but yet, Medicare still wants happy faces to pay doctors.
ZERO accountability for doctors?? You have no idea what you’re talking about dude. Just walk away man. Geez. As for insurance charges etc....you again have no idea what you’re talking about.
I'm just going to correct you here because you, clearly, have no idea what you are talking about.
Yes, zero accountability for doctors. 2 individuals with the same ailment see 2 different providers .... they get very different diagnosis, different testing, and reading of the results that vary. The course of treatment in one case might be wrong, the other right. The patient returns to their doctor who, again, runs tests, mis-diagnoses, and there's no repurcussions for figuring out what's going on.
The patient who was treated properly the first time gets billed (after insurance) and they're done. The patient who was treated incorrectly will now have additional bills (both to insurance and their responsibility).
Similarly, a doctor might make a small mistake during a surgery - which then either requires a longer surgery (lengthening anesthesia, if nothing else) or possibly requiring a 2nd surgery. Do you think the hospital, doctor, and meds required to fix the 'mistake' are going to be paid for by the doctor who made the mistake? Or will the insurance company be billed for the additional services?
There is zero accountability in the United States for a doctor to get it right. Insurance and CMS are starting to try results based accountability, but that is just another layer in what is an already untransparent system.
I can almost guarantee you that I know more about medical billing and the inner workings of health insurance. Most individuals who work in medical billing (either specialized offices or the billing department for a medical group/hospital/etc) barely know what they're doing (and many times they hire off the street and don't know).
You keep mentioning Medicare, yet.... with only a few exceptions (for instance hospitals cannot opt-out), doctors are not required to accept Medicare. Some providers, like an MT, cannot even bill Medicare as their services aren't covered.
Further, if a provider is basing their treatment of care on what Medicare wants, then I would run from that provider. Medicare has exceptionally low allowed amounts in comparison to the private sector (who essentially pick up the tab).
As for the original question - you haven't mentioned the ill effects of the opioids which providers continue to cram down patients throats....