Saturday, October 29, 2016

My Article in Medical Economics - "Congress Continues Down The Yellow Brick Fantasy Road With MACRA"

Congress continues down the yellow brick fantasy road with MACRA by @kennethafisher Tryig to assess trillions of patient-doctor interactions/year using imprecise data via computer algorithms in fantasy. Rather, patients should have the power to decide for themselves via control of their own healthcare dollars.

Monday, October 3, 2016

Trying Anything To Save Obamacare

Busted: GAO Finds Payments To Insurers Under Affordable Care Act Are Illegal via @forbes…/busted-gao-finds-payments-to-insu…/… … Notice stonewalling by CMS, Lawlessness by this Administration trying to save the Affordable Care Act is nothing new. However, it is extremely regrettable.

Monday, September 12, 2016

Give Americans The Choice Of Escaping The Afforcable Care Act. The Affordable Care Act is not affordable and pursues a government domination of healthcare rather than a patient-directed system based on expanded health savings accounts funded by by tax credits available to ALL who wish to participate.

Monday, September 5, 2016

Physicians - Break Away From Silly Medicaid Type State Reimbursements…/my-407-check-insur… … $4.07 paid by state for urologic treatment. Time for physicians to opt-out go cash, adjusting fees to ability to pay, legislate so that the poor can use tax credit $

Tuesday, August 9, 2016

"The Greatest Health Plan Ever"

The World’s Greatest Health Care Plan Best yet, Importantly this plan is voluntary - let the American people choose Written by Representative Pete Sessions (R-TX) and Senator Bill Cassidy (R-LA) with input from John Goodman - Goodman Institute ( several meetings with practicing physicians. This plan deserves serious reading.

Sunday, June 19, 2016

Computer Programs & Hospitals CANNOT Coordinate Care

The Downside (escalating costs) of Merging Doctors and Hospitals . The problem is that there is now not one trusted doctor in charge! Because patients are not in control of their own healthcare funds and we have a price fixed system patients cannot fund having their own physician be in overall charge when hospitalized. All the computer programs and other bureaucratic attempts by our government to coordinate care are destined to fail.

Wednesday, June 8, 2016

"Macra: The Quiet Health-Care Takeover", by J.C. Capretta & L.J. Chen, WSJ May 31, 2016

Macra: The Quiet Health-Care Takeover - From the May 31, 2016 Wall Street Journal by James C. Capretta & Lanhee J. Chen A Few quotes from the article: "Unfortunately, the law empowers the federal bureaucracy at the expense of the doctor-patient relationship, putting the quality of American health care at risk" Comment, The more we detract from the patient-doctor relationship, the worse the care & greater the cost "In April the administration presented a 962-page regulatory behemoth. This new set of rules uses the power of Medicare to put the federal government in charge of almost every aspect of physician care in the U.S." Comment,This is the same government that runs the VA, these rules result from a poorly written, misguided law and an administration that believes in the ultimate power & correctness of the state.

Saturday, June 4, 2016

Essay on MDalert Regarding My New E-Book, "Understanding Healthcare: A Historical Perspective"

Latest essay posted 6/4/2016 on MDalert about my e-book, Understanding Healthcare: A Historical Perspective. Gives a flavor of the story of the beginnings of modern medicine to today's massive confusion.

Tuesday, May 31, 2016

"Understaning Healthcare,,," Interview With Gordon Evans On WMUK: Kalamazoo NPR

"Understanding Healthcare: A Historical Perspective", my new e-book was the topic of discussion with Gordon Evans on Kalamazoo, MI NPR WMUK. The discussion was far ranging and informative. Here is the link,

Sunday, May 15, 2016

My Letter To Andy Slavitt Regarding Regulations For the "SGR" Replacement MACRA

Mr. Andy Slavitt Acting Administrator Center for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, MD 21244 Re: MACRA Regulations Dear Mr. Slavitt, While trying to control costs, Congress and CMS have over the years been in the process of destroying the patient-physician relationship, paradoxically increasing costs. MACRA only exacerbates this problem. This has happened as physicians take time from patients to enter data demanded by the bureaucracy. Additionally physicians have less time to think about and conceptualize their cases causing the need for greater testing. It is true that healing is better when patients feel a bond with their physician. This is becoming more difficult as the government tries to micro-manage the patient-physician interaction. Also the negative impact of this law on physician training will be massive. Residents now are spending more time with computers and less with their patients. Their history taking and physical diagnostic skills are rapidly decaying. Thus, in the future, we will have physicians with less skill needing to order more tests greatly increasing costs, while providing care of lower quality. The idea of providing bonuses and penalties around an arbitrary price-fixed amount devoid of market verification is economically unsound. The value of a physician visit should be determined by the individual patient and not by a distant bureaucracy. A way to accomplish this change would be a voluntary program for seniors. Those who wish to do so would have an actuarially determined yearly deposit into a special health account. This account would be used to pay for most outpatient care and fund a nationally available high deductible plan. In this light the only solution regarding regulations for MACRA is for your agency to return to the Congress and ask for re-addressing the “SGR FIX”, advising them to implement this voluntary Medicare plan addressing physician re-imbursement. Sincerely, Kenneth A. Fisher, M.D. Nephrologist – Author “Understanding Healthcare: A Historical Perspective” Cc. Congressman Fred Upton

Monday, April 25, 2016

Health Savings Accounts

Two recent articles In Forbes (in electronic form) discuss how this administration is doing its best to eliminate health savings accounts and what an enlightened policy would look like. In “HSAs Under Attack In Obama Exchanges” by Grace-Marie Turner, Forbes, 4/21/2016 In this article Ms. Turner writes that instead of giving Americans more choices, this administration is formulating rules that make purchasing the popular health savings account on the exchanges just about impossible. While Dr. John Goodman in Forbes, 4/19/2016, “Roth Health Savings Accounts: What The World Needs Now” Writes that unencumbered by legal restrictions Roth Savings Accounts would via tax policy balance payments by the individual for routine healthcare with third party insurance that would for big-ticket items. This could be available to all Americans who choose to do so via a refundable tax credit.

Monday, April 18, 2016

Follow how we got to this dysfunctional state in healthcare and how going back to American individuality we can fix it. Available on-line at: or

My New Electronic Book - "Understanding Healthcare: A Historical Perspective

Follow how we got to this dysfunctional state in healthcare and how going back to American individuality we can fix it. This electronic book is available at: or

Thursday, March 3, 2016

My New Book "Understanding Healthcare: A Historical Approach"

This book was written with a historical perspective so that the reader will gain a clear understanding of the misconceptions and accidents of history that have led to our present dysfunctional healthcare situation. To most people the American healthcare system is a confusing maze of inefficient complexity. I explain how this happened and what should we do about it. The reader will also learn about the scientific method, one of man’s greatest achievements, which led to modern medicine and the development of the profession. To understand the path we must take for all Americans to have access to comprehensive care at a price we can afford, we must understand the forces at work and the false starts we have taken over the years trying to achieve this so far elusive goal. The audience for this book would be the public, political leaders and academics. The book is available electronically at a very reasonable price at: or