It's kind of shocking, when it comes to how irresponsible it is. It's emblematic of a desire to, essentially, increase corporate power.
See this page in the PDF
Department of Health and Human Services
operate as runaway entitlements that stifle medical innovation, encourage fraud,
and impede cost containment, in addition to which their fiscal future is in peril.
Both programs should be managed so that the individuals enrolled are empow
ered to make decisions for themselves and have quality options with affordable
prices driven by competition and innovation. Providers who participate should
retain (or have restored) the freedom to practice medicine and take care of their
patients according to their patients’ unique needs.
Medicare. Medicare should be reformed according to four goals and principles:
Increase Medicare beneficiaries’ control of their health care. Patients are best positioned to determine the value of health care services, working with their health care providers. They also benefit from increased choice of doctors, hospitals, and insurance plans. Access to reliable information with respect to physicians, hospitals, and insurers is therefore essential.
Reduce regulatory burdens on doctors. Doctors must be free to focus on treating patients first, not entering codes on computers, and should not be tempted to change their medical judgment based on arbitrary or illogical reimbursement incentives.
Ensure sustainability and value for beneficiaries and taxpayers. Prices are best for patients when determined by economic value rather
than political power and when they are known in advance of the receipt of services. Government’s use of non-market-based methods to determine reimbursement leads to overspending on low-value services and products and underpayment for high-value services and products, stifles beneficial innovation, and because of Medicare’s size distorts payments throughout the health care system. Intermediate entities that can manage financial risk and ensure quality of care are important in transitioning to value-based care within the Medicare program.
Reduce waste, fraud, and abuse, including through the use of artificial intelligence for their detection.
Regulatory Reforms. Medicare regulations restrict choice of coverage and
care. The next Administration should reintroduce and restore regulations and
demonstrations from the Trump Administration that were withdrawn, weakened,
or never finalized by the Biden Administration, including:
The Medicare Coverage of Innovative Technologies (MCIT) rule;