Letter: Our state needs a Single Payer System
Kudos to the Independent for bringing the emerging crisis in Primary Medical Care to the front page ("A Crisis In Care," The Independent,
I applaud
I also agree that EMR's present a steep learning curve (especially for older providers) but they have also provided an unprecedented ability to consolidate health information and thereby reduce redundancy and inefficiencies. The challenge is always to adapt to new versions or wholesale changes in EMR's without the proper training & support. I feel particularly fortunate to work for a health system that places a high value on supporting its team and I recognize that this is possible in part because of Federal and State subsidies we receive.
Healthcare is especially complicated with multiple players including patients (often referred to as beneficiaries by insurance companies), payers (commercial and government) and providers (physicians, advanced care providers). This makes it especially difficult for all of us to understand and identify the root causes of problems when things go wrong. The market based approach thrives on this complexity and ambiguity which is largely beyond the grasp of patients and their providers. The EMR is a tool that allows this industry to place barriers for patients to access care and for providers to be reimbursed fairly. This is becoming especially relevant as CMS (
A new program called Accountable Care Organization Realizing Equity,
The remedy for this I believe is a Single Payer System (not a market) that places patients and providers ahead of profits. This can be achieved at the State level (MA, VT, CO have already done so) and would help to retain and recruit much needed PCP's in
Chris Van hemelrijck
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