As a physician devoted to the care of the indigent, I applaud President Obama's initiative to provide healthcare insurance for uninsured Americans. That reporting enrollments in a federal program is considered front-page news underscores the troubled history of this program.
Of far deeper concern is that these are just enrollments. In other words, the hard work has not even begun.
With the most expensive healthcare system in the world by an order of 10, and one that has many Byzantine contortions to stymie patients and providers alike, providing cost-effective care to those previously considered uninsurable will certainly stress the system in unforeseeable ways.
The race needs to be started before taking a victory lap.
Jonathan D. Kaunitz, MD