Physicians Practice February 27, 2024
Recounting the steps that have brought healthcare to this state.
I have been fretting about the Congressional dysfunction and, selfishly, on its impact on physician practices. Every year, too much time is spent on the short-term crisis (e.g., Medicare’s 3.4% cut to physician reimbursement) and too little time on a long-term fix. How did we get to this myopic and demoralizing state of affairs? Here’s my take.
Medicare was established back in 1965. Akin to Social Security, Medicare was designed as a ‘pay it forward’ program. Workers and employers contributed to a pool of money to provide care to those on Medicare and Social Security, with an understanding that future generations would do the same for them. It made a...