By: DR. GEORGE A. SPRECACE, M.D., J.D. For Georgia Weekly Post
This analysis is offered by a physician with many years of practice experience and counting.
HEALTH CARE CHRONIC PROBLEMS AND NEEDED REFORMS, IGNORED BY OBAMACARE.
50% OF ILLNESSES / DISEASES ARE LIFE-STYLE RELATED – AND AVOIDABLE. 20 – 30% OF Health Care costs involve “Defensive Medicine”, thanks to the medical mal-practice industry. “Go to the doctor and take a chance on striking it rich”. 80% of the elderly want an Advanced Directive, to “protect” themselves from their physicians and from their families. 20 – 30% of them actually have Advanced Directives.
Half of all Medicare costs are incurred in the last 6 months of the patients’ lives. Drug costs…and the “insider trading” Medicare Act of 2002, wherein the Federal Government is prohibited from negotiating drug prices with the pharmaceutical companies! 20% of health care costs are physician charges. 80% are hospital charges.
Before ObamaCare, no one was dying in the streets…except for the “homeless” who are largely the mentally ill who were thrown out of closing or cutting down on psychiatric hospitals beginning in the late 1960’s – with no alternative care as had been promised as a “quid-pro-quo”. And regarding the emergency room as provider of needed care for these patients: wrong time, wrong place, wrong providers…as recently attested by 80% of ER physicians nation-wide. ETC….
OBAMACARE: A CHRISTMAS TREE OF WANTS, WITH NO ATTENTION PAID TO NEEDED HEALTH CARE REFORMS. A CYNICAL / POLITICAL EXERCISE IN VOTER RECRUITMENT.
All of the following Results are Bad and Worsening.
“Increased coverage”, if you can find a physician, including your own existing physician. “Universal” health insurance coverage, and the Fine (aka “tax”), the illegal product of the “800 lb. gorilla” at the U.S. Supreme Court. “It sits where it wants to sit”. Uniform “Cadillac coverage”: not only the fancy plans, but also the expanded coverage for non-health related items. Mandated insurance coverage for “prior existing diseases or illnesses”…aka covering the house after it has burned down. Electronic Health Records… and penalties for non-compliance. 30 day readmission rules…and penalties. “Avoidable” infections…and penalties. “OBV” – prolonged “out-patient” hospital admissions…and penalties imposed on patient and hospitals. Taxing non-profit hospitals excessively…just “because” the State needs the money.
All of this cumulatively imposes a “how high” mentality on hospitals and physicians alike when yet another disruptive “JUMP” comes down from the Government…instead of a proper “SEZ WHO?”. Increasing cost transfers to the patients…mainly the working Middle Class: the new “Un-Insured”: delayed care, sicker, costlier care. The increasingly injurious effect on physicians, 50% of whom were recently reported to be at least partly depressed…and some to be suicidal. Is that the physician you want to care for your increasingly complex needs?