Posted on 07/25/2010 5:14:36 AM PDT by EBH
How does Dr. Berwick hope to control the billions of decisions made by practicing physicians every day? Daniel Henniger, in his Wonder Land column, has some revealing, and frightening, quotations:
“The unaided human mind, and the acts of the individual, cannot assure excellence. Health care is a system, and its performance is a systemic property.”
“I would place a commitment to excellence standardization to the best-known method above clinician autonomy as a rule for care.”
“Young doctors and nurses should emerge from training understanding the values of standardization and the risks of too great an emphasis on individual autonomy.”
The mechanisms for this are already in place. A central board, our version of the NICE, was already legislated into existence by the stimulus bill. Payment-for-performance (P4P) is already being used in certain areas to enforce compliance with clinical practice guidelines. Language in PPACA gives the secretary of Health and Human Services (which oversees CMS) authority to bar from participation doctors who do not comply with certain quality standards, i.e. conform to guidelines. Physicians are currently being bribed by CMS to purchase electronic health records, which will be used to insert algorithms to ’guide’ the physician to the ’correct’ plan of care. Where do practice guidelines come from?
Practice guidelines are a recent fad and have proliferated to cover virtually all areas of medicine. They are funded either by government
(Excerpt) Read more at medcitynews.com ...
And this guy plans to move quickly on much of the HC stuff.
This tyrannical kabal needs to be disbanded.
Years,YEARS,of headway into the recognition of individual physiometry will be tossed out in favor of a "survival of the fittest" agenda.
One wonders if there isn't a lingering post-Nazi desire to create the perfect race.
The senate will never get the chance. It was a recess appointment. We’re now truly doomed.
I need to find a good doctor in the underground medical system...
If anyone knows of such ...
Ah yes, the cry of the ruling class bureaucrat. You are too stupid to make a decision on your own. Put all of your trust into The System. Why can't people see this for the collectivist claptrap that it is?
I’m not kidding when I say I would throw a party if every one of them were wiped out in a tsunami or earthquake, and their familes too.
They are pure communists.
There is always violence - and these slime are just about insuring that we’re going to be forced to use it.
I’m not sure how much I would mourn if DC got hit by a comet. But it wouldn’t be much.
...More like 'survival of the politically connected'. Belong to the right organization (SEUI), or the right aggrieved class and you get care; otherwise it's off to the ovens for you citizen.
He can’t be that bad. Patriots haven’t organized to neutralize the threat.
Mankind's advancements, particularly in medicine, has always depended on the individual going against the mainstream. A reading of the Reformation, Renaissance, the American Revolution, the Industrial Age, and even the Space race proves this.
All of the movements mentioned above resulted in the overthrow of existing “standardization of practices”.
Let's see - the Holy (insert the religious text of your choice) is the source of all knowledge; the sun is the center of the universe; illnesses can be cured through bleeding; kings receive their power from God; man was never meant to fly; and you cannot fly faster than the speed of sound are but a very VERY short list of individual works that destroyed the existing “standardization of practices”.
Taking the big picture look I have come to the following conclusion: The progressive/liberal/socialist/democrat is a very frightened person who is scared of any kind of change. Therefore, they oppose any and all changes to the existing human condition.
I’d prefer trials and summary executions, but...whatever works.
Thre worst part is that the average dolt has no clue about this scumbag.
Your doc will be a technocrat obeying the computer generated orders. He will no longer have as his highest calling, serving the patient to the best of his ability. He will no longer use his judgement, his skill, his knowledge and his awareness of the individuality of each patient considered in his wisdom and experience. We will all be pieces in giant computer program and he will do as he as told.
THis is alarming.
Your doc will be a technocrat obeying the computer generated orders. He will no longer have as his highest calling, serving the patient to the best of his ability. He will no longer use his judgement, his skill, his knowledge and his awareness of the individuality of each patient considered in his wisdom and experience. We will all be pieces in giant computer program and he will do as he as told.
THis is alarming.
Barbeque and drinks at my place for the “mourning”
Advances and discoveries, throughout history, and most particularly in medicine, have been/are made by individuals (Unaided by committees of bureaucrats or committees.)
If obummerCare isn't stopped, we will be fleeing to even Canada for treatment.
It is reportedly $800k in the hole.
The majority of the medical staff initially supported the Health Care takeover and many of them still publicly support Single Payer. They have supposedly been instructed to add as many tests to everyone’s appointments as possible, to generate more revenue. Non-credentialed support staff are afraid of being cut.
The progressive community has convinced them to pay for support of a public indoor pool that is barely used and is lobbying for a Community Center that would house an alternative medical center, an auditorium, a new library and a community exercise facility. They plan to finance this with a combination of direct monies from the hospital, government grants, taxes and fees.
The loss of clinician autonomy is here, now. There have been no private medical practices locally for several years. All clinicians are hospital employees. A variety of intimidation tactics, including access to hospital privileges, forced the last private practice into the hospital system and, in doing so, took over their pension fund. The new pensions for RNs, for example, are considerable less than they were promised originally.
Some MDs will be willing to not do unnecessary tests if the patient specifically asks them not to. Whether they will also be willing to not enter private health information into the electronic system is in doubt. It could cost them their hospital job.
A return to private practices that avoid government control is doubtful, IMO. Licensure and malpractice insurance are two very large threats that can be brought to bear. Loss of hospital privileges and loss of ability to place patients in hospital-owned nursing facilities are two more.
More than alarming, it is frightening and depressing.
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