The Congressional health care reform boondoggle, otherwise known as the "Patient Protection and Affordable Care Act" expanded government funded health care to about 32 million Americans but other than some tepid insurance restrictions, basically screwed the rest of us. How is the new reform law doing at 90 days?
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The current health care system is doing a good job of driving away primary care providers by fixing it so that the harder they work, the less they make.
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In fact, it's likely to make things worse.
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The study of motivation in economic rewards models provides us a framework by which to look at how greed and the drive to maximize profit leads to more expensive and poorer quality health care.
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Paying primary care physicians per patient visit and per office service is really, basically, very stupid.
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What the hell is going on in Massachusetts?
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Still waiting for your Obama check to arrive in the mail? Keep waiting.
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The Patient Protection and Affordable Care Act is going to enable millions of additional patients to enter into community health care systems that are already poorly designed, underfunded, and overcrowded.
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Given the political difficulty in fixing the perpetual 21% Medicare pay cut, maybe a few million angry voters will help things.
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With all the talk about preventive care and coordination of care during the current health reform efforts, you would think that this would have been one of the primary measures in the recent legislation. You'd be wrong.
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