ObamaCare: Rationing by Accountants

The Washington Times catches this in the Baucus bill:
Yes, there are death panels. Its members won't even know whose deaths they are causing. But under the health care bill sponsored by Senate Finance Committee Chairman Max Baucus, Montana Democrat, death panels will indeed exist - oh so cleverly disguised as accountants.

The offending provision is on Pages 80-81 of the unamended Baucus bill, hidden amid a lot of similar legislative mumbo-jumbo about Medicare payments to doctors. The key sentence: "Beginning in 2015, payment would be reduced by five percent if an aggregation of the physician's resource use is at or above the 90th percentile of national utilization." Translated into plain English, it means that in any year in which a particular doctor's average per-patient Medicare costs are in the top 10 percent in the nation, the feds will cut the doctor's payments by 5 percent.

So if your doctor thinks you need a particular test or procedure, but he's near his government budget expense limit, he'll have to decide whether to give you what you need or take a 5% pay cut. And that's a 5% cut to gross revenues, before staff and office expenses, which means a much larger cut to his actual take-home pay.

Change we can believe in!

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