Friday, August 28, 2009

Obamacare and Me

August 06, 2009 ObamaCare and me. By Zane F Pollard, MD

I have been sitting quietly on the sidelines watching all of this national debate on healthcare. It is time for me to bring some clarity to the table by explaining many of the problems from the perspective of a doctor.

First off, the government has involved very few of us physicians in the healthcare debate. While the American Medical Association has come out in favor of the plan, it is vital to remember that the AMA only represents 17% of the American physician workforce.

I have taken care of Medicaid patients for 35 years while representing the only pediatric ophthalmology group left in Atlanta, Georgia that accepts Medicaid. For example, in the past 6 months I have cared for three young children on Medicaid who had corneal ulcers. This is a potentially blinding situation because if the cornea perforates from the infection, almost surely blindness will occur. In all three cases the antibiotic needed for the eradication of the infection was not on the approved Medicaid list.

Each time I was told to fax Medicaid for the approval forms, which I did. Within 48 hours the form came back to me which was sent in immediately via fax, and I was told that I would have my answer in 10 days. Of course by then each child would have been blind in the eye.

Each time the request came back denied. All three times I personally provided the antibiotic for each patient which was not on the Medicaid approved list. Get the point -- rationing of care.

Over the past 35 years I have cared for over 1000 children born with congenital cataracts. In older children and in adults the vision is rehabilitated with an intraocular lens. In newborns we use contact lenses which are very expensive. It takes Medicaid over one year to approve a contact lens post cataract surgery. By that time a successful anatomical operation is wasted as the child will be close to blind from a lack of focusing for so long a period of time.

Again, extreme rationing. Solution: I have a foundation here in Atlanta supported 100 % by private funds which supplies all of these contact lenses for my Medicaid and illegal immigrants children for free. Again, waiting for the government would be disastrous.

Last week I had a lady bring her child to me. They are Americans but live in Sweden, as the father has a job with a big corporation. The child had the onset of double vision 3 months ago and has been unable to function normally because of this. They are people of means but are waiting 8 months to see the ophthalmologist in Sweden. Then if the child needed surgery they would be put on a 6 month waiting list. She called me and I saw her that day. It turned out that the child had accommodative esotropia (crossing of the eyes treated with glasses that correct for farsightedness) and responded to glasses within 4 days, so no surgery was needed. Again, rationing of care.

Last month I operated on a 70 year old lady with double vision present for 3 years. She responded quite nicely to her surgery and now is symptom free. I also operated on a 69 year old judge with vertical double vision. His surgery went very well and now he is happy as a lark. I have been told -- but of course there is no healthcare bill that has been passed yet -- that these 2 people because of their age would have been denied surgery and just told to wear a patch over one eye to alleviate the symptoms of double vision. Obviously cheaper than surgery.

I spent two year in the US Navy during the Viet Nam war and was well treated by the military. There was tremendous rationing of care and we were told specifically what things the military personnel and their dependents could have and which things they could not have. While I was in Viet Nam, my wife Nancy got sick and got essentially no care at the Naval Hospital in Oakland, California. She went home and went to her family's private internist in Beverly Hills. While it was expensive, she received an immediate work up. Again rationing of care.

For those of you who are over 65, this bill in its present form might be lethal for you. People in England over 59 cannot receive stents for their coronary arteries. The government wants to mimic the British plan. For those of you younger, it will still mean restriction of the care that you and your children receive.< /b>

While 99% of physicians went into medicine because of the love of medicine and the challenge of helping our fellow man, economics are still important. My rent goes up 2% each year and the salaries of my employees go up 2% each year. Twenty years ago, ophthalmologists were paid $1800 for a cataract surgery and today $500. This is a 73% decrease in our fees. I do not know of many jobs in America that have seen this sort of lowering of fees.

But there is more to the story than just the lower fees. When I came to Atlanta, there was a well known ophthalmologist that charged $2500 for a cataract surgery as he felt the was the best. He had a terrific reputation and in fact I had my mother's bilateral cataracts operated on by him with a wonderful result. She is now 94 and has 20/20 vision in both eyes. People would pay his $2500 fee.

However, then the government came in and said that any doctor that does Medicare work cannot accept more than the going rate ( now $5 00) or he or she would be severely fined. This put an end to his charging $2500. The government said it was illegal to accept more than the government-allowed rate. What I am driving at is that those of you well off will not be able to go to the head of the line under this new healthcare plan, just because you have money, as no physician will be willing to go against the law to treat you.

I am a pediatric ophthalmologist and trained for 10 years post-college to become a pediatric ophthalmologist (add two years of my service in the Navy and that comes to 12 years).A neurosurgeon spends 14 years post -college, and if he or she has to do the military that would be 16 years. I am not entitled to make what a neurosurgeon makes, but the new plan calls for all physicians to make the same amount of payment. I assure you that medical students will not go into neurosurgery and we will have a tremendous shortage of neurosurgeons. Already, the top neurosurgeon at my hospital who is in good health and only 52 years old has just quit because he can't stand working with the government anymore. Forty-nine percent of children under the age of 16 in the state of Georgia are on Medicaid, so he felt he just could not stand working with the bureaucracy anymore .

We are being lied to about the uninsured. They are getting care. I operate at least 2 illegal immigrants each month who pay me nothing, and the children's hospital at which I operate charges them nothing also.This is true not only on Atlanta, but of every community in America.

The bottom line is that I urge all of you to contact your congresswomen and congressmen and senators to defeat this bill. I promise you that you will not like rationing of your own health.

