What The Future Holds Obamacare Edition…
…enslavement to the state, reduced/no care, and death.
ITEM: PAY NO ATTENTION TO THAT MAN BEHIND THE CURTAIN
Over at Forbes, Dr. Scott Atlas writes:
Even if the actions by the states [refusing to set up exchanges] weaken ObamaCare and hasten its failure, the truth is that its failure will not open the door for reconsideration of alternative reforms advocated by the Republican opposition. The notion that refusal to advance the ObamaCare implementation at the state level will generate a sincere discussion of meaningful compromises by this Administration is naïve, given this president’s method of passing the bill in the first place, let alone his now characteristic pretense of repeating the hollow promise of “compromise” to a sycophantic press corps while failing to offer even a single concession. No, none of the predictable failures of ObamaCare in reducing health care expenditures, in providing meaningful access to quality health care beyond simply labeling someone as insured, in improving the economic prospects of individual Americans and their families, and eventually in maintaining the excellence of U.S. health care will provide major leverage for compromise.
Even focusing on the possibility that compromise is forthcoming misses the bigger, more important point. To the contrary, looming over health care but ignored by those whose arguments focus only on ObamaCare is the next step in President Obama’s plan for transforming America. The unspoken reality is that President Obama and the Democrats’ fallback plan for ObamaCare’s failure is fully nationalized, single payer health care.
The Doctor goes on to explain in a convincing way just how this will probably play out. Here’s one of them:
Second, or perhaps in advance of single payer legislation, watch for the federal government to restrict doctors from practicing, or possibly even criminalize them, unless they accept all patients with insurance paying government-defined rates for medical tests and treatments. We know that ObamaCare and its Independent Payment Advisory Board, IPAB, will force prices for medical services lower and lower by direct design, so that by 2019, payments for Medicare will be even lower than Medicaid. While some doctors will swallow government-dictated low reimbursements, undoubtedly more and more physicians will refuse to see patients under such health plans – easy to foresee, since this has already happened to Medicaid and Medicare patients across the country. But this presumably will not be tolerated by HHS Secretary Sebelius and our President. It is not at all unimaginable that the federal government will soon tie all medical licensure to accepting the new edicts, as has already been contemplated in Massachusetts by state legislators.
What color would you like your chains to be? Silver or brass?
-PATIENT: ‘DOCTOR, DOCTOR, MY ARM HURTS WHEN I GO LIKE THIS; WHAT SHALL I DO?’
-DOCTOR: ‘SORRY, CAN’T HELP YOU.’
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.
If you are here for that annual exam, you will not be covered if you want to discuss any new ailment or unstable condition. I cannot bait and switch to another code — that’s illegal. We, the physicians, are audited all the time and can lose our license for insurance fraud.
You, the patient, will then have to make a decision.
Do you want your “free” yearly exam, or do you want to pay for a visit which is coded for a particular, new problem? You can have my “free” exam if you only discuss what Obamacare wants me to discuss.
This happened to me personally, as a patient, when I went for my physical. It is the law. If you are complaining of a new problem, then you have to reschedule, since Obamacare is very clear as to what is covered and what is not. Obamacare — intentionally — makes it as difficult to be seen and taken care of as possible.
Patients can be very tricky. I have had patients make an “annual” exam, only to want to discuss and be treated for another ailment. I can’t do it.
I can hear the complaints from you guys already — I become the bad guy. “Why don’t you just take care of the problem, and not bill out any different code? You’re a rich doctor, and we are entitled to free stuff.”
It doesn’t work that way. First, doctors are not rich and, like most of you, actually work terribly hard for a living. Second, Obamacare is the law — and as I said earlier, we are audited all the time now.
Also — I don’t ask for free gas when I go to the gas station, or ask for free food from the supermarket. Additionally, Obamacare has a 23% cut in Medicare reimbursement to doctors and hospitals.
These lower payments won’t cover the cost of staying in practice to take care of the patient.
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.
I am a physician. But I need to tell you to wear a seat belt and then record your answer.
