9 Comments
Jun 17Liked by William H Bestermann Jr MD

The same people that lead to corruptions can't be the one that fix the system.

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author

Precisely. We can work together with communities and employers to begin the change.

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Indeed. And we need to make it worth it to their pocketbook.

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Your amazing

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Jun 17Liked by William H Bestermann Jr MD

Similar in hearing care as well when I was still practicing.

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Jun 17Liked by William H Bestermann Jr MD

Watch the alligator 🐊 eat you up

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Jun 17Liked by William H Bestermann Jr MD

Same with our pharmacy

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Aug 6Liked by William H Bestermann Jr MD

Hey doc, you and I agree. I have a long comment condensed down into a short comment echoing your point:

Value based care is antithetical to how CMS reimburses procedures, and therefore how interventional cardiology and orthopedic surgery gain political power within a hospital system. It looks like there are perverse incentives created by the healthcare financial system (I am an outsider, a psychiatrist, and neither a proceduralist nor a hospital administrator).

Psych is a loss leader, closely followed by the other Medicaid services — pediatrics and obstetrics. Hospitals provide these services only if required to do so: top tier services are funded only when handcuffed to low tier services.

It feels like a “medical industrial complex,” and it seems totally insurmountable.

Thanks for reading my vent.

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That is a good summary, Ben. Thanks

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