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	<title>Comments on: Perverse Incentives</title>
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	<description>Health Care Policy and Reform Insights &#124; NCPA</description>
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		<title>By: The Pelosi Bill Explained &#124; John Goodman &#124; NCPA</title>
		<link>http://healthblog.ncpa.org/perverse-incentives/comment-page-1/#comment-47943</link>
		<dc:creator>The Pelosi Bill Explained &#124; John Goodman &#124; NCPA</dc:creator>
		<pubDate>Wed, 04 Nov 2009 20:25:50 +0000</pubDate>
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		<description>[...] period picture young, healthy families — never people with costly illnesses. And some plans discriminate against sicker enrollees to keep costs down for healthier [...]</description>
		<content:encoded><![CDATA[<p>[...] period picture young, healthy families — never people with costly illnesses. And some plans discriminate against sicker enrollees to keep costs down for healthier [...]</p>
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		<title>By: David Wilson</title>
		<link>http://healthblog.ncpa.org/perverse-incentives/comment-page-1/#comment-38309</link>
		<dc:creator>David Wilson</dc:creator>
		<pubDate>Tue, 13 May 2008 14:25:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/perverse-incentives/#comment-38309</guid>
		<description>Thank you. Good work.</description>
		<content:encoded><![CDATA[<p>Thank you. Good work.</p>
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		<title>By: Charlotte</title>
		<link>http://healthblog.ncpa.org/perverse-incentives/comment-page-1/#comment-38264</link>
		<dc:creator>Charlotte</dc:creator>
		<pubDate>Mon, 12 May 2008 19:09:17 +0000</pubDate>
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		<description>Great post, John. FYI, I&#039;ve been sending your blog to a friend who is an insider in the McCain campaign.</description>
		<content:encoded><![CDATA[<p>Great post, John. FYI, I&#8217;ve been sending your blog to a friend who is an insider in the McCain campaign.</p>
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		<title>By: DoctorSh</title>
		<link>http://healthblog.ncpa.org/perverse-incentives/comment-page-1/#comment-38259</link>
		<dc:creator>DoctorSh</dc:creator>
		<pubDate>Mon, 12 May 2008 17:16:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/perverse-incentives/#comment-38259</guid>
		<description>An Open Letter from America&#039;s Physicians John Goodman: There is a movement among docs for change. Below is a copy of an Open Letter to America from physicians that are presently getting signed from physicians across the country. In 3 days over 1500 signed, and the majority have not yet seen the letter. We are hoping for a more direct patient-doctor relationship without the middlemen, but find it hard in this third party nightmare of a system. I have been following your blog recently and would like your opinion on our letter. ------------------------------------------------- Dear Fellow Americans, For decades the United States has led the world in healthcare. We have enjoyed the finest hospitals, medical schools, research, technology, and resources. Unfortunately, our healthcare system has lost focus to the point where patient well-being is placed after politics, profits, and special interests. Healthcare costs are on the rise and patients have lost their freedom of choice. These trends are hurting our economy and compromising the doctor-patient relationship. As a result, it has become difficult for physicians to deliver the best possible care. Our heavily fragmented healthcare system has made it very difficult for you, the American public, to get the care you need. As your physicians, we want to partner with you to address the critical defects of the system as outlined below: You are paying a lot for healthcare and not receiving enough in return. Your insurance premiums continue to increase while your healthcare options are dwindling. Gatekeepers, insurance networks, and restrictive regulations limit your choice of doctors and your access to care. You have been made dependent on complicated and expensive health insurance plans. Employers are forced to take money out of your paycheck to purchase health coverage. If you lose your job, you are left with no safety net and the money you have paid for health coverage vanishes. The time you spend with your physician has become remarkably brief due to regulatory hurdles requiring doctors to spend more time on documentation than with you. We believe the following factors have made our current healthcare system unsustainable: The insurance industry&#039;s undue authority and oppressive control over healthcare processes Excessive and misguided government regulation The practice of defensive medicine in response to a harmful and costly legal