writing in to change.gov

I am grateful that the new administration is offering to  listen
I suspect that President Obama's team  has long ago formulated their approach . But i hope their ears a re still open, as the approach they put  forward is not what we need  and not what will work
Many people write in, each with their own "cause."

Everyone's special interest can be met if we  increase access to care and lower costs to improve the population's overall experience of care.

This is not done by forcing docs to buy computers that often  serve only the companies that manufacture them.
This is not done by medicare for all- though there is some merit there,  this is not done by increasing access to insurance.
Insurance as we know it fails miserably. Docs are buried under layers of administrative trivia so deep, and silly concepts like coding and reimbursements so obscure that docs and patients have become enemies.

Make primary care the heart of a system as in every other country.
Pay primary care a dollar a day not per visit.
Help college and med school be affordable for  everyone.
Realize that access to insurance is not access to care.
Insurance companies as we know them work against a healthy care system. Single party payors ,even if regional, even if for profit, even if not the government,must be established with oversight for  quality not  "productivity."
Stop the needless suffering. Mr Obama.

Jean Antonucci MD

Farmington ME