President Obama´s former health policy adviser says the law is changing the nation´s health care system for the better, as more people are treated by a health care "team," in their homes instead of in hospitals. Dr. Ezekiel Emanuel, an oncologist, helped to design the Affordable Care Act, and he defended it Sunday on CNN´s "State of the Union with Candy Crowley. "Look, that issue of how the physician-patient relationship is going to change, there´s no doubt it´s going to change...I think, actually, much for the better," Emanuel said. "You´re going to have more of a team. You´re going to have
Yes, you will get a team of barely literate, wholly unqualified "health providers" with Haitian accents to visit you at home when you are sick. They will all be members of SEIU, and have a great time rifling your jewelry and belongings, eating your food, and watching your plasma big screen TV.
It shouldn´t take a village to treat my head cold. It shouldn´t take a team to remind me to get a mammogram. I don´ want strangers trotting through my home to provide physical therapy the next time I break a bone. Thanks, comrade, but no thanks.
Oh, please! Like the shelter-at-home for old folks neighborhood program, where you can stay in your home and have nosy neighbor volunteers and "health visitors" to keep an eye on you and decide if that dog you have is a health risk or that cat is a trip hazard or you don´t shower twice a day or they caught you eating a candy bar or your house is too untidy by their standards or whatever.
Once you permit them in your home they´ll have the authority to go through it. I´ve experienced home health visitors in the UK and I don´t like that system. It´s enough to make me want to put locks on all my cabinets and cupboards.
If this becomes normal I´ll be redoing our side-entrance room, which has a small bathroom, and we´ll receive any health visitors there. There´ll be a day bed, microwave and small fridge in case one of us needs to be bedridden for a while. And there´ll be piles of fresh towels and linens in the bath´s linen cabinet and anything else I think they might need so they don´t have to nose around in the rest of the house.
Y´all better start thinking similarly if this plan is going to be part of our increasingly stressful and dismal future.
This has resulted already in a disaster where you have HMOs, PPOs, pharmacies and Hospitals each working against each other and leaving their customers with HMOs that no longer have an ´in net´ relationship with the closest suitable hospitals, and vice versa.
Medical communities are torn asunder, and no one gets to keep his doctor, his health care insurance provider, or hospitalization options!
They are breaking apart family plans so the mothers have one doctor/clinic/hospital relationship, the fathers a different one, and the children yet another ~
Caring for your children will require, at a minimum, carrying around THREE DIFFERENT CARDS ~ and best know what deal which pharmacy has with which hospital, PPO, HMO, doctor, for each person in the family!
Did I say it was an unmitigated disaster? Yes, I did ~ and this is remarkably inefficient.
My HMO is in my neighborhood, but the hospital they have ´in net´ is a 150 mile round trip away.
If I have a heart attack, I can, of course, get local emergency service, but as soon as I´m stabilized it´s a $2,385 ambulance charge to get shipped to Baltimore!
Isn´t it wonderful to pay for maternity care all by yourself when you were young enough to need it, then have the rules change so that you also get to pay for it after you no longer need it ? I am so excited about that.
Oh... And to pay for Social Security all my life, and then have it taxed away or worse "means tested" when I finally get eligible for it (no it has not happened yet, but it is certainly on the table).
Oh...and please let me bail some people out and oh...pay for some abortions (that would be "murders").
Bioethicist = Abort all babies that appear less than perfect in the womb, add sterilizer to water supply in heavily populated areas & euthanize grandma sooner rather than later.
I got a letter for a home visit. The return address was in DC. I threw 3 letters away... then they started calling. I had to fight them to accept my refusal, then they required a reason, in a threatening way.
I said I have 5 dogs & nowhere to keep them during a home visit.
A home visit includes an inventory of your "stuff", to determine how well you can provide for your self.... NFW !!!
I just want to jump in and defend the idea of home care (NOT Obamacare!)
I´m an RN who has worked as a visiting nurse for over 20 years. Professional home care nurses provide safe care all around this country. We administer IVs, do complicated wound care, teach people how to manage their diabetes and heart failure, and we do it as effectively and less expensively than in hospitals. At the beginning of my nursing career 30 years ago, a big percentage of the patients I now see at home would have been hospitalized to receive the care I provide. There is abundant evidence that the less time a patient spends in the hospital, the less likely he/she will acquire an infection. Patients taught how to manage diseases are less likely to be rehospitalized.
Though I am no supporter of this disaster called the Affordable Care Act, I just wanted to defend the idea of home care nursing. We´re not just a bunch of thieving, ignorant Haitian women!!
In the June 18, 2008, issue of JAMA, Dr. Emanuel blames the Hippocratic Oath for the "overuse" of medical care: "Medical school education and post graduate education emphasize thoroughness," he writes. "This culture is further reinforced by a unique understanding of professional obligations, specifically the Hippocratic Oath´s admonition to ´use my power to help the sick to the best of my ability and judgment´ as an imperative to do everything for the patient regardless of cost or effect on others."
