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What Doctors and Patients Have to Lose Under ObamaCare
Wall Street Journal ^ | 12/23/09 | By SCOTT GOTTLIEB

Posted on 12/23/2009 11:52:09 PM PST by eartotheground

Democrats are touting the American Medical Association's endorsement of President Obama's health plan. But there's an important reason why the American College of Surgeons and 18 other specialty groups are opposed.

The plan's most tangible efforts to restrain medical costs are through its controls on specialist physicians. Based on the government's premise that they often make wasteful treatment decisions, the health-care legislation in Congress will subject doctors to a mix of financial penalties and regulations to constrain their use of the most costly clinical options. The penalties and regulations are aimed first and foremost at surgeons and the medical devices that they use, largely because that's where the bulk of spending is.

It all starts with the sweeping power that the Senate bill gives to the Centers for Medicare and Medicaid Services. The agency will be given the authority to unilaterally write new rules on when medical devices and drugs can be used, and how they should be priced. In particular, the Obama team wants to give the agency the power to decide when a cheaper medical option will suffice for a given problem and, in turn, when Medicare only has to pay for the least costly alternative.

Now the Obama team will use murky provisions embedded in the Senate bill to subtly attain in law those powers they couldn't more artfully acquire in court. In fact, the bill lets Medicare seek almost any restrictive payment authority it wants from a Medicare Commission established for the purposes of cost control....

(Excerpt) Read more at online.wsj.com ...


TOPICS: News/Current Events; Politics/Elections
KEYWORDS: 111th; bhohealthcare; healthcare; medicine; obamacare; pelosi; physicians; reid

1 posted on 12/23/2009 11:52:11 PM PST by eartotheground
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To: eartotheground
BLUF:

Doctors to lose patients
Patients to lose lives.

2 posted on 12/23/2009 11:58:43 PM PST by gov_bean_ counter (Sarah Palin - For such a time as this)
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To: eartotheground

Dem deathcare.


3 posted on 12/24/2009 12:13:28 AM PST by Brytani (Support Allen West For Congress - www.allenwestforcongress.com)
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To: eartotheground

Now we know why they want Palin to sit down and SHUT UP.

That article details it as well as any I’ve read so far.

What a mess.


4 posted on 12/24/2009 12:32:13 AM PST by Daisyjane69 (Michael Reagan: "Welcome back, Dad, even if you're wearing a dress and bearing children this time)
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To: eartotheground
" Doctors will see 5% of their Medicare pay cut when their "aggregated" use of resources is "at or above the 90th percentile of national utilization," according to the chairman's mark of Section 3003 of the bill."

Either whoever wrote this can't think beyond the first iteration; or they are truly perverse -- or both.

By definition, there will always be 10% of doctors above the 90th percentile.

Assume that there is waste (over-referrals); if all of that waste is eliminated in the first year, 10% of doctors will still be penalized in the second year. And so on, ad nauseam.

Everyone can't be above average; and everyone can't be below the 90th percentile. It isn't rocket science.
5 posted on 12/24/2009 12:47:09 AM PST by USFRIENDINVICTORIA
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To: eartotheground
The unintended consequences of this bill will be catastrophic.

The simple truth is doctors, specialists in particular, will be abandoning the profession by the thousands.

Very sick people will be dying before they receive attention because of a growing shortage of physicians and bureacrats delaying or forbidding treatments and medicines.

We are heading for health care worse than in many third-world countries.

6 posted on 12/24/2009 3:53:37 AM PST by NoControllingLegalAuthority (Tyranny - are we there yet?)
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To: USFRIENDINVICTORIA
By definition, there will always be 10% of doctors above the 90th percentile.

Excellent post that exposes how we do not get the best minds elected to office because they can't process this simple bit of statistical common sense.

7 posted on 12/24/2009 5:14:58 AM PST by T-Bird45 (It feels like the seventies, and it shouldn't.)
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To: eartotheground

8 posted on 12/24/2009 5:59:21 AM PST by Diogenesis ("Those who go below the surface do so at their peril" - Oscar Wilde)
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To: eartotheground

Not one word about reducing Tort lawsuits which cause doctors to use every test possible to practice defensive medicine.

The bankruptcy courts will be flooded.


9 posted on 12/24/2009 6:20:42 AM PST by ridesthemiles
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