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.
The suspense is over. For weeks we have been holding our collective breath to see if there would be real insurance reform. Now we know. President Obama’s speech this evening incorporated a lot of different ideas, but what was most striking was his statement that the public option was just one of the avenues that