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Great Britain and Canada Are What Can Be Expected If Obamacare Implemented

admin — Sat, 12 Jun 2010 09:00:46 +0000

Great Britain and Canada are finding that the relentlessly escalating costs of socialized medicine present a financially untenable situation. There is not enough money to meet the needs of the unrestrained demand. Of course, this situation was entirely predictable despite the dissembling and prevarication by liberals.

How are they contemplating addressing this problem? Rationing.

Since they can’t afford to pay for all the services demanded, the governments will selectively limit usage by restricting visits, procedures and other utilizations. In addition, there will be a requisite deterioration in quality of care.

Such an outcome was resolutely predicted and feared by millions of Americans who opposed Obamacare. In spite of this vociferous opposition, Obama and the arrogant elitist Congressional Democrats rammed the legislation through, needing corrupt stratagems in order to bribe some of their fellow ideologues to vote yes.

If Obamacare is not repealed or defunded, what is transpiring in Great Britain, Canada and elsewhere will occur here as well, long after the deconstruction of the world’s best healthcare system. And we will also be tens of trillions of dollars more in debt than necessary … and probably bankrupt.

The Doctor Will See You Later
Investors Business Daily 06/07/2010

Health Care: The British government has decided that it needs to cut millions of operations because the public system cannot afford them. This is coming soon to a hospital or doctor's office near you.

According to the Daily Mail, Britain's National Health Service is "preparing to cut millions of operations" so that it can save $29 billion by 2014. Procedures that will be "decommissioned," if we may borrow a particularly descriptive term used by one doctor, include hip replacements for obese patients, some operations for hernias and gallstones, and treatments for varicose veins, ear and nose problems, and cataract surgery.

Thus is the future of all socialized medicine. Bureaucratic rationing of treatment is inevitable. No system can forever meet the demand of "free" care. Jeff Taylor of the Economic Voice clarified the problem when he wrote last week that "the U.K. is broke."

"Our whole society and way of life is now built on the shaky foundation of debt," he writes in response to the NHS cuts.
"Our hospitals, schools, armed forces, police, prisons and social services are founded on debt. In truth we have not yet paid for the operations that have already taken place."

As former British Prime Minister Margaret Thatcher famously — and fittingly — said: The problem with socialism is you eventually run out of other people's money to spend. This is a universal truth, more universal than the health care provided in Britain. To trifle with it, ignore it, disrespect it, attempt to repeal it or arrogantly try to bypass it will always lead to trouble.

Yet the political left continually makes those mistakes and operates as if governments will never run out of other people's money. Until it does. And then the government has to make cuts and ration the benefits.

What have the congressional Democrats who rammed through their health care overhaul been watching over the years as both hard and soft socialist governments have either collapsed, continued to bring misery or become unsustainable? Despite ample evidence that a welfare state cannot thrive, these lawmakers have forced on the country a "reform" that will load Americans with a burden they will not long be able to bear.

Though it was sold to the public as a plan that, at $940 billion over the first decade, would bring down the deficit, the real cost for the initial 10 years could be as much as $2.5 trillion, including mandates placed on the private sector, according to an estimate by the Cato Institute.

It's possible that the Cato projection is off. But history shows us that it's more likely to be right than Washington's estimate. Government programs always cost more than the rosy initial projections that are used to drum up public support. It's another lesson that remains unlearned by most of our elected officials and the voters who keep putting them in office despite the problems the lawmakers refuse to stop creating.

Given our lawmakers' inability to learn from the health care policy blunders committed in Britain and Canada — which is reassessing its model because of ruinous costs — no one should be surprised when rationing by bureaucracy becomes a feature of the U.S. public health care system.

There should be no shock when waiting lists for treatment are simply rosters of Americans suffering — and in some cases dying — from a lack of care. No astonishment when those who do get treatment get substandard care, no dismay as a two-tiered system develops in which the more important among us get top-flight medicine while the rest get what the public clinics have to offer.

Our own polling shows that the disapproval of the Democrats' health care legislation is beginning to wane. That's as alarming as the heated opposition to the law had been encouraging. If we surrender ourselves to the soft tyranny of elected officials gone too far, we will be leaving an America that future generations won't want.

http://www.investors.com/NewsAndAnalysis/Article/536549/201006071833/The-Doctor-Will-See-You-Later.aspx

“Unexpected” Obamacare Costs Continue Their Relentless Rise Years Before Implementation

admin — Sun, 06 Jun 2010 09:00:28 +0000

To no one’s surprise, the total theorized costs of Obamacare are continuing to increase years before the first patient is planned to be seen under the system. That is, if the nationalized healthcare fraud doesn’t die a quick death beforehand from strangulation by defunding or repealing. The whole process was interminably corrupt and opaque in order to be able to pass it against the vociferous opposition of a large majority of Americans.

Just to implement one of their ideological linchpins.

Fiscal Fraud of Obamacare Snowballing Already
Terence P. Jeffrey 6/02/2010
Remember the health care issue? Well, the fiscal consequences of the socialized medicine scheme enacted by President Barack Obama and Congress just two months ago are already beginning to snowball.

