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.
When the system is overwhelmed and breaks, as it was intended, the end result will be a complete takeover of the healthcare system by the government as single payer, socialized medicine. There will also be another enormous change in our country. There will be a transfer of wealth, not from the rich to the poor, but instead from the middle class making them dependent on the government.
The most ironic part about Obamacare is it will not lead to a significant decrease in those who cannot access meaningful healthcare. People will still not be able to access healthcare either because they can’t find a doctor or they cannot afford to seek treatment. The only difference is they will be forced to pay for the privilege... but maybe that’s the point. Create the problem, wait for the reaction and provide the solution as Harry Reid gleefully admitted – single payer.
I had high hopes after the fall elections that things would change. I expected once the Republicans took power that they would make a concerted effort to reverse the downslide of our health care system into the hole that is created by Obamacare. Apparently, it is just business as usual on Capitol Hill… big surprise. The Republicans failure to act will have a devastating effect on a physician's ability to deliver quality individulaized health care.