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ObamaCare’s Public Exchanges: A Foretaste of Bureaucracy to Come

Posted on November 1, 2013

by Robert Anderson

No doubt everyone has noticed that the mandated medical insurance application process at Obamacare exchanges is an unmitigated disaster. And what a blessing it is! But let us stay focused on the real issue rather than become distracted by these incredible computer “glitches” now. Be grateful for this early-warning wake-up call since a far worse medical scenario is most likely in our future.

It’s a total fiction that everyone can live off of everyone else through the taxing power of the state, and this is especially true of something as essential as medical care. But far more important than the economic cost of medical care is the quality and efficacy of medical care delivered, as well as the development of new emerging medical technology. Excellent medical care prevails only when competent health providers are available and willing to treat patients with a personal and caring relationship existing between them. If you believe it is possible that bureaucrats in Washington, D.C. can make decisions regarding your medical care better than the judgment of local medical doctors, I know of a bridge you can buy in Brooklyn!

The current chaos of the government handling of medical insurance applications is merely a forewarning of what is to come when a centralized bureaucratic monopoly controls what medical care you can receive, from whom, and worse yet, when you will receive it, if at all. Already in our community, as well as throughout the country, medical doctors are fleeing the private practice of medicine either through retirement, reduced hours of practice, or by joining hospitals or clinics as hourly employees.

When patients and physicians lose their freedom of choice in medical care the quality of their lives quickly deteriorates. Is it not obvious when Obamacare increases total patient demand for “free” medical care while discouraging medical care providers from continuing to offer their accustomed medical services, that both quality and availability of medical care will surely suffer?

The failure of the “public exchanges” is a red flag warning. We can hope that this warning will prove to be an awakening to the economic reality that the Federal government seizure and control of medical care away from the traditional patient/physician relationship is a coming nightmare in the making. It should also remind us that the future is not always better, especially when we act unwisely. Surrendering one’s health care to the decisions of government bureaucrats is surely not wise!

(The author is a retired economics professor at both Grove City College and Hillsdale College.)

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2 thoughts on “ObamaCare’s Public Exchanges: A Foretaste of Bureaucracy to Come

  1. Phillip the Bruce says:

    We can hope this Red Flag warning is heeded, but don't bet on it.

  2. Right now, doctors can refuse to accept Medicare and Medicaid patients – and reportedly are in droves. I fully support their right to choose their patients, and method of payment.

    HoweverI look for this to soon become illegal. As a condition of your medical license you will soon be REQUIRED to treat all persons showing up at your office door, just as hospitals are now required to provide emergency room treatment regardless of demonstrated ability to pay or insurance status (creating much of the inflated medical costs since those who do pay must pick up the tab for those who don't, or won't – and thus providing the twisted logic for the Obamacare mandate of insurance purchase)

    And what of so-called concierge practices? I will join one just a soon as I can find one, but I look too for those to soon be declared illegal. All medical professionals will be soon required to work for the government. Privately provided healthcare services will be verboten.

    Black markets in healthcare will flourish, as they always have, but with uneven quality for which there will be no legal recourse.