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    Your Voice: Physician accountability? Let’s legislate Congressional accountability

    We know the Medicare Access and CHIP Reauthorization Act (MACRA) and Merit-based Incentive Payment System (MIPS) were designed to grade physicians on a Byzantine curve by big data algorithms, where “passing” physicians get an incentive and “non-passing” physicians don’t get paid. 

    It penalizes and discriminates against solo and small physician practices. MACRA’s MIPS will destroy independent physicians who cannot possibly comply with all of the data measures, time, personnel and cost. Individual personalized healthcare will be replaced by a corporate compliance algorithm treatment. It will also create expensive unsustainable big data factories, subject to government and insurance and third-party payers, out of healthcare systems.  

    I propose GACRA GIPS (Government Accountability Credibility Realignment Assessment and Government Incentive Payment System instead as law.

    We all know the U.S. House and Senate have not done an honest job for the American people in many decades. With GACRA GIPS, if congressmen and congresswomen don’t work, vote, complete their tasks and create a budget that lives within our means well paying down the national debt, they don’t get paid. Further, they must live and work by all the rules that all American citizens do. Furthermore, imprisonment should be mandatory if they don’t comply during a two-year term. 

    Through GACRA GIPS we would only have truly interested and motivated people running for office. They would have to live by the promises they made in their districts, state and nationally. We would have a true and honest budget that pays our needs, prioritizes our wants and pays down our national debt. Politicians of all stripes and parties would have to work together or not get paid. 

    Call your legislator to repeal MACRA MIPS and replace it with GACRA GIPS. Just dial 202-224-3121.

    Craig M. Wax, DO
    Mullica Hill, New Jersey



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