Democratic Rep. Henry Waxman of California, the chairman of the House Committee on Energy and Commerce, was one of the key architects and advocates of Obamacare. He was back on the House floor on Friday delivering an urgent plea to fellow Democrats that inadvertently -- or, perhaps, unavoidably -- revealed the fraudulent nature of our new national health care regime.

It was supposed to save the taxpayers money, remember?

"This legislation will lower costs for families and for businesses and for the federal government, reducing our deficit by over $1 trillion in the next two decades," Obama said when he signed the bill.

On Friday, Waxman declared that the sky is about to fall on the Medicare system. He went to the House floor to "urge" his colleagues to vote for a bill that includes $102 billion in new federal spending and would add $54 billion to the national debt over the next 10 years -- $25 billion of it in the few months remaining in this fiscal year.

Why did Waxman believe this new borrowing-and-spending was necessary?

"It's absolutely critical to do this if we are going to keep doctors in Medicare and keep the promise to Medicare beneficiaries that they will have access to physicians' services," said Waxman. "This provision will provide a moderate increase in physicians' fees, 2.2 percent for the rest of the year. If we don't act, doctors' fees will be cut by 21 percent from where they are today. This would be unconscionable."

It would not merely be unconscionable. If the 21-percent cut in Medicare fees for doctors -- that, in fact, legally took effect on June 1 -- is allowed to stand, many doctors in this country will simply stop seeing Medicare patients. They will not be able to afford it. The cost to them of serving their patients will exceed what they are paid. Their profit margin will be swept away.

To make precisely this point, 12 national surgeons' associations -- including the American Association of Neurological Surgeons, the American Association of Orthopedic Surgeons and the American Academy of Otolaryngology-Head and Neck Surgery -- sent House Speaker Nancy Pelosi a letter last Wednesday warning her what would happen if Medicare doctors' fees are slashed as they are scheduled to be under current law.

"These continued payment cuts, rising practice costs and a lack of certainty going forward, make it difficult, if not impossible, for already financially challenged surgical practices to continue to treat Medicare patients," the surgeons' associations told Pelosi.

The letter pointed the speaker toward the results of a survey of more than 13,000 physicians done in February by the Surgical Coalition, a group of more than 20 medical associations. The survey asked these doctors what they would do if Medicare fees were slashed by the scheduled 21.2 percent.

Twenty-nine percent said they would opt out of the Medicare system entirely. Almost 69 percent said they would limit the number of appointments they would take from Medicare patients, 45.8 percent said they would start referring complex Medicare patients to other physicians, 45.3 percent said they would stop providing certain services, 43.8 percent said they would defer purchasing new medical equipment and 42.7 percent said they would cut their staff.

Almost 4 percent of the doctors said they would close or sell their practices.

Why did Congress plan to slash the doctors' Medicare fees in the first place? It didn't. In the past, the majority in Congress has routinely enacted budget bills that fraudulently assumed that on some future date the federal government would dramatically slash the Medicare fees paid to doctors, knowing that before that date arrived the majority would pass "emergency" legislation postponing the cuts to some still-future date. The majority in Congress does this so the long-term deficits caused by their spending bills appear to be smaller than they actually are.

As originally proposed, Obamacare would have ended this practice, permanently setting Medicare reimbursement rates for doctors at the true anticipated level. But the Congressional Budget Office determined that doing so would have added $208 billion to the cost of Obamacare over 10 years, forcing the CBO to declare that Obamacare added to the deficit rather than reduced it. That would have cost Obamacare votes on the House floor and quite possibly defeated the legislation.

So the congressional leadership stripped the "doc fix" out of Obamacare and left it to another day.

Waxman went down to the floor last Friday to declare that day had come. Unfortunately, for him, the Senate had already left town for its Memorial Day vacation. So, the current fix will have to wait until it returns.

Even then, the fix only accounts for $22.9 billion of the $102 billion cost of the bill the House did pass on Friday. Most of the rest of the money is for extending unemployment benefits and special targeted tax breaks.

The $22.9 billion fix for the doctors' fees -- if passed by the Senate -- would only last through September 2011. Then Congress will presumably do it all again -- or let the Medicare system collapse.

In the meantime, Obamacare is supposed to cut half a trillion in spending from elsewhere in Medicare, while Obama's budget -- not counting the $54 billion in new debt included in this bill -- is expected to add $9.8 trillion to the national debt over the next 10 years.

http://www.humanevents.com/article.php?print=yes&id=37301

Congressional Testimony From Just One Florida Hospital On The Devastating High Costs Of Unreimbursed Illegal Alien Health Care

admin — Fri, 28 May 2010 09:00:27 +0000


This is just one hospital. Multiply this same story by every hospital in this country with every case and you can't even grasp the unlimited scope and cost of this problem. It is an absolute outrage that must be summarily stopped. It is bankrupting hospitals, forcing many to close. The costs of this unreimbursed care to the states is in the tens of billions of dollars per year at minimum with millions of taxpayers on the hook for these avoidable expenses. 
The answer is secure the border and immigration reform.
Now!



