Many years ago when HMOs and the Affordable Care Act were embryonic some proposed end of life management by committee. In most cases the issue resolved around the costs of end of life and near death expense to the health finance system.
Expensive life-extending treatments would require a review by a committee. In most cases, the treatment reviews would take place by administrators in health plans and/or government programs.
No one can dispute the inflation of health care expense. Many solutions have been proposed and initiated with varying success or even paradoxical increases in cost and bureaucracy
In California on Friday, the California Medical Association killed Assembly Bill 3087 (Kalra) – dangerous legislation that would have created a commission of unelected political appointees empowered to arbitrarily cap rates for all health care services in all clinics, hospitals and physician practices in California. that would have created a commission of unelected political appointees empowered to arbitrarily cap rates for all health care services in all clinics, hospitals and physician practices in California. Due in large part to staunch opposition led by CMA, the bill died in the Assembly Appropriations Committee.The California Assembly struggles to contain it's health care costs for Medi-caid. This proposed bill would have extended far beyond the reach of government programs.Through CMA’s Grassroots Action Center, thousands of physician members contacted their legislators because AB 3087 would have:
- Decimated California’s health care delivery system.
- Disrupted care and limited choice for millions of California patients.
- Caused 175,000 health care workers to lose their jobs.
- Forced hospitals to close and pushed health care providers into early retirement
- Caused a “brain drain” of talented medical students and residents fleeing California for more ideal working conditions.
May 29, 2018 - 2018 - California Medical Association
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