MACRA, May 31,2016


When I read through these hundreds of pages of rules (it took a dozen of us physicians to divide and conquer the read) I had to ask myself what sort of person has the temerity to construct rules for physicians ordering them to violate the very basis for a trusting and legitimate physician-patient healing relationship? Is it the sort of person who would demand a priest record confessions so that mega data could be collected on the sins of the world with an eye toward prevention? Or perhaps the sort who would demand a stenographer be present in the room when a lawyer interviews his client for the better good of society (population based law). At CMS you must be quickly justifying your audacious rule making by believing that government is paying for medical care. Quit deluding yourself. Medicare people have had money taken from them by you most of…

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