I don’t understand. I thought that increasing the disgusting bureaucracy that interferes with doctors’ care, that forcing doctors to spend more of their time dealing with regulations and less of their time with patients, that forcing doctors to see far more patients by ObamaCare fiat, and that by paying doctors less while demanding that their jobs take far more time, would be good for doctors.
I mean, that’s what Obama and the Democrat Party said.
And now we find out that they’re abandoning the field of medicine – WHICH HAS ABSOLUTELY NOTHING TO DO WITH THE FACT THAT CONSERVATIVES PREDICTED THIS WOULD HAPPEN.
I’ve said I told you so as to what would happen under this disgraceful Obama presidency so many times that it literally causes me pain to say it. But even though it hurts, I nobly must rise once again and say, “I TOLD YOU SO!”
Oh, I feel so drained. Maybe I should see a doctor. My throat is strained from all the accurate predictions I made and I’ve got carpel tunnel from typing out those accurate predictions. Oh, wait, that’s right, I CAN’T SEE A DAMN DOCTOR, CAN I??? Because what in actual fact happened “away from the fog of the controversy“ is in actual fact exactly what I damn well said would happen. And the real purpose of ObamaCare is more nakedly revealed: “to do the necessary administrative steps that have to be taken to put the legislation together to control the people.”
ObamaCare did NOTHING to improve healthcare; it was nothing more than massive government imposed dictates to insurance companies and to the doctors who would be forced to see more patients for less money while conforming to more government oversight and spending time complying with more government regulations.
California as the biggest state leads the nation. And just as it led America into depraved liberalism, now it is leading it into ObamaCare hell:
State lacks doctors to meet demand of national healthcare law
Lawmakers are working on proposals that would enable physician assistants, nurse practitioners, optometrists and pharmacists to diagnose, treat and manage some illnesses.
February 09, 2013|By Michael J. Mishak, Los Angeles Times
SACRAMENTO — As the state moves to expand healthcare coverage to millions of Californians under President Obama’s healthcare law, it faces a major obstacle: There aren’t enough doctors to treat a crush of newly insured patients.
Some lawmakers want to fill the gap by redefining who can provide healthcare.
They are working on proposals that would allow physician assistants to treat more patients and nurse practitioners to set up independent practices. Pharmacists and optometrists could act as primary care providers, diagnosing and managing some chronic illnesses, such as diabetes and high-blood pressure.
“We’re going to be mandating that every single person in this state have insurance,” said state Sen. Ed Hernandez (D-West Covina), chairman of the Senate Health Committee and leader of the effort to expand professional boundaries. “What good is it if they are going to have a health insurance card but no access to doctors?”
Hernandez’s proposed changes, which would dramatically shake up the medical establishment in California, have set off a turf war with physicians that could contribute to the success or failure of the federal Affordable Care Act in California.
Doctors say giving non-physicians more authority and autonomy could jeopardize patient safety. It could also drive up costs, because those workers, who have less medical education and training, tend to order more tests and prescribe more antibiotics, they said.
“Patient safety should always trump access concerns,” said Dr. Paul Phinney, president of the California Medical Assn.
Such “scope-of-practice” fights are flaring across the country as states brace for an influx of patients into already strained healthcare systems. About 350 laws altering what health professionals may do have been enacted nationwide in the last two years, according to the National Conference of State Legislatures. Since Jan. 1, more than 50 additional proposals have been launched in 24 states.
As the nation’s earliest and most aggressive adopter of the healthcare overhaul, California faces more pressure than many states. Diana Dooley, secretary of the state Health and Human Services Agency, said in an interview that expanding some professionals’ roles was among the options policymakers should explore to help meet the expected demand.
At a meeting of healthcare advocates in December, she had offered a more blunt assessment.
“We’re going to have to provide care at lower levels,” she told the group. “I think a lot of people are trained to do work that our licenses don’t allow them to.”
Currently, just 16 of California’s 58 counties have the federal government’s recommended supply of primary care physicians, with the Inland Empire and the San Joaquin Valley facing the worst shortages. In addition, nearly 30% of the state’s doctors are nearing retirement age, the highest percentage in the nation, according to the Assn. of American Medical Colleges.
Physician assistants, nurse practitioners, pharmacists and optometrists agree that they have more training than they are allowed to use.
“We don’t have enough providers,” said Beth Haney, president of the California Assn. for Nurse Practitioners, “…so we should increase access to the ones that we have.”
Hernandez, who said he would introduce his legislation and hold a hearing on the issue next month, said his own experience as an optometrist shows the need to empower more practitioners. He said he often sees Medicaid patients who come to his La Puente practice because they have failed their vision test at the DMV. Many complain of constant thirst and frequent urination.
“I know it’s diabetes,” he said. But he is not allowed to diagnose or treat it and must refer those patients elsewhere. Many of them may face a months-long wait to see a doctor.
The California Medical Assn. says healthcare professionals should not exceed their training. Phinney, a pediatrician, said physician assistants and other mid-level professionals are best deployed in doctor-led teams. They can perform routine exams and prescribe medications in consultation with physicians on the premises or by teleconference.
Allowing certain health workers to set up independent practices would create voids in the clinics, hospitals and offices where they now work, he said. “It’s more like moving the deck chairs around rather than solving the problem,” Phinney said.
His group proposes a different solution: It wants more funding to expand participation in a loan repayment program for recent medical school graduates. Doctors can now receive up to $105,000 in return for practicing in underserved communities for three years.
Still, it typically takes a decade to train a physician. Health experts say the pool of graduates cannot keep pace.
“A months-long waits to see a doctor.” Just like we pointed at in the U.K. and in Canada and said would happen HERE as a result of the same damn socialist takeover.
What is the left now doing? Redefining “doctor” the way they’ve redefined the Constitution. Now “doctor” is going to mean nurse practitioner or pharmacist or maybe a trained collie.
Oh, well, let me just quote Hillary Clinton’s comment regarding the Benghazi debacle of Obama’s foreign policy and the lies and the cover-ups that followed: “what does it matter” now???
Just keep giving the fascist and Stalinist left what it wants and keep never considering the consequences of having given the fascist and Stalinist left what it wanted.
But the fact of the matter is that absolutely everything the liar Obama and the dishonest Democrat Party said about ObamaCare was a giant con. “If you like your doctor, you can keep your doctor,” Obama said. Now we know you can’t even keep A doctor; you’ll be seeing a nurse instead. That turned into “If you like your health plan, you can keep your health plan.” Just as untrue, given that more and more employers – unable to pay the giant tab of the ObamaCare requirements – are dumping their health plans or are forcing their workers into less than full-time positions. Millions of Americans are going to lose their health coverage directly because of ObamaCare. And Obama said his health care wouldn’t add one dime to the deficit. Which was only true if you believe that $2 trillion isn’t “one dime.” And of course there is that “Affordable Care Act” name and the unfortunate fact that ObamaCare will cost a family a MINIMUM of $20,000 a year.
This demonic legislation is every bit as evil as I said it would be. And by the time it has grabbed America by the throat it will be too late to undo the damage to our health care system and to our economic system.