Furthermore, how can you trust a physician that works under these conditions knowing that he is controlled by the state. I certainly could not trust any doctor that would work under these draconian conditions.

One last thing: with this new healthcare plan there will be a tremendous shortage of physicians. It has been estimated that approximately 5% of the current physician work force will quit unde r this new system. Also it is estimated that another 5% shortage will occur because of the decreased number of men and women wanting to go into medicine. At the present time the US government has mandated gender equity in admissions to medical schools .That means that for the past 15 years that somewhere between 49 and 51% of each entering class are females. This is true of private schools also, because all private schools receive federal funding.

The average career of a woman in medicine now is only 8-10 years and the average work week for a female in medicine is only 3-4 days. I have now trained 35 fellows in pediatric ophthalmology. Hands down the best was a female that I trained 4 years ago -- she was head and heels above all others I have trained. She now practices only 3 days a week.

Background: Dr. Zane F. Pollard

I did my undergraduate work at Northwestern University in Evanston, Illinois. I graduated Tulane University medical School Alpha Omega Alpha ( medical school's top 10% of graduating class). Internship at the Univ. of Southern California in Los Angeles, one year of General surgery residency at the U. of California in San Francisco. Two years in the US Navy. Residency in Ophthalmology at the U.of S . California in Los Angeles, fellowship in pediatric Ophthalmology at the Wills Eye Hospital in Philadelphia. In practice with Eye Consultants of Atlanta for the past 35 years. Published 90 papers in peer reviewed Scientific Ophthalmology Journals. Member of the American Association for Pediatric Ophthalmology and Strabismus, American Academy of Ophthalmology and the American Ophthalmological Society. Board certified in Ophthalmology.

4 comments:

Brittanicus said...

Instead of pandering to the business community, our elected politicians must execute E-Verify as permanent tool to draw illegal workers away from the workplace? It must not be voluntary to be enforced, with serious penalties for employers who disregard the law. Heavy fines should be imposed, along with asset confiscation and for hiring a large force of illegal foreign workers a lengthy prison sentence. Nobody in the workplace should be exempt from being positively identified as a Citizen or a US permanent resident. Even the longest employed worker should be checked through the system. E-Verification should be built upon, with any new innovations desired to stop jobs being stolen from those legally allowed to work.

Many ICE raids across the nation have proved beyond doubt the extent of illegal nationals taking jobs of citizens and how expeditiously these unfilled jobs were taken back by bona-fide workers in the poultry industry. Americans in the working environment should report any illegal activity to ICE, so they can investigate. E-Verify is the only substantial program in immigration armory that must not be weakened. It is evident that it’s operational owing to the tireless assault of the ACLU, US Chamber of Commerce to silence its function in the courts. Now is the time to pressure your reluctant elected official, specifically in California. This Sanctuary Refuge for illegal aliens and their families have been overloading schools, hospitals and government welfare benefits to pacify special interest lobbyists. Voters should also immediately mandate installation of E-Verify nationwide in vetting the janitor to an engineer, from a sheet metal worker to an advertising executive.

When the welfare state of California nearly financially collapsed, it can be partially attributed to the massive population of illegal immigrants. The time is ripe to shout aloud of the decades of inflated taxes supporting education to K-12, free medical care and considerably more which stays intentionally undisclosed to the public. MAKE A NOTE OF THIS WASHINGTON SWITCHBOARD NUMBER 202-224-3121. Like never before we need the Nation Guard to patrol the border on a permanent basis, to support the undermanned region. Democrats declare in the town hall meetings, that foreign nationals have--NO--access to benefits in Obama's health care reform.

But if a path to citizenship or AMNESTY is not--TABLED--in the coming Immigration Reform session, then one-and-all, will automatically be provided for as new citizens into the health care program. In addition we must consider the gigantic onslaught of millions more who will try to join those already here? WE CANNOT EVEN PROVIDE MEDICAL FOR OUR OWN POPULATION? I CONCUR WITH A PUBLIC OPTION-BUT NOT FOR FOREIGN NATIONALS.

STOP IT ONCE AND FOR ALL NOW AND START A POINTS SYSTEM FOR HIGH ECHELON WORKERS. The poor, uneducated will never stop breaking our laws, for an opportunity reserved for AMERICANS AND LEGAL RESIDENTS. LEARN THE CONSEQUENCES OF IRREVERSIBLE OVERPOPULATION, THE COSTS TO TAXPAYERS AT NUMBERSUSA, HERITAGE FOUNDATION & JUDICIAL WATCH.

RyanT said...

Can you cite a source for the expected number of doctors who will quit under the new bill?

I have heard many horror stories about one particuler government run healthcare facility. Every solier I have ever met who has come gome injured has complained of the VA. If this is how our soldiers get treated, should we expect any different?

Kathy said...

Hey Madmom, hope all is well with you.....well as good as it can be with this bunch of ???? in Washington.

I attended a healthcare forum locally last week; my elected Rep refused to come but John Stossel from ABC was there and a panel that consisted of a former elected Rep., a doctor, a business owner, and a physician. It was excellent and it was not about being right, left, independent, it was about being concerned with healthcare and some viable ways to change it without government being involved.

I am very concerned about what will happen when they all return to DC next week.

Mad Mom said...

Thanks for checking in Kathy! I've attended every town hall, rally, protest, etc during the August recess and am convinced (and have confirmed) that my representatives will vote party line, constituent's wishes be damned. What is happening is an unbelievable and stunning usurpation of the will of the people by our so-called representatives who are acting more like Ambassadors from the Imperial Monarch, here to inform us of our collective fate. Mind boggling stuff. 14 months till November 2010.