My thought exactly. The 11.5% increase that we just got in our premium is going to be even higher next year. At some point (fairly soon), the entire system is going to come crashing down. And more government involvement is only going to make it worse.
That is a long article. But this presumes someone (say on Medicare) wants to even use the insurers and the providers that they currently cover. Those are the same old tired Rockefeller drug or scalpel solutions. How about having Medicare cover all the other great and proven disciplines such as Chiropractic, naturopathy, homeopathy, Acupuncture, and more??
THIS IS THE ELEPHANT IN THE ROOM QUESTION. We don’t want their healthcare solutions.
If it were as simple as refusing Medicare, at least those consumer out-of-pocket costs could be saved and used elsewhere. But alas, we are forced to pay for Medicare, and if refused, that person’s Social Security benefits are denied. …AND Social Security payments are simply returning the individual’s money in the first place (hijacked for 50 years or so by the govt).
You are so ill informed. RFK JR is referring to HMO plans. Those corporations get paid a lump sum annually for every person signed up. Their job is to separate what the government pays them for each enrollee from what services they pay for. Medicare has a set amount of $ paid for a treatment, procedure. No negotiation other than what a provider will accept. Do your research please
How about getting rid of the Flexner report unhealth care industrial complex all together? Bring back true healing modalities. Include acupuncture, sound healing, etc. I don't want any Rockaf-EL-er hot garbage.
I have rheumatoid arthritis and have had it since 1984 (currently enjoying total remission from monoclonal antibody infusions). In the late 80s I went to a chiropractor for 3 yrs for him to treat my RA. What a scam! He gave me supplements and adjustments with no results. He said my swollen right knee was due to hip misalignment due to one shorter leg (gave me shoe lifts). When I had a severe flare-up, my PPO sent me to a rheumatologist (also put me on 3200mg daily of ibuprofen which I stayed on for roughly 15 years. The rheumatologist looked at my knee and asked how long has it been like this? I said 3 years. He said RA will destroy a joint in 5 years, and he proceeded to drain the knee with a big old syringe, filling it twice and again at another appointment. Got a cortisone shot in the bargain. Greatly helped my knee but not a cure. BTW the reason I went to the chiropractor was from fear when friends said regular Drs will prescribe cortisone which will harm your body. Not sure who they were listening to (maybe chiropractors) but that was nonsense. I was put on various other drugs (methotrexate, hydroxichloroquine) over the years, all but one worked reasonably well, one (gold) that worked then stopped working. But those drugs didn't totally stop the disease, just slowed it down some, but at least I was not in agonizing constant pain. My advice has always been to see a rheumatologist and get on Enbrel, like yesterday. You need to stop the joint damage. The improvement in drugs over the years is phenomenal. Love my rheumatologist! Been seeing him for 20 years!
A far more simple way to handle this would be to force the insurance companies to contract with and pay doctors for the service of prior authorization since this is part of managing care which they purport to provide. Doctors should have forced this from the beginning, but didn't. They allowed insurances to foist the enormous cost of reviewing care onto doctors. This leads to a great deal of resentment between doctors who do the work for free and patients who believe they are entitled to it. The enortmous cost of paying for prior authorization would force insurance copanies to streamline their procedures. The insurance companies will now just find a way to game the new regulations.
They need to add the VA system to this. My daughter has no end of problems getting approval for knee injections she’s needed periodically. They give her an appointment, send the details to the VA, then the VA doesn’t respond for weeks, if at all! The provider then has no choice but to cancel her appointment.
Actually, I believe they should just provide insurance rather than require our veterans to wait in line at the VA. The VA system should be downsized to handle issues specific to veterans, not their everyday medical needs.
They actually once wanted her to drive over 100 miles with a severe gallbladder issue rather than have the hospital where it was diagnosed handle the surgery.
Our veterans deserve the best healthcare, not the mediocre treatment they receive!
Looks like a positive, but what about jacking up drug prices with phony drug pricing? Also, studies have shown that over treating and promoting unnecessary surgery is a detriment to our health system by unscrupulous physicians. How do we fix that issue?
I haven't had unhealth insurance since the 2020 psyop. I'm not supporting the BS-Beast System who incentives butchers in white coats to poison kids with hand, murdering unborn babies, etc. No way.
We fully funded our HSA health savings accounts for years. That's what we use if needed. I have found since we don't get roped into the "preventative care" bs, we don't need any of what they are selling. 😉 Avoid the Healthcare establishment and you remain healthy. At least in our case.
