“If we are going to fix our ineffective and unsustainable healthcare
"system" the only real cure is a vibrant, diverse and independent
Primary Care provider base. The only way to get that is to change the
way people pay for primary care (giving everyone equal means). Everyone
needs primary care and preventive services, not necessarily insurance. I
even found SCOTUS making the statement that the only way to buy
healthcare was to buy insurance; a false and somewhat scary assumption.
By giving everyone the same means to purchase primary care and
introducing pricing transparency into primary care, costs will go down
and quality will improve. Why? because the patient is now the payer (the
only single payer system I agree with) and they can hold the
Practitioner/Practice accountable for wait times and interpersonal
skills (are they listening to me?) This also alters the economics for
the Practitioner; for the better. Reducing the administrative burden
thrust upon each practice by the antiquated CPT Code based billing
system. We are working diligently in NC (other states are waiting for
the template) with all major parties to create the next major "pilot
project" for meaningful reform (Medicaid, State Health Plan, Private
Payers). This is not a political effort, but an effort by one state to
do what is in the best interest of its residents. This is why/how
decisions should be made in the political realm.
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