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In Response to RE: A REVIEW OF THE $ 716 BILLION DOLLAR CUTS THAT OBAMACARE STOLE FROM SENIORS' PIGGY BANKS by GoodTimeCharlie
That is entirely up to you and your doctor whether you see them or a PA. If you use common sense, you don't need to see a doctor to on smaller health issues. There are also the rural population [which is half of the population in my state] that does not have any doctors in their community and the closest hospital is 50 miles away. They have to depend on nurse practitioners and PA's for their immediate medical needs. Think of it this way, do you need a doctor on every ambulance?
I know you won't read this but I'll post it anyway. It's from the Bell Policy Center. Here's how the IPAB would work:
- The independent board would be composed of 15 experts (including doctors and patient advocates) nominated by the president and confirmed by the Senate.
- The board would recommend policy changes to Congress that would reduce Medicare spending by specified amounts. Among other responsibilities, the law requires the board to recommend changes in payments to Medicare providers based upon different forms of care. Although payment structures could have an influence over physicians, board recommendations would not infringe upon how they practice medicine. The first recommendations would be due in 2014 and would be targeted for implementation in 2015.
- In order to address issues of transparency, the board is required to produce an annual public report on systemwide health care costs, access to care, utilization of services and quality of care, including comparisons by region, types of services and types of providers for both Medicare and private payers. (3)
- The board is specifically prohibited from making any recommendations that would: 1) ration care, 2) raise taxes, 3) increase premiums or cost-sharing and 4) restrict benefits or modify Medicare eligibility.
- Congress can accept or reject any board recommendations. If Congress rejects recommendations, and Medicare spending exceeds specific targets, Congress must enact policies that achieve equivalent savings. Otherwise the recommendations of the board will be implemented by the Department of Health and Human Services.