Posted on 04/07/2013 9:38:38 PM PDT by neverdem
The glow of the personal relationship with patients is being extinguished
A fundamental principle in medicine is that if you get the diagnosis wrong, you'll probably apply the wrong therapy. A corollary is that if the therapy isn't working, increasing the dose may make things worse. That's where we are with ObamaCare.
There are shortcomings aplenty in the health-care field, and changes and improvements are required. But never have I seen so many good intentions leading irreversibly to hell.
Personal experience is by its nature parochial. Yet when it invalidates much of what passes for wisdom, there may be value in sharing it. Here are some facts that may illuminate:
When I graduated from medical school in 1962, the profession of medicine was for many graduates an opportunity to provide care—as distinguished from, though aligned with, treatment—and to provide it to individuals, not to populations or governmentally specified groups. Young doctors hoped to establish an independent business, enjoy lifelong intellectual excitement as knowledge and therapies expanded, and have an income sufficient to live decently and support a family. There have always been some who entered medicine...
--snip--
It requires the physician to study the true cost and benefits of a course of action, and then to present that data to the patient. Who is better suited than the patient to assess the value to him of the proposed treatment? Kathleen Sebelius? You gotta be kidding.
There is no shortage of evidence. ObamaCare will, deliberately and by design, destroy what—while imperfect—has served very well. We have gotten to this point after years of good intentions making bad problems worse. To double down on the very therapy that has brought the system to its present sorry pass is a toe-ticket to the morgue.
Dr. Marsh now raises Christmas trees in Ipswich, Mass.
(Excerpt) Read more at online.wsj.com ...
I wonder how many doctors are quitting their practice in hopes that washington will take notice and reverse course?
I wonder how many doctors realize that them quitting is EXACTLY what Obama wants?
Isn’t that exact thing happening on Florida right now?
It’s called normalcy bias.
All these doctors out there protesting... quitting their practices... lobbying government to stop Obamacare...
They assume (based on normalcy bias) that Washington will respond to their efforts to the voice of We The People.
They have no idea that the very thing the liberals have been accusing republicans of for decades is at the very CORE of their own agenda.
Why???
Easy...
Population control.
You see, Liberal do not believe in a God that provides.
As such, they see their world through a finite and limited prism... and because they don’t understand the concepts of capitalism and individual responsibility, they are left with their own fears that natural resources needed to sustain life will eventually run dry.
And, because they are incapable of trusting in others, let alone God, they see themselves as the only beings capable of distributing our resources sparingly to prevent shortages... And Communism was born.
Fear is stronger than facts in the mind of a communist.
Population control is CENTRAL to communist ideals and principles. The doctor shortages in this country are already having massive impact on this country’s attrition rate. And, combined with the severely anemic fertility rate (1.6) which is barely enough to sustain and perpetuate a society, we are in disastrous territory.
This is ALL BY DESIGN. It is INTENDED!
And our refusal to recognize it for what it is will be our undoing.
We assume that as incompetent as our elected officials in BOTH parties and all 3 branches of government appear to be, that they are still Americans at heart with a good understanding of what made this country great. Why? because that is “Normal”
It is NOT NORMAL for a country to be decimated like this from within. It is NOT NORMAL to consider the possibility that legislation in America is coming DIRECTLY from the Kremlin.
“Tell Putin I’ll have more flexibiity after the election”
Every time I see protesters these days, I get more and more discouraged because those same protesters seem to be ignorant of the fact that the government’s response to them is to buy more bullets.
I’m afraid that the time for America to wake up is already over.
Kind of tells you everything you need to know about ObamaCare.
Health insurance is no longer insurance. It is a pre-paid benefit.
If you have homeowners insurance it doesn’t pay the plumber to fix the leak in your sink or to mow your lawn. Your auto insurance doesn’t pay for your oil change or your new brakes.
But we now expect our health insurance to cover all routine costs. And Obamacare has set this in stone.
We have repealed the Prohibition of alcohol. That was an amendment to the Constitution.
We can repeal Obamacare, a mere law, and replace it with arrangements far more rational than what we had, e.g. health insurance is just for a catastrophe, not routine care which is an anachronistic legacy from the wage freeze during World War II, and everyone is affected the same as far as taxes, i.e. either it's tax free or it's not.
There's no reason for giving employees of government or large businesses special tax treatment when small businesses are the engine of about 7 out of 10 new jobs.
If you're on Medicare and you don't have catastrophic health insurance, then care is rationed to proven treatment at reasonable costs.
Given the writer’s specialty of pediatrics and geographic location in the Northeast, I doubt he interacted with the type of doctors, GPs and surgeons, that my mom did as a surgical nurse in KS. When Dr. Marsh was a newly-minted MD and headed into his post-grad specialty studies, Medicare was intruding into the doctor-patient relationship in the ways he describes for insurance in the 1970s in pediatrics. The doctors my mom worked with were very accurately foretelling exactly what Dr. Marsh describes in the article.
Those same doctors were also prescient in their extrapolation of the broader meanings for society that Dr. Marsh relates as Rashi Fein’s observations two decades later. Left unsaid by either Marsh or Fein is the clear root cause: communism. The doctors of my mother’s professional acquaintance were not in such denial and called it as they saw it.
“But we now expect our health insurance to cover all routine costs.”
Exactly, and this is really stupid. Most people can afford an occasional doctors visit, and those that can’t can often get a break from the doctors office. On the flip side, few people can afford to pay for catastrophic health issues. That’s what insurance is for.
Basis of huge problem. Went to doctor for annual physical and paid obscenely low co-pay of $10.00.
While I waited I listened to an idiot bitterly complain about his being forced to pay a HUGE co-pay of $10.00, out of his hard earned money. In the very next breath, he told how happy he was that his car AIR CONDITIONER problem was “only” costing $275.00, much less than he originally thought.
Since he was waiting to see his Cardiologist, I could see he valued his air-conditioned comfort much higher than the health of his heart.
You are so right. People truly think that doctors should be free, but will shell out significant amounts of money for haircuts, manicures, movie tickets, cable TV, the stupid trinkets they have at the checkout at Walmart etc. without blinking. Heck, there are a ton of Tarrot card readers etc. who are making a living off of someone. But a huge amount of training and years of commitment and experience aren't worth a $10 co-pay? Then they should just go to the hairdresser for their medical care, and not use doctors.
Good intentions, my foot. This is spinning.
I was there on that day.
Paying ANYTHING for health care is out of the question for majority of Obama voters. It’s the Medicaid Mentality.
All doctors should quit. M<any will suffer but maybe...just maybe..politicians will listen to reason.
The issue is educational. People believe that a “right” can be imposed on another person. They believe in a right to housing, medical care, etc.
Until we learn what a right is, we’re going to have more of this.
Actually, he is old....... retired.
The Christmas trees are a retirement credential. He may be correct, but change must be accommodated. The costs must be contained.
Obama care is not the containment vehicle but one must be devised.
The motto of Dr House was .....when in doubt, treat
“Until we learn what a right is, we’re going to have more of this.”
I agree with you, but some people won’t learn because it’s not about what they know, it’s about what they want. They want free stuff, and some of them want to punish those uppity successful people. I’m not saying all, but some.
In terms of learning, there’s another part to this which is that people need to ‘learn’ the reality of the work and sacrifices others have given in order to be ‘successful’. They need to know that most people don’t become successful because they are ‘privileged’. Unless, of course, you happened to be the child of a famous politician (not taking anything away from those who fit this bill and who have worked hard anyway).
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