December 6, 2012

"Fixing the health care system by government fiat is like neurosurgery with a hammer"

Obamacare Jumps the Shark in its Premiere.  Walter Russell Mead explains

One of the reasons blue programs jump the shark is that over time more and more special interests lobby politicians to get special features added. The small add-ons and tweaks make programs more expensive and complicated to administer—and much, much harder to reform. This process begins when the laws are written; the lobbyists are there to tuck special little surprises between the pages of the bill. It continues as the regulations necessary to implement the new laws are written; once again, lobbyists are on hand to mold the regs to their liking. And it persists year after year after year, as lobbyists look for ways to amend the existing laws or add new requirements by inserting language into other bills.

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The law is a blunt instrument; fixing the health care system by government fiat is like neurosurgery with a hammer. It’s going to hurt more than you think, and will harm more than it helps. Let’s hope politicians figure that out before too much damage is done.

A Physician's New Reality: Patients Ask Me to Break the Law

I have now posted a notice in my office and each exam room stating exactly what Obamacare will cover for those yearly visits. Remember Obama promised this as a free exam — no co-pay, no deductible, no charge. That’s fine and dandy if you are healthy and have no complaints. However, we are obligated by law to code specifically for the reason of the visit.  An annual exam is one specific code; you can not mix this with another code, say, for rectal bleeding. This annual visit covers the exam and “discussion about the status of previously diagnosed stable conditions.” That’s the exact wording under that code — insurance will not cover any new ailment under that code.
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Private doctors are becoming a thing of the past. By 2014, less than 25% of physicians will be in private medicine. Obama was right in stating you can keep your doctor if you want to — the problem is he or she will rarely be available.

On top of all of that, doctors will be obligated — that’s right, obligated — to talk to you about things you may have no interest or need to talk about.  You may just want to have a pap smear or check your cholesterol. However, I am now mandated by the government to talk to you about your weight, exercise, family life, smoking, sexual abuse(!), and even to ask if you wear seat belts. And I am mandated to record your answers.
Posted by Jill Fallon at December 6, 2012 11:41 AM | Permalink