Actually, they’d create just a bunch of screening sites for the death camps.
The “Patient Centered Medical Home” is the name of a well-meaning scheme to re-create the solo family doctor type of care within big practices. The “team” would be bound by all sorts of protocols and electronic reminders to follow up and follow through, so that a patient is more likely to be followed by the same people, less likely to fall through the cracks or get the run around through unnecessary and redundant tests, sub-specialists, etc.
The problem, in addition to the assumption in Washington that you’re only worth your next donation to the DNC, is that the bill would allow these PCMH’s to be headed by nurse practitioners, not just family docs, internal medicine docs or pediatricians.
They would also probably be lumped in with a local hospital and out patient care group to ‘manage’ the patients’ disease care:
30 day bundling of hospital and post-hospital care.
Bullet points to be met for each disease classification.
Step wise “evidence based” medication and therapy, with little recourse for those of us who don’t fit the protocol or who wish to skip a few steps, even if we can afford to pay out of pocket.
And, yes, 4 States allow “physician assisted death” (which still stinks of suicide and murder, no matter what you call it).
Some docs will probably find ourselves practicing under ground, eventually. And if our experience with Shalala (who threatened to prosecute Medicare patients who dared to pay their own money) is any indication, the patients will have to find a back alley doctor, too.
My Mom lived in a Personal Care Home for about 18 months before she died. It was actually, overall, a good experience for her. She wound up having a lot more fun than she had been having living alone. There were problems, but on the whole it was good — far better than a nursing home.
I don’t believe anything these thug leftist progressive commos create will resemble that.
OTOH, the Nurse Practictioner degree is to be upgraded to a Doctoral level degree by 2015, so there really isn’t any reason for them not to be running these things, in my opinion.