I agree, Yvonne. I dropped my coverage in 2021 after their frankenshots killed my entire family. I choose to take my chances and die of my own devices instead of being a lab rat while they rob my savings. There really are things that are worse than dying. Their fear porn no longer affects me.
I'll bet a lot of them have a relationship with a private doctor with special privileges at hospitals and simply make deals with him/her on what to be charged rather than using health insurance companies to dictate to them what they can and cannot have.
Best news I’ve heard in a very long time! News of a much needed change that was so obvious yet nothing has been done up until now! Thank you so very much to any and all that may have had anything to do with this desperately needed change! God Bless you all!
Healthcare payers rely on PA denials for cost savings, so if they remove some ICD 10 codes from prior auth they will likely reduce coverage for some services. They aren't taking a bath on those, there will be some strategy to make up the difference. PA removals at the MCO where I work have to go through utilization management committee review.
And a lot of the tests or procedures that insurance companies require pre-authorization for are very expensive. So if they are forced to delete some of them from pre-authorization, they will simply raise the costs of other medical procedures or increase their premium amounts to make up the difference.
The reality is that it is impossible for a population of over 300 million to have health care that is affordable and fair. And as it is a fact that Americans are sicker than ever due to the policies of our government that benefit pharmaceutical companies and health insurance companies and aren't at all designed to make and keep us healthy, there are only bandaid solutions unless and until the government ends all of their humanity killing policies.
Prior authorization also destroys private practices (too much administrative nonsense) and forces physicians to join large hospital systems where they are easily
Just remember that all these companies are in business to make money and that will be their first order of business, no matter what they say
My thought exactly. The 11.5% increase that we just got in our premium is going to be even higher next year. At some point (fairly soon), the entire system is going to come crashing down. And more government involvement is only going to make it worse.
That is a long article. But this presumes someone (say on Medicare) wants to even use the insurers and the providers that they currently cover. Those are the same old tired Rockefeller drug or scalpel solutions. How about having Medicare cover all the other great and proven disciplines such as Chiropractic, naturopathy, homeopathy, Acupuncture, and more??
THIS IS THE ELEPHANT IN THE ROOM QUESTION. We don’t want their healthcare solutions.
If it were as simple as refusing Medicare, at least those consumer out-of-pocket costs could be saved and used elsewhere. But alas, we are forced to pay for Medicare, and if refused, that person’s Social Security benefits are denied. …AND Social Security payments are simply returning the individual’s money in the first place (hijacked for 50 years or so by the govt).
You are so ill informed. RFK JR is referring to HMO plans. Those corporations get paid a lump sum annually for every person signed up. Their job is to separate what the government pays them for each enrollee from what services they pay for. Medicare has a set amount of $ paid for a treatment, procedure. No negotiation other than what a provider will accept. Do your research please
So, PPO plans are not included?
How about getting rid of the Flexner report unhealth care industrial complex all together? Bring back true healing modalities. Include acupuncture, sound healing, etc. I don't want any Rockaf-EL-er hot garbage.
Agree 💯
How bout you just stuck leeches all over you until you have no blood left
Wow, how hateful. You must be a boot licker for the New World Order.
Dr., You made me laugh more than I have all week ! Brilliant !! Thank YOU !
Best,
jw
I have rheumatoid arthritis and have had it since 1984 (currently enjoying total remission from monoclonal antibody infusions). In the late 80s I went to a chiropractor for 3 yrs for him to treat my RA. What a scam! He gave me supplements and adjustments with no results. He said my swollen right knee was due to hip misalignment due to one shorter leg (gave me shoe lifts). When I had a severe flare-up, my PPO sent me to a rheumatologist (also put me on 3200mg daily of ibuprofen which I stayed on for roughly 15 years. The rheumatologist looked at my knee and asked how long has it been like this? I said 3 years. He said RA will destroy a joint in 5 years, and he proceeded to drain the knee with a big old syringe, filling it twice and again at another appointment. Got a cortisone shot in the bargain. Greatly helped my knee but not a cure. BTW the reason I went to the chiropractor was from fear when friends said regular Drs will prescribe cortisone which will harm your body. Not sure who they were listening to (maybe chiropractors) but that was nonsense. I was put on various other drugs (methotrexate, hydroxichloroquine) over the years, all but one worked reasonably well, one (gold) that worked then stopped working. But those drugs didn't totally stop the disease, just slowed it down some, but at least I was not in agonizing constant pain. My advice has always been to see a rheumatologist and get on Enbrel, like yesterday. You need to stop the joint damage. The improvement in drugs over the years is phenomenal. Love my rheumatologist! Been seeing him for 20 years!
