Stanley Feld M.D.,FACP,MACE
I cannot believe the results of the Presidential election.
All of President Obama’s policies have failed so far. All have served to inhibit economic growth or make it worse.
Yet the majority of Americans voted for President Obama. Why could this occur when many of the structural ideas and ideals representative of the United States are being dismantled?
This is a great county. Americans accept the winner and move on. They continue to speak to their neighbors who had the other guy’s sign in their front yard.
On the other hand it amazes me to see that the electorate ignores the real issues and votes for the personality. Marshall McLuhan was correc t. The media is the message. Why the media is ignoring the facts is beyond me.
It is disappointing because Americans are also ignoring the obvious coming unintended consequences that are going to be the result of their voting decision.
The devil is always in the details. I have presented my views of how the medical care system is going to be destroyed by Obamacare . It is only a matter of time.
The healthcare system is becoming too expensive, unsustainable, impersonal, rationed. The result will be a denial of access to medical care for many Americans.
Obamacare’s effect will become the opposite of what President Obama intended and promised.
I have also stated that his strategies for change have been misguided.
President Obama’s advisors are all ivory tower professors and bureaucrats. They have no understanding of what is happening in the street at the interface between patients and physicians.
Ideologically they want to make medical care better for all. President Obama does not understand the pressures and the reality of the real practice interactions between physicians and patients or physicians and their communities.
President Obama believes that healthcare should be an entitlement and not an individual responsibility. Healthcare entitlements will never solve America’s problems with obesity and chronic diseases.
In the process of making healthcare an entitlement, President Obama is devaluing the skills of those practicing medicine.
Many physicians have quit practice because of adverse conditions. The result will be a decreasing physician workforce in an increasing covered population. This is not a good equation.
Most physicians do not accept Medicaid and many have stopped accepting Medicare.
This will shift the burden of higher cost of medical care to seniors and poor people.
Bob Doherty is Senior Vice President of Governmental Affairs and Public Policy, American College of Physicians. His blog at The ACP Advocate Blog is reprinted below. It deserves a wide audience.
Bob Doherty has dealt with the socioeconomic concerns of Internists and Internal Medicine Sub Specialists for at least 30 years both at the American Society for Internal Medicine and later after ASIM merged with American College of Physicians.
Bob Doherty wrote this article discussing the effects of Obamacare on the practicing physician. He presents practicing physicians’ complaints about Obamacare.
This article should be read carefully. President Obama should pay attention to physicians’ complaints.
by BOB DOHERTY on November 5th, 2012in
Much of what passes for debate on health care during this election year is focused on the macro side, on big issues like how do we cover the uninsured or restructure Medicare and Medicaid financing. But for all of the talk about vouchers and block grants and insurance mandates, the candidates are missing the micro issues that really matter most to doctors and their patients, which is how health care policy directly affects the quality of the patient-physician encounter.
1. Will anyone do
anything about the oppressive burden of paperwork and red tape?
Now, I don’t really expect Obama and Romney to come out with plans to address these micro health policies. But it is reasonable to hold their macro proposals to a standard of whether they will make all of these aggravations and intrusions better or worse. And at some point, policymakers–no matter their political leanings and plans to reform healthcare at the macro level, need to pay attention to what is happening at the micro patient-doctor encounter level. After all, the boldest of big ideas won’t make healthcare better if it makes it harder for physicians to give their patients the care they need.
Physician advocacy organizations also need to pay attention to the micro issues. ACP prides itself on taking on the big issues like controlling health care costs and allocating health care resources rationally. But the College puts at least as much effort into the micro issues, from objecting to the latest EHR mandates to offering alternatives to ICD 10 coding to advocating for higher payments.
The goal must be to fashion public policies that improve care at the macro level — universal access to coverage, spending health care dollars more wisely, and improving healthcare delivery systems — while also removing barriers at the micro level that intrude on the patient-doctor relationship. Both are equally important.
Bob Doherty is Senior Vice President of Governmental Affairs and Public Policy, American College of Physicians and blogs at The ACP Advocate Blog.”
Bob Doherty has been an advocate of Obamacare in the past. He has highlighted the idealist principles of Obamacare. I am happy that he is starting to realize the unintended consequences that will occur as a result of Obamacare.Healthcare is only one area of life that President Obama is affecting adversely. I believe the majority of the population will start realizing soon that re-electing President Obama was a mistake.
Hopefully it does not become an irreversible disaster.
The opinions expressed in the blog “Repairing The Healthcare System” are, mine and mine alone