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.

Here we have these people with his mindset (and don’t let anyone fool you...they all feel this way) where people less than age 15 and more than 40 will have, in the words of this hideous excuse of a human being “chances that are attenuated” .

Let’s roll that one around on the tongue just a bit. “chances that are attenuated”.

I think anyone with a half a brain (who, by the way, will be one of those with “chances that are attenuated”) can understand clearly what that means. It means if there is ONE surgeon available to either do a bypass on a 50 year old guy or to repair vascular damage on a 21 year old who cracked his car up while doing ecstasy, then the jackass on ecstasy gets to live.

We know this, because there will be rules in place. Inflexible rules, backed up by the power of the federal government to levy a first offense fine for non-compliance of $100,000 and a second offense punishable by incarceration. (Note: This description of “The Complete Lives System” by Dr. Mengele’s kindred spirit, Dr. Emanuel, is not in the law. Yet. But his OWN words illustrate his mindset...)

This physician in the video who said he spoke in front of hundreds of members of congress on this already knows what is going to be done. According to him, he will examine the patient, enter diagnosis codes (probably ICD-10 codes) which will then query the government for appropriate treatment, which he will then be REQUIRED BY LAW to follow. Required by penalty of law, backed up by fines and incarceration.

It may not be evident that there will be rationing, but there will be. Rationing will take place in a variety of ways. In much the way I believe the government is limiting the 2nd Amendment rights of gunowners by restricting the availability of both guns and ammunition in a variety of ways, our access to health care will be limited.

Today, if you have certain indications on a mammogram, a biopsy is set up immediately, speed is of the essence. You may even get a cutting edge Breast MRI exam, which is an excellent modality for resolving questions on those indications. It works well, and is getting better. The profit motive is there for hospitals and imaging centers to provide the service at levels people and clinicians want.

The plan of those who want nationalized healthcare is to make it unprofitable, to the point where services will not be immediately available. Now, you might be able to get a breast MRI in a matter of weeks. In the future, they may agree to allow breast MRI, but will simply reimburse so little that hospitals and imaging centers will be unwilling or unable to provide the patient with an MRI in less than six months.

When reimbursements are cut in a variety of ways, this affects the entire healthcare industry (yes...it is an industry, and a profitable one. Which is good for consumers) By cutting how much gets paid, there is less money to hire technologists to run the scanners and radiologists to interpret them. So, the first thing to go will be the hours of operation. Instead of running 24x7, they will be open 8 hours a day, Monday through Friday. Boom. A large part of bandwidth is going to disappear, and the wait time will go from weeks to months.

Then, the amount of money available for system maintenance and software/hardware upgrades diminishes, there is more unexpected downtime, and great technologies like breast MRI are never developed. (I use breast MRI as an example, but there are hundreds, no, thousands of examples. Breast MRI is just one...) Dissatisfaction on the part of patients increases due to long waits and unnecessary time taken off work (for those who will be lucky enough to actually have a job)

But the biggest effect will be that care will be delayed. Things that were curable and treatable will become incurable and untreatable due to the progression, and these people will fall into the “attenuated chances” pool. You will, in the words of this Piece of Crap in the White House, be given a pill and told there it little that can be done.

Do I sound angry? DAMN RIGHT. I AM angry as hell. We have the best healthcare in the world, bar none. Capitalistic forces drive it, but it is there. These marxists in power despise capitalism, and are going to destroy the quality of the system by removing its evil underpinnings.

Basically, they are going to turn it into Soviet style healthcare.

So, that 50 year old guy who needs a surgeon...well, he is $hit out of luck. Unless his name happens to be Dr. Emanuel or Senator Kennedy. Then, they won’t have to follow the rules, because we “need” those people.

They are more important, the government says so.

They can, and likely, will. This was one of the problems they had up in Canada, they outlawed private practice of medicine and imaging to force everyone into the government run system and avoid people doing end-runs around it. They do have private practice, but it is publicly funded. So, if you are a doctor, you are paid by government money. You don’t play by their rules, you don’t get paid.

I fully expect that will be the same here when this is completely implemented.

Of course, Canada had such intractable issues with availability of imaging (big surprise there) that they have begun to allow private imaging centers to begin opening again to alleviate the backlog.

Nothing like allowing money to incentivize behavior. Funny how that works...Thomas Sowell, in his great books, goes on at length on why it works so well, and why free-market capitalism will kick the crap out of centrally controlled government every single time.

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