{"id":3187,"date":"2021-08-07T09:00:19","date_gmt":"2021-08-07T09:00:19","guid":{"rendered":"https:\/\/healthdrum.com\/?p=3187"},"modified":"2021-10-12T15:04:50","modified_gmt":"2021-10-12T15:04:50","slug":"whos-taking-advantage-of-doctors","status":"publish","type":"post","link":"https:\/\/healthdrum.com\/blog\/whos-taking-advantage-of-doctors\/","title":{"rendered":"Who\u2019s Taking Advantage of Doctors?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Those in control of the insurance-based healthcare system work off the backs of doctors and use patients as a conduit to help themselves to an endless supply of precious healthcare dollars. This pool of some $3.6 trillion healthcare dollars is filled up each year with your tax dollars, your and your employer\u2019s health plan premiums and your healthcare out-of-pocket costs. A market size that has attracted the attention of investors such as hospital groups, private equity groups and insurance companies to take advantage of and profit from physician\u2019s work ethic and knowledge.<\/span><\/p>\n<p><b>Who\u2019s working off the backs of physicians?<\/b><\/p>\n<ul style=\"line-height: 1.6;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Healthcare is a health insurance industry monopoly that dominates and profits from its control of healthcare providers and healthcare consumers.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Health insurances began with policies covering only catastrophic care but have evolved since to cover routine care because it\u2019s very profitable.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Health plans make doctors sign take-it-or-leave-it contracts if they want access to their patients.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Health plans decide unilaterally on what a doctor will get for any particular service. Different plans create different \u201callowables\u201d.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Health plans benefit handsomely from a pay-to-play arrangement.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Collusion amongst health plans for setting fees is allowed but collusion amongst doctors is against the law.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Health plans have created self-serving networks to control access and delivery of care.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Health plans have encouraged hospitals to make doctors staff emergency rooms.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Not only were physicians commonly not paid for their after-hours hospital emergency work but they had to pay for their own malpractice insurance. A policy that simply encouraged frivolous lawsuits and quick settlements.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Over time many State and Federal healthcare laws were enacted and framed as being for patient benefit whereas they were clearly benefiting only the health insurance industry and strengthening their monopoly in healthcare.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Doctors have to deal with endless unnecessary health insurance industry roadblocks to the delivery of care &#8211; benefits verification, obtaining referrals and authorizations for routine care access and delivery, complex coding rules, billing and claims rules, heavily discounted payments and payment delays.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">After jumping over countless barriers, delivering care and receiving delayed and discounted payments physicians are commonly hassled after-the-fact by health plans with demands for patient records to see if they can claw back some money.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The health insurance industry supported a government-mandated electronic medical records system that requires some 2 hours of non-reimbursable physician time for every hour of direct care.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Health insurance plan\u2019s self-serving rules have driven physician practice overhead to 70 percent, increased workload and led to significant physician burn-out.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Venture capital and insurance groups have been quick to realize that they also could exploit physicians &#8211; they purchased doctor groups and then squeezed out more production and profits by instituting so-called performance criteria.<\/span><\/li>\n<\/ul>\n<p><b>The healthcare industry is in critical condition.<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Healthcare in the U.S. is very sick for several reasons.\u00a0<\/span><\/p>\n<ul style=\"line-height: 1.6;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The domination of healthcare by the health insurance industry.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The health insurance industry\u2019s fee-for-service business model.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The coverage of routine day-to-day healthcare needs.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">State and Federal Healthcare laws holding back digital health and market forces.\u00a0<\/span><\/li>\n<\/ul>\n<p><b>The easy healthcare fix.<\/b><\/p>\n<p><span style=\"font-weight: 400;\">An easy three point prescription could fix this toxic healthcare condition.\u00a0<\/span><\/p>\n<ul style=\"line-height: 1.6;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">First, routine care needs should not be covered by health insurance plans but by as-needed user direct pay and market forces.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Second, health insurance plans should be repurposed back to their original catastrophic care-major medical framework.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Third, significant changes are needed to Federal and State healthcare laws (along with new laws for catastrophic care, HSA rules and tax benefits).<\/span><\/li>\n<\/ul>\n<p><b>Does the public understand healthcare?<\/b><\/p>\n<ul style=\"line-height: 1.6;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Healthcare consumers don\u2019t understand health insurance plans.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Healthcare consumers do understand direct pay and market forces for the cosmetic, infertility and weight-loss arenas &#8211; since the health insurance industry is not in the game here costs have stabilized or dropped &#8211; the same could happen for routine care.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">C<\/span><b>ashing in on doctors.