Small per­cent­age, but …

Modern Healthcare - - Opinions Letters -

An in­ter­est­ing ar­ti­cle (“Sub­si­dized then scru­ti­nized,” Aug. 16, p. 6). There are many facets of Amer­ica’s health­care sys­tem con­tribut­ing to its suc­cess as well as its cur­rent prob­lems.

I would ven­ture to say your ar­ti­cle points to one of the prob­lems. The last lines note the salary of $50 mil­lion is but a small per­cent­age of a bil­lion-dol­lar or­ga­ni­za­tion. This is true. This was also true of the auto in­dus­try, fi­nan­cial in­dus­try and a few other in­dus­tries whose bub­bles re­cently burst caus­ing our cur­rent re­ces­sion. I’ll let the read­ers reach their own con­clu­sion re­gard­ing that sim­i­lar­ity.

As the ad­min­is­tra­tor of a small fam­ily prac­tice of six providers and 25 em­ploy­ees, of which 20 re­ceive em­ployer-pro­vided med­i­cal ben­e­fits, let’s look at say half of that $50 mil­lion—af­ter all the ex­ec­u­tive is en­ti­tled to some pay. First, as an em­ployer, our in­surance premi­ums have gone up dou­ble dig­its for the past 10-plus years. Our pay­ments from in­surance com­pa­nies have gone up 1% to 2% per year and only if I dili­gently ne­go­ti­ate ev­ery year, as typ­i­cally in­surance com­pa­nies want me to sign two-year agree­ments.

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