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View Diary: I feel sorry for health insurance companies. Yes, I said that. Why? This Time report must be read. (228 comments)

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  •  Provider reform, the blindspot of ACA (2+ / 0-)
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    james321, ladybug53

    Hospitals are in an arms race for the biggest atrium, the plushest carpet, the most lavishly-equipped children's play room, and a whole host of other things that have little or even nothing to do with quality of care.  This then gets billed back to whoever squeals the least or has the worst access to legal representation or whichever insurer is the laziest and the least willing to fight back with auditors and rulebooks.  

    As for individuals, doctors, surgeons and so on, it's a more complicated picture.  In some cases, it's pure greed.  In others, it's a desperate race to pay back medical school loans or liability insurance premiums.  In yet others, it's collusion, sometimes among the medical schools or doctors' organizations themselves, to limit the number of practitioners in a certain field and artificially inflate the value of their labor.

    This — not universal health care — is, for me, the biggest piece of unfinished business, and the one with the potential for the great impact on affordability and access to health care.  Truly universal care cannot happen until provider reform is dealt with.

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