America has been at war with its doctors for a decade

“The fundamental paradox of the regulatory state in medicine is that physicians face constant impediments to the actual care of patients.”

“a cultural assault on [doctors’] their fundamental spirits of risk-taking, innovation, and professional autonomy.”

“a gross devaluation of the economic value of their work. Minimal pay from insurers – particularly Medicare and Medicaid – for life-or-death work is the new norm.”

“there is an army of non-physicians, now known as providers, waiting at the ashes of the battleground of America and its physicians.”

Mona Kotecha, MD

And from Bev, who is caring for her 90 something parents:

I have several stories to tell... Even if you have always been able to afford health insurance, the rules of the game have drastically changed in the last three years. If a specialist you have seen for 20 years does not take the new insurance the government forced you to buy you cannot pay out of pocket to stay with that provider. You must get a referral from your GP (if you have one that takes your insurance) and start all over with a new specialist.The GP must send a new referral every year to the specialist. I was told recently by a doctor that with all the insurance possibilities out there I was foolish for picking an HMO for my parents.  Apparently an HMO causes paperwork nightmares for that doctor's staff. When both parents are ninety and have ongoing health concerns you cannot shop around. Because of the government and insurance the doctor loses and the patient loses. It is a lose-lose situation.

Those of us who are considered seniors are a drain on the health system anyway according to the new health laws. I think I studied something about what ultimately happened to those who were found unfit and a drain to society in high school and college history classes. It has been a bad two weeks for me navigating our new improved insurance and medical system.