More government health care would hurt doctorsPublished: 2009-09-30 13:10:07Author: Newt Gingrich and Nancy Desmond | stltoday.com | September 10, 2009One key to good health and a successful health care system for all is a sufficient pool of quality physicians.
Yet according to recent Congressional testimony by Dr. Jeffrey Harris,
president of the American College of Physicians (ACP), we are facing a
critical shortage. To quote his testimony, "The demand for primary care
in the U.S. will grow exponentially as the nation's supply of primary
care dwindles."
Doctors list a host of reasons for leaving medicine: Low reimbursement
rates. Outrageous malpractice premiums to protect themselves from
often-frivolous lawsuits. Escalating paperwork. The inability to make
medical decisions in conjunction with patients without being overruled
by bureaucrats.
So logic would have it that a Congress and president fixated on
reforming America's health care model would address the urgent concerns
of those on the front lines of medicine, our 780,000 physicians.
Unfortunately, if we look at the current health care proposals in the
House and Senate, that assumption would be flat wrong. For example:
— Civil justice reform. The proposed legislation does nothing to
address our current system of health justice, which takes too long,
rewards trial lawyers at the expense of victims and drives far too many
good doctors out of practice. In various states, many obstetricians no
longer deliver babies, others refuse to work in emergency medicine,
surgeons have ceased performing high-risk surgeries and some have even
stopped working in radiology. The risk of getting sued is too great.
In addition, the threat of frivolous lawsuits often leads to defensive
medicine, which not only wastes the physician's time but also is
estimated to cost us as a country $100 billion to $200 billion a year.
— Payment reform. Creating another government-run program is destined
to further decrease physician payments. Medicare, another
government-run plan, has such poor reimbursement rates that many
physicians refuse to accept it. In fact, recent reports indicate that
29 percent of Medicare recipients have difficulty finding a
primary-care physician.
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