tag:blogger.com,1999:blog-6076839327674215825.post6228236959394646445..comments2024-03-27T05:14:34.288-04:00Comments on Medinnovation And Health Reform: Bottom-Up, Incremental, Not Top-Down, Total ReformRichard L. Reece, MDhttp://www.blogger.com/profile/03446550629857699574noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-6076839327674215825.post-37046841105991508642009-09-13T20:30:46.941-04:002009-09-13T20:30:46.941-04:00Grr, hit wrong button. Anyway, how do we resolve M...Grr, hit wrong button. Anyway, how do we resolve Medicare does not pay doctors enough, and often hospitals for that matter, with Medicare going broke? Who do you think is going to successfully address Medicare costs and how? Bottom-Up sounds good, but I do not see how this works in practice. Private insurance has shown no ability/willingness to hold down costs. <br /><br /> BTW, I enjoyed the interview with Dr. Cooper. Penn grad '85 here. Since graduation I have spent time in the military, moonlighted quite a bit and now work at several places in PA. My experience and what I have seen of physician behavior is a bit different than his. I see guys who own MRIs and PT services making self referrals. I see the consultants coming in to make sure we don't :leave money on the table." Yes, most docs remain good guys, but there is a lot more bad behavior, questionable behavior, than he has seen. <br /><br />Stevestevehttps://www.blogger.com/profile/14470634215313696595noreply@blogger.comtag:blogger.com,1999:blog-6076839327674215825.post-54708896593285128252009-09-13T20:16:02.967-04:002009-09-13T20:16:02.967-04:00I agree with the future shortage issue. The ration...I agree with the future shortage issue. The rationing point is a bit complex.stevehttps://www.blogger.com/profile/14470634215313696595noreply@blogger.com