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  • Doctors Give the Practice of Medicine under Obamacare a Grim Prognosis

    On Monday, The Heritage Foundation hosted a panel of current and future physicians to discuss the impact of Obamacare on their profession. Their remarks highlighted the importance of the doctor-patient relationship as the heart of the practice of medicine and detailed direct threats as a result of the new health law.

    Representative Michael Burgess, M.D., (R-TX) explained that part of being a physician is fighting for the best interests of each individual patient. Under Obamacare, this will be harder to do, as government inserts itself further into the provision of care. One example is the creation of accountable care organizations (ACOs) in Medicare. Representative Burgess pointed out that under ACOs, doctors would not be held accountable to patients, but rather to the hospital or health plan in charge. Based on his experience as an OB/GYN, Representative Burgess argued that it will be more difficult for doctors to stand up for patients’ needs to insurers or the government if they work directly for the latter.

    Dr. Martha Boone, a urologist from Atlanta, further argued that currently, if an insurer denies coverage for a certain treatment, she can call the medical director (a fellow physician) and explain her rationale. In the case of coverage provided by the government, such as Medicare and Medicaid, that’s not an option—the answer is always no. Greater government influence in medical decision-making will come at the expense of patients’ own desires.

    Physicians’ concerns go beyond the expansion of bureaucratic power into patient care. Jeet Guram, a first-year medical student at Harvard Medical School, pointed to the new law’s expansion of Medicaid, a flawed program, to cover an additional 18 million Americans. Since Medicaid pays physicians significantly lower rates than private insurance or Medicare, it is difficult for doctors to accept Medicaid patients without risking insolvency. As more Americans enter the system, barriers to access for Medicaid beneficiaries will become even more pronounced.

    Of further concern to Guram is Obamacare’s “misalignment of priorities” when it comes to medical innovation. The new law increases government control over cost and utilization of services, which could distort demand. Further discouraging innovators are the law’s new taxes on pharmaceutical and medical device manufacturers. As Representative Burgess said, investors “don’t hazard big things for small rewards.” Medicine is on the cusp of exciting new territory, but discouraging future innovation could change that.

    The sentiments expressed by the panel echo those of the medical profession at large. According to a recent survey sponsored by Pfizer, 59 percent of physicians cited the interference of non-medical entities in medical decisions as a negative development in the health care system. And 50 percent held an unfavorable view of Obamacare, compared to 24 percent who saw it as favorable.

    Threats to the doctor-patient relationship existed before the passage of Obamacare. However, rather than empowering doctors and patients, the new law will result in further erosion as a result of government intrusion in health care.

    Posted in Obamacare [slideshow_deploy]

    9 Responses to Doctors Give the Practice of Medicine under Obamacare a Grim Prognosis

    1. Bobbie says:

      Heck, lets compare the doctors who stand to protect the patient to those doctors who stand in favor of government's interference…expose publically their education and medical records and history. Could be a piece to the government manufactured puzzle. No trust in the 24% that depends on government.

      This is a cruel and unusual punishment that must be removed ASAP!

    2. Pingback: Doctors Give the Practice of Medicine under Obamacare a Grim Prognosis | Big Propaganda

    3. Pragmatic in Texas says:

      Representative Burgess is my Congressman. I have always voted for him, he fights for what he believes will be in the best interests of the public he serves. If the majority of physicians polled don't like Obamacare, then why do we even still have it? The House should be fighting tooth and nail to have this law repealed.

    4. Leon Lundquist, Dura says:

      Will I wait forever to hear somebody anywhere in the Media say Americans are not getting value of service in Medicine? The Cost of Medicine has skyrocketed for Fifty Years! Are we so in love with the 'modern' disease management model that it has become unthinkable to criticize it? I am old enough to remember when Medicine was about Strict Cures! Today it is all about Symptoms. They say damned near everything is "Incurable" and Manage the 'disease' at the greatest conceivable expense!

      My fellows at Heritage are hip to the Junk Science of Carbon 'pollution.' Why can we not have the discussion about Junk Medicine? I say it is Junk Medicine that is actually destroying Medicare and Medicaid. Nobody will take on this subject. Social Security is flat in Cost while Medicare is The difference in all the charts I saw. That is what is bankrupting all the Governments (and corrupt Pension deals). How can HF be duped? I know you guys aren't RINOs, I love Heritage.

      Do you remember when the Republicans took back the House and the DINOs were all atwitter about hate speech so they sat together? They denied me the image of seeing the gains on TV! The DINOs are still laughing about that one. Their language is more hateful than ever! Yeah! Sure, Political 'Science' is "How to get away with anything!" No kids! That's criminal science, Crime 600 at Harvard. RINOs are so blind they wouldn't see a Constitutional High Crime if it bit them in the a**!

    5. Donna Baver Rovito says:

      Unfotunately, far too few physicians make enough noise to make a difference in health care policy. For far too long, burdened by outrageous schedules and concern for their patients, doctors have left "the business" of how they practice medicine to bureaucrats, elected officials and paid lobbyists. What's really needed is for individual physicians to EACH express their outrage that so many people WHO DIDN"T GO TO MEDICAL SCHOOL are setting health care policy and making rules that will control how THEY practice medicine. Doctors, you NEED TO MAKE NOISE. Don't wait for someone else to do it.

    6. doctordave says:

      I think that Obama Care is exactly what I predicted: a President who knows nothing about medical care, and a program that is lead by bureaucrats that know less. I feel the pressure of being a senior, retired, and on Medicare because the law only allows me to either pay cash (like a lot of patients will do) or be given second rate medical care under Medicare. Second rate since most doctors will not financially be able to accept a program designed to pay less over time. Remember the 25% cut that physicians were facing in 2010?

      The good news is that I reached retirement age and did hang up the white coat. The sad news is that my daughter is starting her residency in OB-GYN, which is over run by illegals dropping their babies on our soil.

    7. Mert Troyer says:

      The time for trying to "educate" folks on the merits of Obama Care are long since gone. The Citizens of the U.S. have spoken—get rid of Obama Care with whatever means it takes. The US House of Representatives can defund almost anything. Quit playing by some mickey mouse House Rules that says we don't have the means or power to defund Obama Care. I think that is bunk. Change the Rules–you have that power. That is not changing the US Constitution–it is just changing internal rules made up by the House Members. We have way too many RINO's still "pussy-footing" around. I think we need to replace the current Majority Leader of the House. He is a RINO at best and is a detriment to our surviving Obama's Socialist Government. Use some leverage and defund many other major projects that the Democrats deem "unchangeable"

    8. Mert Troyer-Lake Hav says:

      The time for trying to “educate” folks on the merits of Obama Care are long since gone. The Citizens of the U.S. have spoken—get rid of Obama Care with whatever means it takes. The US House of Representatives can defund almost anything. Quit playing by some mickey mouse House Rules that says we don’t have the means or power to defund Obama Care. I think that is bunk. Change the Rules–you have that power. That is not changing the US Constitution–it is just changing internal rules made up by the House Members. We have way too many RINO’s still “pussy-footing” around. I think we need to replace the current Majority Leader of the House. He is a RINO at best and is a detriment to our surviving Obama’s Socialist Government. Use some leverage and defund many other major projects that the Democrats deem “unchangeable”

    9. Pingback: Herbs and Herbal Medicine | eherbalsupplements.org

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