A Doctor’s New Euphoria

A Dec.4, 2016 Wall Street Journal article titled “Diagnosing Your Doc’s New Euphoria-Suddenly there’s hope for dismantling ObamaCare—and restoring sanity for doctors and patients” by Dr. Marc Siegel recounts the disturbing health insurance experiences of two of his patients in office visits.

He writes that:

Such encounters happen much more often now because ObamaCare has added low-quality heavily subsidized insurance that claims to be comprehensive and inflates patient expectations. This has bled into the entire health-care system, where more and more patients come to doctors expecting far more than we can possibly deliver regardless of their insurance….

Government regulations cause patients to buy expensive insurance policies. One example is ObamaCare’s requirement that everyone on the exchanges, Medicaid patients and businesses with fewer than 50 employees that provide coverage all be covered for maternity care and other benefits whether or not they need them.

He concludes:

 If much of ObamaCare is repealed, there will be room for more choice, competition and cost awareness. We can see a return of catastrophic health insurance with lower tax-deductible premiums, high deductibles and more payment up front, with government-run clinics for those who lack insurance.

I noticed my own doctor’s good mood the other day at my yearly wellness visit and I was not surprised. With the likely repeal or reform of Obamacare with its burdensome government regulation and compliance mandates, the current high burnout rate of physicians and other health care workers may decrease.

But there are other problems with Obamacare as it is structured today.

I have long been concerned about the direction of healthcare and in 2003, I was privileged to serve on a Catholic Medical Association task force on healthcare reform. Many great ideas, such as health savings accounts, measures to help the uninsured poor, and better conscience rights protections, were developed and published in a 2004 report entitled “Health Care in America: A Catholic Proposal for Renewal”. The result was some interest but little action as the Iraq War heated up.

In 2009, I wrote an article titled “A Nurse’s View of Ethics and Health Care Legislation”   about the proposed new Affordable Care Act (aka Obamacare). I read much of HR 3200, the 1000+-page proposed health care reform bill proposed before passage of the final Affordable Care Act that Rep. Nancy Pelosi famously said that Congress had “to pass the bill so you can find out what’s in it”.   Here is some of what I wrote then with emphasis added:

I am also concerned about a massive governmental overhaul of our health care at an exorbitant financial as well as moral cost.

Much of the bill’s language is murky legalese that is hard to understand. Much of the language is vague enough to allow all sorts of interpretations — and consequences….

Government officials who advocate the proposed healthcare reform legislation are furiously trying to allay the fears of the increasing number of citizens who oppose the bill — but we have only to look at the statements and philosophy of the people supporting this bill to recognize potential dangers. Here are some examples:

Compassion and Choices (the newest name for the pro-euthanasia Hemlock Society) boasted that it “has worked tirelessly with supportive members of congress to include in proposed reform legislation a provision requiring Medicare to cover patient consultation with their doctors about end-of-life choice (section 1233 of House Bill 3200).”

— On abortion, President Barack Obama not only said “I remain committed to protecting a woman’s right to choose” on the January 22, 2009 anniversary of Roe v. Wade, but he also moved to rescind the recently strengthened federal conscience-rights protections for doctors and nurses who object to participating in abortion.

— On rationing: Dr. Ezekiel Emanuel, President Obama’s health care advisor, wrote in the January 2009 issue of the British medical journal Lancet about using a “complete lives system” to allocate “scarce medical interventions”. He wrote that “When implemented, the complete lives system produces a priority curve on which individuals aged between roughly 15 and 40 years get the most substantial chance, whereas the youngest and oldest people get chances that are attenuated.

I hoped that I would be proven wrong about Obamacare but today’s problems with it speak for themselves.

Hopefully, our leaders will now come up with common sense and ethical changes that will meet the needs of the public and help healthcare providers provide the best care possible.