After SCOTUS Healthcare Ruling, No Middle Ground Will Remain

Joe Cantlupe, for HealthLeaders Media , June 14, 2012

"Simply put, they don't like healthcare reform. They don't want to be handcuffed [as to] how they practice medicine. Whether it's real or not, I think they feel they don't want more government control. And I don't think it's just a political issue."

The nearly 2,500-page ACA is so multi-faceted that it is broken down into distinct parts or sections.  Physicians may embrace or reject it in total, but many others may like some of it, or dislike some, with partisan preferences playing a role, Stream concedes.

"Even among this very intelligent segment of our population, physicians, I think many of the folks are subjected to the same sort of partisan rhetoric as the rest of the population," Stream says.

"You can ask them, ‘What part of the Affordable Care Act don't you like? Are you against insurance reforms, such as coverage for young people to 26, or no pre-existing conditions?' They are all in favor of that. Are you in favor of getting more primary care doctors and having them paid more? They say, ‘Yes.'"

Not surprisingly, Stream sees the individual mandate provision of the law, which goes into effect Jan. 1, 2014 and requires virtually all Americans to obtain insurance or pay a fine, as a major sticking point and cause for disagreement among physicians. It will certainly be a prime focus for the highest court.

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5 comments on "After SCOTUS Healthcare Ruling, No Middle Ground Will Remain"

pplemmons (6/19/2012 at 2:17 PM)
I beg to differ with my friend Joe Tye. How can the mandate be construed as taking personal responsibility when individuals are being compelled by the government? This is a complete contradiction. The mandate is reason enough to reject the law, but it is also larded with features that take a giant step toward government control over private health decisions. I for one do not want to cede my constitutional freedoms to apparatchiks in Washington, D.C.

joe (6/18/2012 at 9:27 AM)
"Whether it's real or not, I think they feel they don't want more government control." What an interesting comment by a supposedly 'educated' physician...I wonder if the good doctor prefers having the insurance companies having MORE control over his practice? srsly the ignorance of some people is hard to understand

kakistocraphobe (6/15/2012 at 10:20 AM)
Tyco, perhaps some doctors actually care whether Congress is passing unconstitutional laws, regardless of their pocketbooks. That would actually be a very mature position.




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