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This local Doc's comments on the red tape he has to deal with and how it raises cost are worth considering in the efforts at reform. An excerpt:
"In order to implement the process, immense expense will be incurred to the benefit of the medical computer companies, such as Cerner, which has Winona in its grip. Every time there needs to be a change, it’s an “upgrade,” leading to additional cost. This adds to the charges you and I pay for “medical care.”
The private insurers have followed suit, and have cleverly twisted it further to their advantage to add even more layers of insurance cost, siphoning off real dollars that could be spent for true medical care.
This is a small fraction of the complexity that has become everyday life
for doctors. The insurers, private or public, the administrations of hospital groups, the bureaucrats assigned to monitor “health care” have become entirely self-serving and self-perpetuating."