Medicare for all. Discussion
I’m a resident physician who’s been learning more about Medicare for all recently and so far this seems like the next best step for our healthcare and for our profession. It may not have all the answers and may not be perfect but it’ll point us in the right direction.
Here’s the problems with our current system that I see: -We currently have insurance companies who dictate what drugs our patients will receive. WHAT? -We have for profit hospitals and insurance companies teaming up to squeeze the last living life out of most physician run private practices. -We have many medical students (US grads) who end up not matching due to lack of Medicare funded training spots.. Yet there is a “shortage of doctors” in the US. To add to that we have more medical schools (MD and DO) created and existing ones continually increasing class sizes that are outpacing the amount of new residency spots. Simple math, we’re screwing over our own future docs. -We have doctors who spend hours on end doing billing/coding in order to get reimbursed by insurance companies. I imagine this causes more burnout than “mandatory wellness lectures” -there is a symbiotic relationship (that I do not fully comprehend, please educate me) between pharma, insurance, and for profit hospital systems that are in their “golden age” at the expense of patient care.
The reasons why I believe Medicare for all will point us in a better direction: -there is a fear that we don’t have enough doctors to support Medicare for all. More money in Medicare will fund more spots for residency. We are already at a time where there is not enough residency spots per new US grads. -there is worry that there will be longer wait times. Possibly. But looking at other countries operating in a similar healthcare it is not that bad to what we currently have. -this will keep drug companies honest about efficacy of their drugs and whether it is really needed, it’ll be harder to jack up prices, data will have to be public info. Not hidden info between pharma and insurance companies. Similar to how the VA creates their own formulary with public info from pharma. -this will also keep hospitals from monopolizing the employment of health care professionals. And as a result, the fire to push for more independence of NPs and PAs will diminish and will be valued for what the position was created to be(disclaimer: I love NPs and PAs and value them, don’t kill me) -there’s a fear that doctors pay will be cut. Probably. But it’s for the best and I don’t think anyone will be homeless by the pay cut.
Love to hear everyone’s thoughts, much love. Thanks for all you’re doin out there health care pros.
Source: Original link