Out of the Labyrinth

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Here is a nice article that explains what I believe is the ONLY way out of the labyrinth we call healthcare.  It is the only thing that removes the shackles put on us by our employers.  It describes direct primary care really nicely and paints a great picture.  Then the idiots get involved at the end of the article and they try to ruin the whole thing. I recommend you read it but here are the “concerns” given by these health policy experts:

  • Low-income patients without employer-provided health insurance may gravitate toward direct primary care because the monthly fee is cheaper than a health insurance premium, and they may not realize that they also need catastrophic health care coverage. Physicians who operate direct primary care practices are ethically obligated not to accept patients who don’t have at least catastrophic health care coverage.
  • Americans with high-deductible plans can’t use their health savings accounts to pay direct primary care fees. An advocacy group, the Direct Primary Care Coalition, is lobbying for changes to the U.S. tax code to expand the scope of HSAs.
  • Engelhard is also concerned about care coordination and physician accountability under direct primary care. She argues that physicians who opt out of the fee-for-service system become isolated from their peers and cannot participate in government initiatives designed to improve health care quality and efficiency, such as the patient-centered medical home.
  • “Direct primary care increases health care fragmentation,” Engelhard contends. Though the individual physician may reduce his or her overhead, the model does not reduce health system costs, she says.

So her are my responses:

  • Ethically obligated not to accept patients who don’t have insurance?  This forces them into a fragmented pattern of ER or urgent care system.
  • Can’t use an HSA card?  Who says?  Many states have passed their own laws stating this is fine and the IRS has never audited and rejected using an HSA card for direct primary care.
  • Can’t participate in government initiatives that are designed to improve quality and efficiency?  The present systems does neither and this is one of reasons I left.
  • Increases fragmentation?  Does not reduce health care costs?  The former is unproven.  The latter has been proven that we do.

It seems to me the ivory tower idiots are getting scared.  We have them on the ropes, people.  Time for a knockout.

68520cookie-checkOut of the Labyrinth