Dear Editor:

The word “reform” must be one of the most misused words in government.  It implies a thoughtful examination of problems at hand and a transparent search for innovative solutions, but often it simply means “change” – and not necessarily for the better.  Illinois’ new Medicaid reforms are a prime example. The law pushes patients into managed care without addressing many of the underlying problems with our system. The Tribune has urged physicians to “get on board” with this switch (Docs and hospitals, get on board, Aug. 31), but many doctors struggle with your plea. 

Physicians want to treat patients effectively, and coordinated care can be a vital tool; our problem isn’t with the concept of managed care, our problem is with this specific managed care plan. The program is a pilot to allow the state to evaluate what works.  Physicians – who know what doesn’t work – are in the crosshairs of a program with take-it-or-leave-it-contracts, tons of new bureaucratic hassles and reimbursements that don’t even cover the expense of providing the care.  What professional or business could stay afloat under these conditions?

Many physicians are deeply concerned that the health care for some of our current Medicaid patients is being disrupted because of this switch.  Illinois chose to take a path that left doctors and patients with no good options.  Why not instead attempt a few creative pilot programs that would empower patients and their physicians?  What’s wrong with reform that gives patients a stake in their heath care? 

We agree with you when you say “everyone wins when Medicaid care is improved.”  Now let’s do it.  Either make this plan a whole lot better, or scrap it and take the steps necessary to truly fix  Illinois’ Medicaid program. 

Sincerely,

Wayne V. Polek, MD
President
Illinois State Medical Society