Medicine is So Top 1%

limoAll those kids that spend years to become doctors because they “just want to help people”, well, they also don’t seem to mind spending lots of time and money fighting for more money.

Case in point: a “nonprofit” group of 2,000 primary care providers called the Academy of Allergy and Asthma in Primary Care (AAAPC) is suing a collection of four specialized allergy groups.

What’s the lawsuit about? Behind-the-scenes, specialized allergy groups have been influencing insurance companies to not pay-out primary care physicians who lack a board-certified allergist title, which amounts to most physicians. Basically, allergy specialists are working to drive-up the cost of allergy treatment.

In short, AAAPC is the underdog, standing up for the little guy; trying to keep specialists from driving up prices on us.

What’s haywire is, the president of these “little guys” operates a clinic in Colleyville, Texas. Look up Colleyville on Trulia and you’ll find that the average price of a property for sale there is about $800,000, which is particularly fine-living in low-cost Texas.

Put simply, we have 46.5 million Americans living in poverty, and also Plain Jane doctors making an average of $220,942 suing specialists making an average of $396,233.

Basically, the guys at the $220,942 level feel like they need more pie; so do the guys at the $396,233 level.

Meanwhile, while the federal district court decides which doctors’ group gets more pie, the average American who lives under free-market forces (i.e. fewer jobs, less pay each year) is having to take a second job and ruining his health just to keep his family going.

Via titles and laws, the state has redistributed wealth to people in medicine. This is unfortunate since it’s not clear the drugs a cardiologist at $532,269 prescribes work any better than tea and walking. But the state has clearly ruled what medicine is and is not; and it’s not tea or walking.

To an outsider, medicine looks a bit like fighting among nobles over whose title can extract how much money from the people. And also as though Americans are working longer hours in an increasingly zero-sum economy to pay doctors whatever the government says they’re worth. But as doctors capture more of whatever pie is left, will we measure any health increase in the 99%?

 

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