A Quote by Scott Gottlieb
Under Obamacare, doctors have been strained by costly new regulations, intricate payment 'reforms' that tie their Medicare reimbursement to complex federal reporting requirements, and mandates that they install and make 'meaningful' use of electronic health records.
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Doctors cannot afford to provide care at the rate of reimbursement that Medicare insists that they accept.
Obamacare's costly regulations mean that the mix of people who sign up are tending to be older and sicker. Many young and otherwise healthy individuals continue to be priced out of the exchanges, even after the benefit of federal subsidies are baked into their costs.
There's an issue with the Medicare doctor reimbursement rates where at the end of the year every doctor that folks in this country use that provide Medicare services is going to get a 30 percent salary cut.
Stimulus spending, permanent bailouts, government takeovers, and federal mandates have all failed our nation. America's employers are afraid to invest in an economy racked with uncertainty over what Washington's next set of rules, regulations, mandates, and tax hikes will look like.
The real problem with Obamacare has little to do with the number of people signing up, and a lot to do with the restrictions on insurance companies and reimbursement rates to doctors.
Reagan cut through irrational federal regulations to allow children to live with their parents, where they could receive care that would cost the taxpayer one-sixth as much as institutional care. By contrast, Obamacare has added thousands of pages of bureaucratic regulations and will cost the federal government untold billions.
On the information technology side, health care is still behind other industries. There needs to be a real push to create better electronic health records, more inter-operability amongst various types of electronic systems and cybersecurity is becoming a huge deal in in health care. Health care records are highly sought after by virtue of the fact that not only do you have somebody's person financial information, you also have their person medical information.
It is impossible to manage the health care requirements of tens of millions of American citizens at the federal level. It is impossible to manage all of the permutations of people's economic aspirations and lives through a complex tax code. It is impossible to try to second-guess the market. It is impossible, from a managerial standpoint, for the federal government to do the things it is trying to do today.
Many people have already lost their health care, millions already lost their health care, because they have it and can't use it because of the explosive skyrocketing premiums, or they literally lost their doctors or insurance plans or their access to health care through Obamacare.
The federal government's done a very good job about tying goodies to our compliance with federal programs, whether it's the Department of Education, whether it's Obamacare with its generous Medicare and Medicaid dollars and the like.
The health-care sector certainly employs more people and more machines than it did. But there have been no great strides in service. In Western Europe, most primary-care practices now use electronic health records and offer after-hours care; in the United States, most don't.
Obamacare rewrote Medicare... so if you're going to repeal and replace Obamacare, you have to address those issues as well... What people don't realize is that Medicare is going broke, that Medicare is going to have price controls... So you have to deal with those issues if you're going to repeal and replace Obamacare.
Under Obamacare - which placed 159 federal agencies, commissions, and bureaucracies between patients and doctors - patients not only face dramatically higher health care costs, they've also lost the power to choose the options right for them.
You're going to hear a lot from President Obama and yes, from Joe Biden, you're hearing a little bit about Medicare these days. What they will not tell you is they turned Medicare into a piggybank to fund 'Obamacare.' They took $716 billion dollars to pay for the 'Obamacare' program.
Americans need health care focused on them, not Washington. They want choices, not more mandates. They want affordable plans with ready access to local doctors and hospitals - not high-priced plans with doctors they don't know.
When Department of Health and Human Services administrators decided to base 30 percent of hospitals' Medicare reimbursement on patient satisfaction survey scores, they likely figured that transparency and accountability would improve healthcare.
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