I have received interesting responses from my patients since I put up the notice. Almost all are supportive and totally understand. The very few who complain? The same patients who always ask for free samples, who always complain that we do not validate parking. These are also the same patients who call my office and ask for free samples even when they are not even being seen.
Obamacare and its 2,000-plus pages are here to stay. I will still give my patients 100% of my time, energy, and knowledge. I still love being a doctor — my patients’ doctor. I will, however, abide by the law and follow it to the letter. I will have to learn this new dance. “Free” has its price.
These Days: Freedom’s just another word for everything to lose.
ITEM: ON THE HIGHWAY TO HELL
From The London Daily Mail, Sue Reed and Simon Caldwell reporting, we learn of the latest horror happening under the National Health Service in Britain [this is worth quoting at length]:
Sick children are being discharged from NHS hospitals to die at home or in hospices on controversial ‘death pathways’.
Until now, end of life regime the Liverpool Care Pathway was thought to have involved only elderly and terminally-ill adults.
But the Mail can reveal the practice of withdrawing food and fluid by tube is being used on young patients as well as severely disabled newborn babies.
One doctor has admitted starving and dehydrating ten babies to death in the neonatal unit of one hospital alone.
Writing in a leading medical journal, the physician revealed the process can take an average of ten days during which a baby becomes ‘smaller and shrunken’.
The LCP – on which 130,000 elderly and terminally-ill adult patients die each year – is now the subject of an independent inquiry ordered by ministers.
The investigation, which will include child patients, will look at whether cash payments to hospitals to hit death pathway targets have influenced doctors’ decisions.
Medical critics of the LCP insist it is impossible to say when a patient will die and as a result the LCP death becomes a self-fulfilling prophecy. They say it is a form of euthanasia, used to clear hospital beds and save the NHS money.
The use of end of life care methods on disabled newborn babies was revealed in the doctors’ bible, the British Medical Journal.
Earlier this month, an un-named doctor wrote of the agony of watching the protracted deaths of babies. The doctor described one case of a baby born with ‘a lengthy list of unexpected congenital anomalies’, whose parents agreed to put it on the pathway.
The doctor wrote: ‘They wish for their child to die quickly once the feeding and fluids are stopped. They wish for pneumonia. They wish for no suffering. They wish for no visible changes to their precious baby.
‘Their wishes, however, are not consistent with my experience. Survival is often much longer than most physicians think; reflecting on my previous patients, the median time from withdrawal of hydration to death was ten days.
‘Parents and care teams are unprepared for the sometimes severe changes that they will witness in the child’s physical appearance as severe dehydration ensues.
Bernadette Lloyd, a hospice paediatric nurse, has written to the Cabinet Office and the Department of Health to criticise the use of death pathways for children.
She said: ‘The parents feel coerced, at a very traumatic time, into agreeing that this is correct for their child whom they are told by doctors has only has a few days to live. It is very difficult to predict death. I have seen a “reasonable” number of children recover after being taken off the pathway.
‘I have also seen children die in terrible thirst because fluids are withdrawn from them until they die.
‘I witnessed a 14 year-old boy with cancer die with his tongue stuck to the roof of his mouth when doctors refused to give him liquids by tube. His death was agonising for him, and for us nurses to watch. This is euthanasia by the backdoor.’
This is our future under Obamacare.
This is murder.
I would like to thank all of you who voted to return Barack Hussein Obama for a second term, and, also, those of you who voted for any House or Senate candidate who is favor of Obamacare or any Socialized health care system for America. Further, I would like to send an extra-special thank you to the spineless weasel that goes by the name of John Boehner, who has said Obamacare is ‘the law of the land’.
I’m thanking all of you now because, when I’m denied care sometime in the future for being over fifty years of age and a former cancer patient who had the misfortune to get sick again, I suspect I won’t have the energy to thank you as I lay dying in agony with my tongue stuck to the roof of my mouth…..of course, you better really hope I can’t still use my trigger finger.
God Have Mercy On Us All.