Obamacare is Quintessential Socialism and It Must Be Rescinded
admin — Thu, 20 May 2010 09:00:44 +0000
In the 1950’s, Ronald Reagan warned us that health care could be used as a means to introduce and implement socialism. His words were quite prescient.
Though the public was and is vehemently against government run health care, the Obama Administration, Pelosi and Reid used bribery of corrupt politicians, and threats, lies or disingenuous arguments with feckless other in order to acquire enough votes to pass the legislation.
Again this was done in spite of overwhelming sentiment by the public against socialized medicine. It was a coup by a power hungry and ideologically driven government that disdains its citizens.
Now it is our turn …!
Obamacare Equals Socialism on Steroids 

David Limbaugh      May 13, 2010
We knew Obama was prevaricating when he told us his purpose to cram through Obamacare was to provide universal access to coverage and reduce costs, but how many people did he manage to fool? How many are still fooled?
He repeatedly complained that America spent more on healthcare than other nations "but wasn't any healthier." He grossly distorted the numbers of chronically uninsured. He lied about his support for a single-payer plan and in denying that the "public option" was a Trojan horse for such a plan. He misled us concerning his intention to federally fund abortions and the coverage of illegals.
He deceitfully insisted that he wouldn't interfere with the patient-doctor relationship, that patients could choose to keep their own plans, that his plan wouldn't lead to rationing and that it would increase the quality of care.
Perhaps his most cynical fraud was his line that he would not sign a bill that would add one single dime to the federal deficit. Along with the uninsured canard, this was his biggest selling point for Obamacare: Healthcare costs were skyrocketing, and he had the magic bullet to remedy that.
Well, we already have objective proof (courtesy of a delinquent Congressional Budget Office pronouncement) that this, too, was a lie.
Obama and congressional Democrats moved budgetary mountains (in the way David Copperfield moves mountains onstage) to create the CBO-supported illusion that his bill wouldn't increase federal budget deficits.
By asking the CBO to make absurd assumptions and by borrowing from other mythical funds (Medicare), Obamacrats were finally able to make the numbers balance, just long enough to give Obama cover to sign the bill.
But less than two months after he signed the bill into law, the CBO, in response to Rep. Jerry Lewis' request for a rescoring based on realistic assumptions instead of the bogus ones Democrats submitted, has already admitted its estimate didn't take into account "discretionary" expenditures that will add some $115 billion worth of costs.
With the publication of this news, the administration is now making noise, threatening not to fund the bill unless Congress finds sufficient savings elsewhere to nullify that "unexpected" cost increase.
Give me a break. Just how stupid can these people think we are? They knew about these false assumptions before Obama signed the bill, and they're not about to withdraw their wholesale endorsement for Obama's crowning legislative "achievement."
But as bad as Obama's lies were about the costs of his plan, many of us warned that a greater evil in Obamacare was its guaranteed path to reducing our freedoms.
Ronald Reagan was not just issuing platitudes when he said, "One of the traditional methods of imposing statism or socialism on a people has been by way of medicine. It's very easy to disguise a medical program as a humanitarian project . . . From here, it's a short step to all the rest of socialism."
No truer words were ever spoken, and you can be sure that Obama believes it, too, which is exactly why he misrepresented almost every aspect of his plan in order to get it passed — and even then, just barely.
His real purpose, as many of us have been telling you ad nauseam, is to greatly increase the size and scope of government and government control and, in the process, further radically redistribute wealth. He's a socialist. These aren't just words. He really is.
As it turns out, we don't have to wait any longer to prove we were correct about this, too. Obama has nominated Donald Berwick to run the Centers for Medicare and Medicaid Services.
I discovered in research on my upcoming book that experts believe that under Obamacare, the role of the CMS will be greatly expanded to define the quality of healthcare for every insurance plan, set reimbursement rates for physicians in Medicare and Medicaid, and decide how valuable certain treatments are.
According to Robert M. Goldberg of the Center for Medicine in the Public Interest, Berwick essentially "will get control of the practice of medicine."
It would be scary enough for a bureaucrat of normal sensibilities and saner politics to have such control, but RedState has uncovered the extent of Berwick's radicalism — like so many of Obama's other appointees.
Berwick is an Ivy League academic who loves wealth redistribution and believes that healthcare is an ideal vehicle to achieve it.
Berwick said: "Any healthcare funding plan that is just, equitable, civilized, and humane must . . . redistribute wealth from the richer among us to the poorer and the less fortunate. Excellent healthcare is by definition redistributional."
Berwick also lusts after the British system of socialized medicine, saying that America's healthcare system runs in the "darkness of private enterprise."
How much more proof do people need about Obama?
http://www.newsmax.com/Limbaugh/Obama-Obamacare-healthcare-public/2010/05/13/id/358958



Nancy Pelosi Touting Free Healthcare To Some To Be Paid By The Rest of Us.
admin — Tue, 18 May 2010 09:03:17 +0000
Pelosi to Aspiring Musicians: Quit Your Job, Taxpayers Will Cover Your Health Care

Sounds like socialism … er, communism as in communist Russia of the 1970’s. 
We need to stop this transfer of wealth and killer of motivation and productivity which enslaves working individuals and forces them to pay for those who are not contributing.



