If you don't pass this around, may you enjoy his Plan!

WHAT???
The Republic has a CONSTITUTION???

Amendment 28

Congress shall make no law that applies to the citizens of the United
States that does not apply equally to the Senators or Representatives,
and Congress shall make no law that applies to the Senators or
Representatives that does not apply equally to the citizens of the
United States .

"Accountable Care Organizations," (ACOs), key to cost savings in the health-reform law ???????????
"ACOs reward doctors and medical workers for providing less care to patients," says a Morristown Medical staffer. "They reward bad doctors and punish good doctors. If someone dies, it’s more cost effective and cheaper. If someone is readmitted for, say, a wound not healing, the hospital doesn’t get paid by Medicaid or Medicare, it gets fined. Wheeling and dealing is bad care for patients. It is the patient who will get screwed. An ACO is mechanical care, it turns doctors into 9-to-5 shift workers."

The federal government recently approved 106 new ACOs. The U.S. Department of Health and Human Services says that as of last July, Medicare ACOs were serving 2.4 million people in 40 states and D.C.

There is cold math behind health reform’s ACOs, now the new face of medicine. At about $550 billion, Medicare is the third largest budget item in the federal government, behind Social Security and defense, and is set to outstrip defense spending in about two years.

But an avalanche of baby boomers retiring, a looming doctor shortage, and hospital bed shortages have given rise to ACOs. Doctors and medical workers warn that baby boomers will increasingly not be treated in hospitals, but in their homes or even over the phone, and not by doctors, but by physician assistants or nurses.

To be sure, many patients would argue that hospitals are vast reservoirs of bacteria and viruses, and would rather avoid them. "But if you get an illness at home after you leave the hospital and really do need more hospital care, an ACO may bargain with you to not re-admit you," a doctor warns.

Another element of health reform is driving doctors to join ACOs. Central to health reform are "electronic medical records systems, which must be put in place to process Medicare and Medicaid patients," a doctor explains. "But doctors can’t afford them, so they join an ACO,"

Dr. Jeff Goldsmith PhD, president of Health Futures Inc. and associate professor of Public Health Sciences at the University of Virginia, warned in a 2009 column about a dramatic culture shift in health care. "A rapidly increasing percentage of physicians, particularly primary care physicians, are now hospital employees," he wrote.

The doctor added: "An entire generation of 80-hour-a-week baby-boomer physicians are retiring and being replaced by younger physicians who want to work 30 hours a week."

Dr. Goldsmith also warned: "Hospitals will become ‘collections’ of physicians, not communities" with profit and loss statements and management "infrastructure."

However, ACOs could soon be used for Medicaid, too. The 2010 health-reform bill authorizes a demonstration project that would launch pediatric ACOs within Medicaid and the State Children’s Health Insurance programs. To date, funding is not yet available, sources and reports indicate."ACOs reward doctors and medical workers for providing less care to patients," says a Morristown Medical staffer. "They reward bad doctors and punish good doctors. If someone dies, it’s more cost effective and cheaper. If someone is readmitted for, say, a wound not healing, the hospital doesn’t get paid by Medicaid or Medicare, it gets fined. Wheeling and dealing is bad care for patients. It is the patient who will get screwed. An ACO is mechanical care, it turns doctors into 9-to-5 shift workers."

A doctor at the hospital also tells FBN: "Health reform, though, was meant to increase access to health care. Instead, ACOs decrease access to care. It’s totally opposite of what the President wants. ACOs also erode the doctor-patient bond."

The video surfaces as the federal government recently approved 106 new ACOs. The U.S. Department of Health and Human Services says that as of last July, Medicare ACOs were serving 2.4 million people in 40 states and D.C.

There is cold math behind health reform’s ACOs, now the new face of medicine. At about $550 billion, Medicare is the third largest budget item in the federal government, behind Social Security and defense, and is set to outstrip defense spending in about two years.

But an avalanche of baby boomers retiring, a looming doctor shortage, and hospital bed shortages have given rise to ACOs. Doctors and medical workers warn that baby boomers will increasingly not be treated in hospitals, but in their homes or even over the phone, and not by doctors, but by physician assistants or nurses.

To be sure, many patients would argue that hospitals are vast reservoirs of bacteria and viruses, and would rather avoid them. "But if you get an illness at home after you leave the hospital and really do need more hospital care, an ACO may bargain with you to not re-admit you," a doctor warns.

Another element of health reform is driving doctors to join ACOs. Central to health reform are "electronic medical records systems, which must be put in place to process Medicare and Medicaid patients," a doctor explains. "But doctors can’t afford them, so they join an ACO,"

Dr. Jeff Goldsmith PhD, president of Health Futures Inc. and associate professor of Public Health Sciences at the University of Virginia, warned in a 2009 column about a dramatic culture shift in health care. "A rapidly increasing percentage of physicians, particularly primary care physicians, are now hospital employees," he wrote.

The doctor added: "An entire generation of 80-hour-a-week baby-boomer physicians are retiring and being replaced by younger physicians who want to work 30 hours a week."

Dr. Goldsmith also warned: "Hospitals will become ‘collections’ of physicians, not communities" with profit and loss statements and management "infrastructure."

However, ACOs could soon be used for Medicaid, too. The 2010 health-reform bill authorizes a demonstration project that would launch pediatric ACOs within Medicaid and the State Children’s Health Insurance programs. To date, funding is not yet available, sources and reports indicate.

ACOs reward doctors and medical workers for providing less care to patients," says a Morristown Medical staffer. "They reward bad doctors and punish good doctors. If someone dies, it’s more cost effective and cheaper. If someone is readmitted for, say, a wound not healing, the hospital doesn’t get paid by Medicaid or Medicare, it gets fined. Wheeling and dealing is bad care for patients. It is the patient who will get screwed. An ACO is mechanical care, it turns doctors into 9-to-5 shift workers."

A doctor at the hospital also tells FBN: "Health reform, though, was meant to increase access to health care. Instead, ACOs decrease access to care. It’s totally opposite of what the President wants. ACOs also erode the doctor-patient bond

Read more: http://www.foxbusiness.com/industries/2013/01/30/leaked-hospital-video-mocks-patient-care-under-health-reform/#ixzz2PiiQgBbD