In numerous writings, Dr. Emanuel chastises physicians for thinking only about their own patient´s needs. He describes it as an intractable problem: "Patients were to receive whatever services they needed, regardless of its cost. Reasoning based on cost has been strenuously resisted; it violated the Hippocratic Oath, was associated with rationing, and derided as putting a price on life. . . . Indeed, many physicians were willing to lie to get patients what they needed from insurance companies that were trying to hold down costs." (JAMA, May 16, 2007).
The government is not a team player, they are not on our side. They will make life as difficult as possible if they find out you are not subservient. Give it some time, and your voter registration will carry weight as to whether/how you´re medically treated.
The Fourth Amendment gives us rights about unreasonable searches and seizures, but this administration is shredding the Constitution every day, so we have no privacy anymore.
I say this alot, but if people really thought about it, maybe it would make a difference: Imagine if George W. Bush did this.
This is great. Now they can "terminate" you in your house where there is no one else to look over their shoulder. Typically, that´s called murder. Then, as previously blogged, they can go through your house and get all the goodies.
#17, I do know the about the current system of visiting nurses--it´s a noble profession. For the moment. No matter what you´ve been told the future will be different. Emanuel paints a brave picture but his definitions are not our definitions, and his apparent promises of a brighter day will disappear, just as "keep your current doctor" and "you´ll pay less" disappeared.
Despite recent pushes by the Obama administration for immigration reform, a new poll released Thursday by Gallup shows that a majority of Americans are far more concerned with other issues such as healthcare, the economy, and a general sense of dissatisfaction with the government. Twenty one percent of respondents said that the most important problem facing the United States was dissatisfaction with government, while 19 percent said the economy in general was the most important problem. Rounding out the top three responses was healthcare, which 17 percent labeled as the most important issue. Immigration was second to last with three
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KATHLEEN KANE, Pennsylvania´s attorney general since January, is now considering a run for higher elected office. The Scranton native is not planning to enter the crowded 2014 Democratic primary election for governor, as many speculated. Instead, Kane is eyeing a 2016 run for the U.S. Senate against Pat Toomey, a Lehigh Valley Republican. Three sources close to Kane confirmed that she is very interested in a 2016 Senate run. "I think she sees it as a good opportunity," one of the sources said. "I think it´s something she´s seriously looking at." No decision has been made, according to a second
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A cross atop Mount Soledad in California is an unconstitutional religious display on government land and must come down, a federal judge in San Diego ruled late Thursday. U.S. District Judge Larry Burns ordered the cross, which honors veterans, must be removed within 90 days -- a decision that could result in the case being sent back to the U.S. Supreme Court. Burns immediately stayed his order pending an expected appeal. The original lawsuit was filed in 2006 by the American Civil Liberties Union on behalf of the Jewish Veterans of the United States of American and several other Southern
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In August 2013 I became very sick with what I thought was a cold. After a few days I lost vision in my left eye and I checked into the hospital. I soon found out that what I thought was a summer cold was actually Strep bacteria poisoning my blood stream. The bacteria blinded my left eye, ate a hole through my heart, caused five strokes on both sides of my brain and forced the removal of my prosthetic left knee. Dr. Lee was the surgeon assigned to perform open heart surgery. What was originally scheduled to last four hours ended
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Fox News host Megyn Kelly has made herself the center of a racial controversy by declaring that Jesus Christ and Santa Claus are white. On Wednesday night, Kelly was responding to an article by Slate writer Aisha Harris, who wrote an article entitled “ Santa Claus Should Not Be a White Man Anymore .” The popular news host told viewers of “The Kelly File,” her hit FNC program, “When I saw this headline, I kinda laughed and I said, ‘Oh, this is ridiculous. Yet another person claiming it´s racist to have a white Santa.’ And by the way, for all you kids
Views of the tea party are at all-time lows in a new poll, as primary challenges to establishment Republicans continue to heat up Washington. Just 30 percent of Americans view the tea party favorably in a new Gallup poll released Wednesday, the movement’s lowest point since Gallup began polling about it during its rise in 2010. Also in a first, a majority of Americans had an unfavorable view of the tea party, at 51 percent. Similar numbers of respondents described themselves as proponents or opponents of the tea party: Twenty-two percent identified themselves as tea party supporters, while 24 percent said they
WASHINGTON – It’s not exactly a ringing endorsement of the budget deal.“Embrace the suck,” House minority leader Rep. Nancy Pelosi told fellow Democrats Thursday morning, a source told Politico.“We need to get this off the table so we can go forward,” she added. It’s a way of telling her colleagues the budget deal negotiated with Republicans is the best they can get. Democrats are fuming that the bipartisan budget deal doesn’t extend unemployment benefits for more than a million Americans. One of Pelosi’s top lieutenants, Rep. Chris Van Hollen, the top Democrat on the House Budget Committee, said Thursday it
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