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First, it would mean that many more routine visits would be handled by non-physicians.
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An increasing number of states, however, have been incrementally expanding the scope of practice of non-physicians.
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Instead of merely tinkering with license laws to grant moderately expanded scopes of practice for non-physicians, the whole system of licensing laws should be dismantled.
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Sporting federations can issue bans against physicians, coaches and other non-athletes who have been deemed guilty of participating in doping.
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Rick cites the example of Grand Junction, Colorado, a community that has achieved low health care costs (Medicare spend about 30% below average) and good outcomes through a regional program led by a physicians organization working together with a non-profit insurance company.
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Rules range from the 1996 Health Insurance Portability and Accountability Act (HIPAA) which can be a major source of confusion on privacy and security issues, to the 1989 Stark Law which regulates doctor referrals, to the Corporate Practice of Medicine laws which prohibit businesses from employing physicians, and forbid doctors from splitting fees with non-doctors.
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Other physicians (those who do not fit into the categories of primary care, non-surgical specialist or surgical specialist) are overwhelmingly supportive of the notion that the ACA was a good beginning by a ratio of 68-32.
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The rules against non-lawyers investing in the business of law parallel similar restrictions on doctors, which were designed to make sure physicians answered only to their patients.
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