Oh, yah, ObamaCare gets worse. It's only a matter of time before the screws are tightened as this scenario envisions.
What is being overlooked this time around compared to 1993 is this: to prevent "leakage" from the system, draining of supply to other providers of insurance/purchasers of health care services...the "public option" has to effectively outlaw them. The mechanisms will be various and include provisions in law such as a prohibition on "topping off" fees paid independently by patients to physicians or hospitals above the public option's reimbursement rates to get better service or, indeed, any service at all in some circumstances (already in Medicare, I believe). A prohibition against taking private patients if a provider accepts ANY public patients...it's an all or none situation...unless your entire practice is exclusively private, you must accept the government's terms and conditions and no others. Severe penalties for the economic "crime," probably deemed to be medical fraud, of engaging in free market medicine, for violators.
One suspects that these provisions SHOULD ignite a shooting-war...
You can bet your ass that I will be paying extra for additional services. I will join a private hospital if it calls for it.
ReplyDeleteTake cover! He's got a gun!
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