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View Diary: ACA's narrow networks allow insurance companies to gouge public, doctors (97 comments)

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  •  only if you think that a Medicare for All (7+ / 0-)

    program would not have rules about what services will and won't be compensated and safeguards against fraud. I don't think anyone is proposing the government simply pay for every service anyone requests from a doctor.

    Right now undercare, caused by insurers wanting to hold on to every single dollar of insurance premiums, is a bigger problem than overcare, caused by doctors charging for extra services in order to line their pockets. Many doctors are specialists anyhow who make their money off of rich old (often white male) patients who pay cash.

    Although of course the fee-for-service model must be reformed to avoid physician abuses.

    Suggesting that we need private insurers because we need gatekeepers to do triage rather misses the point. They have no interest in a sensible rationing of health care, only in grabbing every single dime. If they had their druthers, they'd ration care by denying it to everyone. They're coming pretty damn close to that already.

    I would much rather have a democratically accountable government organization performing this triage function, rather than private, for-profit entities.

    "In America, the law is king." --Thomas Paine

    by limpidglass on Sun Nov 24, 2013 at 03:47:39 PM PST

    [ Parent ]

    •  Reasonable reply. In general I believe docs (0+ / 0-)

      are driven by high cost treatment but you provide for reform in that regard.

      "The way to see by faith is to shut the eye of reason." - Thomas Paine

      by shrike on Sun Nov 24, 2013 at 03:56:06 PM PST

      [ Parent ]

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