KevinMD September 16, 2023
Recent op-eds have questioned medical billing and doctors’ pay, as both seemed high. Medical “greed” has become more apparent in the past two decades and has been well highlighted by two of my Dartmouth MPH Professors, Elliot Fisher, MD and Thom Walsh, PhD, DPT. Dr. Fisher has documented that higher billings compound the U.S. health care crisis, including medical debt, and that particularly affects minority patients.
Walsh has shown that monopolies drive up costs. Where competition exists in a health care community, it benefits Medicare and Medicaid patients, which reimburse the lowest. Unfortunately, this then drives up the “need” (motivation?) to bill higher codes and get reimbursed more to offset practice losses.
As a podiatrist for over 30 years, I...
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