For people 65 and older, doctors who will accept Medicare and Medicaid will be harder to find and specialists even harder. These patients will be forced into a second class medical care akin to what I’ve witnessed growing up under socialist nationalized health care.
When more and more people will be forced into Medicaid and Medicare, costs will escalate and so will taxes to support care for 30 million more patients who were previously without insurance.
Because there are no eligibility requirements in place, Illegal aliens and those seeking asylum with a certain religious bent will receive free care ahead of the line based on age, increasing wait time and reducing the amount of money available for the treatment of American citizens.
The Independent Payment Advisory Board (IPAB) will have to cut costs by approving or disallowing medical services based on how expensive they are, the age of the patient, and utility to society. Rationing will become an important factor in the quality, quantity, and expedience of our medical care.
If IPAB denies treatment, there is no appeal because IPAB is only accountable to President Obama. The courts or Congress cannot override that decision. At least under private health care insurance, if you are denied treatment, you have an appeal process in place to defend your ability to have treatment paid by your insurance plan.
If Medicare denies medical care, the patient is not allowed to pay cash to a Medicare-contracted doctor, hospital, or other health provider. Under such circumstances, a patient can seek care from an independent doctor or hospitals, which are harder and harder to find, or look for treatment outside of the United States.
It is foreseeable that by 2015, most private plans will be gone, replaced by a single-payer IRS/HHS government-run ins
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