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    Grading the Trump administration's healthcare initiatives

    It has been more than a year since Donald Trump ascended to the presidency, promising the very best of everything. I was among a small minority in healthcare that cheered the arrival of a different administration because it brought with it the hope of a new direction. Suffice it to say, my problems with the direction the prior administration took were legion.


    MORE FROM DR. KOKA: Here's why a Trump presidency is good for physicians and patients


    Without re-litigating the myriad issues that arose in the last eight years, most can comfortably agree that at the end of the era of enlightened planning from the center, healthcare is more expensive, more regulated, and more inefficient.

    It is the fashion of late to not just disagree with Trump, his cabinet, and his policies, but to find them all immoral people who hate (in no particular order): children, poor people, women, and any persons of color. I find it striking that most of these characters were relative unknowns toiling away in their former lives who garnered no special attention prior to joining the Trump team, and finally being outed as Voldemort-worshiping death eaters. The members of the #RESISTANCE need not, therefore, have to worry their heads about actual policy positions, but
    I will attempt to summarize the stance of these apostles of Satan.

    Next: Tom Price

    Anish Koka
    Anish Koka is a cardiologist in private practice in Philadelphia trying not to read the writing on the wall. Follow him on twitter ...


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      As a full time pastor and retired physician; I feel that a response from a different set ot trench workers is needed. People in my my area are suffering from the recent healthcare policies. The hard working people in rural Southeast Oklahoma are struggling to get quality healthcare vs. surviving. Many of these people are Trump supporters it is unfortunate that the current Administration policies will not support them. As you continue to give grades I will continue to work to find quality healthcare to for all people regardless of their political affiliation. Charles A. Woodridge MD, M. Div
    • [email protected]
      Thank you, Dr. Koka, for a measured and thoughtful assessment. Of particular note, your thoughts on value-based reimbursement, EMRs, and avoidance of third-party intermediation were particularly enlightening. I would agree that the demise of Tom Price so early in the process was disheartening and that the response from 'the Resistance" was dramatically overblown. I wish Seema Verma much success but am in agreement that the built-in inertia with Medicare and Medicaid may be too much to overcome in a relatively short timeframe. A bright spot in this whole issue is how alternative practice and reimbursement models, like Direct Primary Care, may have a positive impact on improving both quality and cost of care. Time will tell.

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