Physician Patient

Archive for the ‘MPPA Publications & Pronoucements’ Category

What you need to know about “Medicare for All” in 2019

Friday, February 1st, 2019

Goodman, John. “What You Need to Know about Medicare for All.” Goodman Institute, August 29, 2018.

Medicare in the United States is not government health care insurance.

Private insurers run the most successful programs in Medicare today. Nationally one third of seniors and more than half of Minnesota’s seniors are now enrolled in private Medicare plans.

The US Medicare program today wastes enormous sums of money on “innovations” that do not improve medical care or rationalize costs. It is not consumer-directed or consumer friendly.

Although they are unaware of it, most seniors enrolled in conventional Medicare today are participating in “stealth privatization” of Medicare.

Employers and private insurers in the US do and can do much more to effectively manage Medicare than can the government.

Medicare for All would be prohibitively costly.

The real costs of Medicare now and in the future cannot hide the currently low payments imposed today on physicians and the increased taxes (costs) which must be borne by US taxpayers.

Not a single problem caused (or made worse) by the (2010) Obamacare law would go away with Medicare for All.

Medicare is already is on a path to government-imposed health care rationing. Medicare for All will accelerate rationing access to care.


We need to examine the consequences of public policy before enacting laws and regulations

Tuesday, January 29th, 2019

Skinnerian Behaviorism is undeniably a powerful scientific method and tool. A big question philosophically: Will behavioral science be systematically applied politically — by whom and for what goals? Many Americans and people worldwide understand that we humans are now immersed in an an age of surveillance; our lives are systematically monitored and manipulated by those who have the means to gather (our) personal (digital) data, crunch it, and sell it at a profit. Will we as Americans (continue to) trade our personal data privacy for access to the social network? (Should we be paid by Mr. Zuckerberg if we do?) Some, like author Shoshana Zuboff, blame the loss of our personal privacy on “rouge capitalism” as they call for government regulation of the barons of Silicon Valley and their mega-rich corporations. But empowering government to regulate Facebook will embolden and empower those who want more government control and will result in less personal freedom for Americans. Regarding government threat to our personal freedoms, I do not see our political situation in 2019 as fundamentally different than in 1776. Democratic Socialism then and now is truly an oxymoronic goal.In his novels (Inescapable Consequences, Retribution Fever) Dr. Gene Richard Moss appeals to the practice of democratic republicanism in America. He calls for a rigorous change in how we the people conduct our retail politics — by insisting that societal policy goals be framed in behavioral terms, context, and by specifying the contingencies of reinforcement. The 2010 Affordable Care Act (Obamacare) is a good case example of bad public policy. The ACA spawned unnecessary conflict and many unintended negative consequences for our health care system, patients and physicians.We need to keep alive hope for noble purpose through ultimate agreement among enlightened leaders with the consent of enlightened citizens. So, as a practical matter, will “we the people” elect politicians who think in terms of and propose and monitor our public policy in accordance with the principles of scientific behaviorism?