Now that the
According to the mandate, everyone in America should have health insurance or else they will be taxed as penalty. The enforcement of this penalty is supposed to occur through the already-overburdened U.S.
What happens to the people who are in violation of the law when they land in emergency rooms across the nation? Will hospitals be recruited to enforce the law by reporting such scofflaws to the government? Will people without health insurance continue to get emergency care if they have not paid up their penalties and if they are fugitives from this law?
What of those folks who don't file income taxes? How will the law be enforced against them?
I am a doctor in private practice and I see a lot of
Aside from the fact there will continue to be numerous uninsured Americans, despite the ACA, the ranks of insured Americans will swell. Anyone who has been in a hospital emergency room recently can testify to long waits and rude encounters with overwhelmed providers. Hospitals continue to be understaffed and we cannot mint decent healthcare providers overnight. Doctors' offices too are crowded and each patient is getting cheated in terms of time spent with their providers. This leads to mistakes in diagnosis and treatment. The Affordable Care Act does not address malpractice reform. At a time when we need more health care workers, medicine as a profession, is being enervated and totally squeezed by insurers and administrators. Providers are demoralized and weary. Many quit and I don't see how the
Most important, we have a critical shortage of certain medicines for
I know those in favor of the Affordable Care Act will say that none of these kinks are insuperable. They can be unknotted as the law takes effect and all will be well. Of course, it is impossible to address every negative effect of what one is about to do before the negatives ever happen. But in the case of the Affordable Care Act, the administration has been all rosy and I suspect none of the negatives I have mentioned have been thought out. President Barack Obama, his team and the Maryland