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.
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.