Obama care issues that are not discussed.?

What do you think are the issues with Obama care that no one is discussing?

We have people constantly attacking Obama Care while others defend it. The simple fact is that this is a very large and complex law. It has many provisions that you never hear about that can have an impact on how we receive our health care.

But many of these are never discussed here or anywhere else.

For example, did you know that doctors and healthcare facilities are subject to what is basically a customer satisfaction survey? In this survey patients are asked rate a facility on how satisfied they were with their care. If the facility does not get a very high rating they face having their reimbursements cut. In other words, if the patient is not satisfied, the facility loses money.

This sounds great on its face but think about it a bit more. What if a patient has decided that the doctor needs to run and CT, MRI or other expensive test because they have a headache or some other symptom? The doctor may feel that this is simply not necessary and is an unneeded expense. But if he does not order the test, the patient is angry and then can then give the doctor and hospital low ratings and have their reimbursements cut. So now you have Doctors that are subject to being pressured into doing tests that can cost thousands of dollars just to keep a patient happy.

How about re-admissions. One of the things we all want is for doctors to discharge patients quickly in order to keep hospital bills down. Doctors do a pretty good job of knowing when they can send their patients home. But the new Affordable Health Care act has directed the Center for Medicare and Medicaid Services (the people who administer Medicare, Medicaid, and Children’s services) to reduce payments for hospitals that have what they consider to be too many patients re-admitted.

So on one-hand doctors do not want to keep patients in the hospital any longer than necessary. But if the doctor sends the patient home and the patient does not continue to improve for some reason, the doctor and the hospital may have their reimbursements cut. This occurs even if the reason is that the patient refused to take their medications a home, or choose to return to work too soon on a broken leg. So we are pressuring doctors to keep patients in the hospital. How is that going to effect our healthcare costs?

Now suppose that same doctor has a patient in his office that he recently discharged. But the patient has not been eating and drinking at home and has become dehydrated. Now he faces a penalty if he does what may be in the best interest of the patient and re-admits them in the hospital for 24 hours. How can that effect the decisions regarding a patent’s health?

So we are constantly putting our physicians in a position where they are basically penalized financially. For them it can often be a lose/lose situation. It can also be a lose/lose situation for the patients.

Yes, there are some good things in Obama Care. But there are some areas that are not so good. I have nemed 6 different questions here. let me know what you think.

Personally I feel that situations such as this is what happens when one small group decides that they know what is best and do not seek the imput of others.

This is a bad way to run a government, our health care system or a businesses.