Download Health Care Turning Point: Why Single Payer Won't Work by Roger M. Battistella PDF

By Roger M. Battistella

Knowledgeable debunks well known misconceptions approximately healthiness coverage, together with the benefits of single-payer plans, and provides an alternate.

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Society also had a stake in controlling access to sick role privileges that exempt individuals from having to carry out their normal social responsibilities. In additional to the disruptive family and social effects from individuals wanting to escape unpleasant responsibilities by taking refuge in the sick role, there are also economic consequences in the form of job absenteeism and entitlement to government-funded cash benefits, such as worker’s compensation and fraudulent medical expenses. ) In other words, laissez-faire medicine was assumed to be a danger to public health, and socially and economically dysfunctional.

Providers benefit from their mistakes. Ironically, they are paid twice for treating the same condition, such as hospital readmissions, thereby creating a disincentive to improve treatment standards. This is poised to change, however. Momentum is building for performance-based compensation. Medicare has launched a policy of denying payments to hospitals for certain avoidable medical errors, and private insurers are starting to move in a similar direction. By and large, however, it remains a serious problem (Fuhrmans 2008).

Thus the government’s influence is limited to discouraging teaching hospitals from increasing the number of residency positions (Iglehart 2008; Croasdale 2006). The cost problems spawned by provider reimbursement are made worse by the multiplicity of third parties. It is not unusual for physicians to contract with as many as twenty insurance companies, each of which has different reimbursement and reporting criteria (Practice Management Resources Medical Group Management Association 2004). The resulting red tape and paper work are a drag on efficiency and contribute to high administrative expenses.

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