Now, former presidential candidate Howard Dean has essentially admitted they were right and is calling for the repeal of the Independent Payment Advisory Board (IPAB).In a Wall Street Journal op-ed Monday he called the IPAB “essentially a health-care rationing body” that he believes will fail.
“There does have to be control of costs in our health-care system. However, rate setting — the essential mechanism of the IPAB — has a 40-year track record of failure,” Dean wrote.
Dean, who is a healthcare industry representative as a senior adviser at the law and lobbying firm McKenna Long & Aldridge, said his experience as governor of Vermont turned him off to government control of healthcare prices.
“What ends up happening in these schemes (which many states including my home state of Vermont have implemented with virtually no long-term effect on costs) is that patients and physicians get aggravated because bureaucrats in either the private or public sector are making medical decisions without knowing the patients,” Dean wrote.
“By setting doctor reimbursement rates for Medicare and determining which procedures and drugs will be covered and at what price, the IPAB will be able to stop certain treatments its members do not favor by simply setting rates to levels where no doctor or hospital will perform them,” Dean added. “Most important, once again, these kinds of schemes do not control costs. The medical system simply becomes more bureaucratic.”
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