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The Doctor´s Office as Union Shop
Wall Street Journal, by David Leffell

Original Article

Posted By:Desert Fox, 1/29/2013 8:56:46 PM

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.

  

Post Reply  

Reply 1 - Posted by: Keekng, 1/29/2013 9:17:15 PM     (No. 9147373)

Can anyone else smell impeachment?


Reply 2 - Posted by: Keekng, 1/29/2013 9:17:55 PM     (No. 9147374)

Sorry, I posted #1 on the wrong thread.


   

 

  


 
Reply 3 - Posted by: Teleologicus, 1/29/2013 9:23:24 PM     (No. 9147386)

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.


Reply 4 - Posted by: bhkat, 1/29/2013 9:28:13 PM     (No. 9147395)

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.


Reply 5 - Posted by: MrYules, 1/29/2013 9:43:37 PM     (No. 9147407)

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.



Reply 6 - Posted by: ColonialAmerican1623, 1/29/2013 11:02:41 PM     (No. 9147543)

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.


Reply 7 - Posted by: Trigger2, 1/30/2013 4:55:21 AM     (No. 9147750)

Here comes the British scenario where union doctors leave the patient on the table because union rules say they must go to lunch.


   

 

  


 
Reply 8 - Posted by: tonyl, 1/30/2013 9:03:46 PM     (No. 9149516)

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.



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