Divinity Seven📚🏥🌏🪧

Medicare for All will not affect me at all. If that’s what you want, please get a double portion. There are three distinct silos of healthcare, segregated by payer: government, employer, and individual. Today, they overlap. Over the coming years, that overlap will disappear as each diverges and calcifies into its own market. The government silo will increasingly rely on non-physician practitioners, AI, and robotics. Cost containment will dictate virtually everything. The employer silo will retain some physicians, but its principal concern will be employee productivity. Keeping people healthy enough to work will be the economic imperative. The individual silo is where things get interesting. It will be consumer-centric, attract the best physicians and other clinical talent working in multidisciplinary teams, and focus on wellness before ultimately evolving toward wholeness. These aren’t merely different ways of paying for the same healthcare. They’re becoming entirely different markets, with different incentives, different talent, and ultimately different products. I suspect that in another decade or two, we’ll wonder why we ever considered them part of the same industry.

Hospitals received an increase for the 29th year in a row while reimbursements for independent physicians has gone down for nearly 20 years. Hospitals have used the additional payments, not to help their communities, but rather to buy more independent practices. Then they lobby, successfully, as cash strapped and financially weak facilities. When will the ruse end?

Communist @NYCMayor will give taxpayer cash to leftist groups to effectively seize property.

The CBO has scored Medicare for All, and it's worth looking at their results: They compared five systems with various assumptions about provider payments & patient cost sharing. One of the five increased total annual healthcare spending. What's even more notable is that they explicitly warn of "increased congestion in the health care system, including delays and forgone care." That's why M4A will end up costing more. Americans are not going to sit by with "delays and forgone care." They're going to pay out of pocket for a system that elminates those delays and forgone care. The average American will no longer have an insurance premium. Their taxes have gone up. Then they encounter delays and forgone care. They see their friends waiting months for cancer treatment, a year for a knee replacement, 40 hours in an ER for a burst appendix. They say, "I don't want that." They purchase a private insurance plan. Now they're back paying an insurance premium on top of their increased taxes. So M4A has created a two-tier system that ultimately costs Americans more.

Canada irks me because almost no one is honest about what’s happening. There are tradeoffs, be honest about it! And the notion that Justin Trudeau or some politically connected person is waiting 6 months for a hip replacement is laughable.

Big thanks to the @ZotecPartners advocacy team, Mark, Jen and Megan, as we celebrate our 100th episode and over 10K downloads. Special thanks to all of you who have participated and become advocates. There are no solutions to many of our issues without advocacy and convincing Congress and the Administration to address those issues. Watch “Zotec Answers Celebrates 100 Episodes | A Thank You from the ZPAC Team” on #Vimeo vimeo.com/1245205806/b808642…

My guess would be to follow the money.

Anyone else have this issue with BCBS California ?