The Affordable Care Act – Choice Still Matters

Affordable Care ActThe Affordable Health Care Act (aka “ObamaCare”) has led to the purchase of physician practices as hospitals and health care systems organize narrow networks of health care providers to cash in on the influx of newly insured patients.  The insurers are contracting with the health systems at discounted rates to provide care. The insurers are requiring the newly insured to see physicians who are in their contracted network and sacrifice choice.  This week in an article published on the front pages of the NY Times insurance company executives were discussing how having a choice is over rated and unimportant. They are beginning to develop a public relations and marketing campaign to sell that idea to the public that having a choice of physicians to perform your surgery or radiation therapy is unimportant.

I have practiced adult medicine for 35 years now and let me, without reservation, tell you that is simply not true. My 85 year old golf and tennis playing patient survived replacement of two heart valves riddled with infection because he was sent to the Cleveland Clinic in Ohio where statistics show patients survive more often with fewer complications. I have three survivors of multiple myeloma treated at Dana Farber Cancer Center in Boston, University of Arkansas in Little Rock and Moffit Cancer Center in Tampa. I have scores of athletic seniors dancing and running and home from the hospital in 48 hours after having their hips replaced with the minimally invasive anterior approach by surgeons with 2000 or more of these under their belts rather than just a few. Then there are the lymphoma survivors from MD Anderson and Dana Farber Cancer Center who survived multi-drug treatment regimens at places that perform these services more frequently than other places.

Some physicians and medical centers are better than others. Some are the experienced researchers and teachers who show the rest of us how to handle difficult diseases so our patients can benefit from their experience.  Choice matters! Do not let your human resources person, employer or health insurance marketing guru sell you on price over choice. It will cost you or your loved one your life or your health if you do!

Advertisements

One Response

  1. Well-said.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: