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a strict federal ban on the corporate practice of medicine is the solution. the consolidation is a byproduct of the lack of enforcement of the various states’ laws that ban this as well as the federal gov’t encouraging it (including Obama’s ACA). Then again, the underlying reason for all of the bad public policy is corruption. These weren’t “mistakes” by well-intentioned deliberators who simply ended up being wrong. Case in point, Medicare Advantage was ostensibly created to save the gov’t $ compared to Original Medicare. It has cost much more every year since its introduction. Why didn’t our lawmakers reverse course?….

So, to get a national ban on the corporate practice of medicine, we need to make corruption/bribery illegal again. But every single politician is already used to the corrupt system we have and will never want to change the system that empowered them in the first place…This is the paradox/problem I have yet to solve.

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