ObamaCare and me – Doctor Zane F. Pollard, MD – For Anyone Who Still Doesn’t Believe in Rationing and Death Panels if ObamaCare Passes

I have been sitting quietly on the sidelines watching all of this national debate on healthcare. It is time for me to bring some clarity to the table by explaining many of the problems from the perspective of a doctor.

First off, the government has involved very few of us physicians in the healthcare debate. While the American Medical Association has come out in favor of the plan, it is vital to remember that the AMA only represents 17% of the American physician workforce.

I have taken care of Medicaid patients for 35 years while representing the only pediatric ophthalmology group left in Atlanta, Georgia that accepts Medicaid. For example, in the past 6 months I have cared for three young children on Medicaid who had corneal ulcers. This is a potentially blinding situation because if the cornea perforates from the infection, almost surely blindness will occur. In all three cases the antibiotic needed for the eradication of the infection was not on the approved Medicaid list.

Each time I was told to fax Medicaid for the approval forms, which I did. Within 48 hours the form came back to me which was sent in immediately via fax, and I was told that I would have my answer in 10 days. Of course by then each child would have been blind in the eye.

Each time the request came back denied. All three times I personally provided the antibiotic for  each patient which was not on the Medicaid approved  list. Get the point — rationing of care.

Over the past 35 years I have cared for over 1000 children born with congenital cataracts. In older children and in adults the vision is rehabilitated with an intraocular lens. In newborns we use contact lenses which are very expensive. It takes Medicaid over one year to approve a contact lens post  cataract surgery. By that time a successful anatomical operation is wasted as the child will be close to blind from a lack of focusing for so long a period of time.

Again, extreme rationing. Solution: I have a foundation here in Atlanta supported  100% by private funds which supplies all of these contact lenses for  my Medicaid and illegal immigrants children for free. Again, waiting for the government would be disastrous.

Last week I  had a lady bring her child to me. They are Americans but live in Sweden, as the father has a job with a big corporation. The child had the onset of double vision 3 months ago and has been unable to function normally because of this. They are people of means but are waiting 8 months to see the ophthalmologist in Sweden. Then if the child needed surgery they would be put on a 6 month waiting list. She called me and I saw her that day. It turned out that  the child had  accommodative esotropia (crossing of the eyes treated with glasses that  correct for farsightedness) and  responded to glasses within  4 days, so no surgery was needed. Again, rationing of care.

Last month I operated on a 70 year old lady with double vision present for 3  years. She responded quite nicely to her surgery and now is symptom free. I also operated on a 69 year old  judge with vertical double vision. His surgery went very well and now he is happy as a lark.  I have  been told — but of course  there is no healthcare bill that has been passed yet — that these  2 people because of their age would have  been denied  surgery and just told to wear a patch over one eye to alleviate the symptoms of double vision. Obviously cheaper than surgery.

I spent  two years  in the US Navy during the Viet Nam war and was well treated by the military. There was tremendous  rationing of care and we were told specifically what things the military personnel and their dependents could have and which things they could not have. While I was in Viet Nam, my wife Nancy got sick  and got essentially no care at the Naval Hospital in Oakland, California. She went home and went to her family’s  private internist in Beverly Hills. While it was expensive, she received an immediate work up. Again rationing of care.

For those of you who are  over 65, this  bill in its present form might be lethal for you. People in Britain face rationing of care in that there is an eight month wait for cataract surgery, 11 for hernia and the same for disc and total hip The government wants to mimic the British  plan. For those of you younger, it will still mean restriction of the care that you and your children receive.

While 99% of physicians went into  medicine because of the love of  medicine and the  challenge of helping our fellow man, economics are still important. My rent goes up 2% each year and the salaries of my employees go up 2% each year. Twenty years ago, ophthalmologists were  paid $1800 for a cataract  surgery and today $500. This is a 73%  decrease in our  fees. I do not know of many jobs in America that have seen this sort of lowering of fees.

But there is more to the story than just the lower fees. When I came to Atlanta, there was a well known ophthalmologist that charged $2500 for a cataract surgery as he felt the was the best. He had a terrific reputation and in fact  I had my mother’s bilateral cataracts  operated on by him with a wonderful  result. She is now 94 and has 20/20 vision in both eyes. People would pay his  $2500 fee.

However, then the government came in and said that any doctor that  does  Medicare work cannot accept  more than the going rate ( now $500) or  he or she would be  severely fined. This put an end to his charging  $2500. The government said it was illegal to accept more than the government-allowed  rate. What  I am driving at is that those of you well off  will not  be able to go to the head of the line under this new  healthcare plan, just because you have money, as no physician will be  willing to go against the law to treat  you.

