The Myths of Managing Health Care

I learned the hard way that human nature is the biggest obstacle to cutting health care costs. President Obama is not the first chief executive to foist onto us an unrealistic medical reform.I left Nebraska to become Medical Director of a Health Maintenance Organization (HMO) in Louisiana in 1980. I believed the myths of managed care promoted by the smart guys. Health insurance premiums were spiraling up, and business and industry were concerned. People wanted good insurance cheap. Managed care was the answer.The Nixon administration wrote the Health Maintenance Act of 1973, funding and promoting managed care by a non-profit community-controlled, federal benefit package, one community premium, no limits on preexisting conditions, preventive care, comprehensive care, first dollar coverage health care. To help them get started, the law said that a federally qualified HMO under the act could mandate an offer to an employee group.Government experts promote myths when policy agendas...(Read Full Article)

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