This bill addresses none of the real issues facing healthcare delivery in the US. AFAIK, it's to try and liberalize the electorate by making as many as possible beholden to the state, nothing more.
It piles more people on medicaid—a system that only exists by mandate, and pays so little that providers actually lose out of pocket money to treat them.
It does zero to encourage "conservative care," and in fact, since medicaid dirtballs are more likely to sue, AND medicaid pays so poorly, it actually encourages needless tests, etc, to try and run the bill up to offset the other losses.
Since the bill mentions adding more primary care docs (by magic!), but not specialists, it does not address the critical shortage of specialists. No offense to any primary care guys who might be here, but face it, you see your primary care doc when you have either nothing wrong with you, or 99% of the time, self-limiting stuff (meaning it gets better with no care at all). More GPs, contrary to claims of "preventative care" doesn't really help, you need more specialists. Instead, we have more deadbeats (medicaid) for the same number of specialists—that means longer waits. That's fine unless you have something time critical, then I guess you get to take one for the team unless you are lucky enough to be personal friends with enough specialists that you can always get squeezed in.
Actually, that might help increase the number of docs—if you want decent care for your own family, go to medical school!
BTW, the US system—warts and all—has better outcomes than anywhere else when you look at metrics not confounded by lifestyle, etc.
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