tag:blogger.com,1999:blog-7772182113499451603.post499318237687221890..comments2024-03-27T10:50:53.692-05:00Comments on Real Psychiatry: Americans Can't Do The Basic Health Care ArithmeticGeorge Dawson, MD, DFAPAhttp://www.blogger.com/profile/03474899831557543486noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-7772182113499451603.post-8451010031458684732017-01-04T23:09:01.804-06:002017-01-04T23:09:01.804-06:00Single payor does little to reduce the frictional ...Single payor does little to reduce the frictional middlemen costs without a massive reduction of burden of hyperregulation.<br /><br />I would ban current EHR requirements (that benefitted Obama bundler Epic Systems) and any regulations that do nothing but give an advantage to large providers. That includes all but the most basic HIPAA, much of JCAHO. I'd also work in some type of medimal reform, with a provision that middlemen making decisions but claiming not to are making medical decisions and are on the hook for them legally. <br /><br />I don't think the insurance companies are necessarily doing a better job than single payor and given the preening but self serving commentary by do nothings like Kaiser head Robert Pearl MD in Forbes, I would mind seeing a few cronies on the unemployment line. <br /><br />If single payor is done, it needs to be done by the states as laboratories, the way the founders intended. I guarantee that single payor by Washington will only be worse. Remember these are the same clowns wrecking the food supply with the Farm Bill, making everyone sicker in the first place. That's far from a panacea as I am certain California will make a mess of things, but a few states will be practical and realistic setting the model.James O'Brien, M.D.https://www.blogger.com/profile/14994350319492582321noreply@blogger.com