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Politics : A US National Health Care System?
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To: i-node who wrote (24633)9/1/2012 6:00:04 PM
From: skinowski  Read Replies (1) of 42652
 
I understand Skinowski's complaints; however, if you aren't going to allow markets to decide total reimbursements from half of the health care economy, I don't see how a market-based solution works at all. So, it is probably not a bad alternative, all things considered. The problem is that they fiddle with the RVUs to allocate more money to one specialty or another

I'm not complaining. I gave up private practice 6 years ago and my RVU's, these days, are generously supplemented by hospitals (part A)... I'm a happy camper. If my RVU's would not get supplemented, I'd be broke. The national average supplement paid by hospitals per each full time Hospitalist position is close to $150K. This is how much it takes to balance off the "wise" allocation decisions on the part of Medicare.

I don't know if you read my conversation with Lane, but to me it was important - I actually understood better how the system works. I have no doubts that Dr. Hsiao and his group are people of integrity and not shills for the government. They did as good a job as they could developing a way to compare brain surgery with well baby visits and with chest cat scans and a million of other things.

The problem is - implementation. There is no way to avoid arbitrary fund allocations by biased bureaucrats.

Besides, our greater economy already has a unit which allows to measure and compare the values of an infinite variety of things and services -- it is called US dollar. By the time bureaucrats are done assigning RVU's (at $35 apiece) that's all they are doing -- fixing prices as expressed in dollars.
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