I don't believe that anyone on this board is directing any anger toward Betty.
All the anger and frustration that I feel, and I suspect many others feel, is directed toward a nebulous collection of people and programs somewhere "out there" -- presumably in Washington, D.C., but who really knows?
I sincerely appreciate any "real" people -- like Betty -- who are brave enough and motivated to try to be helpful.
I believe that the American medical system is fatally flawed, and that all the fixes that have been applied over several decades have incrementally made things worse. One can not blame MIPS or MACRA or Meaningful Use -- or DRG's or any other single program. It isn't because of "Obamacare" or "Trumpcare".
We need a general housecleaning, but I can't see how it will ever happen -- there are too many vested interests competing with each other for power and dollars. Doctors and patients have essentially become irrelevant in the mad grab for "return on investment" and "market share" -- it is beyond anyone's control.
I guess the answer will be when UnitedHealthCare runs everything, powered by Amazon or Google