
I never want to hear the words "increasing health insurance access" from a politician
- Stefan Hartmann, PA-C

- Feb 8
- 2 min read
I never want to hear the words "increasing health insurance access" from a politician. Because no surgeon, primary care or specialist I know actually enjoys fighting with insurance to get paid. The system is corrupt and broken.
The federal and state government will never solve the healthcare problems by throwing more money or more insurance at the problem. The solution is slashing red tape and expanding provider-patient access to care. Encourage the free-market economy.
I will tell you that no PA, NP or MD I know enjoys insurance based primary care. They all want to quit. Direct Primary Care is here to stay and I expect providers to continue to opt out of insurance.
Health insurance tactics are to delay care, deny care and fleece patients and their employers who are tricked into thinking health insurance provides good care. It doesn’t.
Just think. If medicare and medicaid didn't exist in CA or Minneapolis would there be billions of dollars of fraud? Nope.
To take insurance and practice medicine requires crafty billing techniques that border fraud or are outright fraud. I've practiced in insurance based medicine enough to see the incentives for fraud every day. Insurance encourages the wrong type of care to patients through perverse incentives and treating patients like a disconnected system of organs because you cannot bill insurance in clinics at one visit for multiple problems. By default functional medicine is not possible in the insurance model.
It is up the legislature to recognize this trend and encourage it. If insurance wants to reimburse patients for DPC membership that would be great, but I won't hold my breath. Perhaps the legislature can provide incentives for employers to offer DPC plans to their employees. What happens if a patient needs a surgery? Well take a look at the Oklahoma Surgery Center prices for a hernia repair. Way cheaper than with insurance!
DPC is a growing model of care in the US and it isn't going anywhere. PAs and NPs and MDs are starting DPCs and undercutting prices thus delivering affordable care to their community that both insured and uninsured patients desire because it is much better than insurance-based care.







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