I am a pediatric ophthalmologist and trained for 10 years post-college to become a pediatric ophthalmologist (add  two years of my service in the Navy and that comes  to 12 years). A neurosurgeon spends 14  years post-college, and if  he or she has to do the military that would be 16 years. I am not entitled to make what a neurosurgeon makes, but the new plan calls for all physicians to make the same amount of payment. I assure you that medical students will not go into neurosurgery and we will have a tremendous shortage of neurosurgeons. Already, the top neurosurgeon at my hospital who is in good health and only 52 years old has just quit because he can’t stand working with the government anymore. Forty-nine percent  of children under the age  of 16 in the state of Georgia are on Medicaid, so he felt he just could not stand working with the bureaucracy anymore.

We are being lied to about the  uninsured. They are getting care. I operate at least 2 illegal immigrants each month who pay me nothing, and the children’s hospital at which I operate charges them nothing also. This is true not only on Atlanta, but of every community in America.

The bottom line is that I urge all of you to contact your congresswomen and congressmen and senators to defeat this bill. I promise you that you will not like rationing of your own health.

Furthermore, how can you trust a physician that works under these conditions knowing that he is controlled by the state. I certainly could not trust any doctor that  would work under these  draconian conditions.

One last thing: with this new healthcare plan there will be a tremendous shortage of physicians. It has been estimated that  approximately 5% of the current physician work force  will quit under this new  system. Also it is estimated that another 5% shortage will occur because of the decreased number of men and women wanting to go into medicine. At the present time the US government has  mandated gender equity in  admissions to medical schools .That means that  for the past  15 years  that  somewhere  between 49 and 51% of  each entering class are females. This is true of private schools also, because all private schools receive federal funding.

The average  career of a woman in medicine now is only 8-10 years and the average work week for a female in medicine is only 3-4 days. I have now trained 35  fellows in pediatric ophthalmology. Hands down the  best was  a female that I trained  4 years  ago — she  was head and  heels above all  others I have trained. She now  practices  only 3 days a week. 

(Now there will also be mandated racial equity in admissions… rather than admissions based on ability).

By Zane F Pollard, MDAmerican Thinker

Background: Dr. Zane F. Pollard
I did my undergraduate  work at Northwestern University  in Evanston, Illinois. I graduated  Tulane University medical School Alpha Omega Alpha ( medical school’s top 10% of  graduating class). Internship at the Univ. of Southern California in Los Angeles, one year of General surgery residency at the U. of California in San Francisco. Two years in the US  Navy. Residency in Ophthalmology at the U.of S. California in Los Angeles, fellowship in pediatric Ophthalmology at the Wills Eye Hospital in Philadelphia. In practice with Eye Consultants of Atlanta for the past 35 years. Published 90 papers in peer reviewed  Scientific Ophthalmology Journals. Member of the American Association for Pediatric Ophthalmology and Strabismus,  American Academy of Ophthalmology and the American Ophthalmological Society. Board certified in Ophthalmology.

—————–

Barbara Wagner wanted to live, but Oregon Government-Run Healthcare would not pay for her cancer treatments.  What they would do, was give her the meds for assisted suicide.

http://www.katu.com/v/?i=26119539

Video: Oregon says no to chemotherapy, offers assisted suicide instead

Read Full Story: Woman in Oregon Told Healthcare Would Not Pay for Cancer Treatment But Would Pay for Assisted Suicide… Welcome to Government Controlled Healthcare

—————

Over the weekend the Veteran’s Manual was exposed

Full Article:  Outcry Over Vets’ ‘End of Life Care’

Click here to read the "Your Life, Your Choices" guide.

——————

IT’S ALL A DEATH PANEL: THE TRUTH ABOUT OBAMACARE

Washington is all atwitter about "death panels": President Obama derides the idea that his health-care reform calls for them; the Senate is stripping "end of life" counseling language from its bill — and last Friday the voice of the liberal establishment, The New York Times, ran a Page One story "rebutting" the rumor that ObamaCare would create such boards to decide when to pull the plug on elderly patients.

But all those protests miss the fundamental truth of the "death panel" charge.

Even without a federal board voting on whom to kill, ObamaCare will ration care extensively, leading to the same result. This follows inevitably from central features of the president’s plan.
Specifically, his decisions to (1) pay for reform with vast cuts in the Medicare budget and (2) grant insurance coverage to 50 million new people, vastly boosting demand without increasing the supply of doctors, nurses or other care providers.

Whether or not he admits it even to himself, Obama’s talk of cutting "inefficiencies" and reducing costs translates to less care, of lower quality, for the elderly. Every existing national health system finds ways to deny state-of-the-art medications and necessary surgical procedures to countless patients, and ObamaCare has the nascent mechanisms to do the same. With the limited options that Obama’s vision would leave them, many will find that "end of life counseling" necessary and even welcome.

"Reform" would cut care to the elderly in several ways:
* Slash hundreds of billions from Medicare spending, largely by lowering reimbursement rates to doctors and hospitals for patient care.

