- Joined
- Feb 13, 2008
- Messages
- 545
- Reaction score
- 9
I am wondering which candidate will best represent the interests of primary care physicians and patients right to be treated by a qualified physician and not a poorly informed midlevel. I am a Republican but I will not vote for a candidate that does not represent my interest especially with the poor state of primary care today not to mention throwing seniors to the dogs (read unqualified midlevels with woefully inadequate credentials). I don't like the sound of some of the positions attributed to McCain. According to this web site below (see quotes) McCain appears to be a supporter of walk in clinics run by nurse practitioners. I am thinking that with regard to primary care it might be better to vote straight democrat this election to bolster senate finance committee chairmens Democrat Max Baucus in revitalizing primary care. Baucus seems to be the go to guy with regard to health care reform and unless something changes I think having the Dems in charge may be the best thing from primary care to get some favorable reforms pushed through.
http://healthpolicyandmarket.blogspo...ns-health.html
"McCain makes the common sense suggestion here to deliver care in more efficient places. However, there is no estimate for just how much this would save. It's like his health insurance proposal to cut administrative costs—a good idea on the surface but likely relatively small in scope. It is also not without controversy as the physician lobby has been opposing walk-in clinics that use nurse practitioners rather than physicians to deliver care."
other negatives from same site:
"McCain would use the Medicare program to lead the market in the development of a system of bundled service payment—often referred to by him as "coordinated care." Effectively, he would create a budget for each treatment program thereby putting providers at risk for delivering the care effectively and efficiently. He's really talking about pushing the market back toward capitation, or bundled at-risk payments for providers, as a means of controlling costs. This may be the only real cost containment proposal that any of the candidates, Democratic or Republican, has made.
However, as we learned, when capitation was in vogue in the mid-1990s, it is hard to do and providers don't like it."
"Senator McCain is a big believer in the value of "coordinated care." He would likely suggest that the Kaiser Permanente medical group is a good example of a system of coordinated care. While lots of data points to that kind of system as the best provider model to follow for both cost and quality, some doctors love it and most say they will never allow themselves to be "managed" by it.
This McCain payment system proposal needs to be developed further and McCain will have to show us how he is going to get the broad provider community to allow themselves to be put at risk once again and how we have the data and management systems
http://healthpolicyandmarket.blogspo...ns-health.html
"McCain makes the common sense suggestion here to deliver care in more efficient places. However, there is no estimate for just how much this would save. It's like his health insurance proposal to cut administrative costs—a good idea on the surface but likely relatively small in scope. It is also not without controversy as the physician lobby has been opposing walk-in clinics that use nurse practitioners rather than physicians to deliver care."
other negatives from same site:
"McCain would use the Medicare program to lead the market in the development of a system of bundled service payment—often referred to by him as "coordinated care." Effectively, he would create a budget for each treatment program thereby putting providers at risk for delivering the care effectively and efficiently. He's really talking about pushing the market back toward capitation, or bundled at-risk payments for providers, as a means of controlling costs. This may be the only real cost containment proposal that any of the candidates, Democratic or Republican, has made.
However, as we learned, when capitation was in vogue in the mid-1990s, it is hard to do and providers don't like it."
"Senator McCain is a big believer in the value of "coordinated care." He would likely suggest that the Kaiser Permanente medical group is a good example of a system of coordinated care. While lots of data points to that kind of system as the best provider model to follow for both cost and quality, some doctors love it and most say they will never allow themselves to be "managed" by it.
This McCain payment system proposal needs to be developed further and McCain will have to show us how he is going to get the broad provider community to allow themselves to be put at risk once again and how we have the data and management systems