A far more simple way to handle this would be to force the insurance companies to contract with and pay doctors for the service of prior authorization since this is part of managing care which they purport to provide. Doctors should have forced this from the beginning, but didn't. They allowed insurances to foist the enormous cost of reviewing care onto doctors. This leads to a great deal of resentment between doctors who do the work for free and patients who believe they are entitled to it. The enortmous cost of paying for prior authorization would force insurance copanies to streamline their procedures. The insurance companies will now just find a way to game the new regulations.
They need to add the VA system to this. My daughter has no end of problems getting approval for knee injections she’s needed periodically. They give her an appointment, send the details to the VA, then the VA doesn’t respond for weeks, if at all! The provider then has no choice but to cancel her appointment.
Actually, I believe they should just provide insurance rather than require our veterans to wait in line at the VA. The VA system should be downsized to handle issues specific to veterans, not their everyday medical needs.
They actually once wanted her to drive over 100 miles with a severe gallbladder issue rather than have the hospital where it was diagnosed handle the surgery.
Our veterans deserve the best healthcare, not the mediocre treatment they receive!
Our veterans are treated worse than animals and they are the ones that should receive free care and be able to receive it anywhere it is available.
“85% of Americans have been affected by prior authorization delays, making it the top complaint from both patients and doctors, according to Dr. Oz.”
That is not my top complaint.
My top complaints are.
No arrest for medical murder.
No prosecutions and convictions for medical murder.
No public executions for convicted medical murder criminals.
How about we start there first ???
Looks like a positive, but what about jacking up drug prices with phony drug pricing? Also, studies have shown that over treating and promoting unnecessary surgery is a detriment to our health system by unscrupulous physicians. How do we fix that issue?
Simple; repeal the Durham-Humphrey amendment and abolish all "intellectual property" except trademark, as well as restrictive licensing.
Does that mean copyright disappears who benefited from the DH amendment?
No; just another aspect of corporatism I'd prefer disappear.
I haven't had unhealth insurance since the 2020 psyop. I'm not supporting the BS-Beast System who incentives butchers in white coats to poison kids with hand, murdering unborn babies, etc. No way.
We fully funded our HSA health savings accounts for years. That's what we use if needed. I have found since we don't get roped into the "preventative care" bs, we don't need any of what they are selling. 😉 Avoid the Healthcare establishment and you remain healthy. At least in our case.
I agree, Yvonne. I dropped my coverage in 2021 after their frankenshots killed my entire family. I choose to take my chances and die of my own devices instead of being a lab rat while they rob my savings. There really are things that are worse than dying. Their fear porn no longer affects me.
How about giving the American people the same insurance Congress gets?
I'll bet a lot of them have a relationship with a private doctor with special privileges at hospitals and simply make deals with him/her on what to be charged rather than using health insurance companies to dictate to them what they can and cannot have.
How about Congress critters are put into the same system we have to use. Bet it gets fixed right away!
This is why you don't get a medicate advantage plan. They deny so much. Traditional Medicare is much better..
An Incredible Man continues to do Brilliant work.
Best news I’ve heard in a very long time! News of a much needed change that was so obvious yet nothing has been done up until now! Thank you so very much to any and all that may have had anything to do with this desperately needed change! God Bless you all!
Healthcare payers rely on PA denials for cost savings, so if they remove some ICD 10 codes from prior auth they will likely reduce coverage for some services. They aren't taking a bath on those, there will be some strategy to make up the difference. PA removals at the MCO where I work have to go through utilization management committee review.
And a lot of the tests or procedures that insurance companies require pre-authorization for are very expensive. So if they are forced to delete some of them from pre-authorization, they will simply raise the costs of other medical procedures or increase their premium amounts to make up the difference.
The reality is that it is impossible for a population of over 300 million to have health care that is affordable and fair. And as it is a fact that Americans are sicker than ever due to the policies of our government that benefit pharmaceutical companies and health insurance companies and aren't at all designed to make and keep us healthy, there are only bandaid solutions unless and until the government ends all of their humanity killing policies.
It has quickly become the healthSCARE system.
Prior authorization also destroys private practices (too much administrative nonsense) and forces physicians to join large hospital systems where they are easily
controlled. This is a HUGE POINT.
Look at the money involved here. Who do you trust? NOBODY!!!