Single Payer Health Systems

It's the way the industry is structured here - every dr. gets a piece of the pie. Lab physicians want to be paid for their work and so does every single type of dr. That is exactly the problem, they don't want to work together on pricing and there's a bunch of them and even when they do cooperate for "package pricing", it takes years to negotiate the deal and by that time the industry is changing again. Package pricing is the future of the industry, with or without the needed consolidation into single payer. Single payer would make this so much more accurate and patient friendly, it's truly the only way we can have transparency.

Yes there are some dr. that try to "juice" things, but they are not the majority of the doctors I saw - we had over 400 physicians working in 27 locations and 4 hospitals. Our group would catch this and we'd have to tell the doctors that it's against the rules to do both surgeries in the same session or let them know about whatever the conflict was and we often could "convince" them to change the orders. Luckily we had a great CEO who was an ethics stickler and she supported us often when we & the physician disagreed. I left the co. within a year of her retirement because things started changing for the worse.