Scoop has an Ethical Paywall
License needed for work use Register

World Video | Defence | Foreign Affairs | Natural Events | Trade | NZ in World News | NZ National News Video | NZ Regional News | Search


Doctors become both providers and deniers of health care

Would you be able to trust your Doctors to always make the best decisions regarding your health care needs if the Doctors gain money by providing less care or lose money by providing too much care? This is the essence of Medicare’s Shared Savings Program-- Accountable Care Organizations (ACO’s). In other words: “encouraging insurers and providers to put their own financial interests’ above the medical needs of patients.” The Doctor is becoming both the deliverer and denier of health care. “These policies are designed to increase savings for the (Medicare) Trust Fund…”

ACO’s have been steadily growing since 2012, and now cover over 10 million Medicare patients. They have spread across the nation, and are also being implemented by Private/ Commercial health plans as a means to increase their profits. Over 23 million patients nationwide are part of the ACO’s and the numbers are steadily growing.

American medicine is abandoning ancient oaths and trust. For thousands of years physicians took oaths to always act in their patients’ best interest. The World Medical Association in 2006 specified:”A physician shall not allow his/her judgment to be influenced by personal profit.” The profit motive has corrupted the relationship between patient and doctor. This long standing trust is being shattered by the ACO medical delivery system. The need for profits is driving these changes. The rich 1% demand higher profits from Congress and have received tax cuts for their corporations and banks. Less taxes means the Government has less money to spend on social programs. The squeeze on profits due to worldwide competition and economic stagnation builds pressure to cut social programs and use the funds to pay back bankers, fund the military/ war machine and subsidize corporations. ACO’s are tools to help achieve this goal by pitting doctor and patient against each other as they fight over decreasing funds for health care. Yes we need universal health care for all, but the profit system must be eliminated. A public health system driven by patients needs, can preserve trust between patient and health care workers and best serve the health needs of the population.

Advertisement - scroll to continue reading

Are you getting our free newsletter?

Subscribe to Scoop’s 'The Catch Up' our free weekly newsletter sent to your inbox every Monday with stories from across our network.

Most of today’s major diseases have large social determinants. Social determinants of health are an underlying cause of today’s major societal health dilemmas including obesity, heart disease, diabetes, and depression. The World Health Organization (WHO) offers this definition of social determinants of health: “The conditions in which people are born, grow, live, work and age.

Doctors and hospitals have little potential to affect social determinants of disease, but a movement for an egalitarian society of social, economic and political equality, does have the potential to change these conditions. Eliminating racism, poverty, unemployment, inequality, huger, etc., will do the most to improve people’s health and is a goal that patients and health care workers can find worth fighting for.

Dr. Nayvin Gordon, 10/21`/19

Dr. Gordon is a California Family Physician who has written many articles on health and politics. He may be reached at

© Scoop Media

Advertisement - scroll to continue reading
World Headlines

UN News: Aid Access Is Key Priority

Among the key issues facing diplomats is securing the release of a reported 199 Israeli hostages, seized during the Hamas raid. “History is watching,” says Emergency Relief Coordinator Martin Griffiths. “This war was started by taking those hostages. Of course, there's a history between Palestinian people and the Israeli people, and I'm not denying any of that. But that act alone lit a fire, which can only be put out with the release of those hostages.” More

Save The Children: Four Earthquakes In a Week Leave Thousands Homeless

Families in western Afghanistan are reeling after a fourth earthquake hit Herat Province, crumbling buildings and forcing people to flee once again, with thousands now living in tents exposed to fierce winds and dust storms. The latest 6.3 magnitude earthquake hit 30 km outside of Herat on Sunday, shattering communities still reeling from strong and shallow aftershocks. More

UN News: Nowhere To Go In Gaza

UN Spokesperson Stéphane Dujarric said some 1.1M people would be expected to leave northern Gaza and that such a movement would be “impossible” without devastating humanitarian consequences and appeals for the order to be rescinded. The WHO joined the call for Israel to rescind the relocation order, which amounted to a “death sentence” for many. More

Access Now: Telecom Blackout In Gaza An Attack On Human Rights

By October 10, reports indicated that fixed-line internet, mobile data, SMS, telephone, and TV networks are all seriously compromised. With significant and increasing damage to the electrical grid, orders by the Israeli Ministry of Energy to stop supplying electricity and the last remaining power station now out of fuel, many are no longer able to charge devices that are essential to communicate and access information. More


Join Our Free Newsletter

Subscribe to Scoop’s 'The Catch Up' our free weekly newsletter sent to your inbox every Monday with stories from across our network.