Preserving Choice in Medicine: The Importance of Fee-for-Service Care

The proposed elimination of fee-for-service medical care in health reform efforts has sparked debate about the need for patient choice and competition in the healthcare system. Advocates argue that fee-for-service care provides a safeguard against managed care plans that may not offer quality patient-friendly care. The American Medical Association has proposed a new approach to fee-for-service care, which aims to make the resource-based relative value scale a tool for patients to make informed choices about the cost of their care.

Key Takeaways:

• The elimination of fee-for-service care would deprive patients of the option to choose their own physicians and vice versa, which is a fundamental aspect of patient autonomy.
• The AMA's plan aims to make the resource-based relative value scale a tool for patients to make informed choices about the cost of their care, providing them with relative values and dollar amount conversion factors used by physicians and insurers.
• Patients, as demonstrated in a Gallup Organization poll, prioritize choice over cost, with 81% preferring to pay more to choose their own doctor over paying less for a doctor assigned by a health plan.
• More than 70% of respondents would pay more to receive care sooner or to receive treatment in the hospital of their choice.
• The AMA's proposal provides incentives for physicians to compete on quality and service, rewarding practices that offer something special at a reasonable cost.
• The competitive formula has worked for successful ventures like Federal Express and other businesses that have served the public well.
• The preservation of fee-for-service care is crucial for maintaining competition and ensuring that patients receive high-quality, patient-friendly care.

Statistics:

• 81% of the public prefers to pay more to choose their own doctor rather than pay less for a doctor assigned by a health plan (Gallup Organization poll).
• More than 70% of respondents would pay more to receive care sooner or to receive treatment in the hospital of their choice (Gallup Organization poll).
• The AMA's proposal aims to make the resource-based relative value scale a tool for patients to make informed choices about the cost of their care, providing them with relative values and dollar amount conversion factors.

Sources:

• The American Medical Association: "AMA Proposes New Approach to Fee-for-Service Care"
• Gallup Organization: "Healthcare Reform: Patients Prioritize Choice Over Cost"
• Federal Express: (no specific source mentioned)
• Other successful ventures: (no specific sources mentioned)