A "perfect storm" is an expression that describes an event where a rare combination of circumstances will aggravate a situation seriously. The term is also used to describe an actual phemononen that happens to occur in such a confluence resulting in an event of unusual magnitude.
July 11, 2012 - Today the House of Representatives will vote to repeal Obamacare. The bill will die in the Senate. If it should happen to pass in the Senate, President Obama will veto it. Voters will decide in November if Obamacare is a perfect storm or merely a political gale.
Here in the July 10 National Review Online, New York Cit Internist, Marc Siegel describes what he sees as a perfect storm against Obamacare with patients leading the storm surge.
"Obamacare caters to the worried well by allowing anyone to use the insurance, whether he or she is sick or not, with lower co-pays and deductibles and therefore no incentive against overuse. My patients also realize that I will be paid less for seeing them — first by Medicare and Medicaid, and then the private insurers will follow suit. Patients anticipate longer waits in my office and less time to spend with me. No one is asking me any more when I will change my office carpet or paint the peeling walls."