Posted in Access to healthcare, Crony Capitalism, Economic Issues, Healthcare financing, Influence peddling, Medical Costs, Medical Practice Models, Organizational structure, Patient Choice, Patient Safety, Patient-centered Care, Policy Issues, Quality, Uncategorized

Surgeon Sues Orlando Health Over ‘Forced’ Referrals | Medpage Today

Jay Wolfson, PhD, a health policy expert at the University of South Florida in Tampa, said this case “goes to the heart of physician clinical autonomy.”

Hospitals use various methods to ensure that physicians refer patients to its own entities, including non-compete agreements that prohibit doctors from practicing medicine in a set geographic area around their place of employment during their contract, or even after termination.

A 2018 survey of 2,000 doctors in five states found that 45% of primary care physicians were bound by this sort of non-compete agreement, though hospital-based physicians are less likely to be restricted by these clauses.

https://www.medpagetoday.com/special-reports/exclusives/84571

Posted in Access to healthcare, Accountable Care Organizations, Affordable Care Act (ObamaCare), CPT billing, Economic Issues, Health Insurance, Healthcare financing, Independent Physicians, Influence peddling, Medical Costs, Medicare, Patient Choice, Patient Safety, Policy Issues, Price Tansparency, Uncategorized

Wax: Making a Killing in American Health Care, a Step-by-Step Guide

Master this how-to guide and you’ll be on your way.

https://www.breitbart.com/politics/2019/12/03/craig-m-wax-do-making-a-killing-in-american-healthcare-a-step-by-step-guide/

Posted in Access to healthcare, advance-pricing, American Presidents, Consumer-Driven Health Care, Crony Capitalism, Economic Issues, Government Regulations, Healthcare financing, Influence peddling, Medical Costs, News From Washington, out-of-pocket costs, Patient Safety, Policy Issues, Price Tansparency, Uncategorized

Hospitals pledge to fight Trump admin price transparency plan in court | Healthcare Dive

The old aphorism is true, leopards don’t change their spots!

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For these three entities that oppose the new HHS price transparency rules, and for many others to be sure, there is no incentive to hold down healthcare care costs. In fact, the incentives of the current system of healthcare financing are such that it’s in their favor for prices to always go up.

In all cases, whether it be a percentage of claim cost, percentage of premium or percent of discount margin, these same price-hiding crony pals continue to benefit financially when the price of medical care rises.

https://www.healthcaredive.com/news/hospitals-pledge-to-fight-trump-admin-price-transparency-plan-in-court/567474/

Posted in Education, Influence peddling, Uncategorized

Cracks in the Ivory Tower: The Moral Mess of Higher Education by Jason Brennan, Phillip Magness.

414oyCvxY-L._SX327_BO1,204,203,200_-1“This book is titled Cracks in the Ivory Tower: The Moral Mess of Higher Education. We think higher education suffers from serious moral flaws. From a business ethics standpoint, the average university makes Enron look pretty good.

Universities’ problems are deep and fundamental: Most academic marketing is semi-fraudulent, grading is largely nonsense, students don’t study or learn much, students cheat frequently, liberal arts education fails because it presumes a false theory of learning, professors and administrators waste students’ money and time in order to line their own pockets, everyone engages in self-righteous moral grandstanding to disguise their selfish cronyism, professors pump out unemployable graduate students into oversaturated academic job markets for self-serving reasons, and so on.

What sets this book apart from many other critiques of higher ed is that we believe academia’s problems are ingrained. Bad behaviors result from regular people reacting to bad incentives baked into academia. No specters haunt academia. Normal people just take the bait.”

http://a.co/cCOdVql

Posted in advance-pricing, CPT billing, Economic Issues, Health Insurance, Healthcare financing, Influence peddling, Leadership, Medical Costs, Policy Issues, Price Tansparency, Quality, Uncategorized

U.S. “Non-Profit” Hospitals and CEOs Raking in Big Bucks | Intellectual Takeout

We found that the assets, investments, and bank accounts at these charitable hospitals increased by $38.9 billion last year – from $164.1 billion to $203.2 billion. That’s 23.6 percent growth, year-over-year, in net assets. Even deducting for the $5.2 billion in charitable gifts received from donors, these hospitals still registered an extraordinary 20.5 percent return on investment (ROI).

Additionally, these 82 hospitals spent $26.4 million on lobbying to defend the status quo. Because government money and charitable donations can’t be spent directly on lobbying, these hospitals used the payments from patients to lobby government to preserve their market position.

Perhaps these hospitals don’t want you to see how much things cost, because they don’t want you to know how much they are making.

It’s time to embrace the transparency revolution and open the books on the real prices paid by patients for healthcare services.

https://www.intellectualtakeout.org/article/us-non-profit-hospitals-and-ceos-raking-big-bucks

Posted in American Exceptionalism, American Independence, big government, Free Society, Government Regulations, Influence peddling, Liberty, Neo-conservatism, Philosophy, Policy Issues, Progressivism, Representative Republic vs. Democracy, Rule of Law, Uncategorized

Old Wisdom, Modern Folly | Frontpage Mag

Welcome to another edition of Friday’s Philosophical Foray beyond Healthcare!  Bruce Thornton examines the writings of Alexis de Tocqueville to illuminate “The wages of modernity’s technocratic hubris.”

“When it comes to America’s political order, no commentator today has yet come close to the brilliance of Alexis de Tocqueville, who was astonishingly prescient in pointing out the dangers inherent in the democracy he so admired.

“the ablest men . . . are rarely placed at the head of affairs.” With the citizens’ attention focused on their private affairs and necessity to make a living, “it is difficult for [them] to discern the best means of attaining the end,” which is “the welfare of the country.” Hence the voters’ “conclusions are hastily formed from a superficial inspection of the more prominent features of a question.” As a result, “mountebanks of all sorts are able to please the people, while their truest friends frequently fail to gain their confidence.”

This description obviously rings true today, in our age of the “low-information voter” and the multiple information platforms that promote the “superficial inspection” of sound-bite reporting that highlights only the politicized and emotionally charged “prominent features” of any issue.

“The people, surrounded by flatterers, find great difficulty in surmounting their inclinations; whenever they are required to undergo privation or any inconvenience, even to attain an end sanctioned by their own rational calculation, they almost always refuse at first to comply.”

And they are egged on by special interest groups like AARP that lobby politicians (“flatterers”), especially Democrats, who always champion expanding redistributionist programs rather than reforming them. Here, too, Tocqueville was prophetic:

“The power of the majority is so absolute and irresistible that one must give up one’s rights as a citizen and almost abjure one’s qualities as a man if one intends to stray from the track which it prescribes.”

That description fits Congress no matter which party is in control, and explains why nothing is being done to address this threat to our economic well-being.”

Source: Old Wisdom, Modern Folly | Frontpage Mag