Obamacare Legislation Mandates 1099′s For Every And All Business Transactions In Excess of $600!!
admin — Wed, 05 May 2010 09:00:34 +0000
We have relentlessly been stating that Obamacare was not truly about improving the quality, cost or availability of health care but instead about government control and power. The following discovery exposes yet another example of this and adds to the litany of egregious mandates contained within this corrupt, dishonest, destructive and freedom and rights abrogating legislation.
A New ObamaCare Horror Story

Rick Manning    4/29/2010
America is discovering in horror just what Nancy Pelosi meant when she famously stated during the health care debate that, “we have to pass the bill so you can find out what is in it, away from the fog of the controversy.”
The past couple of days the news has been filled by reports that the Obama Administration’s own actuary for the Center for Medicare Services estimates that costs of the law are anything but revenue neutral and that they far exceed the ‘estimate’ provided to the public by the Administration. While many are chasing the question of if Obama knew about the higher estimates, when he knew, and if he suppressed them until the vote occurred, there is another massive problem discovered within the law.
Businesses will have to file 1099 forms with both the IRS and send them to the company that provided the services or sold the product for every expenditure that exceeds $600. If you react to this sentence the way my wife, who has run a small business did, you are saying, “that can’t be right, 1099s are only for contract employees.”

Well forget everything you thought you knew about 1099 forms, because Obama’s health care law has changed it.
In practical terms, here is what the new law means. Joe’s Plumbing prints up 100 color presentations at FedEx Kinko’s for a trade show in New Orleans, where they are staying at a Holiday Inn for six days.
At a minimum, Joe’s Plumbing will have to contact FedEx Kinko’s, the airline, Holiday Inn, the rental car company, and the organization sponsoring the trade show and get taxpayer identification numbers from them so they can comply with this tax law. The company will then have to send out 1099 forms to each of these vendors and dozens, hundreds or thousands more vendors, depending upon the size of the company, thus adding significant compliance costs to every business in America. Everyone from a company’s accountant, to building supplier, to carpet cleaner to janitorial service will be trading 1099 forms.
Yes, that’s right, trading 1099 forms, because at the same time, Joe’s Plumbing will also be receiving 1099 forms from every one of their business customers who spent more than $600 with them over the course of the year, which they will be required to keep and reconcile against their books.
Do you have any wonder why Joe’s Plumbing might be more than a tad bit irritated? The new Obama health care takeover just took a guy with a pipe wrench, pvc pipe and a plunger and forced him into Dante’s eighth circle of hell – tracking and filing IRS paperwork.
So, what kind of IRS rules will be put into place to set the framework for how all these tax forms must be filed and stored?
Actually, bombshell number two is that the IRS will not be setting these rules. Instead, those noted tax experts at the U.S. Department of Health and Human Services will be writing and overseeing these tax regulations. Why? Who knows? It is the Alice in Wonderland world of the Obama health care bill.
U.S. Representative Dan Lungren (R-CA) has taken the first steps in alleviating this paperwork chokehold on America’s small business by introducing legislation to repeal this new burden.
Let’s hope that America’s businesses tell their Members of Congress to repeal what Lungren calls the “rat” tax, but what many observers believe should rightfully be called the preparation for the liberal Shangri-la of the VAT tax.
After all, once businesses are tracking every transaction over $600 and filing IRS paperwork on it, how much harder will it be for Congress to just say, add 10% to each bill and send it our way, extending taxation to every level of business unseen to unwary consumers who suddenly just see retail prices rise without knowing the increase is a new, hidden tax.
The requirement goes into effect January 2012. Better get a CPA on retainer. And stock up on toner and paper.
Rick Manning is the Director of Communications for Americans for Limited Government, and the former Public Affairs Chief of Staff for the U.S. Department of Labor.
http://www.netrightnation.com/index.php?option=com_content&view=article&id=1252650:a-new-obamacare-horror-story-&catid=1:nrn-blog&Itemid=7
http://www.getliberty.org/content_images/New%20ObamaCare%20Horror.png



Federal Government Run VA Hospitals and Associated Healthcare Are Unacceptably Abysmal – So, Why Not Do Obamacare?
admin — Thu, 29 Apr 2010 09:00:05 +0000
The Veterans Administration Hospitals, run by the Federal government, are notoriously horrific on myriad accounts and has been so for years. Negligence, poor patient care, disarray, confusion, bureaucracy are just a few adjectives that can begin to describe the “quality” or lack thereof associated with the VA. And this is just a fraction of the size that Obamacare will be.
So Obama and Congressional Democrats really believe that they can used this along with what has been learned from the Medicare program and the Post Office to provide outstanding care that exceeds what we have now, to more individuals and for less?
Wrong!!
As we have reiterated numerous times, Obamacare is not about healthcare. It is all about government control, power and spreading the wealth around.
Obamacare must rescinded or rendered impotent!
VA Claims Office Takes SNAFU to a New Level

