Physicians have to utilize the services of various entities. The most obvious is the service provided by hospitals. Imaging centers, surgery centers, and other physician groups also fall into the category.
A common complaint about managed care among patients is it limits choices. A patient has to stay within a network or be penalized. Some patients choose to pay a premium and go outside a network.
There often is not any choice in insurance for patients. It is usually prohibitively expensive to go beyond the plan offered by their employer. It is the plan that leads to the limiting of choices.
The argument has been part of the talking points in attacking the health care system for years.
Mitt Romney was talking about insurance in New Hampsire recently and part of his statement was, “It also means that if you don’t like what they do, you can fire them. I like being able to fire people who provide services to me.”
The Democratic National Committee (DNC) has been attacking Romney for people who lost jobs when he was working at Bain Capital. The DNC has received $123K from Bain employees. That is only one tenth of the money ($1.25M) Bain employees have given to Restore Our Future, a PAC spending money supporting Romney. Bain employees have also been giving 3 times as much money to Romney as Obama.
The DNC and Romney's Republican opponents have been using disgruntled employees from companies taken over by Romney to paint the former Massachusetts governor as a corporate "raider." Remember, these are the same Democrats who wanted everybody to listen to the ultimate raider, Warren Buffett, on where tax policy should go.
The cries now are that Romney likes to fire people. If he fails to become president maybe he can take over for Donald Trump on The Apprentice.
Well, not exactly. Romney said he wanted to have choices. Who does he think he is? A pregnant teenager?
Let it be known, the DNC is officially anti-choice.
Here is the truth that no candidate, even Romney, will tell: Firing people can be a way to improve a situation. There may be an occasional deviant soul who likes to fire people but most hate the idea. Most do like the ability to have the choice to fire somebody if necessary.
I have seen physicians tell hospital administrators over the years that they could fix inertia problems in various areas by letting certain employees go. The administrators often agree and lament the fact that union contracts get in the way of making it happen efficiently. It is similar to problems New York City has had eliminating incompetent teachers even with some union cooperation.
One solution for physicians who become frustrated with services has been to form their own companies. What better way to provide a service than to provide it to yourself? This is how capitalism works. If it can be done better, the gap will be filled.
People want to make choices in their life. They often make those choices for their financial health. A CEO of a company needs to make choices that benefit the financial health of the business. They need to ability to fire people.
The President of the United States (POTUS) is a CEO. POTUS needs the ability to fire people. Citizens of this country should like him to have that ability. It goes beyond insurance choices.
Romney has a comfortable lead in New Hampshire. He is leading polls in South Carolina and Florida. The leads have been narrowing a bit but if Romney sweeps these states the Republican race could be over soon.
The DNC can see the writing on the wall. That is why there is an attempt to draw blood from Romney. At worst, they damage him and at best they make the Republican race go longer.
Gingrich and Santorum have been chanelling their inner Palin lately making ridiculous populist statements. The two career politicians are attacking Romney for being a career politician who does not understand the struggles of everyday people. Did they see tapes of Socialist Sarah sating she was going to save Mat Maid?
Romney understands the importance of making difficult decisions that may not be popular. It is not about "liking" the decisions but the need to make them. This is something career politicians and community organizers do not understand.
The nation is not ready to be told that people might have to fired. That goes double for government employees. Twisting Romney's words for a populist pandering attack was a no-brainer. The sad part is it counts on the fact that most of the population has no brain.