For example, the Health Care Financing Administration uses 23 different forms to administer its program and the scope of its regulations covers virtually every aspect of the financing and delivery of health care services. There are over 111,000 pages of laws, guidelines, and rules, relating to the Medicare program and the Administration continues to add to the regulatory morass. This places an undue burden on physicians as they attempt to provide health care to Americans. The size and complexity of Medicare places physicians in a precarious state, since the federal government does not distinguish clearly between outright fraud and honest billing mistakes by doctors as they try to shift through the mountain of rules and regulations which govern the Medicare program. Medicare's administrative costs are deceptive and do not take into account the cost of compliance and transactions imposed on hundreds of thousands of doctors and the thousands of hospital who must wrestle with the administrative requirements of Medicare's rules, regulations, and guidelines .
Clerical errors are common, due to the complexity, which is the root of the problem.
Many doctors are frustrated by the loss of control within the managed care systems. Medicare bureaucrats strip doctor's power to provide services which they deem medically necessary for their patients. I believe that doctors have earned the right to make health care decisions with their patients and will fight gag clauses which discourage doctors from communication with patients regarding treatment options. Lack of Drug Coverage needs to be addressed. Clinton's prescription drug proposal would expand government control over prescription drug benefits for seniors.