Jana Winter    FOXNews.com    April 19, 2010
Last month, a decorated Gulf War hero received a letter from the Veterans Affairs Administration that said: We are working on your claim for menstrual disorder. He was surprised -- but not as much as one might think.
Last month, a decorated Gulf War hero received a letter from the Veterans Affairs Administration that said: We are working on your claim for menstrual disorder.
There was just one problem: The claim was submitted for fibromyalgia.
Make that two problems: The claim was submitted by Glenn McBride, a 40-year-old man from Roanoke, Va., who most definitely does not get menstrual cramps.
It's a bad sign when your health insurance provider can’t figure out which gender reaches for the Midol. (Hint: it's the one without the prostate.)
The Department of Veterans Affairs is notorious for bungling health care benefits, and its Roanoke regional office, which handled McBride's claim, has long been considered among the worst.
In September 2009 a surprise inspection found the office was collapsing under the weight of its own bureaucratic incompetence. Literally.
Its filing system — floor-to-ceiling stacks of overfilled file cabinets and loose claims folders — weighed twice as much as the building's structure allowed, threatening the lives of everyone inside. Inspectors also found missing and improperly filed, stored and processed claims, among other problems. The regional office was ordered to overhaul the health care processing center completely.
By last month, six months later, there should have been some improvement. Instead, McBride received a letter that included this perplexing request for additional information:

"On the VA Form 21-4138, Statement in Support of Claim you sent on October 8, 2009, you included menstrual disorder. Please specify what you intended to claim for this condition."
McBride, whose 14 years of Army service included a combat tour with one of the most highly decorated units during Desert Storm -- and did not include any complaints about menstrual cramps, so far as he can recall -- insists this was not just a clerical error. He says it's one more example of the VA ignoring or messing up claims in order to avoid paying benefits.
"If the VA does not actually recognize the request, they do not have to give the award," he said. "Sort of like a perverted form of 'See no evil, Hear no evil, Speak no evil.' Most people just throw up their hands in frustration and walk away at this point. That is the VA's plan."
The VA, asked to comment about McBride's complaint, issued a statement in which it said:

"The Department of Veterans Affairs' (VA) mission is to be an advocate for Veterans. VA has a responsibility to assist Veterans during the claims process. Part of that duty is to include all possible issues that a Veteran references in his or her initial claim package. VA regrets any confusion that Mr. McBride's claim may have caused. VA Regional Office employees have reached out to Mr. McBride to clarify the confusion, determine the types of issues he wants to claim, and identify any outstanding concerns that he may have."
Jim Strickland, a veterans advocate who writes a regular health care benefits column on VAWatchdog.org and has his own benefits-related Web site, said he wasn't at all surprised to learn of McBride's "menstrual" letter. "There are 57 regional offices and every one is operating in total chaos and in crisis," he said. "Full frontal mass chaos. Every day."
Contacted in the middle of the week, Strickland said he'd already received two e-mails from veterans who were mailed the records of other veterans. And he provided his most ridiculous example of a nonsensical claims letter, one that managed to try to collect debt and to discuss overpaying the same debt -- at the same time.
For Gulf War veterans who fought during a certain time period, certain health conditions are considered presumptive, meaning that such a high percentage of that group has been diagnosed with the condition it's presumed that it was caused by military service, and coverage is automatically granted. Fibromyalgia, a chronic pain condition, is a presumptive one for McBride.
Because of his years of experience dealing with the VA, McBride likes to provide as much information as possible when he submits claim forms. (He also gets a signed and time-stamped receipt upon delivery.) When he sent in his claim for fibromyalgia, he typed clearly at the top of the form: "This form is an official request for SERVICE-CONNECTION for FIBROMYALGIA." He included an extract of a VA "fast letter" regarding presumptive conditions — basically providing the VA with its own policy on Chronic Fatigue Syndrome, Fibromyalgia and Irritable Bowel Syndrome. "Menstrual disorder" is included in the VA's list of symptoms.
"The VA just breezed right through the facts and settled on the obscure," McBride said. "The Roanoke office clearly hasn't changed."
Strickland says the problem at the root of letters like McBride's is a bonus structure paid out to VA claims employees.
"The more work, the better the bonus is," he said. "It's strictly volume, not quality driven. There is no accountability whatsoever.
"The art of the Teflon Jacket has been perfected at our VA. They are really totally invulnerable to your criticism."
When the editor of VAWatchdog.org posted an April Fools Day joke -- "VA DOCTOR TRIES TO GIVE PROSTATE EXAM TO WOMAN

VETERAN (April Fool); VA physician: 'Nobody told me the patient was a female. How the hell was I supposed to know that?'" -- McBride sent in his "menstrual" letter.
It was posted on the same site under the heading, "Today's Whiskey Tango Foxtrot? award goes to the VA's Roanoke, Virginia Regional Office."
The site's editor describes the award:

"Every now and then we get a story about the VA that just can't be. But, it is! Because, remember, we're not dealing with regular people ... we're dealing with the VA. That's when we throw up our hands and scream at the sky:
"'Whiskey Tango Foxtrot?'"
Which is longhand for: WTF.
http://www.foxnews.com/us/2010/04/19/veterans-health-claims-menstrual-disorder/



