Sunday, December 15, 2013

Drafting Docs
...The other thing we can do is draft the doctors, conscripting them into accepting Medicare and Medicaid patients, and those patients with new Obamacare policies that inevitably will end up looking a lot like Medicaid. Kathleen Murphy, a Democratic candidate for the Virginia state house, proposed exactly that during a recent candidates’ forum. Hers is the voice of the future. And it is not without precedent: In Canada, it was long illegal for doctors to accept payment for services that patients would otherwise receive for “free” (there’s no such thing as free health care) under the country’s national health-care system, though in reality that law was only half-heartedly enforced.

As radical as conscription seems, it is logically consistent with the Democrats’ approach to health-care “reform” going back to the Johnson administration, an approach that treats patients and doctors alike as villeins to be apportioned by the lords in Washington. The main obstacle to reducing Medicare and Medicaid spending is the fact that physicians have a choice about whether to participate in the programs. In the long run, the fact that physicians have a choice about whom they see and where they practice is the most significant challenge to the full implementation of Obamacare. The logical thing — politically and economically — is to eliminate that choice. You don’t have to formally nationalize the health-care industry; you just nationalize 40 percent of each physician’s practice and call it his “fair share.”...