If Obamacare is completely implemented, doctors will no longer be practicing medicine. They will instead become the drones tasked with deciding who gets the meager healthcare crumbs doled out by the bureaucrats who have the ultimate power over patient life and death. Those who are deemed to have illnesses that require treatments which are not cost effective can expect a one way ticket to a hospice.
Like so many bills passed by Congress, there was a hidden provision in the Stimulus bill passed in 2009. It spends 1.1 billion dollars to create an important piece of the framework for the healthcare bill called the Coordinating Council on Comparative Effectiveness Research. It is based on the false premise that doctors in consultation with their patients don’t have the ability to make the right healthcare choices (see executive summary). The council consists of 15 people appointed by the President. They all have one thing in common they are all isolated from day to day patient care; and therefore, are insulated from the real practice of the art of medicine. It makes it easy to see patients as a cost center to be controlled. With views of members like Dr Emanuel, who champions the complete-lives system, it is hard to ignore the probability that senior citizens, those with chronic illness, and the very young will be on the outside looking in. This council is another example of the people of this country being told by the government that it knows what is best for us.
The framework set up by the stimulus bill merely set the stage for the implementation found in the healthcare reform bill. How can the government get doctors to participate in Obamacare thereby a) willingly destroying the doctor patient relationship, and b) betraying their Hippocratic Oath to provide treatments that they deem to be effective? Simple – fear and intimidation.
A second board created by the stimulus bill called The National Coordinator for Health Information Technology “will determine treatment at the time and place of care”. They are charged with deciding the course of treatment for the diagnosis given by the doctor. Now it becomes obvious why there has been a big push towards the implementation of universal electronic medical record use. It becomes a tool to completely control the physician and the patient. Those physicians and hospitals that choose to practice individualized patient care in consultation with their patients will be punished because they are not “meaningful users of the system over time.” Beginning January 1, 2013 penalties for doing the right thing for a patient will cost the doctor $100,000
for the first offense and jail for the second offense. This will have a chilling effect and may be the straw that completely breaks the foundation of good medicine – the doctor patient relationship.
46% of physicians in a survey by The New England Journal of Medicine stated that they would leave the practice of medicine if Obamacare was implemented. This will only further decrease the quality of healthcare when the 30 million more people enter the system. Maybe that’s why there is a big push in the healthcare bill to increase the number of other providers such as physician assistants and nurse practitioners. There is no question that rationing will become our future. If you add 30 million more people into a system with fewer resources how could you possibly avoid rationing? Perhaps those members of Congress who passed this nightmare don’t care since they made sure that it wouldn’t apply to them.