Robert Bowman’s Post

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Basic Health Access

Indeed, we need to honor all who serve in 2621 counties lowest in health care workforce despite the health care killing combination of worst public and worst private health plans. Concentrations of elderly, poor, disabled shape concentrations of public plans paying 65 - 85% of the cost of delivering care - particularly bad for Community Health Centers with 50% Medicaid. But these counties also have weaker employers with their worst paychecks, benefits, and health plans. The US insurance design is worst in the developed nations, but it fails completely when employer based health insurance is not capable of paying the 130 - 200% that can bail out the concentrations of public plans. When will CMS get the message and help HRSA instead of voting 1.4 trillion a year against what HRSA is trying to do? We have to stop the decline of health care for most Americans most behind. We have to stop the hemorrhage of health professionals from health care. Reversing 40 years of poor assumptions is difficult, but essential for any progress for HRSA program success and for most Americans most behind. Health care is about teams. Why is CMS not a team player?

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