Doctors Will be Fined or Jailed if they Put Patients First

Obamacare Endgame: Doctors Will be Fined or Jailed if they Put Patients First by Dr. Elaina George If Obamacare is completely implemented, doctors will no longer be practicing medicine. They will instead become the drones tasked with deciding who gets the meager healthcare crumbs doled out by the bureaucrats who have the ultimate power over patient life and death. Those who are deemed to have illnesses that require treatments which are not cost effective can expect a one way ticket to a hospice.

Like so many bills passed by Congress, there was a hidden provision in the Stimulus bill passed in 2009. It spends 1.1 billion dollars to create an important piece of the framework for the healthcare bill called the Coordinating Council on Comparative Effectiveness Research. It is based on the false premise that doctors in consultation with their patients don’t have the ability to make the right healthcare choices (see executive summary). The council consists of 15 people appointed by the President. They all have one thing in common–they are all isolated from day to day patient care; and therefore, are insulated from the real practice of the art of medicine. It makes it easy to see patients as a cost center to be controlled. With views of members like Dr Emanuel, who champions the complete-lives system, it is hard to ignore the probability that senior citizens, those with chronic illness, and the very young will be on the outside looking in. This council is another example of the people of this country being told by the government that it knows what is best for us. The framework set up by the stimulus bill merely set the stage for the implementation found in the healthcare reform bill. How can the government get doctors to participate in Obamacare thereby a) willingly destroying the doctor patient relationship, and b) betraying their Hippocratic Oath to provide treatments that they deem to be effective? Simple – fear and intimidation. A second board created by the stimulus bill called The National Coordinator for Health Information Technology “will determine treatment at the time and place of care”. They are charged with deciding the course of treatment for the diagnosis given by the doctor. Now it becomes obvious why there has been a big push towards the implementation of universal electronic medical record use. It becomes a tool to completely control the physician and the patient. Those physicians and hospitals that choose to practice individualized patient care in consultation with their patients will be punished because they are not “meaningful users of the system over time.” Beginning January 1, 2013 penalties for doing the right thing for a patient will cost the doctor $100,000 for the first offense and jail for the second offense. This will have a chilling effect and may be the straw that completely breaks the foundation of good medicine – the doctor patient relationship.

46% of physiciansin a survey by The New England Journal of Medicine stated that they would leave the practice of medicine if Obamacare was implemented. This will only further decrease the quality of healthcare when the 30 million more people enter the system. Maybe that’s why there is a big push in the healthcare bill to increase the number of other providers such as physician assistants and nurse practitioners.

There is no question that rationing will become our future. If you add 30 million more people into a system with fewer resources how could you possibly avoid rationing?

Perhaps those members of Congress who passed this nightmare don’t care since they made sure that it wouldn’t apply to them.

Chief Heathcare Advisor to Obama and brother of Rahm Emanuel.

These quotes below are from Ezekiel Emanuel, and it is illustrative because this is what liberals say when they accidentally speak the truth. Remember: when you listen to this despicable SOB, and your mouth is agape because he sounds like he is fresh out of the 1943 Nazi Party, make sure you remember WHO this man is, and WHO HE IS ADVISING.

THIS IS NOT MADE UP. THESE ARE WORDS OF A MAN WHO IS A KEY ADVISOR ON HEALTH CARE TO THE PRESIDENT OF THE UNITED STATES, AND WHOSE BROTHER ISWAS THE CHIEF OF STAFF.

Chief Heathcare Advisor to Obama and brother of Rahm Emanuel.

"Every favor to a constituency should be linked to support for the health-care reform agenda. If the automakers want a bailout, then they and their suppliers have to agree to support and lobby for the administration's health-reform effort."

Ezekiel Emanuel quote on whose life is important:
"Strict youngest-first allocation directs scarce resources predominantly to infants. This approach seems incorrect. The death of a 20-year-old woman is intuitively worse than that of a 2-month-old girl, even though the baby has had less life. The 20-year-old has a much more developed personality than the infant, and has drawn upon the investment of others to begin as-yet-unfulfilled projects.... Adolescents have received substantial substantial education and parental care, investments that will be wasted without a complete life. Infants, by contrast, have not yet received these investments.... It is terrible when an infant dies, but worse, most people think, when a three-year-old child dies, and worse still when an adolescent does."

Ezekiel Emanuel quote on why a 25 year old gets priority over a 65 year old person:
"Unlike allocation by sex or race, allocation by age is not invidious discrimination; every person lives through different life stages rather than being a single age. Even if 25-year-olds receive priority over 65-year-olds, everyone who is 65 years now was previously 25 years."

Ezekiel Emanuel quote his opinion that doctors take the Hippocratic Oath "too seriously":
"Vague promises of savings from cutting waste, enhancing prevention and wellness, installing electronic medical records and improving quality are merely 'lipstick' cost control, more for show and public relations than for true change. Savings will require changing how doctors think about their patients. Doctors take the Hippocratic Oath too seriously, as an imperative to do everything for the patient regardless of the cost or effects on others."

Ezekiel Emanuel quote on government empowerment to decide who gets "saved":
"Ultimately, the complete lives system does not create 'classes of Untermenschen whose lives and well being are deemed not worth spending money on,' but rather empowers us to decide fairly whom to save when genuine scarcity makes saving everyone impossible."

Ezekiel Emanuel quote on his idea of "The Complete Life System" and "attenuating" the care of younger and older people:
"When implemented, the complete lives system produces a priority curve on which individuals aged between roughly 15 and 40 years get the most substantial chance, whereas the youngest and oldest people get chances that are attenuated."

Ezekiel Emanuel quote on not guaranteeing health care to people with dementia:
"Services provided to individuals who are irreversibly prevented from being or becoming participating citizens are not basic and should not be guaranteed. An obvious example is not guaranteeing health services to patients with dementia."

Ezekiel Emanuel quote on how political processes should be used to pass socialized heatlhcare:
"Every favor to a constituency should be linked to support for the health-care reform agenda. If the automakers want a bailout, then they and their suppliers have to agree to support and lobby for the administration's health-reform effort."

The government plans to put us all into a medical foundation model similar to Kaiser Permanente health system. Medical care is strictly controlled by cost analysis. Health care is delivered through a capitated system where you only have so many dollars to cover a group of “lives”. You can not see specialists outside of the system. Medical and surgical sub specialist will get screwed if they don't get into the foundation because they will get no referral. Freestanding surgery centers and endoscopy centers will get screwed because the insurance companies will direct patients to only the Hospitals via high co-pays if you go to a free standing center. Overall, they are destroying free market aspect of medicine which is actually the most efficient and cost effective.

Foundation style medicine is great for the young and healthy but is horrible for patients who are old and have chronic illness. They won't pay for advanced chemo-therapies or surgeries. These systems drag their feet to get patients into treatment thus killing off the sick population. All of this amounts to rationed care and sophisticated death panels.

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