Hospital policies/political intrusion into medicine?

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lab0990

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So, the following article is concerning to me for a number of reasons:
1- Will the results of decisions such as Hobby Lobby and provisions in the law limit how much doctors are actually able to care for their patients?
2- What other effects do hospitals buying out practices have on the health care in the states?
3- With laws the way they are, will anyone have their own private practice by 2020?
4- Does anyone see this trend reversing? (I suspect the answer to this one is no)

http://www.salon.com/2015/05/11/whe...ar.al&utm_medium=urlshortener&utm_campaign=FB

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Somewhat of a strange article.. I don't think U.S. healthcare is at risk of becoming a subsidiary of the Catholic Church. Public pressure will make them back down before they effectively ban contraceptives for the whole country. As far as the effect of hospitals buying out practices, one thing that might happen is that it might be harder for patients to find doctors in their area if all the doctors in the area are part of the local heath system, and said system doesn't have an agreement in place to take their insurance.

Doctors seem to be trending away from private practice due to all the overhead costs and the bureaucratic nightmares that must be dealt with. I'm trying to mail-in renew my driver's license and even THAT has been like rubbing glass shards in my eyes. I can't imagine what is required to run a fully independent practice these days.
 
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I don't know about public pressure working so well. I know the house just passed a 20-week abortion ban, despite most of the country agreeing that it should be between a woman and her doctor. Elected officials seem to have very little regard for their constituents. I know a representative from my own area keeps getting re-elected despite the fact that he often does not attend his work.
 
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1. Not Hobby Lobby, but otherwise, FOR SURE the government wants to destroy this field as well, or the remaining private entities of it. As long as you work for the insurance mill, you are limited every time you see a patient.

2. Hospitals monopolizing the market leads to drop in physician reimbursement, autonomy and ability to provide quality personalized care. This monopolization also destroys the private practice milieu, so it is almost impossible for fresh residency grads to
go independent and from there it is hard to break out.
3. SOME will, but not many. Fields like cosmetic surgery, fitness&sports, BHRT and other CAM's will also be left alone by government. However, they WILL continue to try to knock it down. cannot have people making a choice themselves, you know.

4. Not really. Both parties are quit supported of socialism. The dems are unapologetic about it, while the republicans lie and say they are against it. Medicine will not farewell with this. I would not be surprised if physicians get compensated exclusively based upon the SGR in the future. Knowing how much debt and misery we have, it is quite easy to imagine physicians having no ability to avoid this.

Shrug!!
 
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