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Female DoctorDaily the fiasco of the Affordable Health Care Act of 2010 becomes more apparent as the unaffordable medical bill which knows no end. The lies regarding its financing already demonstrate that it will be two to three times more expensive than promised, patients will not have a choice of physicians, the end is near for insuring additional patients with risk factors because of costs, Medicare and choice are undercut with limitations on additions or advantage programs and the level of services will be uniformly decreased to that of those receiving Medicaid. Over 30 states dominated by Republican legislatures and/or governors are putting the brakes on health exchanges appreciating they can’t afford them.

The cry of physicians and hospitals for state governments to join the exchanges is all about insuring that they receive some money for services not that patients get the best of care. For North Carolina, if this state accepts the program, it means adding over 660,000 new patients into an already bankrupt system. Of those 600,000 plus over 400,000 will be from the rank of the employed who will likely be forced to discontinue their coverage thereby dumping this perceived burden in the state’s lap. Because of the lateness of the prior Republican response, Democrats are willing to again play politics and wrongly blame this fiasco on the other party.

Health care is too much job dependent for insurance, too little reliant on patient responsibility and very much cost driven by new technologies and concerns with malpractice. If the burden of health care continues to be shifted to the states and the national unwillingness to tackle the real problems remain, this will leave those few remaining with jobs as over-taxed to pay for what others haven’t done, will compromise businesses in forcing them to provide services that people should purchase in the free market, will drive many black and solo practitioner doctors out of small towns and possibly out of business, threatens to increase the numbers asking for service with no impact on training providers to give that service, and the list continues to go on.

National health care in England is bankrupt, Canada witnesses daily an influx of people to the USA for services and other countries struggle to pay the health care bill while increasing individual tax rates beyond 50% of income. The French system is stable with over 200 insurance companies which pay on time, let folks chose their practitioner and seems to modulate cost to a small degree. In France, insurance companies are held accountable but so are patients who continue risky behaviors.

The proposed ObamaCare exchanges will put everyone in a system financed for the Medicaid level. This is most disturbing and a shell game given that ObamaCare already cuts more than $400 billion dollars from Medicare and Medicaid which covers those in nursing homes, the handicapped and a lot of poor folks. Doctors and practitioners are being duped for the budget is going to be balance by squeezing their reimbursement rates even more. Say no to health exchanges and engage in a new conversation on how to make the system work better. Read the book, Common Sense Conservative Prescriptions Solutions for What Ails Us, Book I which has options worthy of consideration.


Upon receiving her medical degree, Fisher participated in a residency at the University of Rochester in family medicine. In addition, she worked for two Fortune 500 companies, including medical director for Amoco in Chicago before retiring in 2000. Dr. Fisher is also the North Carolina Republican National Committeewoman and the only such black female on the committee. She is the author of "Common Sense Conservative Prescriptions Solutions for What Ails Us, Book 1" available through bookstores or on line through Amazon.com and will be on Kindle before the New Year.
  • http://twitter.com/rtfactor1 Rod T

    Thank you Dr, Fisher for the excellent information on this “healtcare” business. I fear it will ruin our health system and country. I know there are problems with the present system but I don’t feel that what Obama has given us is a good idea. We’ll see.

 

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