In the wake of hurricane Sandy, a vision of the federal government as our savior has emerged. This romanticized vision of the benefits of an ever expanding government taking control to affect everything, from our waistlines, to breast feeding, to mandatory vaccinations, to how we live and die needs to be considered. What price are we paying to allow the government to extend far beyond its role of protecting us from enemies while descending into a nanny state?
The meme of Medicare as the template for universal healthcare as the direction which the country should move because it will provide better, more comprehensive and cheaper healthcare is not true. Welcome to the world of Obamacare were centralized planning applied to medicine places the good of the collective over the rights of the individual who is deemed to be too ignorant to make his or her own healthcare decisions. In short, the answer to healthcare is not more government intervention…it is less.
Most Americans probably never realized that the much touted transfer of wealth was not going to be to those in the middle class, but instead would be taken from the middle class in taxes raised by Obamacare in order to enrich cronies like AARP, Big Pharma, hospitals and the medical insurance industry who advocated for passing the bill. Now that it has passed and we know what is in it, physicians must decide if they will honor their Hippocratic Oath and stop participating in a system which forces them through fear and coercion to act against the interests of their patients before they have no choice.
Mayor Bloomberg’s ban on large soft drinks, trans fats , salt, and now the assault on a new mother’s right to choose how to feed her baby is a stark reminder that whoever pays has the power to control.
Now that the Supreme Court has upheld The Affordable Care Act the final piece of the puzzle is in place. We will begin the inevitable slide to the end of patient driven healthcare – individualized medicine led by independent doctors in consultation with their patients. The healthcare system is broken, but The Affordable Care Act is not the solution. Instead of depending on Congress and waiting for an election to bring change, it is up both doctors and patients to work together to take back our power.
Obamacare was sold to Americans using smoke and mirrors. We only need to look at what has happened in Massachusetts to see the future: their costs of healthcare have risen; despite mandates people game the system carrying coverage when they are ill while dropping it when they recover (getting far more out of the system then they are putting in); the waiting time to see doctors is longer; and because the system is losing money, reimbursement to providers and hospitals will drop Obamacare sets up a system that is a transfer of wealth from the 99% - this is not change that Americans should stand for. It can only be reversed if doctors and patients stop playing the game and move to a free market system that removes the corporate and government middle men. This can be accomplished by both patients and doctors re-entering a fee for service system based on pricing transparency, and movement by patients to catastrophic coverage.
By passing the Affordable Care Act, the Supreme Court has effectively ended patient centered medicine.
More Money To Be Made On Sickness Than Health: Health Insurance Reform Does Not Equal Good Healthcare
True healthcare reform means limiting the power of insurance companies not expanding it. The truth is although it makes a great rallying point, nothing is for free. The implementation of Obamacare will cost patients more and they will receive less care. In short, the bill serves to further the very corporate interests (i.e., the insurance industry, the pharmaceutical industry, hospitals and the American Medical Association) that have inserted themselves between the doctor and the patient while raising healthcare costs. Instead of stopping this, ACA rewards them because there is more money to be made on sickness than on health.
The Democrats and the Republicans have done a masterful job of demonizing the physician. The doctor has been the scapegoat for skyrocketing health care costs while giving more power over the medical industry to those entities that have been the architects of the broken healthcare system that we have today. In short, the system is a complex network of corporate middlemen, that have worked tirelessly figuring out ways to skim profits while simultaneously shifting the costs to patients, rationing their care in the form of pre-certifications, increasing premiums, and outright denials on one hand while decreasing physician reimbursements (in the form of bundling), lowering fees, implementing recovery audits to claw back reimbursements, and outright denials of payment after services are rendered on the other. The government has put rules and regulations into place that encourage and reward this behavior, while ensuring that doctors and patients continue to feed a beast that needs increasingly more money to run a system that is based on the management of chronic disease instead of true prevention. It is no wonder that we are spending more money on healthcare and are on more medication, yet we as society are getting sicker.
Obamacare has become one of the most polarizing pieces of legislation ever passed. There was so much heat surrounding its passage that people got caught up and blinded by the rhetoric. On one hand, we were told that it had to be passed because uninsured people were practically dying in the streets, while greedy doctors were performing unnecessary tests, amputating feet, and taking out tonsils in their unending quest to make as much money as possible. The initial premise that the problem with healthcare was because of the uninsured was a lie.