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Published 7 years ago by hedman with 1 Comments

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  • MAGISTERLUDI (edited 7 years ago)
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    Government programs, Medicaid, Medicare, and some state sponsored programs do not have a uniform standard of payment. All reimburse medical care at different set price levels. Many times these set reimbursements don't meet cost of services, in most cases why private practice doctors are reluctant to take those insured patients on. The difference has to be made up in the private sector where insurance companies have bargained their own deals on an individual basis with suppliers. Thus different prices for practically every source of insurance.

    When the government legitimizes/ fixes price it will never be able to adjust for all the variables in the market, such as locale, size, optimization of facility, quality and pay of staff, quality and availability of equipment, diagnostics and research necessary to specialization. There will be judgements as to the allocation of resources such as number and kind of treatments, diagnostics etc. These are just the most obvious obstacles any government price legitimization will face, esp. if government itself remains one of the sources of the very problem.

    Government must first pay a "legitimate price" for all services, before it can demand "legitimate pricing" for any. With many more than just the few variables mentioned above, their "work is cut out".

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