I love IDR. Apparently, an insurance company having to defend what it pays a physician is a national affordability crisis. Meanwhile, a hospital can buy that physician’s practice and collect more for the same care. Washington built a financial reward for changing the name on the door. Start there. Start with the tax-exempt hospital corporations buying their competitors while taxpayers subsidize the enterprise. Start with Section 6001, which restricts physician-owned hospital entry and expansion. Congress actually wrote a law protecting incumbent hospitals from physicians who want to compete with them. Then everybody sits around wondering why healthcare costs so much. I build healthcare businesses. When you subsidize the incumbent, restrict its competition, and pay it more for owning the building, you have engineered an expensive market. @HHS and @CMSGov: enforce price transparency. Stop paying a premium for hospital ownership. Congress: repeal Section 6001. Let physicians build. Let employers buy directly from them. And keep a process that lets physicians challenge an insurer’s payment without handing the patient a surprise bill. I’m tired of a healthcare affordability debate that keeps arriving at the independent physician’s paycheck while the subsidized hospital buys another ZIP code.