If a hospital gets less money for each MRI, it will do fewer of them. If a surgeon gets paid less for a heart bypass on a Medicare patient, he’ll perform them more rarely. These facts of the marketplace are not only inevitable consequences of Obama’s cuts but are also its intended consequence. Without them, his savings will prove illusory.
* Expanding the patient load by extending full coverage to 50 million Americans (including such "Americans" as illegal immigrants) without boosting the supply of care will force rationing decisions on harried and overworked doctors and hospitals.

People with insurance use a lot more health-care resources — so today’s facilities and personnel will have to cope with the increased workload. Busy surgeons will have to decide who would benefit most from their treatment — de facto rationing. The elderly will, inevitably, be the losers.

* The Federal Health Board, established by this legislation, will be charged with collecting data on various forms of treatment for different conditions to assess which are the most effective and efficient. While the bills don’t force providers to obey the board’s "guidance," its recommendations will still wind up setting the standards and protocols for care system-wide.

We’ve already seen Medicare and Medicaid lead a similar race to the bottom with their formularies and other regulations. With Washington dictating what every policy must cover and regulating all rates, insurers and providers will all have to follow the FHB’s advice on limiting care to the elderly — a de facto rationing system.
* In assessing whether to allow certain treatments to a given patient, medical professionals will be encouraged to apply the Quality-Adjusted Remaining Years system. Under QARY, decision-makers seek to "amortize" the cost of treatment over the remaining "quality years of life" likely for that patient.
Imagine a hip replacement costing $100,000 and the 75-year-old who needs it, a diabetic with a heart condition deemed to have just three "quality" years left. That works out to $33,333 a year — too steep! Surgery disallowed! (Unless of course, the patient has political connections . . . )

Younger, healthier patients would still get the surgery, of course. The QARY system simply aims to deny health care to the oldest and most infirm, "scientifically" condemning them to infirmity, pain and earlier death than would otherwise be their fate.

In short, ObamaCare doesn’t need to set up "death panels" to make retail decisions about ending the lives of individual patients. The whole "reform" scheme is one giant death panel in its own right.

Order a copy of Catastrophe

In Britain, there is a total dollar amount that government will pay for each person.

Canadian Healthcare is going Bust…

The new president of the Canadian Medical Association, Dr. Anne Doig, has made comments that indicate that Canada’s public run healthcare system is running on empty.

We all agree that the system is imploding, we all agree that things are more precarious than perhaps Canadians realize…We know that there must be change…We’re all running flat out, we’re all just trying to stay ahead of the immediate day-to-day demands.

These comments come as the outgoing CMA President Dr. Robert Ouellet, is expected to report that Canada’s government-run system needs to become more patient-centered.

Related Resources: 

  • And the list goes on…  The more time we have to study ObamaCare and other government run healthcare systems, the more negative and scary information keeps surfacing.

Source:  TrueHealthIsTrueWealth

Posted:  Marion’s Place

Sign The: ‘STOP OBAMACARE’ PETITION

About Ask Marion

I am a babyboomer and empty nester who savors every moment of my past and believes that it is the responsibility of each of us in my generation and Americans in general to make sure that America is as good or even a better place for future generations as it was for us. So far... we haven't done very well!! Favorite Quotes: "The first 50 years are to build and acquire; the second 50 are to leave your legacy"; "Do something that scares you every day!"; "The journey in between what you once were and who you are becoming is where the dance of life really takes place". At age 62 I find myself fighting inoperable uterine Cancer and thanks to the man upstairs and the prayers from so many people including many of my readers from AskMarion and JustOneMorePet... I'm beating it. After losing our business because of the economy and factors related to the re-election of President Obama in 2012 followed by 16-mos of job hunting, my architect-trained husband is working as a trucker and has only been home approximately 5-days a month since I was diagnosed, which has made everything more difficult and often lonely... plus funds are tight. Our family medical deductible is 12K per year for two of us; thank you ObamaCare. But thanks to donations from so many of you, we are making ends meet as I go through treatment while taking care of my father-in-law who is suffering from late stage Alzheimer's and my mother-in-law who suffers from RA and onset dementia as well as hearing loss, for which there are no caretaker funds, as I continue the fight here online to inform and help restore our amazing country. And finally I need to thank a core group of family, friends, and readers... all at a distance, who check in with me regularly. Plus, I must thank my furkids who have not left my side through this fight. You can see them at JustOneMorePet.
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2 Responses to ObamaCare and me – Doctor Zane F. Pollard, MD – For Anyone Who Still Doesn’t Believe in Rationing and Death Panels if ObamaCare Passes

  1. Pingback: Death Panels are HERE | askmarion

  2. Pingback: AGENDA 21 AND DEPOPULATION ACCORDING TO JOHN HOLDREN, OBAMA’S SCIENCE CZAR « How Did We Get Here

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