<\/b><\/p>\n<p><span style=\"font-weight: 400;\">There is no other profession that is so subjugated and asked to provide free services. Clearly, it is discriminatory and hypocritical for healthcare to be framed as an individual right or in terms of Medicare-for-all while current healthcare laws support the insurance industry monopoly and the legalized servitude of physicians.\u00a0<\/span><\/p>\n<ul style=\"line-height: 1.6;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The physician\u2019s allegiance is to the Hippocratic Oath and healing.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The health insurance industry\u2019s allegiance is to shareholders and profits.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Visit <\/span><a href=\"https:\/\/healthdrum.com\/\"><span style=\"font-weight: 400;\">www.HEALTHdrum.com<\/span><\/a><span style=\"font-weight: 400;\"> Come join our healthcare community and discover how consumer-directed care and <\/span><b>self pay for routine care<\/b><span style=\"font-weight: 400;\"> can save you a bundle of money and put healthcare control back in your hands.\u00a0<\/span><\/p>\n<p><b>Read more.<\/b><br \/>\n<a href=\"https:\/\/theconversation.com\/why-insurance-companies-control-your-medical-care-62540\">https:\/\/theconversation.com\/why-insurance-companies-control-your-medical-care-62540<\/a><\/p>\n<p style=\"text-align: center;\">Written by HEALTHdrum<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Those in control of the insurance-based healthcare system work off the backs of doctors and use patients as a conduit to help themselves to an endless supply of precious healthcare dollars. This pool of some $3.6 trillion healthcare dollars is filled up each year with your tax dollars, your and your employer\u2019s health plan premiums [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":3188,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[15],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Who\u2019s Taking Advantage of Doctors? | HEALTHdrum<\/title>\n<meta name=\"description\" content=\"See who&#039;s taking advantage\u00a0of doctors and learn about exploitation with HEALTHdrum.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/healthdrum.com\/blog\/whos-taking-advantage-of-doctors\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Who\u2019s Taking Advantage of Doctors? | HEALTHdrum\" \/>\n<meta property=\"og:description\" content=\"See who&#039;s taking advantage\u00a0of doctors and learn about exploitation with HEALTHdrum.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/healthdrum.com\/blog\/whos-taking-advantage-of-doctors\/\" \/>\n<meta property=\"og:site_name\" content=\"HEALTHdrum\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/HEALTHdrum-103735818167546\" \/>\n<meta property=\"article:published_time\" content=\"2021-08-07T09:00:19+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-10-12T15:04:50+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/healthdrum.com\/blog\/wp-content\/uploads\/2021\/04\/Whos-Taking-Advantage-of-Doctors-e1632779037355.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"799\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Bert Vorstman\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@healthdrumapp\" \/>\n<meta name=\"twitter:site\" content=\"@healthdrumapp\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Bert Vorstman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/healthdrum.com\/blog\/whos-taking-advantage-of-doctors\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/healthdrum.com\/blog\/whos-taking-advantage-of-doctors\/\"},\"author\":{\"name\":\"Bert Vorstman\",\"@id\":\"https:\/\/healthdrum.com\/blog\/#\/schema\/person\/953d5fca0a0cb8ee1915ae9f4ed3741a\"},\"headline\":\"Who\u2019s Taking Advantage of Doctors?\",\"datePublished\":\"2021-08-07T09:00:19+00:00\",\"dateModified\":\"2021-10-12T15:04:50+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/healthdrum.com\/blog\/whos-taking-advantage-of-doctors\/\"},\"wordCount\":757,\"publisher\":{\"@id\":\"https:\/\/healthdrum.com\/blog\/#organization\"},\"articleSection\":[\"Doctors\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/healthdrum.com\/blog\/whos-taking-advantage-of-doctors\/\",\"url\":\"https:\/\/healthdrum.com\/blog\/whos-taking-advantage-of-doctors\/\",\"name\":\"Who\u2019s Taking Advantage of Doctors? 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Subsequently, he completed fellowship training in Pediatric and Adult Reconstructive Urology at the Eastern Virginia Medical School in Norfolk, Virginia. During his time there he also undertook NIH sponsored, pioneering research on \u201cUrinary Bladder Reinnervation\u201d earning him the honor of a Masters of Surgery Diploma through the University of Otago, New Zealand. Dr Vorstman returned to Miami to become a board-certified faculty member in the department of urology, Jackson Memorial Hospital, University of Miami. Eventually, he left academic practice, moved north to Coral Springs and established Florida Urological Associates pa (www.urologyweb.com) in 1987. Dr. Vorstman is passionate about consumer-directed healthcare and helping men diagnosed with prostate cancer navigate the minefield of prostate cancer misinformation. 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Subsequently, he completed fellowship training in Pediatric and Adult Reconstructive Urology at the Eastern Virginia Medical School in Norfolk, Virginia. During his time there he also undertook NIH sponsored, pioneering research on \u201cUrinary Bladder Reinnervation\u201d earning him the honor of a Masters of Surgery Diploma through the University of Otago, New Zealand. Dr Vorstman returned to Miami to become a board-certified faculty member in the department of urology, Jackson Memorial Hospital, University of Miami. Eventually, he left academic practice, moved north to Coral Springs and established Florida Urological Associates pa (www.urologyweb.com) in 1987. Dr. Vorstman is passionate about consumer-directed healthcare and helping men diagnosed with prostate cancer navigate the minefield of prostate cancer misinformation. After retiring and leaving colleagues to continue the urology practice, he became founder and CEO of a healthcare platform that connects buyers and sellers of routine, cash pay healthcare services - www.HEALTHdrum.com\/ Through this platform he also enables colleagues to reclaim their profession from health industry exploitation. 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