With all due respect, “experts” do not agree on the consequences of PPACA. Many practicing physicians, accountants and economists agree that “it:”
1. It is totally unaffordable in the federal budget.
2. It “steals” money from the almost bankrupt Medicare Ponzi scheme.
3. It is causing multiple double digit increases in everyone’s health insurance coverage from 2013 forward.
4. It created expensive health insurance exchanges paid for by borrowing on fed taxpayer dollars, only to force states to make up the funding on their own in future years and thereby likely increasing state income tax.
5. It puts the IRS in charge of data collection and enforcement of the largest new tax penalty in the history of our country. Perhaps you have read of multiple IRS infractions on selective enforcement recently?
6. It puts IPAB, a committee of politicians, not physicians or patients, in charge of care spending decisions.
7. It created ACOs, a hospital owned and driven form of healthcare at preferential treatment to all others. It also makes ACOs dependent on government dollars permanently.
8. It is virtually eliminating the individual private practice of osteopathic and allopathic medicine in all communities by increasing costs and reporting to government entities.
9. It passively forces tax paying patient onto Medicaid, another bankrupt state/fed entitlement program.
10. It effectively removes any remaining capitalist competition from healthcare service, delivery and payment. Competition is the agent in our free society that increases quality and service, while decreasing cost; the very thing america was promised with PPACA, but not delivered. It has completely disappeared from our industry since employer sponsored health insurance entitlement during WW II and the establishment of Medicare in 1960.
We cannot and will not stand idly by as the AOA, AMA, physicians, patients, hospitals, imaging centers & insurance companies bind themselves to a government in decline, desperate to reduce their cost liability for the seniors and all other tax paying citizens of our country. Yes, PPACA is the law of the land and the Supreme Court violated the US constitution to make it so, however it is a bad law and must be changed through peaceful noncompliance and active defunding and repeal.
Best wishes for good health,
Craig M. Wax, DO
Family physician, Editorial Board of Medical Economics
Independent Physicians For Patient independence @IP4PI