The House Bill Is A Terrible Bill For Medical Care And The Economy. Part 3
Posted Nov 15 2009 10:01pm
Stanley Feld M.D.,FACP,MACE
The problem with the economic recovery is increasing unemployment and the increasing deficit spending. A new healthcare entitlement will increase the deficit leading to increased taxes. Increased taxes on large and small business will lead to fewer jobs and less tax revenue. We are experiencing this in our jobless economic recovery. All the new jobs are going to third world countries. Government jobs is the only sector growing.
The House's 1900 page bill that was passed in less than 72 hours after publication. This was after the Democratic Party controlled congress pledged to be totally transparent.
Americans have a Democratic controlled congress that ignores the will of the people. Americans had no idea of what President Obama meant by change. The Democratic Party leaders do not realize they were elected by independent voters and women. Both groups now seem to have become disillusioned with President Obama and the Democratic majorities.
This week I received the following note. It is a heartfelt note from a practicing obstetrician. She expresses the anger and frustration of many physicians. The note shows the impact the bill will have on the practice of medicine.
My generation of physicians has been told that the new younger physicians will accept change in the future because they do not know any better. We lived in the golden years of medical practice. .
President Obama’s control and ineffective quantification of healthcare will destroy the patient physician relationship and medical care in America.
President Obama’s task forces will outsource the quantification of healthcare to groups like Leapfrog. Leapfrog knows much about the economics of healthcare but little about the practice of medicine.
Dear Family and Friends,
Where to start......how about from the beginning...... I've been in private practice for 15+ years now. I'm 44yo. That means I started when I was 29yo....that is YOUNG for a physician.
Consider you are 18yo when you get out of high school (17 yo in my case). Add 4 years of college, 4 years of medical school and 4 more years of residency. So 12 years of graduate/postgraduate work. Consider being 200K in debt after those 12 years. Want to know who is running your healthcare? It's not doctors.........It's not people who have one minute of training in medicine.
Let me share what has happened at MY hospital in the last 2 weeks. Two examples will follow; There is an "organization" called Leapfrog. Here is their link http://www.leapfroggroup.org/. Hospitals are buying into their "program" for rewards and incentives.
Go to the link.....look at their board members. What do you see?? BIG EXECUTIVES.......not a single doctor....not one. Study their website.....It is driving YOUR healthcare.....no where does it mention how they get their medical "quality" other than saying our "experts"........oh, and yes they have a disclaimer stating they aren't responsible for anything (in tiny print at the bottom of their website page). Now, you can search for hospitals to see Leapfrog's "Quality" of care..... Money driven quality..... Lets take my department for example… OBSTETRICS: Leapfrog has ONE (ONLY ONE) criteria for quality.....you have to deliver after 39 weeks. Doesn't matter your fears, discomforts, family, prenatal care, baby's outcome....NOTHING besides you are 39 weeks or greater. My hospital has now MANDATED that I deliver you at 39 weeks or greater.....because they want Leapfrog to give them 4 bars (i.e. highest quality) Now this has NOTHING to do with true medicine. By text book definition, a full term pregnancy is 37 weeks or greater.
If you look at my hospital on Leapfrog....we have 1 bar, implying poor quality. Leapfrog even goes so far as to say we have a 31.7% PRETERM delivery rate. This is a LIE! Remember full-term to Leapfrog is 39 weeks......which has NO medical basis.
Consider the patient who previously had a 39 week stillborn.......the patient who is losing her insurance.....the patient whose husband is a pilot and is leaving town...the patient whose husband is in the military....the patient whose family is flying in from overseas. The physician hears the patient over and over again, every office visit....it's called a relationship. Do you think Leapfrog, who is simply bargaining with big executives for better prices, cares about the patient's individual situation......NOT AT ALL....but hospitals want Leapfrog's 4 bars (better quality) rating, so they get "rewarded" better. So as it stands now, if I deliver a patient before 39 weeks, the hospital will place that in my permanent file. Then they can choose to "deselect" me and not allow me to deliver at their hospital. Physicians are now faced with making ethical decisions.....do I do what is truly right and best for this patient and get "deselected"? Or do I do what the hospital tells me to do........
The unintended consequences will destroy medical care in this country.