The American healthcare system is at a crossroads. Over the past eight years there has been an acceleration in the movement towards automation, centralization and regulation in an attempt to increase efficiency, lower cost and increase access.Towards that end, there has been an exponential growth in large hospital systems which have co-opted and in some
The passage of the Republican tax reform bill with the removal of the mandate is a win for the American patient and doctor. Since the passage of the Affordable Care Act there has been a steady unraveling of the American healthcare system. There has been a loss of access to healthcare for those who live
The healthcare reform impasse is a distraction. Whether you are for free market or single payer the status quo is designed to keep you locked in the maze where promises of winning at all costs or fixing the broken system is the cheese that everyone is chasing after. Over the past 8 years there has
There are three things that are important to know about the new healthcare proposal known as The American Healthcare Act of 2017 (AHCA). First, it does not repeal Obamacare; second, it doubles down on one of the most expensive parts of the healthcare system by subsidizing the health insurance industry; and third, it does not
The admission that Obamacare costs are projected to rise should come as no surprise to anyone who has followed the promises made to promote its passage when compared to what has happened since its implementation. It has become obvious that Obamacare is not about healthcare, it is about control. Promise: Healthcare for all via universal
The latest insurance company to pull out of the Obamacare exchanges because of financial losses shines a light on the slippery foundation upon which it was set up. In the haste to be all things to all people in order to sell it, little thought was given to how it would actually work – the
Despite the feel good rhetoric about the success of the Affordable Care Act that is being peddled during this election season, reality has hit home for many Americans. Patients have come to know that: 1. The subsidies don’t cover the high out of pocket costs from deductibles and co-insurance. The high costs have failed to
Everyone can agree that this political season has been different. The candidates and their “win at all cost“ campaigns have unwittingly uncovered what has been lurking under the surface. It is what voters have known, but have been unable to put their fingers on or wrap their brains around - the feeling that there is
When patients understand that there is now a two tiered system of medicine. One driven by centralized, population based medicine underpinned by evidence based decisions that rest on the cost controlled good of the many vs individualized patient care based on the art and the science of medicine underpinned by health and wellness, they will choose us. That will be the beginning of the end of Obamacare. If we build it and let the patients know, they will come.
The King vs. Burwell decision has answered the question of who stands to gain in the age of Obamacare. Justice Roberts in his opinion said it best “Congress passed the Affordable Care Act to improve health insurance markets, not to destroy them.” With this decision medical insurance companies, hospitals and other pieces of the corporate healthcare delivery system now have the scale clearly tipped in their favor at the expense of doctors the patients – the mission has been accomplished.