital charge $3,000; insurance & Medicare $586

Why would anyone accept these extraordinarily low payments in the first place, and in the second place, why are the charges so high? The American people deserve answers.

Will the private healthcare system in the United States be affordable to everyone without government interference? Yes, a thousand times yes!

Washington must first start listening and stop believing the only solutions centers around those from Harvard, Yale and Columbia, etc. Congress (all members) need a firm understanding; government is the problem, not the solution. The VA & Medicare, both should be handed over to private enterprise with a strong watchdog committee overseeing all activities of both, including wages of hospital executives vs. staff, and terms limits for the watchdogs.

(1) comment

ronzim

Larry starts of with," Too many hands, trying to make a bigger mess by offering universal healthcare or 'Medicare for All.' It’s a major disaster, waiting to destroy the economy of the US." This is a political opinion and is not supported by anything which follows.







" The doctor-patient relationship no longer exists, too many staff members handling patient needs without a strong medical background. In many cases it increases the malpractice risk 10X." Here, it is important to understand that the levels of personal intimacy between doctors and their patients which prevailed even 50 years ago are no longer applicable nor desired in a modern medical setting where doctors perform as technocrats. Wistful thinking about Norman Rockwell doctoring won't and should not bring back country doctoring.







The charge that too many staff members are handling patient care beyond their medical expertise has no foundation. In every state, the standards of credentialing, licensing and certification create rigorous minimum levels of medical expertise to perform services. Physician's assistants, nurse practitioners, registered nurses, technicians and other staff would be in violation of the law, and the medical practice itself would be subject to severe litigation risk, were that not so. There are no data which support a 10X increase in malpractice risk by such illegal practices because they do not generally occur. The malpractice insurers would not stand for it.







Further, " Patient requests can take 4-6 weeks just for a simple letter or arrange a doctor’s needed medical test by staff. Delays can be a matter of life, serious medical setbacks, or even death." Setting aside the incoherence of the sentence(what is difference between "life" and "even death")there are no data which show that delays in responding to patients' requests cause the stated outcomes.







"What is the actual cost to deliver healthcare to American citizens, and why does the medical field wait months for reimbursement? Underwriters seem to be using the income for 3-6 months, before paying billings six-plus months old. Reimbursement should be mandatory 45 days or payment doubles. Stop payment rejections, over minor coding issues corrected with a simple phone call or email." These are all ills of the private insurance system. TERM Billing, Inc. reports that the average turn-around time for Medicare payments is 30 days, while private firms take 45 days.







"Doctors don’t need to see so many patients to make a reasonable living. " Who says? Are you a doctor? " They need a better reimbursement schedule in exchange for cutting heavy administrative and semi-medical staff by 30%." Where did you get that figure. In fact, Medicare for all does exactly that because the outrageous administrative demand of the private system are relieved. " Twelve to fifteen patients per day (average 14) 14x4.5 workdays = 63 patients per week, 252 per month, and 3,024 per year. At $100 per patient yearly, equals $302,400+. Many patients are seen several times per year." According to FAIR, the average net income for family medicine doctors is $163K/yr.







" Develop a standardized pricing for all diagnostic testing, no matter if paid by insurance or an individual out-of-pocket. It might be a major benefit to hospitals and labs, to offer a 10% discount for cash payment." MFA does exactly that.







"MRI cervical spine: hospital charge $3,000; insurance & Medicare $586. Why would anyone accept these extraordinarily low payments in the first place, and in the second place, why are the charges so high?" This demonstrates the inchoate nature of these comments. MFA is falsely characterized as something which would bankrupt America(impossible on its face)because of cost; yet, the very cost- lowering mechanisms of MFA are castigated. The costs are so high because of the profits in the private sector.





Welcome to the discussion.

Keep it Clean. Please avoid obscene, vulgar, lewd, racist or sexually-oriented language.
PLEASE TURN OFF YOUR CAPS LOCK.
Don't Threaten. Threats of harming another person will not be tolerated.
Be Truthful. Don't knowingly lie about anyone or anything.
Be Nice. No racism, sexism or any sort of -ism that is degrading to another person.
Be Proactive. Use the 'Report' link on each comment to let us know of abusive posts.
Share with Us. We'd love to hear eyewitness accounts, the history behind an article.