Clear Stream

Clear Stream

Tuesday, July 17, 2012

Tighten the screws

Increasing numbers of patients are calling about whether we'll participate with PPACA. WTF? I have no clue how the "program" will be administered. It hasn't been stated, anywhere, how the nuts and bolts of doctoring will work in the new system. Much hand wringing about insurance exchanges, Medicaid, and that "you can keep your doctor"....HAHHAHAHAHA! As what, your personal nursemaid? People won't be allowed to see doctors, that's my feeling. They'll be shunted to NP's and PA's first to do the triaging. One hospital CEO has been quoted in the WSJ as stating that the "volume" will more than make up for the decreased reimbursement. Just churn them thru, "doc" and shut up. Who knows how specialists will be handled. None of this has been made clear, not even a little bit.

It's not about health care. It's about health payment and taxation. You heard it here first.