Dutch Rojas claims healthcare payment reform is constrained by market structure: committee assignments act as the "vector" through which hospital-industry money influences rules that govern physician payment.
In 2024, two rank-and-file members of the Ways and Means Health Subcommittee received more money from the hospital industry than either full committee chair.
The physician payment problem is a market structure problem.
Independent physicians compete against hospital-employed physicians in a market where the rules are set by the committee that receives 8.2 times more money from hospital systems than from any other source.
There is a concept in epidemiology called the vector.
In the context of healthcare payment reform, the vector is the committee assignment.
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