“Brilliant” Solution To Worsening Physician Shortage As A Consequence of Obamacare: Creating Nurse “Doctors”
admin — Tue, 20 Apr 2010 09:00:51 +0000
Fresh and ongoing from it initiating, feeding and perpetuating the housing debacle and collapse, the Federal government with its pernicious Obamacare is poised to destroy medicine and medical care as we know it here in the United States. If allowed to take root, gone will be the world’s best and most sophisticated healthcare system, home of most of the most important innovations and discoveries in medical care. In its place will be a near 3rd world level of “quality” of care encumbered by an oppressive and arcane government controlled system. At least in third world countries they don’t have swarms of attorneys pullulating like flies looking for their next jackpot.
It is commonly known that there will be a significant shortage of primary care physicians in the future which Obamacare will tremendously exacerbate for myriad reasons. Of course, neither Obama or Congressional Democrats considered this in their reckless haste to ram the healthcare reform legislation into effect. What a surprise – politicians didn’t anticipate something inherently important?
The end result? You will have the “right” of healthcare but you may not have a doctor to provide it to you. If you are ultimately able to schedule an appointment to see a doctor, you may have to wait an excessively long period of time to finally be seen, or be seen by a physician located far from where you live or work, or be herded through like cattle spending little time with the doctor who is massively overworked and overloaded with patients (and over-regulated).
Does the word “rationing” ring a bell? Or decreased quality of care? These were all important issues that were raised by those who opposed the Democrats’ plans but were ignored or denigrated by them and the press.
What is a “brilliant” solution for this problem that is being considered by the government? Have nurses act like doctors. Add a little more training, change some statutes and voila! Doctorlight. Easy! Just don’t be very sick or you might not make it to a real doctor.
And if the nurse gets a PhD, they can officially be addressed as Dr., adding to confusion but subtracting from quality. This proposal would place millions of Americans at unnecessary risk due to inferior training and as a consequence, inferior care.
Furthermore, given the government’s plan to reimburse these nurses the same or marginally less than real doctors, why would any sane person want to become a doctor? After all, for maybe $5 to $10 more per patient that a doctor would be reimbursed versus a nurse, that person would also have to go to medical school and residency for up to 11 or more years, assume debt to pay for school of $250,000 or more and then pay malpractice rates in practice that can exceed $100,000/ year.
This will surely dissuade many including the best and brightest from seeking a career in medicine and don’t we want our doctors to be smart and competent?
Sounds like another government plan causing unintended consequences.
Doctor shortage? 28 states may expand nurses' role

By Carla K. Johnson (AP) – 4/15/2010
CHICAGO — A nurse may soon be your doctor. With a looming shortage of primary care doctors, 28 states are considering expanding the authority of nurse practitioners. These nurses with advanced degrees want the right to practice without a doctor's watchful eye and to prescribe narcotics. And if they hold a doctorate, they want to be called "Doctor."
For years, nurse practitioners have been playing a bigger role in the nation's health care, especially in regions with few doctors. With 32 million more Americans gaining health insurance within a few years, the health care overhaul is putting more money into nurse-managed clinics.
Those newly insured patients will be looking for doctors and may find nurses instead.
The medical establishment is fighting to protect turf. In some statehouses, doctors have shown up in white coats to testify against nurse practitioner bills. The American Medical Association, which supported the national health care overhaul, says a doctor shortage is no reason to put nurses in charge and endanger patients.
Nurse practitioners argue there's no danger. They say they're highly trained and as skilled as doctors at diagnosing illness during office visits. They know when to refer the sickest patients to doctor specialists. Plus, they spend more time with patients and charge less.
"We're constantly having to prove ourselves," said Chicago nurse practitioner Amanda Cockrell, 32, who tells patients she's just like a doctor "except for the pay."
On top of four years in nursing school, Cockrell spent another three years in a nurse practitioner program, much of it working with patients. Doctors generally spend four years in undergraduate school, four years in medical school and an additional three in primary care residency training.
Medicare, which sets the pace for payments by private insurance, pays nurse practitioners 85 percent of what it pays doctors. An office visit for a Medicare patient in Chicago, for example, pays a doctor about $70 and a nurse practitioner about $60.
The health care overhaul law gave nurse midwives, a type of advanced practice nurse, a Medicare raise to 100 percent of what obstetrician-gynecologists make — and that may be just the beginning.
States regulate nurse practitioners and laws vary on what they are permitted to do:

_ In Florida and Alabama, for instance, nurse practitioners are barred from prescribing controlled substances.

_ In Washington, nurse practitioners can recommend medical marijuana to their patients when a new law takes effect in June.

_ In Montana, nurse practitioners don't need a doctor involved with their practice in any way.

_ Many other states put doctors in charge of nurse practitioners or require collaborative agreements signed by a doctor.

