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    New England Journal of Medicine urges physicians to weigh in on Obamacare

    The prestigious medical journal wants physicians to tell their congressional representatives their views on Obamacare

    The New England Journal of Medicine has weighed in on the federal government shutdown and the controversy over the Affordable Care Act (ACA), otherwise known as Obamacare.

    Editor-in-Chief Jeffrey M. Drazen, MD, and Executive Editor Gregory D. Curfman, MD, wrote an editorial October 4 in the journal urging physicians to contact Congress and tell their elected representatives their views on the ACA.

    “As health care professionals, we are very close to the issues that have our government in shutdown,” Drazen and Curfman write. “We must lead by example. The well-being of our patients depends on it. Let your representative know that you are in the health business and where you stand.”

    The journal itself does not have an official position on whether the ACA is good or bad for the U.S. healthcare system. But Drazen and Curfman say supporting the law “makes moral and medical sense.”

    “All of us will need medical attention at some point in our lives,” the editorial reads. “When that point comes, we should not have to worry about whether we can pay for it.”

    The federal government has been on partial shutdown for more than a week as Congress battles over the ACA. A faction of Republican legislators want delays and changes to the ACA in exchange for funding the government, while the White House and Democrats in Congress say they will not use the healthcare law as a bargaining chip for passage of a routine budget resolution.

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    • Dr. Novak
      Our office is deeply engaged in the process of working with CMS and Horizon Blue Cross to model and evaluate newer system. They seem to be working well in the early stages, though complex, full of added data entry (electronic "Paper Work") and time intensive. The portion I have not seen addressed yet, in any of the models, is how Primary Care can deal with the huge deductibles and copays of the ACA plans. We would like to accommodate all the "metal plans," but it sounds almost impossible to expect a person who can barely afford a "bronze" plan to come up with initial visit costs and 30% copays. I foresee a difficult A/R issue unless this is addressed before the implementation of the ACA.

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