‘Followers rather than leaders’
The affordable care act has been a giant step toward the goal. However it has many near fatal flaws written into a non-flexible law. Now is the time for all physicians to step up and encourage changes that will make it successful.
The numbers of how many more people are insured is no measure of success. The cart has been placed before the horse. Despite the built in bureaucratic mandates it is paper tiger unrelated to real quality care in provider's offices. In fact it has reduced efficiency, increased cost and in no way has improved quality of care. The only measure Health Train Express has seen is the reduction in admissions within 30 days of discharge from a hospital. I am not certain how that equates to an improvement in QOC except it saves CMS (taxpayers) dollars.
Dissent roils the AMA, the nation's largest doctors group