Republicans and Medicare

Republicans opposed Medicare when it was first proposed in the 1960s.  I recall sitting in a doctor’s office and reading a copy of the Journal of the Medical Association.  Heretofore, doctors had been adjusting bills according to the patient’s ability to pay.  No more!  The article advised all doctors to bill every patient the highest amount, and let the government subsidize health care for the poor.

We know that Medicare soon developed a fee schedule for what doctors may charge.  Now some doctors do not want to take a new patient on Medicare or Medicaid, because of the low reimbursement.

The Economix article described recent Republican actions to thwart efforts to reduce unnecessary or ineffective treatments funded by Medicare.

Since Republicans propose to repeal the Affordable Care Act, which they call “Obamacare”, it might be instructive to learn whether the Affordable Care Act allows Medicare administrators to charge less for treatments shown to be less effective than less expensive treatments:



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