_ In some states, nurse practitioners with a doctorate in nursing practice can't use the title "Dr." Most states allow it.
The AMA argues the title "Dr." creates confusion. Nurse practitioners say patients aren't confused by veterinarians calling themselves "Dr." Or chiropractors. Or dentists. So why, they ask, would patients be confused by a nurse using the title?
The feud over "Dr." is no joke. By 2015, most new nurse practitioners will hold doctorates, or a DNP, in nursing practice, according to a goal set by nursing educators. By then, the doctorate will be the standard for all graduating nurse practitioners, said Polly Bednash, executive director of the American Association of Colleges of Nursing.
Many with the title use it with pride.
"I don't think patients are ever confused. People are not stupid," said Linda Roemer, a nurse practitioner in Sedona, Ariz., who uses "Dr. Roemer" as part of her e-mail address.
What's the evidence on the quality of care given by nurse practitioners?
The best U.S. study comparing nurse practitioners and doctors randomly assigned more than 1,300 patients to either a nurse practitioner or a doctor. After six months, overall health, diabetes tests, asthma tests and use of medical services like specialists were essentially the same in the two groups.
"The argument that patients' health is put in jeopardy by nurse practitioners? There's no evidence to support that," said Jack Needleman, a health policy expert at the University of California Los Angeles School of Public Health.
Other studies have shown that nurse practitioners are better at listening to patients, Needleman said. And they make good decisions about when to refer patients to doctors for more specialized care.
The nonpartisan Macy Foundation, a New York-based charity that focuses on the education of health professionals, recently called for nurse practitioners to be among the leaders of primary care teams. The foundation also urged the removal of state and federal barriers preventing nurse practitioners from providing primary care.
The American Medical Association is fighting proposals in about 28 states that are considering steps to expand what nurse practitioners can do.
"A shortage of one type of professional is not a reason to change the standards of medical care," said AMA president-elect Dr. Cecil Wilson. "We need to train more physicians."
In Florida, a bill to allow nurse practitioners to prescribe controlled substances is stalled in committee.
One patient, Karen Reid of Balrico, Fla., said she was left in pain over a holiday weekend because her nurse practitioner couldn't prescribe a powerful enough medication and the doctor couldn't be found. Dying hospice patients have been denied morphine in their final hours because a doctor couldn't be reached in the middle of the night, nurses told The Associated Press.
Massachusetts, the model for the federal health care overhaul, passed its law in 2006 expanding health insurance to nearly all residents and creating long waits for primary care. In 2008, the state passed a law requiring health plans to recognize and reimburse nurse practitioners as primary care providers.
That means insurers now list nurse practitioners along with doctors as primary care choices, said Mary Ann Hart, a nurse and public policy expert at Regis College in Weston, Mass. "That greatly opens up the supply of primary care providers," Hart said.
But it hasn't helped much so far. A study last year by the Massachusetts Medical Society found the percentage of primary care practices closed to new patients was higher than ever. And despite the swelling demand, the medical society still believes nurse practitioners should be under doctor supervision.
The group supports more training and incentives for primary care doctors and a team approach to medicine that includes nurse practitioners and physician assistants, whose training is comparable.
"We do not believe, however, that nurse practitioners have the qualifications to be independent primary care practitioners," said Dr. Mario Motta, president of the state medical society.
The new U.S. health care law expands the role of nurses with:

_ $50 million to nurse-managed health clinics that offer primary care to low-income patients.

_ $50 million annually from 2012-15 for hospitals to train nurses with advanced degrees to care for Medicare patients.

_ 10 percent bonuses from Medicare from 2011-16 to primary care providers, including nurse practitioners, who work in areas where doctors are scarce.

_ A boost in the Medicare reimbursement rate for certified nurse midwives to bring their pay to the same level as a doctor's.
The American Nurses Association hopes the 100 percent Medicare parity for nurse midwives will be extended to other nurses with advanced degrees.
"We know we need to get to 100 percent for everybody. This is a crack in the door," said Michelle Artz of ANA. "We're hopeful this sets the tone."
In Chicago, only a few patients balk at seeing a nurse practitioner instead of a doctor, Cockrell said. She gladly sends those patients to her doctor partners.
She believes patients get real advantages by letting her manage their care. Nurse practitioners' uphill battle for respect makes them precise, accurate and careful, she said. She schedules 40 minutes for a physical exam; the doctors in her office book 30 minutes for same appointment.
Joseline Nunez, 26, is a patient of Cockrell's and happy with her care.
"I feel that we get more time with the nurse practitioner," Nunez said. "The doctor always seems to be rushing off somewhere."
http://www.google.com/hostednews/ap/article/ALeqM5jCB6VTbMN12zQSwafnZfBJovMseAD9F2CK880



Scottsdale, Arizona Dermatologist Joseph Scherzer Speaks Out Against Obamacare
admin — Thu, 15 Apr 2010 09:05:29 +0000
As we have mentioned myriad times, an overwhelming majority of physicians are resolutely opposed and in a state of perpetual outrage at the dictates of Obamacare. This may not necessarily be apparent given that most have elected to vent their disapproval in quieter ways such as e-mailing, writing and calling their Senators and Representatives.
One physician who did decide to be a little more overt in his vehemence, Jack Cassel MD, the Florida urologist who posted a sign on his door regarding those who voted for Obama, did get his message heard … and nationally. Unfortunately, the malignant and portentous Representative of his district, Alan Grayson (D – Florida) then initiated malicious verbal assaults on him including calling him racist and unprofessional and has indicated that he will seek professional sanctions and legal charges against him. This has become a dangerous and illegal pattern of Democrat politicians pursuing whatever measures possible to squelch First Amendment Rights. Threaten and silence the opposition into submission.

