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Problems existed before the ACA. The ACA just made them worse. The ACA is welfare to big insurance, big hospital, big IT corporations.

The ACA empowered HHS to increase regulations. Those regulations punish physicians in private practice and forces many of them to sell their practice to big hospital corporations.

Of course, there are no big hospitals in small towns and rural areas. So the ACA has aggravated rural healthcare access.

These are the types of things Trump's HHS/CMS/ONC/MITA, and Congress should address.

Address the COST side of healthcare by getting the Feds out of the business of telling doctors and hospitals what they must and must not do.

1 posted on 11/20/2017 5:21:23 PM PST by spintreebob
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To: spintreebob

Seems like another classic example of when the government gets involved in something, it gets that way more expensive than it ever was before.


2 posted on 11/20/2017 5:24:37 PM PST by OttawaFreeper ("If I had to go to war again, I'd bring lacrosse players" Conn Smythe)
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To: spintreebob
cardiac catheterizations...physicians were seven times more likely to provide more services in a hospital outpatient setting than an independent physician's office

Cardiac catheterizations in a physician's office? Not on me, baby.

3 posted on 11/20/2017 5:26:18 PM PST by libertylover (Kurt Schlicter: "They wonder why they got Trump. They are why they got Trump")
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To: spintreebob

I read this until they starting talking about going to out of hospital facilities.

Before you open your body to a surgeon, check out the infection rates. They are not regulated like hospitals.


5 posted on 11/20/2017 5:49:35 PM PST by Vermont Lt (Burn. It. Down.)
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To: spintreebob

This same thing is true with Medicare, Medicaid and private or employee insurance. I don’t know about Obamacare but suspect it is worse.

Did you ever try to interpret a bill following surgery. Everyone in the hospital seems to get a cut. It is crazy.

Go to a nursing home where most are with Medicaid or medicare. A foot doctor comes in and goes to see a patient, then goes to treat every patient in the nursing home. A rip off. Tomorrow another specialist comes and the same thing happens. A terrible rip off.

There must be some control put into place to handle these fraudulent practices.


6 posted on 11/20/2017 6:02:48 PM PST by elpadre (AfganistaMr Obama said theoal was to "disrupt, dismantle and defeat al-hereQaeda" and its allies.)
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To: spintreebob

Physician office visits in hospital based practices are paid a facility fee plus the office visit fee. Private practice physicians are only paid for the Office visit. The facility’s fee can be as much as the Office visit effectively doubling the cost of the visit.


9 posted on 11/20/2017 6:23:57 PM PST by Stonewall1
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To: spintreebob

You’ll notice that these costs only become significant when the government is paying the bill


18 posted on 11/21/2017 5:47:02 AM PST by AppyPappy (Don't mistake your dorm political discussions with the desires of the nation)
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