AccessMyLibrary provides FREE access to over 30 million articles from top publications available through your library.
Create a link to this page
Copy and paste this link tag into your Web page or blog:
Our real problem with Medicare is that patients are unaware that they are not allowed to pay what they can for medical services ("Physicians Make Final Plea to Fix Fee Schedule," Dec. 1, 2005, p. 7).
The prohibition on balance billing means that Medicare patients are forbidden to purchase services they want from doctors and other providers. I can think of a few things in this country, other than health care for the elderly and the disabled, that are illegal to buy and sell. They include certain drugs, sex, and stolen goods. It is an outrage that medical services from Medicare-participating providers are also on that list.
Patients should be permitted to pay providers who participate in Medicare for the time and services that they want. They are unaware that these doctors would be penalized for spending that time, unless they did it for free. Patients have no recourse except to change to a physician who has opted out of Medicare.
It is not just Medicare patients who are unaware of the prohibition on balance billing. It is employers, who pay double-digit inflation in health care dollars because Medicare costs are shifted to them. Employers have as much interest as do physicians and patients in removing the balance billing prohibition. They have lots of clout in Washington.
The debate over Medicare payment updates and pay for performance is an exercise in absurdity. Physicians' representatives are begging an unresponsive bureaucracy ...