Obamacare Is Making The US Health-Care System Run Like Netflix
Netflix produces movies in-house, just like a health-care system provides all of its own care instead of referring to experts outside the network. Then they cheapen the quality.
Managed, integrated medicine is all the rage these days, thanks to Obamacare. Obamacare uses Medicare funds to sponsor “Accountable Care Organizations,” for example, whose sole explicit purpose is to unite all of a patient’s care under one roof.
Aside from the more than a thousand ACOs that have sprung up, Obamacare’s onslaught of new regulations have driven the consolidation of hospitals, physicians, and insurers into health-care systems across the country. Eighty percent of all hospitals belong to such systems today. No more local family doctor or small-town hospital. The reality today for many (and the future for all) is that your insurer determines your health-care system, and in turn, your choice of provider and hospital.
Health care today is much like Netflix, which aims to house all of your entertainment needs under one umbrella. Gone are the days when you would pay five bucks to rent the movie you want on iTunes (known as “fee-for-service” in health care); today, Netflix provides a veneer of “all the movies you could want” for a flat, monthly rate (i.e. “capitated reimbursement” in health care).
Netflix has become very popular, because it is clearly cheaper, and so is managed care. The reason the ACO program has grown into the thousands over only a few years is because they get to share in the savings they create for Medicare (and thus for taxpayers), and these savings add up to a billion dollars. Yet few question how Netflix (or managed care, for that matter) can be so cost-effective.
Netflix tries not to purchase movies from others, like iTunes. They produce their own, in-house, just like a health-care system provides all of its own care instead of referring to experts outside the network. And anyone who’s spent a lot of time watching Netflix knows the quality of the programming largely sucks. Netflix had to eliminate the reviewing feature, because all of their ratings were so low.