The health care reform bill (HR 3962) that just passed the House of Representatives is bad on so many levels it is difficult explain. As it stands, it will destroy both the doctor patient relationship and change the practice of medicine as we know it.
We have one of the finest health care systems in the world. It has been built on a foundation of choice. Doctors were free to choose the care that they deemed necessary to treat their patients, and patients were free to seek the medical care of their choice. Initially, the foundation was shaken by the rise of the managed care system with capitation. However, over the past 10 years, capitated plans which limit access to specialists have given way to the rise in power of insurance companies. They have used their anti-trust exemption to craft a system that has used monopoly to increase profits on the backs of both doctors and patients.