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I Can Hear The Train A Comin’

Posted Mar 20 2013 12:16pm
Stanley Feld M.D.,FACP MACE


It is almost past the time for physicians to listen to that train whistle coming down the line.

A reader wrote


" Great blog Dr. Feld.

 Ask your Physician friends this question:

 “What and how will you feel when your license to practice medicine is no longer sanctioned at the state level, rather it is issued by the Federal Government and tied directly to your willingness to see a certain percentage of Medicare/Medicaid patients?”

 That’s where this train is headed, most physicians are simply too blind it to see it or too deaf the hear it.

M "


M., I have tried to warn my physician friends that the train is coming. Physicians’ freedoms and the patient-physician relationship are circling the drain.

The only option they will have will be to practice medicine without a license. This is a ridiculous thought.

Where is the silent physician majority? I have only heard from Dr. Ben Carson. I have a feeling the press is going to start calling him a lunatic very shortly. The goal will be to marginalize and silence him.



Where are the organizations that are supposed to represent physicians and their patients?

If you ignore the pain you do not know the cancer is growing. If you do not feel the pain you do not know if it is growing either.

The cancer cannot be cured if it is ignored.

Physicians cannot ignore this problem any longer. Neither can consumers. Entitlement spending run wild will drive America into bankruptcy.

Cancer is comparable to the national debt. It will not be cured if it is recklessly ignored. The end result will be bankruptcy.

President Obama has demonstrated an apparent disregard for the literal interpretation of the constitution’s First, Second, Fourth and Twelfth Amendments during his term in office.

States rights seem meaningless. The Democratic congress has empowered President Obama to do anything he wants to do to the healthcare system.

Congress has transferred all decision making to the executive branch of government.

Congress is supposed to represent the people. Most consumers do not know what is going on. The information is not readily available.  If they do not know what is going on will not mount a protest.

Consumers who enjoy the benefits of the entitlements are not likely to be willing to give them up. It is not as much a matter of entitlements as it is a matter of waste and inefficiency resulting from complex government bureaucracies.

President Obama has told us that Medicare and Medicaid are very efficient. Yet he has not provided proof. The administrations claim is the waste is the result of fraud and abuse. My question is by whom?

Public opinion cannot be expressed if the public does not understand the issues.

The traditional media has ignored most of the important issues; it has not published the possible consequences of the administrations rules, regulations and actions.

The press will jump all over this because it might sell newspapers or magazines. The public accepts the catchy phrase as the truth.

I have outlined and described in detail the logical solutions to Repairing The Healthcare System.

With the 20,000 new regulations and 300 new agencies the Obama administration has tightened the box. They have disabled the physicians’ ability to practice medicine unless they comply with government dictates.

This is called government control and takeover of the healthcare system.

Many physicians think they can finesse this imprisonment. These physicians are wrong. Many think they will be able to stop accepting Medicare and Medicaid and continue to practice medicine. They are wrong.

Physicians’ ability to use their medical judgment is being taken away.

The Obama administration’s response would obviously be that is silly. They are not trying to control medical judgment.

However the government continues to proceed in commoditizing medical care. 

Physicians are going to scream when they wake up and realize what is happening to medicine and medical care.

Some physicians say they are powerless to do anything. These physicians are wrong.

All they have to do is learn the details of the real issues. Then they have to explain it to every patient. Patients are not going to like what is happening.

Physicians can provide their patients with talking points or an already written letter to send to congress and President Obama.

Remember this is a government by the people for the people. We hire these guys. Our vote provides these politicians with their job. Congress and the President are scared stiff to have our disapproval.

The government runs like Franz Kafka’s bureaucracy in his book “the Castle.” No one has authority to make a decision and no one takes responsibility for the consequences.

Who took responsibility for the Benghazi disaster ? The press ignored it. The facts were not forthcoming and no one took responsibility.

Americans’ health is too precious to ignore the impending disaster.

Who is going to take responsibility for the disaster?


The opinions expressed in the blog “Repairing The Healthcare System” are, mine and mine alone.

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