Medical care, politics of medicine

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Healthcare Consumerism: The Power of Patient Choice

It is obvious that our healthcare system is not working and fundamental changes have to be made. It is time to redefine what quality healthcare means. Instead of being considered a right perhaps it is time to think of it as a service. Patients are consumers seeking service that is accessible, affordable and innovative from

The Doctors State of Independence

When patients understand that there is now a two tiered system of medicine. One driven by centralized, population based medicine underpinned by evidence based decisions that rest on the cost controlled good of the many vs individualized patient care based on the art and the science of medicine underpinned by health and wellness, they will choose us. That will be the beginning of the end of Obamacare. If we build it and let the patients know, they will come.

What the King v Burwell Decision Means for Doctors and Patients

The King vs. Burwell decision has answered the question of who stands to gain in the age of Obamacare. Justice Roberts in his opinion said it best “Congress passed the Affordable Care Act to improve health insurance markets, not to destroy them.” With this decision medical insurance companies, hospitals and other pieces of the corporate healthcare delivery system now have the scale clearly tipped in their favor at the expense of doctors the patients – the mission has been accomplished.

The Devaluation of The Doctor and Its Effect on The American People

The announcement by the Centers for Medicaid and Medicare Services (CMS) to move 50% of its non-managed care spending into Accountable Care Organizations (ACOs) and bundled payments coupled with the recent passage of Medicare Access and CHIP Reauthorization Act (H.R.2) the repeal of the so called ‘doc fix’ will lead to the end of private healthcare, narrow the range of medical services offered by physicians, and increase the cost to patients and taxpayers. There are many truths about The Affordable Care Act that can no longer be denied: It is not affordable; it is not patient centered; it limits access to care; and it has not decreased medical costs. It will become obvious as the law continues to be implemented that It will lead to the end of the independent private physician. The days of the solo practitioner and small group practice are numbered.

Obamacare’s Health Inequality

The two tier system that is being created under the auspices of Obamacare can be broken by following the alternate path of free market medicine which is alive and well and thriving. By removing the insurance company and government middlemen, a patient will find that their costs will drop precipitously. They will once again have their choice of doctor, have the procedures they want, have a quality relationship with their doctor who will be able to spend time with them, and know what their costs are up front. The options are myriad. Each of these strategies provide an option that will give the patient true control of their health care dollar to spend in a system where there is true competition that is driven by innovation, customer service, collegiality and personal responsibility on the one hand instead of cronyism, control and coercion on the other.

A Practicing Physician’s Prescription For A Healthcare Fix

If the government really wanted to expand coverage for 30 million people all they would have had to do was expand Medicaid/Medicare. It would have been a lot cheaper than the cost of blowing up the private insurance market. Empowering independent doctors instead of the hospitals, the insurance companies and Big Pharma would have been a much cheaper fix.