Spring 2002
To Fellows of NC American College of
Surgeons
Dear Fellows,
Some days I vocalize my frustration
and sadness at the direction that our health care system is taking.
From my
perspective, I see patients that want the very best in
health care but who want to pay very little for it; I have
spoken with members of Congress who promise their
constituents more and don't have the revenue to support
those promises let alone provide for the legions of new
seniors that are added to the roles of Medicare every year;
and as a doctor I feel the loss as my services are devalued
by our Congress and the American people. Unfunded mandates
and threats by governmental agencies has changed our "professional courtesy", my attitude when hiring translators
for aliens, and my enthusiasm to hustle into the ER at 2 am
to provide free surgical care and consultation. Free care
when it is appreciated by the patient and acknowledged by
society is a beautiful thing. When it is met with
indifference and criticism, my motivation wanes. HMOs "price
fix" my services based on the commonly shared Medicare fees
and I am supposed to be happy because I am receiving 110% of
the Medicare allowable. I am tired of this professional
marginalization.
I enjoy operating and I like helping people. I think
that most patients respect their doctors but have no clue as
to how Medicare really functions, why cost shifting was
necessary and why industry's hope to maintain competitive
labor costs (HMOs) have failed; and why the responsibility
for all of this rests with the United States Congress.
For all of the above reasons I urge each of you to take
time to educate your patients about our health care system.
They must advocate to Congress for adequate funding for
Medicare now and for leadership to address the challenges
ahead in providing care for an ever burgeoning elderly
population while meeting the needs of the young and the
workers of America.
Matt B. Martin, MD, FACS,
President