The Obama Healthcare Bill Explained: Why the Doctors Like It

March 22, 2010 RSS Feed Print
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By John Aloysius Farrell, Thomas Jefferson Street blog

Americans are media-savvy. We recognize that stirring fear is a great way for news outlets to boost ratings, and politicians to corral votes. But healthcare is a very personal subject. And there have been enough twists and turns in the last 14 months that the question, “What does it mean for me and my family?” may still need an answer. So let’s start today with a particularly succinct appraisal of the legislation that passed Congress last night. It is from the nation’s doctors--the guys and gals you trust, in the most vulnerable and nerve-wracking moments of your life, to give it to you straight; the moments that this great debate was all about.

“By extending health coverage to tens of millions of uninsured, improving competition and choice in the insurance marketplace, promoting prevention and wellness, reducing administrative burdens, and promoting clinical comparative effectiveness research, this bill will help patients and the physicians who care for them.”

And if you are in one of those millions of American families who already have healthcare insurance?

“Those who have insurance will see improvements right away: lifetime caps on coverage end; children can stay on parents’ policies until age 26, and insurance companies can’t cancel coverage except in the case of fraud.”

This enthusiastic diagnosis of the healthcare bill comes from the American Medical Association. Now, I have been a national political reporter for over 20 years, for most of that time in Washington. And I can tell you this: If the AMA endorses a healthcare bill, you can rest assured that the legislation is not some left-wing radical ploy that will crater the healthcare system and send us down the road to communism. The doctors like their tee-off times; have fought liberal proposals for national health insurance for 60 years, and most recently played a role in torpedoing Hillary-care during the Clinton years. They are a powerful lobby, and played a key role in writing this bill. So did those other “socialists,” the drug companies. And that commie front for left-wing seniors, AARP.

You may not like the bill for other reasons--if you are a business owner and don’t want to have to provide health insurance to your employees, or a rich family that doesn’t like the tax on your Wall Street returns--but whatever it is, Obama-care ain’t socialism. In fact, the nation’s doctors say it is good medicine.

This is no government takeover. That was a lie. There are no death panels. That was another lie. This is not the end of capitalism or freedom. More lies.

The free-enterprise system won, you silly Fox commentators and rude Tea Party growlers. The Republican Party should be taking victory laps today, not whining about repeal.

We wake up today with a healthcare system that, at its core, is just like yesterday--based on people buying health insurance from private insurance companies. A few million working families will qualify for federal tax breaks, or government aid--but only to buy more private insurance. The liberals had to give up on their biggest dream; there is no public option.

And this is not a gift to illegal immigrants. Another lie. Of the last slim slice of the American population that will not get health insurance after the president signs this bill, the millions of illegal workers in this country are the most significant chunk.

When it comes time to vote in November (or in November 2012, Sarah), remember those lies, and who tried to scare you with them.

In the meantime, appreciate Democrats. God bless their bleeding, tax-hiking hearts. They did it.

In the worst political climate, at a time when Washington seemed most dysfunctional, and quitters like Evan Bayh were fleeing for the doors, a ton of Democratic lawmakers put country ahead of careers last night, and got it done.

You may not like the bill, but you have to give the Democrats credit. There was nothing sneaky about their agenda. They have promised us for decades that, if given power, they would roll up their sleeves and take on the problem of our fraying, unfair healthcare system. They have tried and failed, and tried and failed. But, last night, the Democratic Party made good on a promise.

It is supposed to be how democracy works, yet it’s a novel experience, right? They told us they would do it. We voted them in to do it. And damn if they didn’t come through.

Check out our editorial cartoons on healthcare.

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Check out our photo gallery of the last week of the healthcare debate.

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I liked the explanation however there is something else the right wing scaring us about this bill. They say the word Dhimmitude is used in the bill. This word according to googles means Muslim world controlling non Muslim. Is that true?

Karmella Borashan of CA 9:56AM September 07, 2012

Sometime , if I think about it long enough, I become outraged then saddened. I cannot believe the most Powerful Country in the World , the United States of America, Wealth much too often Equals Health. The wealthy have the best Insurance, or just pay out of their pocket, fly to see the best specialists in the world. A Co-Pay of $75 means nothing.

Yet the middle class and low income Citizens of the USA , are not able to afford to see, for example, Medical Expert and Author , Dr DE Barry Gordon,MD to receive treatment. They must hop from one physician to another, attempting to get the physician to do what Dr. Gordon recommends. They are either too arrogant to ask one who has authored 2 Books , has a video series that is free.

