The Patient Centered Outcomes Research Institute (PCORI), established under Obamacare, asked the American public to comment on the Institute's definition of "patient-centered outcomes research." The deadline was Friday, September 2. Many CCHF supporters responded. In short, PCORI's definition is deceptive and leaves the public thinking that PCORI (pronounced "pea-CORE-ee") is going to do great work. However, the controversial "comparative effectiveness research" will be used by the federal government to make insurance coverage decisions for all citizens.
Evidence is said to be the new bright star of health care. A growing chorus of voices is calling for physicians and other health care clinicians to follow “evidence-based medicine” (EBM) or so-called “best practices.” To practice EBM, proponents say doctors must follow evidence-based clinical practice guidelines.
After our delivery in May 2004, citizen petitions continued to arrive at our office. We include these because we believe they were not part of the petitions you received last year. And like those delivered last year, we have placed them in a red binder.
The Minnesota Department of Health (MDH) will designate certain treatment protocols as the MN standard of care. At their own discretion, they will decide which protocols will be called “evidence-based” and approved for use. MDH will collect data on physician adherence to these government-issued protocols and publicly report compliance rates on their website. Physi- cians with low compliance rates may be financially penalized.
Looming on the visible horizon of American health care is new attempt to control the practice of medicine and limit—indeed ration—patient access to health care services. While doctors often refer to it as "cookbook medicine," this quickly advancing strategy is best known by the name "evidence-based medicine" (EBM).
Dr. Charles Phillips, M.D. from Fresno California succinctly rebuts the idea of "best practices" and "evidence-based medicine."
(American Medical News, January 12, 2004) - CCHC quoted
The key to cost-containment is consumer control over health care dollars. Personal financial incentives, such as medical savings accounts and federal health care tax deductions, will drive health care costs down by encouraging individual cost-consciousness. Although HMOs want their enrollees to believe treatment guidelines will provide safer and better medical care, patients should be cautious about embracing an initiative that may use words on a page to limit health care services.