DJP Update 5-14-2010 Breaking news on “Doc Fix” and the price-fixing SGR – NO PERMANENT FIX! And more bad news about health law. See tweet.
Just got word from a reliable source as I wait in Houston airport trying to get back home. No permanent fix for SGR!
Of course, the real fix is to allow doctors and patients to privately contract WITHOUT penalty (no being forced out of Medicare for two years!). And that is AMA policy for many years (since 1993) and since November 2009 it is voted by AMA House of Delegates to be among AMA’s highest advocacy priorities.
AMA should be taking out ads, doing radio and TV and pointing out the system is melting down. Every specialty should join forces on this issue stating that balance-billing is needed. Private contracting without penalty is necessary! Access to care is at risk!
My source tells me the item up for consideration is a continuation of the SGR with another temporary fix. Maybe up to 5 years. But even that is not assured of passage.
And then there would be a guaranteed 32% payment cut written into the law for 2015. It appears the goal is to then move to bundled payments etc and eliminate “fee-for-service”.
Time to cut the chains! This is about liberty. Don’t accept a longer chain and more time in the prison exercise yard. Doctors don’t belong under the control of government. Currently, doctors are the victims of this injustice because the doctors sanction it and continue to genuflect to the power brokers in Congress.
I repeat: Disaster in the details in the health bill continues to unfold as I predicted. At least let us find a way to keep the doctors in practice. If the current leadership doesn’t go all out for the doctors, change the leadership. That includes the AMA leadership and Congress. Time to end the failed approach.
Meanwhile, more bad news about the consequences of the health bill. For the record, this law is cited as:
The “Patient Protection and Affordable Care Act” (P.L. 111-148), enacted on March 23,
2010 and amended shortly thereafter by the “Health Care and Education Reconciliation Act of
2010” (P.L. 111-152) as enacted on March 30, 2010.
See this Retweet I did today to learn more bad news.
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www.Twitter.com/DJPNEWS
!! RT @galeninstitute ..bad news about #ObamaCare just keeps coming http://bit.ly/aJEnen #tcot#hcr #hc #healthreform#healthcare
about 5 hours ago via Echofon
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Stay well.
Donald
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Donald J. Palmisano, MD, JD
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