Is The Ameliorate Manner Actually Better?

Dear President-elect Trump,

The American people, myself proudly included, chose to post y'all to Washington DC to produce their bidding. That’s what happened on Nov eighth 2016. Everything y'all hear forthwith from the elite punditry is aimed at obfuscating this uncomplicated truth. Forget close nice drinking glass ceilings, nosotros the people were able to interruption through the fortified ramparts erected past times entrenched coin in addition to ability in addition to do our right to principle ourselves. I would caution the smug intelligentsia against underestimating the wisdom of the people i time again, in addition to I would caution y'all against forgetting who sent y'all in that location in addition to why nosotros did so. We forthwith know nosotros take hold the power, in addition to what the people giveth, the people tin taketh away.

RyanCare

The ecstatic welcome y'all received from Paul Ryan in addition to Mitch McConnell the other solar daytime looks to a greater extent than similar an deed of violence than i of truthful reconciliation. Fair weather condition friends are commonly in that location because they desire something, in addition to inward this representative they desire to hijack the people’s agenda in addition to supplant it amongst their ain conservative garbage. Mr. Ryan inward exceptional has been proposing bogus alternatives to Obamacare amongst alarming regularity. Similar to Obamacare, Mr. Ryan’s wellness reform programme is based on belief inward his ain superior word in addition to devoid of whatever evidence that it tin indeed work. Unlike Obamacare, the Ryan programme is also based on the supposition that helping the poor teach poorer in addition to the rich teach richer is the ultimate role of government.

Influenza A virus subtype H5N1 few days earlier this historic election, I used your Old Post Office renovation projection to highlight the big picture facets of wellness tending inward America inward ways y'all tin easily relate to. It volition endure real helpful if y'all read that first, believe me. From reading your latest Obamacare repeal in addition to supplant literature, I am starting to think that y'all are close to swallow Mr. Ryan’s fantasy hook, trace in addition to sinker. I would similar to remind y'all that on the displace trail y'all promised to supplant Obamacare amongst “something terrific”. In keeping amongst tradition, the GOP Better Way may endure slap-up for GOP corporate donors, but for us, it is anything but terrific.

Have y'all read Mr. Ryan’s plan, Mr. President-elect? I propose y'all do, in addition to I propose y'all inquire your quondam friend Chuck Schumer to span an introduction to Bernie Sanders, who is perhaps the exclusively other elected populace retainer non beholden to lobbyists in addition to special interests. If I had to summarize the deviation betwixt RyanCare in addition to Obamacare I would state that whereas Obamacare is providing people amongst a authorities defined ready of wellness tending benefits, RyanCare is proposing to brand a authorities defined fiscal contribution towards purchase of wellness insurance. This deviation extends to all insurance including Medicaid in addition to Medicare, amongst RyanCare essentially dismantling Lyndon Johnson’s 1965 landmark legislation. I know you’re forthwith inward the “take the lumps out, son” phase, but closed to lumps were simply meant to endure taken equally is.

Industrial Care

While Obamacare in addition to RyanCare differ on how they finance wellness tending services, they are unsurprisingly similar when it comes to controlling wellness tending delivery costs, because this share of both nightmares was dictated past times corporate lobbyists in addition to special interests. When y'all exit medical decisions inward the hands of millions of people interacting amongst hundreds of thousands of doctors inward unique ways, the upshot is utter chaos, or what nosotros telephone phone freedom. The Obamacare lieutenants decided early that the best way to exert command over costs is to industrialize wellness care.  You take hold to acknowledge that this sounds pretty tempting. Industrialization has made lots of things cheaper in addition to oft improve in addition to to a greater extent than reliable. The conservative Ryan plan, which is past times Definition dismissive of workers in addition to non-wealthy people inward general, went all inward amongst this aspect of Obamacare.

But hither nosotros are attempting to industrialize people. Not exclusively is this impossible without enslaving humanity equally a whole, but these futile attempts at industrialization are costing us a fortune. This is the key round-hole-square-peg epitome plaguing both Obamacare in addition to RyanCare, because insurance prices are driven past times the prices of goods that are beingness insured in addition to y'all cannot take hold affordable insurance prices for unaffordable products. During the 2008 election season, President Obama made fun of Mrs. Clinton’s proposal to mandate that everybody buys wellness insurance, because it would endure similar trying to solve homelessness past times mandating that all homeless people purchase a house. Influenza A virus subtype H5N1 twosome of years afterwards he did exactly that. RyanCare on the other paw is turning wellness tending into a nutrient stamps program.

Here is the most of import slice of wellness tending data you’ll e'er need: When y'all become to a physician who runs his or her ain pocket-sized business, y'all pay one-half equally much equally when y'all become to a physician that is employed past times a large wellness conglomerate, in addition to y'all teach improve tending to boot.

To endure fair, consolidation of wellness tending started decades earlier Obamacare, but the Obama management trifecta (the 2009 Stimulus, the 2010 Obamacare in addition to the 2015 MACRA) made consolidation of wellness tending providers pretty much mandatory. In a perverse in addition to illogical way, this ready of laws ensures that excessive wellness tending prices are baked into this cake inward perpetuity. In particular, the bi-partisan in addition to fairly novel MACRA legislation represents a consummate regulatory capture of medicine, its transition to indentured servitude to moneyed interests, in addition to hundreds of billions of wellness tending dollars wasted.  Get rid of MACRA Mr. President-elect. Replace it amongst what Sen. Tom Cotton suggested on the flooring right earlier the Senate voted on it. You produce that in addition to y'all are 90% where nosotros take y'all to be.

