Wayne Webster
Wayne Webster

Wayne Webster is a business development healthcare consultant. You can learn more about Webster and his company, Proactics Consulting, at www.Proactics.net. You can reach Webster at [email protected].

Blog | Wayne Webster | September 19, 2012

The AMA Makes An Incorrect Prognosis

In a recent article, “The AMA Backs Bills to Stop Medicare Imaging Pay Cuts,”  the American Medical Association (AMA) once again is fighting to maintain the status quo. They’ve picked a battle that won’t help them win the war.

The problem is, you can't fight healthcare changes one issue at a time. The AMA and other stake holders have to come to the table in a proactive stance and propose something that reduces the cost, not just the insurance payments, but the actual cost of applying healthcare while keeping doctors, hospitals, insurance companies and patients from being gored at the same time.

Everyone who negotiates contracts knows you can't finalize a negotiation when it’s conducted issue by issue. Someone has to step up and put everything in healthcare on the table and be ready to make some compromises that reduce the ever-increasing cost of providing healthcare.

We live with a system that for 50 years has had one mantra: "To make more, you do more." Now we have to learn to live with less doing and still make it possible for hospitals and physicians to prosper. We’re adding approximately 12,000 people a day to the Medicare rolls and this will continue for the next 18 years. If you think there won’t be cuts, you're dreaming! Cuts are necessary if the system is to survive. The 12,000-a-day added to Medicare is above and beyond the 30 million added with the Patient Protection and Affordable Care Act (PPACA), i.e., Obama Care. Something has to give.

Now the question is, are we capable of coming to the table and looking at Medicare/Medicaid, the Veterans Administration Hospitals and healthcare for the general population and finding a better path to provide quality healthcare at a lower cost of administration? Not a lower cost of insurance, but a lower per-patient cost. It’s possible, and we must do it if our healthcare system is to continue to prosper.

I think it’s better to set healthcare standards, dissolve all the bureaucracies and let independent insurance companies bid for the business. Give Medicare/Medicaid recipients and veterans an insurance policy and let them seek the best care. Hospitals and doctors will compete for their business. Supplying healthcare is going to be costly in any case, but do we really need all the middle men in the government? I think not.

Related Content

A static image drawn from a stack of brain MR images may illustrate the results of a study. But a GIF (or MP4 movie), created by the Cinebot plug-in, can scroll through that stack, providing teaching moments for residents and fellows at Georgetown University

A static image drawn from a stack of brain MR images may illustrate the results of a study. But a GIF (or MP4 movie), created by the Cinebot plug-in, can scroll through that stack, providing teaching moments for residents and fellows at Georgetown University. Image courtesy of MedStar Georgetown University Hospital

Feature | Information Technology | June 13, 2019 | By Greg Freiherr
Editor’s note: This article is the third in a content series by Greg Freiherr covering the Society for Imaging In
At ACC 2019, Siemens unveiled a version of its go.Top CT optimized for cardiovascular imaging. The newly packaged scanner can generate data needed to do  CT-based FFR (fractional flow reserve).

At ACC 2019, Siemens unveiled a version of its go.Top CT optimized for cardiovascular imaging. The newly packaged scanner can generate data needed to do
CT-based FFR (fractional flow reserve).

Feature | Cardiac Imaging | May 31, 2019 | By Greg Freiherr
The fingerprints of value-added medicine were all over products and works-in-progress on the exhibit floor of the ann
Einstein Healthcare Network found that use of automated power injectors reduced CT contrast extravasation rates over a 30-month period.

Einstein Healthcare Network found that use of automated power injectors reduced CT contrast extravasation rates over a 30-month period.

Feature | Computed Tomography (CT) | May 30, 2019 | By Jeff Zagoudis
As of 2015, approximately 79 million computed tomography (CT) scans were performed each year in the U.S.
Sponsored Content | Webinar | Computed Tomography (CT) | May 30, 2019
This webinar will explain technical considerations when performing cardiac CT angiography in pediatric patients.
Sponsored Content | Webinar | Computed Tomography (CT) | May 30, 2019
Chest pain is one of the most frequent reasons for an evaluation in the emergency room.There are multiple imaging mod
Brain images that have been pre-reviewed by the Viz.AI artificial intelligence software to identify a stroke. The software automatically sends and alert to the attending physician's smartphone with links to the imaging for a final human assessment to help speed the time to diagnosis and treatment. Depending on the type of stroke, quick action is needed to either activate the neuro-interventional lab or to administer tPA. Photo by Dave Fornell.

Brain images that have been pre-reviewed by the Viz.AI artificial intelligence software to identify a stroke. The software automatically sends and alert to the attending physician's smartphone with links to the imaging for a final human assessment to help speed the time to diagnosis and treatment. Depending on the type of stroke, quick action is needed to either activate the neuro-interventional lab or to administer tPA. Photo by Dave Fornell.

Feature | Artificial Intelligence | May 17, 2019 | Inga Shugalo
With its increasing role in medical imaging,...
Videos | Advanced Visualization | May 16, 2019
This is an example of how virtual reality is being used in neuro-radiology to better evaluate patients using advanced
he DigitalDiagnost C90 is Philips newest premium digital radiography (DR) system, introduced here at the Radiological Society of North America (RSNA) 2018 meeting. It is the industry’s first radiography unit with a live camera image directly displayed at the tube head to provide a clear view of the anatomical area being scanned during the patient positioning process.
360 Photos | 360 View Photos | May 08, 2019
The DigitalDiagnost C90 is Philips newest premium ...