James Schaller Top and Best Physician Award Winner Takes Aim at Healthcare Reform
Lawyers and police basically seem to run the country these days. So lawyers determined, with their 9th grade biology knowledge, what would improve 1/6th of the economy. And they did it with such furious speed, that it is impossible to ethically look at the people of the USA and say we did a good job because this is so totalitarian, omnipresent and demanding, many top physicians in the middle of an immense shortage will just leave medicine. Those who are leaving medicine are far happier than those in medicine from those I see, and smart motivated people find good jobs and nice places to live, and are often welcomed elsewhere in the world.
Some goals were of great merit. That is not the issue. Physicians with titanically more education than lawyers, do not presume to enter a court and take over the proceedings. This is far more than coming into the operating room with dirty jeans; it is coming into each and every room and taking over.
Lawyers seem to only be good at medical malpractice—getting money with huge percents to pay for millions in commercials that are omnipresent and more staff for more lawsuits, and some also do defense but few very well.
And they often are clueless on that area of law also unless have an MD to consult or read a cheat book to allow them to appear to have a clue.
I like lawyers. They have been good patients to me. They are fun to chat with about the new huge industry—the arrest structures or "farms," and the new USA "manufacturing" industry that cannot go to China—increasing more and more jails, arrests for more and more stupid paper crimes or trivial drug use, and the massive staffs that need people to break the law—even if one minute late to a parole hearing—you go back to jail. Those folks need jobs.
So it is beyond the most insane reality that a massive titanic health bill was passed and slammed through. And it is simple. If doctors do not like it, you will be screwed so bad, because they will move on to other things and places and the seduction of the massive debts to be an MD and the 20 years to become a physician will be as appealing to our youth as dog vomit.
And once we go, we never come back. Because physicians have massive memories and treasure independent thinking that should come with an eternal training. Therefore, no effort to fix the screw ups will bring them back, they will be gone forever.
Doctors' Group Urges Repeal of Job-Killing Health "Reform"
Physicians warn that the ill effects of the Patient Protection and Affordable Care Act (PPACA) will be irreversible, and it needs to be repealed and defunded before implementation proceeds any further.
On the eve of a vote on a House bill to repeal the Act, some experts say that the bill will "not necessarily" kill jobs.
"What if your doctor told you that a radical, unprecedented operation would 'not necessarily' kill you?" asked Dr. Jane Orient, executive director of the Association of American Physicians and Surgeons (AAPS).
Republicans have presented many ways in which PPACA could damage the economy. Is not knowing whether they are right a reason to steam ahead with implementing a law that will undoubtedly have an enormous impact on one-sixth of the economy? One reason it is impossible to know all the consequences is that the rules have not yet been written. The Department of Health and Human Services has already missed deadlines by months, for example, on the minimum loss ratio for insurers, but businesses face hard deadlines. Much of the bill does not even take effect until 2014.
Businesses cannot prudently plan to expand without knowing what rules they will be required to follow. Moreover, the rules so far have been so onerous that hundreds are lining up to request waivers—which are likely to be granted, or not, based on political influences.
AARP, which paid much of the $121 million for pro-PPACA ads, only has to pay out 65% of Medigap premiums for benefits, while Medicare Advantage plans have to pay out 85%.
Surveys have shown that close to half of physicians may respond by restricting or closing their practices entirely. Would they really do this? Before the National Health Service was enacted, England had 44,000 doctors. By 1971, it had only 17,000.
Organized medicine is telling doctors that small practices probably won't be able to afford the vastly increased compliance requirements. Thus, they are urged to form "accountable care organizations" (ACOs) in order to survive.
ACOs have been called "HMOs on steroids." Their "incentives" are designed to restrict access to expensive care. They don't have bureaucratic death panels; they just reward doctors who save money for the Plan.
"We need to repeal this monstrous bill," said Dr. Orient. "Then we need to discuss how to solve our problems in medicine instead of making them worse."
AAPS was founded in 1943 and represents physicians in all specialties.
DR. SCHALLER CONSIDERS THIS GROUP AND OTHER PRO-MD GROUPS VASTLY SUPERIOR TO THE DYING AMA THAT MERELY REPRESENTS A TRIVIAL FRACTION OF LARGELY YOUNG PHYSICIANS AND STUDENTS.