[doc11355]

...the few provisions of the law that *DID* kick in right away (which I would argue were the only provisions that were really meant for consumption) are not all that bad - like incentivising adoption of electronic medical records, incentivising quality care with ACO’s and reforms that really do make a good deal of sense (at least to me).

I appreciate your optimism that the provisions you cite seem "not all that bad" from your perspective.

Keep in mind that you're looking in from the outside while some of us are getting hit by them on the inside. While they may seem to have laudable goals to you, the provisions you cite are just the same onerous top-down, inefficient Federal mandates that never work as intended elsewhere.

Why would you believe that arbitrary, restrictive Federal regulations would work any better in a hugely complex system like medicine than they would anywhere else in the economy?

[2 Kool 2 Be 4-Gotten]

Well I’m actually more of an insider than you might think. Believe that or not - but I see things from the inside looking out rather than the outside looking in.

Health care is the last major industry to go electronic. Imagine if the airline reservation system functioned like a doctor’s office or a hospital with paper charts and scribbled notes? To me it only makes sense that health care needs to enter the 21st century with respect to how information is handled. I never claimed that it was easy - only necessary.