-By Dan Scott
If you take President Obama’s example at face value concerning unnecessary tonsillectomies here are six points to consider why he basically made the case against his so called Healthcare Reform Plan (ObamaCare):
1) He accused doctors of unnecessary medical procedures. His example was a pediatrician profiting from tonsillectomies. Since when does a pediatrician perform surgeries? They don’t, a (pediatric) surgeon does. A pediatrician does not get any kickback or money from the surgeon for the referral. His example shows either a profound ignorance of the division of labor within health care or a deliberate deception. In fact under his example, the pediatrician would make MORE money from seeing the child repeatedly over a period of months by collecting the copay at each visit under a PPO arrangement. In an HMO where the doctor makes most of his money on a flat rate per patient per month regardless of the number of times the person sees the doctor. Under an HMO, the pediatrician would make money by making the tonsillectomy referral since seeing an individual LESS would mean having more patients on the roster thus collecting more money in the aggregate. However, most HMOs would ding the pediatrician for having a higher rate of referrals thus restricting their medical practice to stop such abuse.
2) All medical procedures on a child or adult are done with the prior CONSENT of the guardian or patient. If you are going to question the integrity of doctors, you will also have to question the motives of guardians and patients for acting proactively.
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President Obama’s Case Against Healthcare Reform”