The title of a recently released Yahoo! article is BUDGET struggle RAISING ANXIETY for HEALTH CARE” (Web-site/URL: http://news.yahoo.com/budget-struggle-raising-anxiety-health-care-102635702–politics.html).

CONFUSED about the federal budget struggle? So are doctors, hospital administrators and other medical professionals who serve the 100 million Americans covered by Medicare and Medicaid”MANY PEOPLE are “confused”.

“Rarely has the government sent so many CONFLICTING SIGNALS in so short a time about the bottom line for the health care industry”.

“Cuts are coming, says Washington and some could be REALLY BIG“, which is just what THE GOP wants.  “Yet MORE GOVERNMENT spending is also being promised as President Barack Obama’s health care overhaul advances and millions of uninsured people move closer to getting GOVERNMENT-SUBSIDIZED coverage“, which JOHN BOEHNERof course, was FURIOUS about (Web-site/URL: http://www.youtube.com/watch?v=_gFC3kVZTCk).

According to Thornton Kirby, “president of the SOUTH CAROLINA Hospital Association. “Imagine a person being told they are going to get a raise,BUT THEIR TAXES are also going to go up and they are going to be paying MORE for gasnecessity.THEY DON’T KNOW IF they are going to be TAKING HOME more or less”. This is the critical variable: “TAKE HOME” pay. “That’s the UNCERTAINTY when there are SO MANY variables in play”This is the latest mention of “uncertainty”Also notice that this person is from SOUTH CAROLINACONSERVATIVE state so, of course, this person will be COMPLAINING ABOUT “taxes (going) up”.

“As House Speaker John Boehner FAMOUSLY said: “God ONLY KNOWS“. So BOEHNER is “God?” Well he sure acted like it during his “Hell No” rant (Web-site/URL: http://www.youtube.com/watch?v=_gFC3kVZTCk). If Boehner is “famous” for this, it just reinforces how ARROGANT he is (Web-site/URL: http://www.youtube.com/watch?v=NgnAY_eXYbI).  “The Ohio Republican was referring to the overall chances of getting a budget deal, but the same can be said of how health care — ONE-SIXTH of the economy — will fare”. JOHN BOEHNER will surely complain that this is TOO BIG.

According to Dan Mendelson, “president of Avalere Health, a market analysis firm”, “THERE IS NO POLITICAL CONSENSUS to do anything significant“. This is problem #1: “NO POLITICAL CONSENSUS“.There is A COLLECTIVE WALKING AWAY from things that matter. All the stuff on the lists of options becomes impossible, because THERE IS NO GIVE-AND-TAKEThis is the same in REAL LIFEbecause people are so egocentric and only see things from THEIR OWN points of view.

According to Dr. Jeremy Lazarus, “president of the American Medical Association (AMA)”, “It seems like THERE IS A PRESUMPTION that physicians and patients can basically tolerate this kind of UNCERTAINTY while the Congress goes through whatever political machinations they are going through“. Of course, “presumptions” or ASSUMPTIONS can be WILDLY INACCURATE. “Our concern is that physician UNCERTAINTY and anxiety about being able to pay the bills will have an impact on TAKING CARE OF PATIENTSwhich should be doctors’ primary responsibility, NOT MAKING MONEY

Finally, Kirby finished off: “It’s very difficult to believe hospitals CAN ABSORB the kinds of numbers they are talking about without REDUCING service or workforceYou may decide that a service a hospital provides IS NOT affordablefor example, obstetrics in a rural community if you’re making a little bit of money or losing a little bit of money by continuing to deliver babies in a rural community”.

To concludelet’s return once again to the title: BUDGET struggle RAISING ANXIETY for HEALTH CARE“. It’s NOT as if we need ANY MORE “anxiety”, especially when we’re talking about an issue as critical as HEALTHCARE and POLITICAL “struggles” will surely remain.


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