What is NOT new is that the data which is being collected is done in the name of “evidence based” medicine.....in other words the data gathered is being transformed into a recipe book for doctors to follow lest they risk not being paid...or, worse! If the data is bad....the treatment will be bad...or worse!
The major change occurring is that treatments that the government thought were too expensive are going from partial coverage to no coverage, and even to the point of not being allowed under certain plans. Moreover, older patients are finding out that the death panel rules went into effect this year. No more heart caths for the elderly. No invasive pacemaker procedures. No transplant lists. All going into effect.
Treatments are, indeed, going to be Medicare/Obamacare pre-approved or they won't happen. But then, less payments mean less equipment, supplies, and qualified personnel so soon, it won't be a problem anymore. Can't demand something that is no longer available.