Why Doctors Dislike Obamacare
Please do not
Ruffle the animals.
Sign near entrance of San Diego Zoo
June 26, 2012 - Practicing physicians are not zoo animals. But sometimes they feel caged mammals as they spend up to 1/3 of their time abiding
by, complying with, being threatened by federal regulations , begging for permission to perform tests, and taking the blame for raising costs of
health by ordering “unnecessary” tests and procedure to fend off possible
future malpractice suits.
physician incomes, dictated in large part by a coding system devised and guided by
the federal government and the AMA, has kept their income flat for over a
decade while expenses have been rising 4%to 5% each year.
after survey, doctors complain of “harassment” and “hassle” by third parties, parmamout among these Medicare, as they struggle
to maintain their practices, lifestyles, and sanity.
Small wonder, then, that 2/3rds of physicians believe Obamacare will
lower quality of care, decrease their autonomy, reduce their incomes, and make
the practice of medicine less attractive.
Small wonder that 25, 000 new physician are entering
practice each year while 35,000 are leaving the profession.
Small wonder that a political access crisis
to physicians looms in three to 5 years, as 30 millon more Medicaid patients enter
the government rolls in 2014, and 10,000 baby boomers became Medicare eligible each day for the next 18 years.
reaction and resistance to Obamacare, of course, is only one factor in the politics of health reform, and it is
seldom mentioned as the Supreme Court announces its decision on the
constitutionality of Obamacare in two days on June 28, but I submit it is an
important consideration, for it is physicians who must deliver the care under
the provisions of Obamacare.
reform is a complicated and difficult proposition to implement in the US for
many reasons beyond the scope of this blog.
But in a
previous post, in September 2009. I
touched on some the reasons why.
enjoy rereading this post, which I reprint now.
December 23, 2009
Care-Why Reform is Difficult: It's the U.S. Form of Government
In today’s The Health
Care Blog, Humphrey Taylor, Chairman of the Harris Poll and Harris
Interactive, speculates why U.S. health reform is more difficult than in other
He gives these reasons. The comments are mine.
ONE, their systems are much simpler, i.e., they don’t have a thousand points of
payment. Comment: In America, we call this freedom and choice.
TWO, they already have universal coverage and can focus on improving care,
efficiency, and cost containment. Comment: In other words, government rules
and trumps private sector.
THREE, they have parliamentary systems, where a simple majority rules. Comment:
“Simple majorities” can lead to social tyranny.
FOUR, lobbies, i.e. special interests, are more influential in the U.S. Comment:
The biggest “special interest” of them all is a dominant unchecked politic
FIVE, the power of money: in other countries elected officials do not have to
raise vast amounts of money to be elected. Comment: I agree. A prime example
is Barack Obama, who raised unprecedented amounts of money from Wall Street and
SIX, they only need a bare majority of votes in their legislature and have no
such thing as a filibuster. Comment: Good point. Our founding fathers set up
a system to frustrate sweeping changes by a “bare” majority.
SEVEN, the U.S. has partisan news networks, especially Fox News, and talk radio
that spread emotional, often misleading arguments that fuel populist feelings,
and dumb down the debate. Comment: This is typical elitist rhetoric, that
somehow those in D.C. and liberal media have a stranglehold on intellect,
wisdom, and objectivity.
Tweet: Health reform is difficult in the U.S
because of our constitution, our distrust of government, and our desire for clinical
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