Oh Baby Oh Baby Trump just stuck a shiv in the MBA top heavy medical industry by ordering price transparency in Medicine especially the drug biz. It’s the day the universe changed.
I went to Med school in 1981, it was a heady time of 17% interest rates on student loans. When I was accepted my med school cost 6800/yr and I sold my house and had saved enough to cover 4 years. By the time I walked through the doors 6 mos later it was 8600. The next year was 12,000 and the 3rd year… I ran out of money and I wasn’t going into debt at 17% interest, which started accruing immediately. So I marched down to the NAS Glenview, in Chicago raised my right hand, swore to defend the constitution and the peeps and it was anchors aweigh for this pilgrim. It was actually a great deal they pay 2 years, I pay back 2 years after I complete my residency. They get a fully trained anesthesiologist for LT’s pay which was 36K/yr.
When I got to med school it was the time of the first HMO. My buddy and I looked at each other and said “OH NO! It’s going to be the $39.95 gall bag operation”, because it was dead clear he MBA’s meant to pierce the profit in private practice medicine and hoover it up for themselves and it’s been down hill ever since.
When I started the physician commanded 12 cents of the medical buck and soon enough it was 6 cents then 3 cents. Where did the dough go? Strait into MBA’s pockets. MBA’s and middle men. You can’t run a competitive business unless you know the cost and if you break your wrist what gets paid is who knows? It’s what ever the contract says you get paid plus the slippage of denials.
Transparency is going to change that as he says BIGGLY. A wrist can’t get set without a Doc but it sure as hell can get set without a MBA sucking off the profit or a screw company charging 10K a screw. United health, CVS, all them jokers are heading down. Should be an interesting ride.