You are surprisingly correct about that wormhole. A doctor, like any other professional, relies upon cash flow for his very survival. The rise of health insurance monopoly has had the effect of reducing the average physician's income radically since the rise of HMOs in the 1980s.
I disagree. You'd be surprised how much doctors in private practice know about cash flow and insurance. It's become a very necessary, but distracting and unproductive part of their profession that contributes absolutely nothing to the service they provide. What doctor in private practice hasn't had to hire two or three full time personnel to manage insurance claims alone? What doctor hasn't had to sacrifice personal time with his patients in order to cram more of them into his day? Is it any wonder that I, as a self-insured, cash paying customer, I have absolutely no problem getting an appointment at a moment's notice for about a third of what it costs with someone who has an intermediary pay instead?
Obamacare addressed none of these inconvenient truths that have contributed to the health care mess in this country. It merely served to empower the insurance monopoly we all have grown to detest, by requiring that everyone buy their crappy products at the expense of destroying quality medical care in this country.
Protecting their profession notwithstanding - I submit that physicians in Congress certainly know a thing or two about medical care. Their uninformed colleagues who pander to the insurance lobby juggernaut certainly do not.
Exactly. Single payer government healthcare would eliminate a lot of expenses for doctors. Every bill goes to one place. However it would also eliminate their payoffs and guaranteed business from insurers and bring the free market to the doctors office. Who would want that?
I used to be a cash payer until I found that simply having a PPO will reduce your costs by 25% since insurance cos pre negotiate rates for procedures and have the power to make or break any doctor.