As the country moves toward the effective start date of the Affordable Care Act in 2014, the operational and economic elements of this vast legislation are becoming clearer. Yet one likely outcome of the act that will directly affect the quality of patient care, and could affect its cost, has gone virtually unnoticed and unreported: the increasing trend for physicians to become employees, rather than self-employed. This development represents a potentially radical factor in the transformation of health care—the doctor as union worker.
The private insurance industry has long sense converted many, perhaps most physicians to and employees without benefits, who pay their own practice overhead. The same is true for most hospitals. That is, they are actually performing services for third party payers the way the latter tell them to. That is what "managed care" is all about.
With the arrival of gigantic Federal control of reimbursements and approved treatments, Godzilla has teamed up with King Kong, and they are both cooperating and bearing down upon all Americans, not just the suckers who think they are going to get something for nothing. As many have observed, the actual differences between the methods and mentality of big government and big business are slight.
Having just finished the best book on the Battle of the Bulge I have read(A Blood Dimmed Tide, by Gerald Astor - strongly recommended)I keep thinking that the bulk of the American public is like those GIs on the front lines at the Ardennes - only they won´t be able to mount any defense and they won´t be able to run away. They are going to have to surrender. There is nothing they can do. The mammoth bureaucratic machinery will crush everything in its path. I am not too compassionate regarding those who put Obama and the Democrats in office and who are going to be painfully shocked as the truth begins to hit them in ways they can no longer deny. Those people need to learn a lesson and the only way they seem to be able to learn is the hard. I just wish the rest of us didn´t have to take the remedial classes with them. We already know what is about to happen. We have been trying to warn others, but in vain.
The s is going to hit the fan in the next few years. Unfortunately, the average Obama voter is too stupid to realize that the policy of the dums is actually what is causing their problems. They are monumentally gullible and will blame whoever and whatever Obama and the treasonous media tell them to blame.
Think "ombudsman" in dealing with the supposedly monolithic bureaucracy. That is, be part of a network of family members, friends, associates so that when you interact with the "health care system" you are not a solitary figure. Be informed about what is going on with family members (as appropriate and desired). Especially when major illness and hospitalization occur it is time to become involved, because the identified "patient" is vulnerable, anxious, and preoccupied with personal issues and may not be able to defend themselves adequately. Know your "health care providers", i.e. the doctors, nurses, and other degreed professionals who have direct responsibility for treatment. Also, and very importantly, get to know who the the faceless bureaucrats behind the scenes are. Visit them. Shake their hand. Be friendly. Most of all be visible so that they will know they are being monitored for performance. Take notes of names, dates, actions. It would not be a bad idea to begin searching for one´s own lawyer experienced in "health care" law. It can be so invigorating for a bureaucrat, thinking he/she is functioning anonymously in some back office or distant location and making life-affecting decisions for us and our loved ones to get a call from your attorney! Keeps the troops sharp. Don´t just throw up your hands and give up. You/we have more power than you might think. Bureaucrats and functionaries love to do their work behind the scenes, often fading into the untraceable committees, whose actions cannot be parsed out to trace individual responsibility. Don´t let them hide in the shadows. Help them to become famous celebrities to the whole world if need be. Their superiors will take notice.
It´s closer than you think with many physicians joining hospitals.
How many individuals will not know their rights ? I received a letter from my case manager at the insurance company with a questionaire way too invasive. My physician is not longer in charge of my care, they are.
Obama voters are inherently stupid people who will never realize their own mistake even while waiting months for a surgery that used to be done when it was actually needed. Better get and stay healthy.
Hysteria: The Environmental Protection Agency chief says global warming is the most urgent threat to public health. Given that the whole climate change frightfest has fallen apart, how do people keep saying such things? EPA Administrator Gina McCarthy says she has dedicated her life to protecting the environment. It´s too bad she is not more dedicated to reality. If she were, her comments Monday before the left-wing Center for American Progress would have been different. But McCarthy knew who she was speaking to and told the group what it wanted to hear when she said, "I really see no greater issue and
´We have communicated in no uncertain terms with every player in the region that that´s a red line for us and that there would be enormous consequences if we start seeing movement on the chemical weapons front or the use of chemical weapons."— Barack Obama, Aug. 20, 2012 "First of all, if you´ve got health insurance, you like your doctors, you like your plan, you can keep your doctor, you can keep your plan. Nobody is talking about taking that away from you."—Barack Obama, multiple versions What would you rather be: an American lost inside an ObamaCare exchange or a Syrian rebel?
