December 24, 2009
Collectivism in the Heath Care Bill
I know you're all shocked. Stick with me a minute.
In a superb guest editorial in the WSJ, Dr, Scott Gottlieb provides a comprehensive enumeration of reasons that the current Senate bill is bad for physicians and providers. Most will not be a surprise, but I had not seen this little gem before:
Next, the plan creates financial incentives for doctors to consolidate their practices. The idea here is that Medicare can more easily apply its regulations to institutions that manage large groups of doctors than it can to individual physicians. So the Obama plan imposes new costs on doctors who remain solo, mostly by increasing their overhead requirements—such as requiring three years of medical records every time a doctor orders routine medical equipment like wheelchairs.
Round 'em all up so they are easier to control! These are Doctors we are talking about.
Consolidation has a great track record in business and is important. But no serious person ever claimed it improved innovation. Our new medical overlords are so considered somebody will discover a new treatment that costs money.