Brian Sachs, MD Profile picture
Hospitalist and Family concierge physician | Medical charity & missions | Healthcare policy advocate | originally from Madison, WI
Dec 17, 2019 23 tweets 4 min read
Yang's Healthcare Policy critique

3. Improve the Economics of Healthcare

This is where the rubber meets the road & we see Yang's policy actually move the healthcare needle forward. (A few missteps not withstanding -- payment models & MD/DO shortages)

(Warning: long thread)

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1. Payment models

Much ink has been spilled on this topic, and opinions remain diverse. Here's a previous tweet of mine on the subject.



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Dec 16, 2019 10 tweets 3 min read
Yang's Healthcare Policy critique

1. Prescription Drug Cost

Drug and premium costs, by far the biggest healthcare concerns to voters as these are the costs they see. (There remain several hidden costs equally offensive.)

Andrew proposes a couple solutions, as follows.

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1. Medicare negotiation.

Infuriating that our politicians haven't yet done this. Nothing more to say.

2. International reference pricing.

This is when drugs are priced according to what other countries pay. I have mixed feelings, namely b/c it doesn't solve root problems.

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Dec 16, 2019 14 tweets 7 min read
@AndrewYang's healthcare policy came out today. I have several thoughts, will post throughout the evening.

Initial reaction: financially vague, politically boring, and the most reasonable I've yet seen from Democrats. Still, there remains a lot of room for improvement.

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Preamble:

My goal is to provide healthcare policy insight that is non-partisan, realistic, and patient-centered. Healthcare is already overly political, I will not be adding to it. My oath is to my patients, not politicians or political parties.

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