Fourteen Hundred Plus Pages – For One Rule???

Health Affairs blog author, Sara Rosenbaum wrote an article today about the final rule for Medicaid that was released back on April 25th.

What immediately jumped out at me was the length of the rule — 1,452 pages. That’s right, fourteen hundred and fifty-two pages for one lousy rule.

Those of you who read my post from last Friday, “A Simple Friday Morning Health Care Philippic – (With Apologies to Simon & Garfunkle)”, will remember that I called our health care system, “more complex, confusing, bureaucratic, wasteful, idiotic, and expensive.”

I also said that it “is so top-heavy, so convoluted, and so complex that the sheer weight of its rules, regulations, laws, programs and models will cause it to collapse.”

At fourteen hundred and fifty-two pages, that is a lot of weight. Added to all the other rules, regulations, models, programs and whatnot, you’d need a forklift just to put it into a law library, or at best, have it craned in before the roof goes on.

I know War and Peace is a big slog through, but we are talking about health care here, not a fictionalized account of the Napoleonic Wars.


If you don’t know why our health care system is so bad, one look at this bound rule will convince you that we have gotten out of hand with something that should be basic and simple…providing every American access to health care, and not lining the pockets of paper makers, ink makers, book printers, binders and the poor schlub who has to carry these rules to wherever these things are held.

And we are also lining the pockets of physicians, lawyers and other stakeholders whose grubby little hands (must be relatives of Trump) are in every nook and cranny of the system.

I am willing to work with any broker, carrier, or employer interested in saving money on expensive surgeries, and to provide the best care for their injured workers or their client’s employees.

Ask me any questions you may have on how to save money on expensive surgeries under workers’ comp.

I am also looking for a partner who shares my vision of global health care for injured workers.

I am also willing to work with any health care provider, medical tourism facilitator or facility to help you take advantage of a market segment treating workers injured on the job. Workers’ compensation is going through dramatic changes, and may one day be folded into general health care. Injured workers needing surgery for compensable injuries will need to seek alternatives that provide quality medical care at lower cost to their employers. Caribbean and Latin America region preferred.

Call me for more information, next steps, or connection strategies at (561) 738-0458 or (561) 603-1685, cell. Email me at:

Will accept invitations to speak or attend conferences.

Connect with me on LinkedIn, check out my website, FutureComp Consulting, and follow my blog at:

Transforming Workers’ Blog is now viewed all over the world in 250 countries and political entities. I have published nearly 300 articles, many of them re-published in newsletters and other blogs.

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About Transforming Workers' Comp

Have worked in the Insurance and Risk Management industry for more than thirty years in New York, Florida and Texas in the Claims and Risk Management spheres, primarily in Workers’ Compensation Claims, Auto No-Fault and Property & Casualty Claims Administration and Claims Management. Have experience in Risk and Insurance Business Analysis, Risk Management Information Systems, and Insurance Data Processing and Data Management. Received my Master’s in Health Administration (MHA) degree from Florida Atlantic University in Boca Raton, Florida in December 2011. Received my Master of Arts (MA) degree in American History from New York University, and received my Bachelor of Arts (BA) degree in Liberal Arts (Political Science/History/Social Sciences) from SUNY Brockport. I have studied World History, Global Politics, and have a strong interest in the future of human civilization in all aspects; economic, political and social. I am looking for new opportunities that will utilize my previous experience and MHA degree. I am available for speaking engagements and am willing to travel. LinkedIn Profile: Resume:

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