Who will control your doctor? Yesterday the U.S. Energy and Commerce House health subcommittee voted to pass a version of the bipartisan 70-page draft “SGR repeal” bill that will change the way Medicare pays your doctor and other clinicians. The bill repeals a longstanding contentious system of yearly payment cuts under a law called the Sustainable Growth Rate (SGR) -- but then it puts government in charge of doctors.
Health Care Workforce
A lawsuit has unexpectedly revealed Obama's rationing plans. The Administration says states can cut Medicaid payments to doctors and other providers to hold down costs. This is a breathtaking statement. President Obama's signature law, Obamacare, adds 16 million people to Medicaid. It offers states the "opportunity" to expand Medicaid at no cost for the first two years, and then offers to pay 90% of the cost in perpetuity of all individuals eligible under the expansion. The law also increases payment to primary care doctors for two years to encourage them to accept more Medicaid patients.
As the Affordable Care Act (ACA) continues to be implemented, patient privacy is one of the most oft-noted concerns as data is forced online, but the law’s impact on patient access to care is critical. The Citizens' Council for Health Freedom (CCHF) predicts, based on the results of a new study, that patients will have difficulty accessing medical care.
No patient, no government official, no policymaker should be able to require a practitioner to do what is viewed as unethical, morally objectionable or a violation of the religious beliefs of that practitioner.
Let's not kid ourselves. Becoming a physician today requires more than altruism. It requires courage. Caring for patients is a day-to-day battle with managed care companies. Committing an error in billing is now a federal offense. And following burdensome tomes of government regulations is all but impossible.
Hospitals and nursing facilities across the nation are severely short-staffed. So heard legislators at the Minnesota Workforce Task Force in December. In fact, at one point in the previous two months, four Minnesota hospitals were closed for discretionary admissions at the same time because there was not enough staff to care for patients, according to the Minnesota Nurses Association.
We seek more informaiton on the NPI number and enforcement, and do not support mandatory enumeration of all providers, the proposed broad data collection that goes well beyond identification, the violation of statute regarding security of information exchanged, the addition of two transactions, the waiver proposal, or the central registry option.
Certainly the reason to go to Arizona is not to make more money. My income will drop--maybe 30-40%. On the same hand the income factors in Minnesota are so driven by non-patient oriented mechanisms that my idealistic mind doesn't allow me to continue to practice that way.