Magazine article Drug Topics

Managed Care Is Not for All People

Magazine article Drug Topics

Managed Care Is Not for All People

Article excerpt

The newspapers and television are bashing managed care a lot lately. We all know that health care and prescriptions are costly and something has to be done to cut back on spending. However, managed care groups are making profits at the expense of the care being offered by physicians and pharmacists in the marketplace.

One of the leading medical centers in Boston has lost many of its fine research physicians because of managed care economics. The center cannot profitably afford them.

You can't have health maintenance organizations and managed care groups making high profits while the status of health care suffers under pressure to contain costs. To this observer, this trend should be reversed. Pay the health-care providers what they are worth and put restrictions on how much managed care executives can make.

Managed care groups argue that "people say they dislike managed care even as they join health maintenance organizations by the millions," as quoted in the Boston Globe. But what choices do people have? Many would prefer to be outside of managed care, but with employers concerned about rising benefit cost, there is no choice.

I recall the fiasco in the late 1980s when the federal government decided to pass a law expanding Medicare to provide catastrophic health coverage to all those over 65 but at a horrendous cost in taxes to high-income elderly. …

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