The other solar daytime I listened to your favorite negotiator, Mr. Carl Icahn, in addition to his description of how excessive regulations are killing our industries past times discouraging upper-case missive of the alphabet investment inward novel machines, which inward plough suppresses productivity growth, leaving stock buybacks the exclusively venue for CEO enrichment. Health tending is different. In wellness care, regulatory capture mandates the purchase in addition to expensive functioning of mechanism that is designed to kill productivity, which leaves consolidation to gain marketplace power, the exclusively revenue enhancing alternative. MACRA is the final, in addition to yet removable, smash inward this coffin. Whatever y'all produce amongst Obamacare, if y'all exit MACRA inward identify in addition to allow the passage of the 100% lobbyist crafted 21st Century Cures Act, it volition all endure for naught. To seat it inward structure terms, if your remodeled Obamacare is the building, MACRA in addition to the Cures Act, are the termites in addition to dark mold devouring it from within.

Words that Go Bump inward the Swamp

I know the President of the the U.S. sets the tone, but cannot mayhap endure delving into policy details. Unfortunately, Mr. President-elect, policy details is where corruption lives. You may non endure jump past times allegiances to coin in addition to power, but your political appointees volition be. Big league. They volition come upwards to y'all amongst executive summaries, both written in addition to verbal, thus hither are iii of the most common, most strong in addition to most dishonest wellness tending buzzwords. You should never work them, in addition to y'all should never work advice from whatever swamp dweller that is using them, because these are code words for defrauding the populace in addition to we, the public, know that, in addition to nosotros are watching carefully. As uncomplicated equally that.

Patient-Centered – Every calamity inward wellness tending is patient-centered. Every fourth dimension y'all hear or read patient-centered, repeal in addition to supplant it amongst “circular firing squad”. The most mutual usage is to demand “transformation to a patient-centered model of care”. Now, you’re a smart man, think. What the hell does that mean? Try these: guest-centered resort, golfer-centered club, gambler-centered casino. See what I mean? People who pitch patient-centered ideas are known equally “thought leaders” or “industry experts” in addition to are invariably looking to fleece either doctors or taxpayers or both.

Patient-centered agency large wellness systems using large computers to collect in addition to analyze personal data of patients in addition to target them for for sure services that optimize payments in addition to revenues for the system. Very much similar the RNC displace software worked to target voters for you. You think that organization was voter-centered? With that answer inward mind, perhaps it would endure a goodness persuasion to take that patient-centered reference from your website in addition to burn downward whoever seat it there. You are supposed to endure the authentic one, remember?

Value-Based – This is a real uncomplicated i to understand, because equally a businessman, y'all should know what value-based pricing means, in addition to y'all should know that it is non something that has the buyer’s welfare inward mind. You should also endure cognizant of the fact that value-based schemes are intended to enable wealthy patrons to purchase improve stuff, patch the masses are kept content amongst generic, inexpensive stuff. This may travel good for socks, but this is non how wellness tending tin or should operate. There is no such affair equally generic versions of coronary bypass surgery, or buy-one-get-one-free dollar-store stents.

Value-based tending is the key to the regulatory capture of medicine. Its sole work is to herd doctors in addition to the working cast into cheap, substandard systems of wellness care, in addition to work the leftover coin to enrich a vast array of special interests, ranging from insurance companies, think tanks, Silicon Valley vultures, in addition to all the way to software developers inward Republic of Republic of India in addition to estimator manufacturers inward China. Like all fraudulent schemes to steal hundreds of billions of dollars, this is a huge in addition to real complex subject, but for forthwith y'all simply take to beware people carrying value-based wellness tending solutions. Treat them similar they were carrying the plague.

Transparency – I heard y'all read this term from the teleprompter inward a spoken language close wellness care. I know y'all didn’t seat it there. Please, stop. President Obama promised the state that his volition endure the most transparent management inward history. It ended upwards beingness the exact opposite. You said many times during your rallies that y'all are struck past times how smart the American people actually are. You were right inward that assessment. We may non hold back smart, or audio smart, but nosotros are smart in addition to you, of all people, should empathize amongst our predicament. We know that a hope of transparency is exclusively necessary if the company is a secretive sham. When y'all hope transparency inward wellness tending prices, nosotros know that nosotros are close to endure brutally beaten, raped in addition to robbed. Transparently.

Bottom Line

We did non vote for y'all because nosotros fell inward love amongst the Republican Party elitist agenda. If that were the representative nosotros would take hold elected Mitt Romney inward 2012 or Jeb! inward 2016. We picked y'all exactly because nosotros recognized that the conservative agenda, much similar the progressive agenda, is an anti-working people agenda. We know what “defined contributions” are. We know what “vouchers” imply. We know what “skin inward the game” agency for us. And nosotros know what the synonyms for “modernizing” Medicare in addition to “block granting” Medicaid are. Thanks, but no thanks. We didn’t take hold much of your campaign-trail bluster literally, but nosotros took your hope to endure our vocalisation seriously. Consider this a friendly reminder from the miserable gallery.
Godspeed Mr. President-elect!