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Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?

To: Lane3 who wrote (24621)	8/31/2012 7:16:39 PM
From: skinowski	2 Recommendations Read Replies (1) \| Respond to of 42652

Without a rational underlying standard the bias would be greater OK, not to argue, but simply trying to see if there is something I do not grasp... what is it that we are standardizing? I mean, it seems that RVU's have not much of any meaning outside of the context of applying them to actual services. And the application is done - arbitrarily - by biased humans. Before the RVU's we had " usual and customary" fees that served as the underlying standard for medicare and others. I submit that they probably made more practical sense, since they were based, at least in the beginning, on actual fees which were charged by docs for various services. They were rooted in historical market prices. But, as market prices became history, we had to replace them with some form or another of top down pricing. Which is the reason why we are in a bad mess, in need of reform.