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March 10, 2009
Cramdown
Dr. Ed O'Boyle, a former business professor and now research analyst, has written an excellent summary in the local paper of the reaction of doctors to the various types of cramdown that have been problematic in medicine for decades. His wife is a pediatrician and he knows whereof he speaks. This is as concise a summary as I have seen of the personal level business decisions doctors have to make.
In order to preserve primary care, it seems that Obama will be forced to make that final socialist step making all primary care doctors employees of the State. Hitherto, under our current fascist system, we are being made employees of corporations controlled by the State. Currently, that control is exercised by reimbursement, increasingly out of the hands of the patient. In order for a single payor system to work, these various responses to cramdown will have to be limited.
| By Robert Maddox | 6:40 AM