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1) Eliminate the REQUIREMENT for EMR.
(All Dr offices want it, but they were allowed to name their price and EPIC er al shot for the moon with no resistance.
Take away the requirement, and the free market drives costs down instantly.

Also, the EMR cost is one of the biggest deterrents ti small practices opening to provide competition to the price gouging hospital run systems.

2) Offer med mal reform with strings:
-No change in actual damage claims which are usually well quantifiable
- put a cap on pain & suffering dMsges at an agreed upon, non egregious number for various types of cases….
……a big problem in med mal now is that insurance companies have difficulty quantifying their costs- this helps fix that so that costs can be stabilized and thus prices better controlled.
……ALSO, this cap would avoid the even bigger problem in med mal - plaintiff lawyers naming sums do high that it fears defensible cases into settlement.
Make the fucking lawyers earn it, and free up Dr’s to defend themselves.
- allow med mal cases to go before a jury of peers as constitution recommends - medical tribunals (I doubt this ever would happen, but its stupid that the lawyer with the cutest smile influences a case where the juror has no way to know the medicine and just decides who they want to take their advice from)

THE STRING ATTACHED - give every Dr the choice:
If you want capped pain & suffering med mal deal, you must see X% of indigent patients for free. If not, you get the same as it was. (I don’t know a Dr who wouldn’t take this deal).
- it cuts cost of insurance and thus can be transmitted to patients in a competitive market where there are choices besides expensive hospital systems
- it treats the poor FOR FREE on their outpatient care giving them access they presently lack
- it saves tax payers $

Roadblock to this plan: plaintiff lawyers - powerful

A note - one of the biggest problems we now have in medicine is that we have taken the free market out of the equation and given control over to hospital systems.

I have pharma & insurance ideas also but im on a phone & i dont want to do more right now

For reference, I have started my own private practice which I ran for years, I have been a part of two hospital systems. I have started snd run a completely separate small business, I have sat on more hospital committees, rules boards, quality review, and boards than I want to remember.

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