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View Diary: How the Public Option Saved My Life (30 comments)

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  •  It is very hard and will result in dumping (0+ / 0-)

    I see a lot of poor patients. I counsel them to eat healthy. But healthy foods are expensive, carbohydrates and fats are really cheap. So when they have complications because of poor eating, or because their husband can't take off work to bring them to clinic or because they do not have money for gas, why should I be penalized for their poor outcome? Health is a lot more than doctors and hospitals.

    In my opinion, the solution is to contract out care for large number of patients to large multispecialty physician groups. Set outcome criteria and let them bid. Audit certain percent of medical records to ensure quality care.  Pay these groups per capita, not per service. let them figure out the payment criteria and how to divide the money. Believe me they will become very creative and institute a lot of cost saving measures.

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