Many of my liberal friends are still praising the passage of Obamacare. Yet, as we move deeper and deeper into what is entailed by such a massive overtaking of healthcare by government - some wonder if a vastly different direction is what is needed for the health of our people. And - they are putting into practice now.
Brown says that he and his colleagues want their practice to function like a regular business -- one that prices services according to the cost of providing them and what patients are willing to pay. That contrasts with the payment system established by insurance companies, which includes a complicated set of codes for services and uncertainty about whether services will be reimbursed.
To make the point, Brown describes what Wal-Mart stores would feel like if customers shopped as they do for health care.
"You'd take all the prices off the shelves, and all the customers would come in with 50 different payers with more than 50 different rule sets." he said. "The customers aren't sure what products they can get or when or how often. Wal-Mart isn't sure either.
"So, everything is coded," Brown said. "And it is so complicated that they hire more and more consulting companies to analyze the data just to figure out what the cost of shampoo is."
"The insurance restrictions and requirements are long and getting longer and longer and cost us more and more money," Brown said. "I want to be free from that, because I want to be able to treat my patients the way I see fit and offer them the service that I think is necessary."