Health-Care Reform Solution For US ALL!

Single-Payer answers the wrong ques. HCRS4USA answers the right ques. & solves all of the problems its advocates rightfully want in a completely different way.

[Health-Care Reform Solution For US ALL! @HCRS4USA]

❤️ discussing policy & IMHO have the most viable sol'n yet can't fully contribute 'til pub. so seems a good time to jump off/finish (i.e. s*** or get off pot:)). Policy is m/l done. Some reading/LOTS of editing left! Being on here SLOWS progress . ❤️ y'all. Peace out✌️(for now!).

[Health-Care Reform Solution For US ALL! @HCRS4USA]

@DButterfieldRPh Followed

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@SanjayP68 @DButterfieldRPh Dave Min @CongressMin
Eric Burlison @RepEricBurlison

[Health-Care Reform Solution For US ALL! @HCRS4USA]

@DrDiGiorgio "...it’s destroying independent practices. ...and will accelerate consolidation."

I wouldn't have believed this when I 1st got involved in policy but over that period of time, it's become blatantly obvious this is the official, even if unwritten goal of our government.

[Health-Care Reform Solution For US ALL! @HCRS4USA]

@DrBruggeman Is anyone surprised? It's obvious the goal of gov't policy is the demise private practice. Whether that's in preparation for Single-Payer &/or some other reason is the only question.

[Health-Care Reform Solution For US ALL! @HCRS4USA]

@policywishes Indiana and Maryland seem to be the two states most willing to experiment w/policy.

[Health-Care Reform Solution For US ALL! @HCRS4USA]

@policywishes I'm in no way in favor of @RoKhanna's proposal, however wrt funding it, there could (would have to be) a surcharge above FICA along the lines of what private coverage currently costs (even 50-75%) for anyone under 65.

[Health-Care Reform Solution For US ALL! @HCRS4USA]

@SavageOnTheSun @victoriaregisk @ahahospitals @PhRMA As a whole that's correct - I believe US Chamber of Crony Capitalism (i.e. US Chambet of Commerce) is still the single largest but also represents healthcare interests.

But in the case of 340B we have 2 (maybe 3?) competing healthcare interests: Hospitals, Pharma, & maybe PBMs.

[Health-Care Reform Solution For US ALL! @HCRS4USA]

@RenoHemonc @RealJoeGrogan @PhRMA is also powerful however I agree w/you that @ahahospitals probably will prevail & any legislation wouldn't have much teeth.

[Health-Care Reform Solution For US ALL! @HCRS4USA]

@RealJoeGrogan @ahahospitals is one of the most powerful lobbies in DC so wouldn't hold my breath for meaningful 340B reform however on the other side @PhRMA is also powerful so will be interesting to see what happens.

[Health-Care Reform Solution For US ALL! @HCRS4USA]

@CarolynMcC @RoKhanna "Medicare For All" (NOT what I'd advocate) is Medicare by name only & ONLY for political reasons. In reality, it's Medicaid For All & a political impossibility as proposed. Congress is NOT putting health insurers out of business. IMHO, we'd get "Medicare Advantage For All."

[Health-Care Reform Solution For US ALL! @HCRS4USA]

@ehlJAMA The @AmerMedicalAssn at this point is merely another sector of the healthcare industry.

[Health-Care Reform Solution For US ALL! @HCRS4USA]

@mcuban But even during the deductible phase, prices are not easily shoppable. You're not cash-pay yet you're paying cash. You still have to be in-network. You're relying on the 3PP having negotiated the "best price" for you but every plan has a different price for the same service.

[Health-Care Reform Solution For US ALL! @HCRS4USA]

@rgergelymd IMHO it's the #1 day-to-driver of physician burnout.

[Health-Care Reform Solution For US ALL! @HCRS4USA]

@kenjaques @JordanAbbottMD 100% agree w/the 1st quote. It must ALL be torn down & replaced! There's no fixing our "system."

2nd not so much. It was never really "designed" per se. It evolved via patchwork although certainly the healthcare industry has plugged in, via legislation, "fixes" to THEIR benefit!

[Health-Care Reform Solution For US ALL! @HCRS4USA]

@JordanAbbottMD Seems the biggest day to day drivers of burnout (setting aside the root cause of everything - our 3PP model) are (1) EHR & (2) Prior Auth

[Health-Care Reform Solution For US ALL! @HCRS4USA]

@moylubimykroko @mcuban "Medical care isn't expensive. Healthcare IS!" - @GallaherCaren

Premiums are based on actuarial risk. Deductibles have an inverse relationship to premiums (higher ded. = lower premium) but have nothing to do with the actuarial risk.

[Health-Care Reform Solution For US ALL! @HCRS4USA]

@DrJesseMorse @mcuban Still less than most attorneys.

[Health-Care Reform Solution For US ALL! @HCRS4USA]

@SylviaGam @RockNRollMom6 @DrJesseMorse @mcuban I believe also for foreign students here on a visa.

[Health-Care Reform Solution For US ALL! @HCRS4USA]

@Patropicalx @DrJesseMorse @mcuban It did with a few exceptions.