Media has been focusing on the fundamentally flawed economic aspects of Obamacare. Few pundits have weighed in on the medical care and access that comes with this monstrous legislation. Moving beyond the Exchanges the reality of Obamacare confronts you when trying to enter this new mode of health care delivery. Traditionally physicians worked alongside nursing personnel to investigate a patient’s symptoms and provide a viable treatment plan to effectuate a solution to the presenting problem. Obamacare seeks to undo this model by introducing secondary health providers, such as nurse practitioners and physician assistants, for first contact. Complicated presenting complaints would be evaluated by people who have less than one third the training of an M.D. or D.O. American medicine has already taken a hit when investigations revealed many foreign MDs have markedly less education and practical patient experience than their American counterparts prior to licensing. Doctor Ezekial Emanual, one of the architects of Obamacare recently stated in an interview with Andy Dean: for Obamacare to be a viable entity, secondary personnel on the frontlines, is necessary if this model of health delivery is to work. In his opinion physicians are no longer needed to be present on first contact. This Harvard theorist is essentially requiring Americans to be lab animals in the Obamacare maze. Dr. Emanual’s attempt to re-fabricate American medicine has no support in studies or actual experience, only an untried theorem. Medical care will see a decline in the quality and quantity of services as the new system is implemented. Physicians will be forced to follow treatment plans that are cooked up by government bureaucrats, many of whom are not health providers. These treatment plans will become the new standards of care. A physician who deviates from them could lose his/her license, be hanged in effigy and even find themselves in a cold jail cell, for which there is significant precedent.
Under this massive new health care scheme systems will be streamlined to maximize services. Accessibility to ambulance and emergency services will be reduced for two reasons: increased demand and fewer units available for treatment. In the new book, Obamacare: Dead on Arrival, A Prescription for Disaster, it documents how people die when immediate services are not available. An infant drowns because the emergency management personnel had too many calls to answer on their shift. Chest pain leading to an acute heart attack was not treated on time because an emergency room was overwhelmed with patients seeking care. Surgeries on Demand will be a fine memory as the system introduces a new element into acute care, it is call waiting time. The gamut of surgical services may be available after weeks and or months of bureaucratic entanglement. Cutting edge drugs give way to a pharmacopeia of generics, many of which have been surpassed by newer medications. These drugs will not be available to you. Need an immediate CAT scan or MRI, with fewer units in existence, months may go by before your number is called. Obamacare guarantees three elements that will confound your utilization of its programs: higher costs, less access and poor service. Death panels are not written into the matrix of care. Instead, available medical services are slowed to a crawl, allowing those with curable and or manageable diseases to succumb at much higher rates than in the past. Welcome to Obamacare, worse than the present system it is replacing and deadly to your health. Mark Davis, MD author of the aforementioned book, Obamacare: Dead on Arrival, A Prescription for Disaster and the book lawyers hate most Demons of Democracy. President of Davis Book Reviews and Healthnets Review Services.
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