Joseph M. Scherzer, MD
Article Type: 
January/February 1999
Volume Number: 
Issue Number: 

Dear Editor,
Democrats and Republicans are engaged in a political test of wills to find the "right" answer to the multitude of ills created by HMO medicine. While Democrats are trying to say their Patient Bill of Rights is bigger and better than the Republican plan, the Clinton administration is asking an appeals court to overturn a tremendous victory won by Medicare HMO patients which gave them significant consumer protections and new rights. But, we must remember this is the same administration that told people over 65 they had no right to escape the functional and intentional rationing of their Medicare entitlement by choosing private medical care on a case by case basis.

The best prescription for recreating the health care free market which existed before World War II would be to return tax equity to working Americans, as economist Milton Friedman has suggested many times in the past. This would permit us to "own" our own health insurance once again. (Would anyone think it wise to change auto or homeowner's insurance every time we change jobs?) Such common sense reformation of the tax code, offering us privately owned insurance with high deductibles, would also create the same incentives and checks and balances inherent in the MSA concept. Tax equity would foster real competition by again melding the recipient of health care into the purchaser. Why would anyone oppose this sensible reform?

For years, the Association of American Physicians and Surgeons has been quite vocal about the problems created by HMOs. A few years ago, the Arizona Chapter of the AAPS led the way nationally when it played a key role in a state law which required HMOs to disclose financial incentives for their physicians (bonuses for "cost-effectiveness"), gag rules, etc. As strongly as we feel about holding accountable any physician or organization which endangers patient care, we urge caution in seeking a solution to HMO rationing through expanded government control of the HMO industry. It was government, after all, that gave us HMOs, and government which sought (and still seeks) to provide universal (rationed) health care through managed care "alliances" of HMOs under the Clinton Plan - 60 percent of which has actually been enacted by various laws since 1993! As government establishes law after law to "fix" the problem it created, it will only make medical care more costly and unwieldy. The way out of this mess is by demanding tax equity as a first --- and very necessary --- step.

Joseph M. Scherzer, MD
Scottsdale, AZ

Correspondence originally published in the Medical Sentinel 1999;4(1);1-2. Copyright©1999 Association of American Physicians and Surgeons (AAPS).

No votes yet

It is now legend the AAPS legally lanced the secret task force and pulled its secrets...into the sunshine. It destoyed the Health Security Act.

The Oath of Hippocrates
and the Transformation of Medical Ethics Through Time

Patients within a managed care system have the illusion there exists a doctor-patient relationship...But in reality, it is the managers who decide how medical care will be given.

Judicial activism...the capricious rule of man rather than the just rule of law.

The largest single problem facing American medicine today is the actions of government...

The lessons of history sagaciously reveal wherever governments have sought to control medical care and medical practice...the results have been as perverse as they have been disastrous.

Children are the centerpiece of the family, the treasure (and renewal) of countless civilizations, but they should not be used flagrantly to advance political agendas...

Prejudice against gun ownership by ordinary citizens is pervasive in the public health community, even when they profess objectivity and integrity in their scientific research.

The infusion of tax free money into the MSA of the working poor give this population tax equity with wealthier persons...

It was when Congress started dabbling in constitutionally forbidden activities that deficit spending produced a national debt!

Does the AMA have a secret pact with HCFA?

The lure of socialism is that it tells the people there is nothing they cannot have and that all social evils will be redressed by the state.

Canada's fatal error — Health Care as a Right!

The Cancer Risk from Low Level Radiation: A Review of Recent Evidence...

...Moreover, the gun control researchers failed to consider and underestimated the protective benefits of firearms.

Vandals at the Gates of Medicine — Have They Been Repulsed or Are They Over the Top?