Comments on: America’s Munich: The House Medical-Care Bill http://www.thefreemanonline.org/headline/america%e2%80%99s-munich-the-house-medical-care-bill/ Ideas on Liberty Wed, 15 Feb 2012 04:40:14 +0000 hourly 1 http://wordpress.org/?v=3.3 By: scott G http://www.thefreemanonline.org/headline/america%e2%80%99s-munich-the-house-medical-care-bill/comment-page-1/#comment-18998 scott G Fri, 13 Nov 2009 04:39:52 +0000 http://www.thefreemanonline.org/?p=13583#comment-18998 In the end game, universal care is all about rationing a la the UK. Daschle, Blumenthal, Sunstein, Emanuel....all the Presidents advisors.....have written extensively that this is the goal. I'm an MD...so let me tell you how we will game the system. If your doctor is paid by a capitation scheme...he will never want to see you. If he is 'paid for performance', he will cook the books. If your 'medical home' ( read the bill ) doctor loses money by referring you to a specialist, he'll do his best not to. If the system 'claws back' the professional fee because you needed readmission to a hospital, he will do his utmost to avoid hospitalization in your case. Your doctor will gamble with your health before re admitting you. If a wrong diagnosis of herpes genitalia was made 20 years ago, any one in your new doctor's office can access your mandated electronic medical record and tell your new fiancee's family. Just like the speeding ticket you got 10 years ago is now online for all to see. Or that joint you got busted for in college. You will never feel comfortable telling intimate secrets that will be in cyberspace forever. Forget going to a psychiatrist. Every future doctor will know your history. You will never know if your doctor is acting in your best interest. You will hear "It's not so bad, live with it for a while" many times. When HMO's came to the Miami area, there was a standing joke among us ophthalmologists that a patient would have to be walking with a white cane before he would get surgery from a capitated pay ophthalmologist. The patient could always be told 'the cataract isn't ripe yet'. Look up QALY ( quality adjusted life years ) to see what the Obama system thinks your life is worth in dollars. You will lose income from travel and wait time for specialised tests like CT scans and MRI. What does your lost income mean to society, if the State can save money.?? Not their problem, right? Surgeons will avoid all complicated cases since they will be paid the same for an easy, simple case. I've personally seen it. We will not accept a serious challenge - and stick our professional neck out - for a few hundred dollars. We are not missionaries. It will be a paradigm change........but the patient will never know what happened to him. In the end game, universal care is all about rationing a la the UK. Daschle, Blumenthal, Sunstein, Emanuel….all the Presidents advisors…..have written extensively that this is the goal.

I’m an MD…so let me tell you how we will game the system. If your doctor is paid by a capitation scheme…he will never want to see you. If he is ‘paid for performance’, he will cook the books. If your ‘medical home’ ( read the bill ) doctor loses money by referring you to a specialist, he’ll do his best not to. If the system ‘claws back’ the professional fee because you needed readmission to a hospital, he will do his utmost to avoid hospitalization in your case. Your doctor will gamble with your health before re admitting you.

If a wrong diagnosis of herpes genitalia was made 20 years ago, any one in your new doctor’s office can access your mandated electronic medical record and tell your new fiancee’s family. Just like the speeding ticket you got 10 years ago is now online for all to see. Or that joint you got busted for in college.

You will never feel comfortable telling intimate secrets that will be in cyberspace forever. Forget going to a psychiatrist. Every future doctor will know your history.

You will never know if your doctor is acting in your best interest. You will hear “It’s not so bad, live with it for a while” many times.

When HMO’s came to the Miami area, there was a standing joke among us ophthalmologists that a patient would have to be walking with a white cane before he would get surgery from a capitated pay ophthalmologist. The patient could always be told ‘the cataract isn’t ripe yet’.

Look up QALY ( quality adjusted life years ) to see what the Obama system thinks your life is worth in dollars.

You will lose income from travel and wait time for specialised tests like CT scans and MRI. What does your lost income mean to society, if the State can save money.?? Not their problem, right?

Surgeons will avoid all complicated cases since they will be paid the same for an easy, simple case. I’ve personally seen it. We will not accept a serious challenge – and stick our professional neck out – for a few hundred dollars. We are not missionaries.

It will be a paradigm change……..but the patient will never know what happened to him.

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