Andy, if you want to fix primary care you must do some field research. Come spend one day, or even a week at my office or another small primary care physicians’ office. You need to see what we do on a daily basis and actually understand the view from a small practice perspective. This knowledge deficit is at the core of CMS’s problem. You cannot repair what you do not comprehend.
Once you understand what we are capable of doing, how we do it, and how it actually SAVES money in the long run, while still providing high quality, then you are ready to tackle Focusing on Primary Care for Better Health. The bottom line: you must pay us more for what we are doing if you want to increase our overhead expenses. Tasking us with additional administrative burden in order to earn extra money is not actually paying us any more for our work. We would be working harder, not smarter. Do you understand that?