It’s Probably a Good Time to Chat about Single Payer Healthcare

Over the years, I’ve had discussions with people on various different blogs over whether private healthcare or single payer is better.  I’ve often found that any political commentary in favor of private healthcare is met with ferocious opposition from single payer advocates.  Today, this picture came across my newsfeed, from a doc friend of mine who runs a private ambulatory surgery center in Oklahoma.  He, of course, services many from around the world who have been unable to receive timely care due to the single payer  system in their country.

Its clear to me that single payer healthcare is not a good long term solution to providing timely, affordable care to America’s population.  No matter how you spin it, it just isn’t going to work.  We need to find solutions that allow a private healthcare system to work…free of third party payers and government interference. Follow the links at the top and to the right of this website to find direct care that is both timely, and affordable.  It’s already here; we just need more Americans to learn about it and encourage their representatives to pass laws that will allow it to thrive.

With it being open enrollment season now for ACA (Obamacare) coverage for individuals and families, Americans are going to quickly see how all of this government interference in our healthcare system has basically made affordable health insurance out of reach for most middle class Americans.  We, like Canada, have reached a breaking point.  Middle class America can no longer bear the cost of the ACA.  We need a change, so we ask our politicians to please come together in bipartisan support to help us!  This petty gridlock is unfair to the people who are being hurt.

To those who believe the ACA is working, I challenge you to run a quote, and see what the cost is to those who don’t qualify for subsidy.  It’s truly unbearable, especially for those aged 50+.  The politicians who created the ACA knew that it would eventually blow up, thus hoping Americans would throw up their hands and beg for single payer.  Well, this American asks my readers to consider something different!  Take the time to learn about Direct Pay healthcare.  Paired with deregulated, catastrophic insurance, we have a perfect combination for affordable healthcare.  Let’s make it happen!

Another doctor enters the DPC waters?

I may have helped convince my doctor to drop Medicare/Medicaid and convert to a Direct Primary Care (DPC) model, though the federal government’s new MACRA mandate probably had more impact than my words.

My doctor already spends more time doing administrative paperwork than she does seeing patients, and she doesn’t even do all the paperwork CMS wants her to do. Why? Because it would mean sharing ALL of her patients’ private medical information electronically with the CMS.

Her refusal means the following:

  • This year, she’s dinged 2% of her Medicare/Medicaid payment for not complying.
  • In 2018, she will lose 4%.
  • In 2020, she will lose 20%

Added to the low amount Medicare/Medicaid pays already, why would any small provider stay in the system?

Of course, DPC is not the only choice. My doctor could have sold out to the regional hospital. Last year she told me that all but a handful of the smallest providers in our city did just that. Yes, Obamacare drove them out of business. The result? Higher prices. You see, the hospital–being a hospital and therefore categorized differently–can charge more for the very same services.

So I am very glad that my doctor is looking at DPC. She has to make the decision by October in order to be set for 2018, and I plan to do what I can to ease her way.