I am concerned when all the discussion in the Capitol Hill is how to get everyone insured. Congress just burnt a whole afternoon session to go to learn the alphabet soup of health care delivery system - capitation, EMR, MRI...where do you think the government leaders are leading us to? There is no learning about why health care cost has been escalating, why the American health issues are so complex and difficult to solve.
No good discussion has been focused on why so many interest groups want to erode the mere doctor-patient agency relationship including the doctors themselves.
I am puzzled on these phenomena:
1. Doctors cannot prescribe the appropriate diagnosis and treatment unless insurance authorizes them. Going to be more so when all patients are insured as proposed.
2. Diagnosis and treatment has to fit into a no malpractice safe haven instead of years of knowledge and training tells you.
3. More and more rules and regulations hard to comprehend mostly have no bearing to medical practice.
4. When the health care providers have to figure out how to get their service compensated on what they actually provide - is it after 90 days or a whenever cycle.
Well, the health care delivery system has been sick for a long while. However, I am afraid it will be moribund when more other interest groups are attending it other than the patients and the health care providers themselves minding their relationship and responsibility first. Fundamental changes have to occur instead of building up more bureaucracy and bankrupting the Nation.
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With all the chaotic sentiments across the Nation about the new Health care reforms; obviously the reform task has been too broad and lack of focus as well as strategy. All the confusion can be solved if the Congress were shifting to fix the broken healthcare insurance plans and policies first . Start looking at how it functions (or malfuctions). Let the legislators enroll into the private HMO plans instead of their golden glove plans for a trial period they will quickly find out how bad they are for patients and providers. Fix them before starting some new plans or policies which will drown the the Nation further.
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