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    Healthcare is only “safe” when physicians work for patients

    This post is in rebuttal to the blog post by Dr. Monya De, "White men need to do their part and make healthcare safe again."


    Further reading: Primary care physicians react to AHCA


    Dr. De begins by conjuring outdated, bygone spirits of racism and ends with liberal socialism. Her blog was divisive in many respects, and is potentially racist, especially because it singles out white men and anyone opposed to the Affordable Care Act (ACA). Improvements to the healthcare system and its funding will not occur when you try to paint “the other side” with partisan rancor as evil and uncaring, with anecdotal and nonsensical vignettes.

    People opposed to the ACA are not evil, nor do they want people to not have access to healthcare insurance or to go bankrupt. Mostly, they want a healthcare system that improves access for everyone, while at the same time reduces costs in a transparent fashion for all involved.

    Many people hate ACA/Obamacare as it increased their premium costs and deductibles, got between them and their doctors and reduced their doctor’s ability to be an independent counsel for them. In other words, the ACA was divisive. The increased premiums took money out of household budgets that had been used for other necessities of life. For example, for a $20,000-per-year policy, you got a “free” $150 physical exam. After that, you had to reach a $5,000 deductible before any coverage kicked in. The increased deductibles were, in effect, a mechanism to ration care against those who could not afford the large deductibles and premium increases.


    In case you missed it: What the Obamacare repeal bill means for physicians


    While the ACA was touted as expanding access to Medicaid, it hurt most everyone else. That's divisive. 

    Whether healthcare is funded by the end-user on the one hand, or taxpayer-funded through government on the other, racist overtones are not necessarily inherent to either. In fact, when people pay for their own care by their own means, the potential for financial discrimination decreases, unlike when government decides which group "deserves" healthcare resources and forces someone else to pay for it. 

    Next:  "There is no such thing as a free lunch or mammogram"

    Craig M. Wax, DO
    The author is a family physician in Mullica Hill, NJ.


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    • Anonymous
      Regardless of whether social insurance is subsidized by the end-client from one viewpoint, or citizen supported through government on the other, bigot suggestions are not really characteristic to either. [url=https://www.ukassignmentshelp.co.uk/assignment-writing-service.php]Assignment Writing Services[/url]
    • [email protected]
      Such a well written commentary by Dr. Hill. May I chime in, medical care has become a scam game. Everyone is scamming the insurance companies and medicare. The hospital charges are ridiculous, medication costs are outlandish, and utilization depends on the price of property values, (bay area costs are astronomical), so there are two ways to hold down prices, #1 one payer system and if you have worked for the VA or any state hospital you know that doesn't work, or #2 capitalism:if meds were over the counter mostly, patients paid med malpractice if they wanted it at the time of the appointment, if hospitals were not as expensive as a space capsule which would happen with decreased regulations, if people all had a high deductible with a health saving account and there own portable insurance, the cost of med care would be affordable for the vast majority of Americans. For those who couldn't afford even the new low cost of the new health care then a charity hospital and clinic that doctors can staff with a small decrease in their tax rate would solve their problem.

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