Howard Dean: ObamaCare has a ‘rationing’ panel, after all

America was sold a 'bill of goods'.  B.O. totally DECEIVED America and should be charged with 'defrauding the American people' and impeached.

Howard Dean Admits Obamacare Includes Death Panels, Wants

Them Repealed 

http://www.lifenews.com/2013/0...wants-them-repealed/

predictable sore losers making up stuff. Where's the bodies from your hypothetical claim? a writ is in order.

Going abroad for medical care will become common. Already one can get quality medical services including complicated surgery in Thailand for a fraction of what it costs here. Look for this trend to continue as Obamacare systematically destroys the American healthcare system.

Originally Posted by Quaildog:

Want the whole article Dawg? Have you forgotten that Dean is a doctor himself?

http://online.wsj.com/article/...628542498014414.html

    OPINION
    July 28, 2013, 6:34 p.m. ET

The Affordable Care Act's Rate-Setting Won't Work
Experience tells me the Independent Payment Advisory Board will fail.
    By
    HOWARD DEAN

.............................
Clearly, the foremost achievement of President Obama's first term is the Affordable Care Act, and when fully implemented the law will move America closer to universal health coverage—something many progressives have sought for years. Like it or not, the law—at least its foundation—is here to stay, and lawmakers ought to focus over the next year on ensuring a relatively smooth implementation.
................................
There does have to be control of costs in our health-care system. However, rate setting—the essential mechanism of the IPAB—has a 40-year track record of failure. What ends up happening in these schemes (which many states including my home state of Vermont have implemented with virtually no long-term effect on costs) is that patients and physicians get aggravated because bureaucrats in either the private or public sector are making medical decisions without knowing the patients. Most important, once again, these kinds of schemes do not control costs. The medical system simply becomes more bureaucratic.

The nonpartisan Congressional Budget Office has indicated that the IPAB, in its current form, won't save a single dime before 2021. As everyone in Washington knows, but less frequently admits, CBO projections of any kind—past five years or so—are really just speculation. I believe the IPAB will never control costs based on the long record of previous attempts in many of the states, including my own state of Vermont.

Buried in the Obamacare law is a requirement that Congress and staffers must use the exchanges, rather than the Federal Employees Health Benefit Plan, they and all US civil service now use.  The government pays about 78 percent of the cost.  However, there is no provision in the law for the government to pay a similar percent for the exchange insurance plans. 

Each member of congress pays their staff out of their budget.  Best bet would be to up the staffers pay by the amount that would be paid otherwise.  Then, only 541 members of Congress would have to take it in the shorts as their pay is set by law.  Then, the guilty would suffer the most.

"Instead, the result of government-mandated procedures is that “bureaucrats in... [the] public sector are making medical decisions without knowing the patients.”"

  yep thanks to the epitome of professionalism, your local doctor, I here-to by the nape of his neck present him to you, your AMA drop-out. Look at his feet kicking wanting me to set him down where he can re-consider.

Shouldn't you be somewhere supervising that circumcision machine you were telling me about???

signed...

a proud AMA dropout

(thinking for myself since 1993!!)

Well t your fragmented drill as factions have done none of us any good.  I hereby hold you doctors accountable for gummit run medicine.

BTW your greatest sin was to ever allow anything other than a Doctor of Medicine to be a hospital administrator.

See this is where your confusion is setting in.  Hosptials are not run nor operated by doctors in the majority of cases. They can be run or owned by healthcare organizations, authorities, or corporate entities.  In all cases, they have to make a profit in order to stay in business.  Those pesky little things like employees who expect to be paid for working and staffing the hospital 24 hours a day, 7 days a week and 365 days a year.  It also takes money and investment to buy things like CT scanners, X-ray machines, and lab equipment. Most of these items can run from $250K to millions.

Physicians can be employed by the hospital (ie, hospitalists, or ER docs), but in most cases doctors "utilize" the hospital as a place to practice medicine.  It is a symbiotic relationship.  The doctors need somewhere for their patients to be cared for, and the hospital provides a place to take care of the patient under the doctor's direction.  The hospital is typically paid for their part under CMS guidleines using DRG's.  The doctor is compensated seperately for the professional component under a CPT code with a corresponding ICD-9 code.

Under the current scheme, the doctor and the hospital's compensation never mix (unless they are an employee, in which case the hospital collects the money and pays the doctor their share).  It is such a beautiful and simple system (dripping with sarcasm here).

Doctors are usally pretty poor business people, and therefore I have known only a rare one or two who ever ascended to hospital administrator. The ones I did know sucked at it.  Administrators have to think about keeping the lights on, and a good doctor has to think about what is best for the patient, and sometimes those two things may be at odds.  Thankfully, in most cases the doctor's wishes get accomodated. 

Most hospitals which utiize a MD for administration find themselves in red ink and ultimate foreclosure in most of the cases I have seen.

Teyates,

Agree with you whole heartedly about doctors as hospital administrators -- not a good idea.  Been a while since I audited healthcare services, but the best administrators I saw had MBAs and courses in public health admin.  They knew the business end and could understand the doctors side of the story. 

well t you're having it your way.

as it turns out MBA's didn't understand how doctors thunk. they weren't doctors.

I understand they are even in the business of evaluating doctors.