Often they will prescribe the appropriate Rx, but 50% of the correct dose. Often they pull out their peripheral Brain, enter the disease and wait for the Pharmaceutically Biased First Drug of choice, a Brand Name drug, costing $200-300/month more than what the specialist recommended. Not only that, but it is the wrong Rx, the wrong route and the wrong dose...again 25-50% of the recommended dose. They cannot affoed to fly to NY to see this expert and receive proper treatment...

Sadly money may not buy happiness, but it sure can buy good health. Whatever happened to "All men are Created equally." I mean, I can understand some drive a new BMW every year and some drive an old truck. But , we are not taalking about luxuries, we are talking about morbidity and mortality.

There's one thing that is draining the State's Medicaid system...Parents allow their children to drop out of school, they allow them to be unsupervised when their hormones are boiling, and I am seeing more and more teenagers with 2 or 3 children already, often from 2 or 3 fathers. Parent's dropped out, had 3 children, so it is almost an inherited behavior. Now it's up to the government to pay for vaccinations, coughs, colds, colic, Nutritional Formula and on and on. The area where I currently reside, is one in which I have never seen such a problem. Parent's are "Offended" when a school board requires "Sex Eduucation".I suggested changing it to "Human Reproduction", if I can teach human reproduction, I can teach "Human Non-Reproduction."

In this rural county, there's still farming, however, machines do much of the work previously doone by farmers having 7 children...back then, lots of children were assets, the world has changed but the behavior has not.

There has to be a system in place that is an extremely strong deterrent for males and females, in females, the implant, in males, hopefilly they will come up with a contraceptive. People, especially men with no children, that really need Healthcare, trying to live off of $677/ mo., cannot get healthcare. When they do, cannot afford the medication. Behavior is continued because there's a "Payoff"...Let's stop the "Payoffs". Dropping out of school cannot be an optionanymore.

Dr. Barry J Burns, BS Pharm.-Psych Pharm.D of AL 3:27PM April 11, 2011

I've practiced in almost every area of medicine, from Home IV Therapy to Clinical Toxicology. From my point of view, I never look in a patient's chart to see if they are Insured or Indigent. It matters not. The patient will receive the best care possibble be it a millionaire or a homeless person. It is a system that is full of entangled Pharmaceutical Companies, MD's referring patient's to their golf buddies. Regarding Insurance on Rx Meds, the Co-Pays are outrageous. Those with SSI or SSDI and do not meet the criteria for a state Medicaid Program are often left with a choice between getting their "Brand Named" Rx with a $75 co-pay...often more than one ($150) added to travel expenses to and from their physician and the pharmacy,physician's office co-pay $20-$40, etc. AND let's say a new mattress.

First of all, the patien has GERD(Gastroesophageal Reflux Disease), Back Pain, Insomnia, poor quality of Life, poor work performance, all due to the lack of money for a proper mattress. The patient is on 4 Rx meds that total $212 to treat the aforementioned Disorders. Pharmaceutical Companies Lobby the physician's with catered lunches and I don't mean Peanut Butter and Jelly sandwiches...it's BBQ Ribs, Shrimp, even King Crab, and a variety of high quality desserts. I even see the influences on these hand held peripheral brains.

These devices are dangerous in the hands of Famiy Practice Physicians in that they are supposed to be used for things like dosage information, alternative Rx if the patient is allergic to the drug of choice. I asked one of these popular devices if pharmaceutical companies had any influence on what information is in this device...(Software). It is a yes or no answer...I received a reply that was 2 pages of convoluted double talk. Well that in itself told me the answer is YES.

Pharmaceitical companies pool their funds such that their RX (Brand Named) pops up as the first choice , which coincidentally , happens to be the most expensive. Who loaded the software such that their "Brand named" RX pops up as the number 1 Rx to treat the disorder...often in small print, it states if finances are an issue drug "X" is also effective in treating this disease...Often that , now generic drug, is MORE effective than the 2 "Brand Named, very Expensive Rx".

Here's where I believe the problem lies, the rich have the best insurance and therefore are able to see experts from all across the USA. The very, very poor such as a family of 4 trying to live on minimum wage, get State Medicaid, they also have access to good physicians and pretty much free medicine. The middle class, well they are screwed. They fall into a class called "Therapeutic Orphans". In the USA every citizen should have the right to the best care possible. One solution, instead of dwelling in the problem, is to "PRORATE" their Insurance Premiums based on their income. Come on, a family with an income of $300K/yr,can afford to pay $12,000 a yr for healthcare

Dr. Barry J Burns of AL 12:03PM April 11, 2011

John A. Farrell

John A. Farrell

John Aloysius Farrell is a contributing editor at U.S. News & World Report. An award-winning Washington reporter, he has written for The Boston Globe and The Denver Post and is the author of Tip O’Neill and the Democratic Century and an upcoming biography of the great American defense attorney, Clarence Darrow.

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