Saturday, December 20, 2014

ACA forcing the consolidation of physicians into mega cartels which drives down productivity and drives up costs.

Depending upon the study, self employed physicians are ten to thirty percent more productive than employed ones. So at a time when "reform" is rapidly expanding the demand for physicians (at what the best evidence tells us will have zero impact on overall morbidity or mortality) "reform" is also herding independent physicians into employment.

Why would the Obami do something so obviously perverse? Particularly when the President has already asserted the "right" to unilaterally rewrite the ACA. Why didn't he get rid of this stupidity?
He's a corporatist. He does not like people to be independent because they're hard to control. He wants to sit around the table with the power players and do deals. And if access to physicians by the poor has to decline for him to reach glory? Well the losers at the bottom will vote for him regardless. As Obama's key consultant said over and over: Obama's voters and press enablers are stupid. 


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