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.
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.
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.
For those who continue to delude themselves that Obamacare will lead them to the healthcare land of milk and honey, I have some news for you -- it’s never going to happen. Critical thinking would lead one to the conclusion that there is no way to add 30 million more people to a system that is already fundamentally broken. There have been many arguments used to sell Obamcare to the public. Much of it has been disingenuous, peddled not by doctors who are on the front line taking care of patients to the best of their ability, but by corporate interests that stand to gain from profits gleaned from the practice of corporate disease driven medicine. e.g., the pharmaceutical industry, the American Medical Association, AARP, The Hospital Corporation of America, and various unions.
After months of denial that healthcare reform would involve rationing of healthcare for those who are the most vulnerable, the senior citizens who depend on Medicare, the President has come up with a proposal to decrease healthcare costs and guess what….it’s rationing. Under Obamacare, a 15 member panel known as the Medicare Independent Payment Advisory Board (IPAB) was created to ‘oversee healthcare costs’. This panel consists of individuals appointed by the President and confirmed by Congress - two ingredients that make it highly unlikely that they would be truly independent. In addition, there is no mandate that members be practicing physicians which is a recipe for cuts that are highly likely to affect the delivery of quality individualized patient care.
Have you wondered how healthcare reform will play out? You only need to look at how healthcare has been laid out by the World Health Organization (WHO). The International Classification of Disease also known as the ICD is the coding system that is used to classify diseases. It is published by the (WHO), and it is also the basis for reimbursement for hospitals and physicians. There have been several iterations of the ICD. The most recent is ICD-10. The United States is scheduled to adopt it in 2013. Just in time for the major pieces for the healthcare reform pieces to take effect. The mad rush to pass healthcare reform makes a lot of sense when this time table is taken into consideration. It finally brings the US healthcare system into the global healthcare system overseen by the WHO. If healthcare reform leads to the implementation of the ICD-10 fee schedule with the adoption of these lower rates, it will likely lead physicians in private practice to drop out of the system in order to stay in business. Quite simply, adding this to the ever rising overhead and malpractice premiums will simply be overwhelming.