Contrary to what you might have heard, there really was a world communist conspiracy.Its purpose was not just agitation but propaganda. To bring it about, V.I. Lenin recruited a special corps of propagandists for what was to become the Communist International. For a fanatic like Lenin, it wasn´t enough merely to have a communist revolution in Russia. He wanted communism to take over the world, the fulfillment of Marx´s exhortation "Workers of the world, unite!" according to Stephane Courtois and Jean-Louis Panne, authors of "The Black Book of Communism: Crimes, Terror, Repression," published in 1999. Lenin also feared that unless other countries
For all of their mutual public admiration, Presidents Clinton and Obama react differently to political trouble. Bill moved to the middle, while Barack always moves left. So it´s no surprise that Mr. Obama is responding to his ObamaCare rollout slump by doing his best Elizabeth Warren imitation. Mr. Obama returned to his favorite theme of rising income inequality on Wednesday, which he called "the defining challenge of our time." He ought to know since few Presidents have done more to increase inequality than he has. Median household income has fallen since the economic recovery began, while the rich who own capital
Immigration: Strong signs point to House Speaker John Boehner leading an amnesty cave-in that delivers millions of new Democratic votes. Republicans should man up and put border security front and center. The two words "Becky Tallent" resonate with conservatives in Congress the way "Howard Baker" did when Ronald Reagan welcomed the liberal Republican senator as chief of staff during Iran-Contra, bringing most of the Reagan agenda to a screeching halt; or the way the words "Susan Kennedy" did a decade ago when newly elected California Gov. Arnold Schwarzenegger crushed his supporters by hiring the hard-line Democratic operative as chief of staff. Speaker
In a wide-ranging economic stump speech Wednesday, President Obama focused laser-like on the growing gap between America´s rich and poor, despite polling that shows hardly anyone believes it´s the most pressing issue facing the U.S. The issue-pivot was an effort to help him move away from the drumbeat of criticism of his policies on health insurance reform and Iran´s nuclear program, one White House insider said on background. ´Rising inequality and declining mobility is bad for our democracy,´ he said during an event hosted by the far-left Center for American Progress. ´People get the bad taste that the system is rigged.´ ´I believe
With all of Bubba´s women, it turns out he had a thing for Mary Jane too. Former President Bill Clinton said Tuesday that despite his denials in 1992, he was always honest about his past marijuana use. ´I never denied that I used marijuana,´ Clinton told Jorge Ramos on Fusion TV. ´I told the truth.´ But during a campaign event before his first presidential election, then-Arkansas Gov. Clinton said he was no pothead. ´When I was in England, I experimented with marijuana a time or two, and didn´t like it,´ Clinton said then. ´I didn´t inhale, and I didn´t try it again.´ Clinton dissembled whtn
President Obama will cast growing income inequality and a decline in economic mobility as a “fundamental threat to the American dream” during a speech Wednesday in Washington. The speech will serve as an early preview for next year’s State of the Union address, according to a White House official, who said Obama would focus much of his energy over the next three years on the issue. “The decisions we make over the next few years will determine whether or not our children will grow up in an America where, if you work hard, you can get ahead,” the official said.
Good stuff from Jonathan Turley at today’s House hearing on executive power, although I regret that I couldn’t find a more user-friendly format for you to watch. There’s no compilation clip; you’ll have to make do with the C-SPAN embed by fast-forwarding to the time cues I give you and being patient while the vid buffers (and buffers, and buffers).(Snip)That brings us to point two: Even if Congress can’t stop Obama, the courts can. The problem there, though, says Turley, is that O and the DOJ have argued successfully in many cases that no one has standing to sue him
Bill Clinton, the cliché goes, was the first black president, no matter his skin color. That being the case, Barack Obama is not the first black president, or the first African-American president, if you prefer, but the first hippie president. Clinton’s southern background and lifestyle were indeed more typically black, just as Obama’s was more typically hippie. And we’re not just talking about the “Choom gang” here, scarfing “Maui Wowie” on the sands of Oahu. We’re talking about all of it, the whole multi-culti-missing-white-mother-vanished-Kenyan-father-anti-imperialist-America-is-always-the-enemy-and-don’t-you-forget-it-nine-yards. And like most hippie culture as I knew and experienced it, it wasn’t about “peace and love.” Not
During a presentation at the White House in which President Barack Obama touted the benefits of the Affordable Care Act, the president declared that his signature health care reform law was not going to be repealed. This assertion led his administration members, his staff, and audience members to rise from their seats and give the president a standing ovation. Obama said that ACA opponents’ alternative to the health care reform law is to champion repeal and going back to the health care delivery system status quo ante. He specifically cited Sen. Mitch McConnell (R-KY) who he said was asked directly for
A woman has revealed how difficult it is to eat healthily and stay full when living off an average food stamp budget. Melinda Moulton, from Huntington, Vermont, was one of 200 people to take part in the 3Squares Challenge, which saw her living for a week on just $36 worth of food, or around $1.71 a meal. Opting to try and eat as healthily as possible, Ms Moulton resorted to cheap foods like yogurt for breakfast, two handfuls of peanuts for lunch and lentil stew for dinner, all of which left her unsatisfied.´I don´t know how people do it,´ said
[Video] President Obama on Wednesday declared that addressing income inequality would be the focus of “all” of the White House’s efforts “for the rest of my presidency.” In a sweeping address that touched on raising the minimum wage, investing in infrastructure and ending tax breaks for the wealthy, Obama warned that the American economy has become “profoundly unequal,” declaring economic mobility the “challenge of our time.” “The combined trends of increasing inequality and decreasing mobility pose a fundamental threat to the American dream, our way of life, and what we stand for around the globe,” he said in an hour-long
Just over two weeks ago, MSNBC host Martin Bashir delivered a harsh piece of commentary that culminated in the suggestion that someone should “s-h-i-t” in former Alaska Governor Sarah Palin‘s (R-AK) mouth. Bashir offered an abject apology on his next broadcast, but a chorus of critics continued to demand action against the host. After a reported “vacation” for the host earlier this week, Bashir announced, Wednesday afternoon, that MSNBC and Martin Bashir are parting ways. Here’s the statement from Martin Bashir, via email: After making an on-air apology, I asked for permission to take some additional time out around the Thanksgiving holiday. Upon