Stanley Feld M.D.,FACP,MACE
A reader wrote,
If the Supreme Court watchers are correct, it appears the court will strike down parts or possibly all of Obamacare later this spring.
If that happens, it is a good thing?
And if so, where do we go from here?”
The court should overturn Obamacare. In my view Obamacare is unconstitutional. President Obama deceived the congress, the public and the Congressional Budget Office about the true costs and intent of the law.
I hope the Supreme Court overturns Obamacare. Obamacare will be a disaster. Obamacare will destroy healthcare in this country. The public, media, and congress cannot yet understand it.
Democratic spin-doctors and the traditional media accused the Internet page-by-page summaries of the bill as being anti-Obama propaganda.
President Obama disguised the costs and intent of Obamacare in a deceptive and clever way. It is a bill that puts America on Hayek’s Road to Serfdom.
Obamacare promotes dependence on the central government as it expands a failed entitlement.
It eliminates initiatives and incentives.
It decreases freedom of choice.
It expands an entitlement that America cannot afford.
America cannot afford to keep paying for the entitlement (Medicare) at the present enrollment. The states cannot afford the Medicaid entitlement much less its expansion.
President Obama ignores this enormous cost burden whose real cost estimates increase monthly by the CBO as the impact of Obamacare’s rules and regulations increase. Non-elected officials without a congressional oversight mechanism make rules and regulations.
How would you like to be told which doctor or which hospital you can go?
How would you like your physician to treat you in a certain way dictated by the federal government?
Medical science is changing rapidly. Best practices change quickly. The bureaucratic machinery implements change very slowly. Decisions for best practices and payment will be made by committee and not individualized by your physician using his best clinical judgment.
How would you like to put your health and healthcare needs and decisions in the arbitrary hands of some government institution that is being forced to save money?
How would you like to be forced to purchase a government insurance policy that has the right to restrict access to care and ration care?
How would you like the government to make all your healthcare decisions for you?
How would you like to not have freedom of choice and the right to participate in decisions about your health and healthcare decisions?
How would you like to be paying taxes for a very inefficient bureaucracy that does all these things to you?
Obamacare has already demonstrated that it is inefficient, wasteful, plays favoritism at the government's whim with no recourse by the individual.
An overriding goal of President Obama is central control of one sixth of the economy. He is pasting his healthcare reform act on top of a doomed 2011 business model.
Obamacare is accelerating the collapse of this doomed business model. Obamacare must be repealed or eliminated.
This has been healthcare journey so far.
Figure 1 shows the path of the healthcare business models since 1945
Figure 2 describes the hairball of interference by the government and the healthcare insurance industry in the physician patient relationship. It also describes the fragment view of the patient as a result of this hairball.
If the reader is interested in the reasons this all came about click on the underlined heading to read the source material in figure 3.
Figure 3: This is an easier figure to click on the source material and reference. The chasm between the patients and physicians must be eliminated in order to have an effective healthcare system.
Figure 4: America is at the critical turn now. All of the mistakes President Obama is making to Repair the Healthcare System are listed. He is going to accelerate the collapse of the healthcare system. The mistakes are referenced in the underlined headings. The references can be read by double clicking on the underlined headings.
Figure 5: My proposed future direction can be seen in this figure. The detail below these headings can be read by double clicking on each heading. Some of the headings are included in Obamacare. President Obama’s problem is he is going about implementing them in the wrong way.
Figure 6: The spokes of the business model that must be implemented in the correct way are outlined in this figure. Details of the future state business model have been described in previous blogs.
I hope I have answered the reader's questions