environment We, the physicians of the United States, will no longer remain silent. We will not tolerate a healthcare system where those without medical expertise or genuine interest in our patients&#039; health have absolute control. This letter is merely a summary of the most important problems in our current system. We believe that by partnering with the public we can start to demand real change and formulate practical solutions. We invite you, our patients, friends, neighbors, and employers to unite with us at this important time in the history of healthcare in the United States. Together, we can guarantee our nation a healthier tomorrow. Please talk to your doctor about this letter and visit &lt;a href=&quot;http://www.sermo.com&quot; rel=&quot;nofollow&quot;&gt;www.sermo.com&lt;/a&gt;... for more information. Respectfully, The Undersigned U.S. Physicians The link to the download is: http://www.sermo.com/ui/efiles/letter.pdf</description>
		<content:encoded><![CDATA[<p>An Open Letter from America&#39;s Physicians John Goodman: There is a movement among docs for change. Below is a copy of an Open Letter to America from physicians that are presently getting signed from physicians across the country. In 3 days over 1500 signed, and the majority have not yet seen the letter. We are hoping for a more direct patient-doctor relationship without the middlemen, but find it hard in this third party nightmare of a system. I have been following your blog recently and would like your opinion on our letter. &#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;- Dear Fellow Americans, For decades the United States has led the world in healthcare. We have enjoyed the finest hospitals, medical schools, research, technology, and resources. Unfortunately, our healthcare system has lost focus to the point where patient well-being is placed after politics, profits, and special interests. Healthcare costs are on the rise and patients have lost their freedom of choice. These trends are hurting our economy and compromising the doctor-patient relationship. As a result, it has become difficult for physicians to deliver the best possible care. Our heavily fragmented healthcare system has made it very difficult for you, the American public, to get the care you need. As your physicians, we want to partner with you to address the critical defects of the system as outlined below: You are paying a lot for healthcare and not receiving enough in return. Your insurance premiums continue to increase while your healthcare options are dwindling. Gatekeepers, insurance networks, and restrictive regulations limit your choice of doctors and your access to care. You have been made dependent on complicated and expensive health insurance plans. Employers are forced to take money out of your paycheck to purchase health coverage. If you lose your job, you are left with no safety net and the money you have paid for health coverage vanishes. The time you spend with your physician has become remarkably brief due to regulatory hurdles requiring doctors to spend more time on documentation than with you. We believe the following factors have made our current healthcare system unsustainable: The insurance industry&#39;s undue authority and oppressive control over healthcare processes Excessive and misguided government regulation The practice of defensive medicine in response to a harmful and costly legal environment We, the physicians of the United States, will no longer remain silent. We will not tolerate a healthcare system where those without medical expertise or genuine interest in our patients&#39; health have absolute control. This letter is merely a summary of the most important problems in our current system. We believe that by partnering with the public we can start to demand real change and formulate practical solutions. We invite you, our patients, friends, neighbors, and employers to unite with us at this important time in the history of healthcare in the United States. Together, we can guarantee our nation a healthier tomorrow. Please talk to your doctor about this letter and visit <a href="http://www.sermo.com" rel="nofollow">http://www.sermo.com</a>&#8230; for more information. Respectfully, The Undersigned U.S. Physicians The link to the download is: <a href="http://www.sermo.com/ui/efiles/letter.pdf" rel="nofollow">http://www.sermo.com/ui/efiles/letter.pdf</a></p>
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		<title>By: William Duncan</title>
		<link>http://healthblog.ncpa.org/perverse-incentives/comment-page-1/#comment-38258</link>
		<dc:creator>William Duncan</dc:creator>
		<pubDate>Mon, 12 May 2008 16:14:40 +0000</pubDate>
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		<description>Right on John!  Thank you!</description>
		<content:encoded><![CDATA[<p>Right on John!  Thank you!</p>
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