By Betsy McCaughey
Thursday, January 02, 2014
2013 was the year of Obamacare whoppers. But the nastiest
truth about the health law is still to be exposed – the tightening hold the
federal government will have over your doctor, even if you’re paying with
private insurance. Obama said “you’re not going to have anybody getting in
between you and your doctor in your decision making.” It was a lie from day
one, just like the president’s other sales pitches.
President Obama’s often repeated claim that “if you like
your health plan, you can keep your health plan” was the obvious whopper of
2013. Over six million people had their plans cancelled already.
Then, on December 20th, the president brushed aside
reporters’ questions about the latest changes to Obamacare by brazenly claiming
“the basic structure of the law is working.” That’s a lie too.
Premiums for Obamacare plans are 41% higher, on average,
than what consumers paid in the individual market last year, with deductibles
as high as double, and for all that, you generally won’t be able to use
academic hospitals, top tier cancer hospitals for cancer, and the doctors who
practice at these institutions.
But the truth is still to come out about the biggest
whopper. Section 1311(h)(1) (B) of the health law gives the Secretary of Health
and Human Services, a presidential appointee, blanket authority to dictate how
doctors treat patients. Not just patients in government programs like Medicare
and Medicaid. But also patients with private plans they pay for themselves.
On December 2, 2013 in the Federal Register, it was
disclosed that the rules are in process of being written. Starting in 2015,
insurance companies will be barred from doing business with doctors who fail to
comply. Supposedly the rules are in the name of “quality,” but that could mean
everything in medicine. “The powers given to the Secretary are so broad he or
she could literally dictate how all physicians nationwide practice medicine,”
warns Congressman Phil Gingrey (R. Georgia), himself a physician. Gingrey is
sponsoring a bill to repeal Section 1311(h)(1)(B). He explains that otherwise,
the HHS Secretary, a Washington bureaucrat with no medical training, could bar
doctors from doing routine mammogram screenings until female patients turn 50,
for example. The government will be calling the shots on what patients get.
The rules have not been announced, but the president’s
key health advisor when the Affordable Care Act was written, Dr. Ezekiel
Emanuel, early on discussed what government intervention was needed.
Emanuel said doctors take the Hippocratic Oath too
seriously “as an imperative to do everything for the patient regardless of the
cost or effects on others.” As long as doctors are in charge, cost control
would not be possible. “Vague promises of savings from cutting waste enhancing
prevention and wellness, installing electronic medical records and improving
quality of care are merely ‘lipstick’ cost control,more for show and public
relations than for true change.” Emanuel advocated for top down federal rules
to allocate resources to patients based on what he called “social justice.”
Obama nominee to run the Centers for Medicare and
Medicaid (CMS), Dr. Donald Berwick, was also insistent that the federal
government must step in between doctors and their patients to curb and
redistribute the use of medical resources. Berwick said resources should be
allocated based on “important subgroups.” These groups, rather than the
individual patient in the doctor’s office, should be the “unit of concern,” he said
Obama’s advisors would have these considerations override
your doctor’s focus on your needs as a patient.
Right now states license and discipline doctors. And
that’s plenty of oversight. In 2006, when the U.S. Attorney General tried to
interfere in how Oregon doctors used controlled substances to treat patients,
the U.S. Supreme Court struck down the federal intrusion. (Gonzalez v. Oregon,
2006) The Justices warned it would amount to a “radical shift of authority from
the States to the Federal government to define general standards of medical
practice in every locality.”
That is what Obamacare does. It puts the federal
government between you and your doctor with an eye toward limiting your
care—just what the president promised would not happen.
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