Medical Politics

Post-Election: Health Care Reform or Health Care Deform?

November 11, 2016

It’s difficult to verbalize all the feelings after the  election results. We can only fear what is to come. Yes, medical reform will be on the agenda and we will speak to that.
We will continue to advocate for health care reform but it’s obvious that we have to broaden our concern  to include reminders of our social contract, the role of ethics (doing what is right) and the dangers of relying on the profit-motive free market to care for our social needs.
Obamacare was flawed from the start. Dr.  John Geyman highlighted this in 2010 with his book, “Hijacked :The Road to Single Payer in the Aftermath of Stolen Health Care Reform.” The main problem was that the bill was essentially written by industry lobbyists. They did everything they could to make sure that corporate profits were maximized. Now that the Republican party is in control of the federal government those same health care industries, their lobbyists and their dark money supported politicians are preparing to replace Obamacare with something. We know it won’t be with single payer medicine. That will come only when our medical care is totally broken. First we are going to have to witness the failure of medical savings accounts, insurance companies freed from oversight by state insurance commissioners, and some sort of supplements to help pay the insurance companies inflated premiums for low value coverage. The sudden post-election jump in the value of drug company stocks tell us how likely it is that drug prices are going to be brought under control. And of course policies will be based on the false assumption that people will make smarter (cheaper) choices about going to the doctor if they have to pay out of pocket. This assumes, of course, that many people go to the doctor when they don’t need to and that nobody will avoid needed care because of the expense. Strange, after 50 years of family practice I found neither of these concepts to be true.  But what do I know? In the past we have theoretically discussed the fallibility of the various alternatives to single payer medicine.  Now we are going to have to actually live with another (even worse than Obamacare) option. Watch for an astronomical jump in our medical induced bankruptcy rate and a big increase in the 45,000/year unnecessary death rate.

All the Way to the Bank

There has been a lot of discussion about excessive CMS payments to the privatized Medicare Advantage plans.  One area of special concern is the risk management adjustments that provide additional payments for the care of high risk patients. This leaves open a huge area for gaming the system by the insurance companies. Upcoding and adding new diagnoses (not those supplied by the attending physicians) seems to be on the increase. A recent article by Bob Herman in Modern Healthcare discusses this problem. Besides this chicanery of the insurance industry one of the most sordid aspects of the current debate is the overt buying of government by the same industry and the obvious bribery in the U.S. Senate. 53 Senators have sent a letter to CMS pressuring the agency to continue the overpayments. According to Open the two senators leading the pack have received more than $727,000 in campaign funds from the health insurance companies in the last 8 years; Mike Crapo $234,000, Charles Schumer $493,000. In the mind of Everyman this is unethical. But, then, we already know that our politicians are not answerable to Everyman.

Obamacare Unsustainable

Geyman's Books

Dr. John Geyman has published his latest book on the state and future of American health care.* He has written a series of books on this subject over the last 13 years.** His latest, “How Obamacare is Unsustainable” should be must reading for every congressmen, CMS employee and medical reporter and blogger as well as President Obama and his staff. It should be recommended reading for everyone else concerned about health care in the United States.

Dr. Geyman discusses the failure of the Affordable Care Act (ACA) to effectively address the four biggest challenges of health care reform: restricted access, increasing costs, increasing unaffordability even for people with insurance, and poor quality of care compared to the rest of the industrial world. He first reviews the history of the corporation led charade that created the byzantine ACA. Political corruption, lobby money, and media entanglements with corporate stakeholders (especially the pharmaceutical and insurance industries) disfigured the initial goals beyond recognition.

In Chapter 10, after reviewing where we stand now, 5 years into the ACA, he elaborates on the ten lessons we should have learned (and were predictable):

1) Health care “reform’ through the ACA was framed and hijacked by corporate stakeholders, themselves in large part responsible for system problems of health care and dedicated to perpetuating their self-interests in an unfettered health care marketplace.

2) You can’t contain health care costs by leaving for-profit health care industries to pursue their business “ethic” in a deregulated marketplace.

3) You can’t reform the delivery system without reforming the financing system.

4) The private insurance industry does not offer enough value to be bailed out by government.

5) It is futile to embark on unproven and disproven incremental tweaks to our present system while ignoring health policy and experience around the world.

6) In order to gain the most efficiency of insurance coverage we need the largest possible risk pool to spread the risk and avoid adverse selection.

7) The ACA is a massive bailout of private interests profiting on the backs of sick or injured Americans.

8) The single-payer alternative was considered “politically unfeasible” by being “too disruptive” to the existing system; instead, look at how disruptive the ACA has been compared to the simplified single-payer alternative.

9) The ACA is unaffordable for many patients and their families, is byzantine in its complexity, and is unsustainable in the long run.

10) We cannot trust many states to assure an adequate safety net for the insured and underinsured.

Dr. Geyman goes on to define the need for, and the barriers to the development of a single-payer system in the United States. He describes what a single-payer system would look like and what the political prospects are for developing such a system.

This evidence-based analysis of our health care non-system offers the most comprehensive, accurate, and functional map of the road to universal health care in the United States.

* Geyman, JP. How Obamacare is Unsustainable: Why We Need a Single-Payer Solution for All Americans. Friday Harbor, WA. Copernicus Healthcare, 2015.

**A list of books by Dr. John Geyman

  •  Health Care in America                                                 2002
  • The Corporate Transformation of Health Care               2004
  • Falling Through the Safety Net                                       2005
  • Shredding the Social Contract                                        2006
  • The Corrosion of Medicine                                              2008
  • Do Not Resuscitate                                                          2008
  • Hijacked                                                                           2010
  • Breaking Point                                                                  2011
  • The Cancer Generation                                                    2012
  • Health Care Wars                                                             2012
  • How Obamacare is Unsustainable                                   2015

To see Dr. Geyman’s biography and web site visit….… &

Congressional Committe Eyes Medicare

Again, a congressional committee is studying a fix to the Medicare Sustainable Growth Rate (SGR) problem. Last year’s attempt led to a three committee compromise plan that never came before congress for a vote. The plan was an over-reaching attempt to change the entire physician compensation system. This produced a minefield that incorporated concepts that, so far, have proven to be ineffective and/or expensive, viz., using controversial guidelines to guide the already failed pay-for-performance mantra and tying payments to physician participation in alternate payment models (APMs) such as patient centered medical homes (PCMHs). So far this latter entity has been ill-defined and unsuccessful even though, in the future, thoughtful development may make this a viable optional medical care delivery system. Rather than attempt to re-write all of Medicare it would be wiser for the committees to focus on two rather simple things that they have been unable to accomplish: repeal of SGR and revision of the flawed RBRVS payment system. This latter contributes to the present inappropriate physician payments and to the demise of primary care. For a discussion of a quick fix for both of these problems read…

Trans-Pacific Partnership: The Corporate Grab

The rent-seeking Trans-Pacific Partnership is the work of big corporations. It would raise the costs of pharmaceuticals (even higher) and lengthen the patents. It extends the range of patents and it turns jurisdiction over to an international tribunal, circumventing national laws. Please read Dr.Flower’s  “Backgrounder on the Trans-Pacific Partnership and health care“.