Drain the Healthcare Swamp, Say AAPS and AID


In a letter to President Trump and Vice President Pence, the Association of American Physicians and Surgeons (AAPS) and the Association of Independent Doctors (AID) ask the Administration to examine where all the $3 trillion in “healthcare” expenditures goes—not just the fraction that goes to actual medical goods and services.

The letter is a counterpoint to one from numerous self-defined leaders in the healthcare system, which touts “alternative payment models” and “value-based payments” to replace the “fee for service system developed more than 50 years ago.”

“In fact, fee for service (payment for work) is as old as economic activity, and is natural, not designed,” write Jane Orient, M.D., executive director of AAPS, and

It appears that at least 50% of expenditures may be diverted into a swamp of administration and compliance that provide nothing of value to actual patient care, the letter suggests.

“We need a return to value-based payment—with value determined by patients controlling their own money, not a bureaucratically dictated value set by entities that collect huge premiums in advance from patients who may or may not receive any care.”

This would mean the time-tested successful payment methods—cash, catastrophic insurance, and charity—rather than still more of the failed managed-care methodology that denies care while costs continue to soar. We need “to escape the trap of the comprehensive-coverage paradigm that underlies the unsustainable disasters” of the current system, conclude AAPS and AID.

The Association of American Physicians and Surgeons (AAPS) is a national organization representing physicians in virtually all specialties and every state. Founded in 1943, AAPS has the motto “omnia pro aegroto,” which means “all for the patient.” The Association of Independent Doctors was founded to “give doctors a voice and patients a choice.”

1 Comment

  1. In fact, public health trends since the implementation
    of the ACA have worsened, with 80,000 more deaths in 2015 than had
    mortality continued declining during 2014–15 at the rate achieved during
    2000–2013. If the white mortality rate for ages 45−54 had held at their 1998 value, 96,000 deaths would have been avoided from 1999–2013 7,000 in 2013 alone.

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