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Dr. Milton R. Wolf, who is a radiologist in Kansas, and Barack Obama’s second cousin once removed, and an outspoken opponent of Obamacare, writes in the Washington Times:
As one example, consider the implications of Obamacare’s financial penalty aimed at your doctor if he seeks the expert care he has determined you need. If your doctor is in the top 10 percent of primary care physicians who refer patients to specialists most frequently—no matter how valid the reasons—he will face a 5 percent penalty on all their Medicare reimbursements for the entire year. This scheme is specifically designed to deny you the chance to see a specialist. Each year, the insidious nature of that arbitrary 10 percent rule will make things even worse as 100 percent of doctors try to stay off that list. Many doctors will try to avoid the sickest patients, and others will simply refuse to accept Medicare. Already, 42 percent of doctors have chosen that route, and it will get worse. Your mother’s shiny government-issued Medicare health card is meaningless without doctors who will accept it.This is beyond unbelievable. Truly it is out of Atlas Shrugged, in which the government-enforced egalitarian leveling process is shown to be a pursuit of death. The idea that under Obamacare the ten percent of primary care doctors who refer patients to specialists most frequently will be financially penalized means that ten percent of primary doctors cannot help but be penalized. Which means that all primary care physicians will strive not to recommend patients to specialists. Which means that the costs of health care will be controlled by ending healthcare. Which means that equality will be achieved by dragging everyone down to the level of an impoverished, Third-World country. Which is what the Obamacrats want.
In a 2006 blog article, “Western liberals’ ultimate embrace of Islam,” I wrote:
Western liberals can no longer stand pretending to care about and to be responsible for a civilization that they no longer believe in. They resent the charge; they’re weary of the task. If the opportunity were offered to them, they would much prefer to be the retainers and attendants of a Muslim Caliph of Europe, no longer having to carry the unwanted and disliked burden of Western-ness and white-ness, but serving in a subordinate though still useful and honorable role in a new Islamic Golden Age. They would be happier and more fulfilled that way.In the same way, the liberal elite of the West feel deeply uncomfortable leading a society in which there are such striking differences between the more talented and the less talented, between the better off and the worse off, between the healthy-living and the unhealthy-living, between the less sick and the more sick. They would be much happier if everyone were equally unhealthy—except of course themselves. They will still be the elite, but now an elite free from the guilty burden of being responsible for an unequal society. In the enforced poverty, ill-health, and premature death of millions, the liberal elite will find peace at last.
Paul Nachman writes:
Yes, that’s one of the zillion features in one or all of the bills. I think it will act like a continual ratchet (i.e. motion in only one direction), squeezing the system, via the doctors, more and more every year.LA replies:
I think, immediately.Kristor writes:
I think Paul Nachman is right. Once people see the fine print actually coming into operation, there will be rage. Hell, doctors are already leaving the profession in droves, on account of little old Medicare. I heard a cardiologist on Rush last week who called in to say that Medicare had just whacked fees on cardiological procedures by like 40 percent at two fell swoops, and that cardiology could not be practiced at those rates. She and her husband were planning on shutting down their practice. They saw no option, because of course the lion’s share of cardiology patients are covered by Medicare.Kristor writes:
Say! Ain’t this the day of days? Perched on the razor’s edge of history. It’s like Christmas Eve, 1989, when the Warsaw Pact fell, writ small and lousy and pathetic. The world will end—if that’s how it turns out—with a whimper.March 16
Charles T. writes:
You wrote:Mel R. writes:
Liberals really are evil aren’t they? I say this with no hyperbole at all. They have carved God out of their lives and all that is left is “the heart of darkness” and we all know who the prince of darkness is. From Stalin and Mao to Obamacare, it really is the same.Harry Horse (an MD) writes:
As per my previous email, I’m still being audited by Medicare for falling outside their predefined billing patterns, and despite assurances of a 6-8 wk process, we are going into the sixth month without any notice if the process of chart evaluation has even begun. For your readers—I stopped taking Medicare about a year ago, once it was apparent what was happening. I had “the talk” with my wife last night, about beans, bullets, and bandages, if you will.
Posted by Lawrence Auster at March 16, 2010 01:25 AM | Send