With this scenario fresh in mind and cognizant of the ubiquitous threats from the Government, media and even liberal loons, Dr. Joseph Scherzer, a Scottsdale, Arizona Dermatologist in practice for 34 years, felt that for the good of the country and patient care in particular, more needed to be shared with the public. He has bravely elected to speak out on the pernicious nature of the Obamacare legislation and its severe and adverse impact on medical care in America which will lead to irreparable harm to the world’s best healthcare system.



Neil Cavuto interviews Dr. Joseph Scherzer on FoxNews:




Also read another interview of Dr. Scherzer:
Arizona doctor says Obamacare will force him to close shop



Many Democrats Confirm That Obamacare Is All About Wealth Redistribution
admin — Mon, 05 Apr 2010 09:00:36 +0000
Many Democrats are revealing what countless opponents of Obamacare were claiming: the legislation had far more to do with wealth redistribution than it did with healthcare. This is not about quality of care or access or even reducing total medical care costs. If it were, malpractice reform would have been implemented and there would not have been an additional 159 new federal agencies created or the provision to hire almost 17,000 new IRS agents.
That is why the numbers never added up, the legislation was written in secrecy, negotiations were conducted behind locked doors by Democrats only with Republicans being totally excluded, opponents were gratuitously charged with racism, etc.
Obamacare was mainly aimed at redistributing wealth

By: Byron York   Chief Political Correspondent

April 2, 2010
It hasn't attracted much notice, but recently some prominent advocates of Obamacare have spoken more frankly than ever before about why they supported a national health care makeover. It wasn't just about making insurance more affordable.

It wasn't just about bending the cost curve. It wasn't just about cutting the federal deficit. It was about redistributing wealth.
Health reform is "an income shift," Democratic Sen. Max Baucus said on March 25. "It is a shift, a leveling, to help lower income, middle income Americans."
In his halting, jumbled style, Baucus explained that in recent years "the maldistribution of income in America has gone up way too much, the wealthy are getting way, way too wealthy, and the middle income class is left behind." The new health care legislation, Baucus promised, "will have the effect of addressing that maldistribution of income in America."
At about the same time, Howard Dean, the former Democratic National Committee chairman and presidential candidate, said the health bill was needed to correct economic inequities. "The question is, in a democracy, what is the right balance between those at the top ... and those at the bottom?" Dean said during an appearance on CNBC. "When it gets out of whack, as it did in the 1920s, and it has now, you need to do some redistribution. This is a form of redistribution."
Summing things up in the New York Times, the liberal economics columnist David Leonhardt called Obamacare "the federal government's biggest attack on economic inequality since inequality began rising more than three decades ago."
Now they tell us. For many opponents of the new legislation, the statements confirmed a nagging suspicion that for Barack Obama and Democrats in Congress, the health fight was about more than just insurance -- that redistribution played a significant, if largely unspoken, part in the drive for national health care.
"I don't think most people, when they think of the health care bill, instantly think it's a vehicle to redistribute wealth," says pollster Scott Rasmussen. "But we do know that people overwhelmingly believe it will lead to an increase in middle class taxes, and we do know that people are concerned that it will hurt their own quality of care, so I think their gut instincts point in that direction."
By talking openly about redistribution, Baucus and others have gone seriously off-message. Democrats knew there was no way they could ever sell a national health care bill to a skeptical public by basing their case on income inequality.

That's one reason they went to such lengths to argue -- preposterously, in the view of most Americans -- that the bill could cover 32 million currently uninsured people and still save the taxpayers money.
After Baucus' statement, I asked a Democratic strategist (who asked to remain nameless) whether fighting income inequality was one of his goals in supporting the legislation. Never, he said. "That's what the tax code is for."
"It was not to take something away from rich people, it was to provide something to people without coverage," he continued, making a distinction between striving for universal coverage and seeking to redistribute income. But he quickly saw that Democrats talking about redistribution could be politically damaging, echoing the controversy that erupted when candidate Obama famously told Ohio plumber Joe Wurzelbacher that "when you spread the wealth around, it's good for everybody."
" 'Redistribution' is an easy charge to make," the Democrat said. "I'm not surprised that it's an argument critics make; what I'm surprised at is that Democrats are making it."
This week the DNC group Organizing for America offered a commemorative certificate to supporters who helped pass the health care bill. The certificate said, "We achieved the dream of generations -- high-quality, affordable health care is no longer the privilege of a few, but the right of all."
The privilege of a few? It is widely accepted that about 85 percent of all Americans have health care coverage, and the overwhelming majority are happy with it. There's simply no way anyone could plausibly claim that health coverage is the privilege of a few.
And yet that is the bedrock belief of some who supported the health care makeover. So it's no wonder that we're hearing about health care as the redistribution of income. Of course, we're only hearing it after the bill has passed.
http://www.washingtonexaminer.com/politics/Obamacare-was-mainly-aimed-at-redistributing-wealth-89725302.html