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Title: Blog by Novelist William S. Frankl, MD

Archive for January, 2014

ObamaCare and Its Crippling Assault on Doctors and Patients: Read It and Weep Especially If You Voted For Him

Saturday, January 4th, 2014

HHS Secretary Sebelius, a bureaucrat with no medical experience, can tell your doctor how to treat patients starting in 2015

Despite President Obama’s claim that “you’re not going to have anybody getting in between you and your doctor,” a little known provision of ObamaCare gives the health secretary broad authority to dictate how doctors practice medicine and treat their patients.

Starting in 2015, Obamacare will grant the Secretary of Health and Human Services, an unelected bureaucrat with no medical experience, power to decide what treatments are available to patients and if the doctor can perform procedures.

Section 1311(h)(1)(b) of Obamacare reads:  “Beginning on January 1, 2015, a qualified health plan may contract with … a health care provider only if such provider implements such mechanisms to improve health care quality as the Secretary may by regulation require.”

In other words, insurance companies will be banned from doing business with doctors who do not comply with the regulations established by the health secretary – and there’s almost no limit on what these regulations may entail.

“Under President Obama’s health care law, should the HHS Secretary determine that performing mammograms on women younger than 50 violates a standard of care, the provider must comply, regardless of his or her concerns,” Rep. Phil Gingrey, M.D. (R-Ga.)said on the subject. “Failure to do so would allow the Secretary to shut down a medical practice.”

“The powers given to the Secretary are so broad, he or she could literally dictate how all physicians nationwide practice medicine.”

The lawmaker also added that the provision violates “the sanctity of the doctor-patient relationship, as physicians are trained to treat patients individually and not with a ‘one-size-fits-all’ approach.”

However, Dr. Donald Berwick, an administrator of the Centers for Medicare and Medicaid Services under Obama, deplored that the physician’s focus is “on the acute needs of individual patients” and not on “care for important subgroups” in the name of “social justice,” as reported by Betsy McCaughey ( O’s Radical Pick for Medicare: NY Post, 6/16/10).

In his Triple Aim plan, Berwick laments that US health care is “designed to focus on the acute needs of individual patients.” He argues for a different focus, social justice.

Instead of doctors making decisions autonomously in the interest of their own patients, he wants a nationwide plan allocating resources “to anticipate and shape patterns of care for important subgroups.” These subgroups — which can be defined by age, disease affliction or socio-economic status — should be the “unit of concern,” not the individual patient.

Will the elderly be a favored subgroup? Not under the Obama health law. An April 22 report by Medicare and Medicaid chief actuary Richard Foster shows that the law nearly doubles Medicaid rolls at a cost of $410 billion over the next decade.

To pay for this, the law slashes future Medicare funding by $525 billion over the same period, when 30 percent more people will enter Medicare as baby boomers age. In short, boomers will get less care than today’s seniors.

Less care is Berwick’s vision. In a speech marking the 60th birthday of the British National Health Service, he praised the NHS for deliberately creating scarcity: “You [the NHS] plan the supply; you aim a bit low; historically, you prefer slightly too little of a technology or service to much too much and then you search for care bottlenecks and try to relieve them.”

Berwick’s statement serves as a microcosm of Section 1311(h)(1)(b) and for ObamaCare as a whole: the pursuit of centralized planning and collectivism at the expense of the individual.

Rep. Gingrey, one of the few lawmakers who knew about the provision, introduced the Safeguarding Care of Patients Everywhere Act in both 2012 and 2013 to repeal Section 1311(h)(1)(b), but both bills never left the Subcommittee on Health.

Outside of Gingrey’s press release on his bills and a recent article in the New York Post, the provision has generated little media attention.

But by 2015, Americans will be demanding answers for the inevitable loss-of-life due to byzantine regulations and the destruction of the doctor-patient relationship.

For the entire story, go to: Tea Party.Org and http://www.infowars.com/obamacare-health-secretary-to-dictate-how-doctors-practice-medicine/

Headaches from ObamaCare Continue

Friday, January 3rd, 2014

The damages from ObamaCare continue. Those who have signed up for an ACA medical insurance policy have to pay premiums by 1/10/14 and as reported on Fox News on 1/2/14.  But ObamaCare seems to have been an insurance killer so far. More than 5 million policies were nixed under the law’s new regulations. Announcing that just over 2 million people are potential paying customers is a rather stunning admission of defeat. Some of the millions may have landed on employer-based insurance and others may have become eligible under the expanded Medicaid program, but there are evidently many people who do not have coverage today because of the law.

The White House is not saying how many enrolled. Democrats are talking big numbers: 2.1 million applicants for ObamaCare and millions more new enrollees in the welfare program that provides free coverage to the poor, Medicaid. But the Obama administration has so far refused to disclose the number that matters: The number of people who actually have obtained insurance under the law. AP reports: “Insurers say they are receiving thousands of erroneous sign-up applications from the government, and some people who thought they had enrolled for coverage have not received confirmation. Undoubtedly, some will find out they don’t have the immediate coverage they thought they did.” A recent WSJ report revealed only half of enrollees had made their first months payment. The government is touting nearly 4 million who have been “deemed eligible” for welfare benefits, but, again, that’s not the same as enrollments. The silence so far on the real numbers is reminiscent of the quiet that fell over the administration after the enrollment period began on Oct. 1. Do they not know? Scary. Do they not want to say? Scarier.

Noteworthy Accomplishments

Friday, January 3rd, 2014

My friend , Dan Garshman reminded me of an important bit of American history. So, I thought I’d pass it on.

During the 3-1/2 years of World War 2 that started with the Japanese bombing of Pearl Harbor in December 1941 and ended with the Surrender of Germany and Japan in 1945, the U.S. produced 22 aircraft carriers, 8 battleships, 48 cruisers, 349 destroyers, 420 destroyer escorts, 203 submarines, 34 million tons of merchant ships, 100,000 fighter aircraft, 98,000 bombers, 24,000 transport aircraft, 58,000 training aircraft, 93,000 tanks, 257,000 artillery pieces, 105,000 mortars, 3,000,000 machine guns, and 2,500,000 military trucks.

We put 16.1 million men in uniform in the various armed services,  invaded Africa, invaded Sicily and Italy, won the battle for the Atlantic, planned and executed D-Day, marched across the Pacific and Europe, developed the atomic bomb and ultimately conquered Japan and Germany.

It’s worth noting, that during the almost exact amount of time, the Obama administration couldn’t build a functioning web site.


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