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Now and just -- health and human services secretary Kathleen Sebelius unveiled the rules for a key part of Obama look at it is the independent payment advisory bowl.
The dolphins did -- -- to Mark Siegel and this board will eliminate needed treatments it will save money in the long run -- get.
First point Stuart have you ever heard of the bureaucracy that saves money I had never heard -- And and I'm an englishman I know all about -- national health service -- they do not save up money for a you don't think this one well.
This one definitely want and that's what it's supposed to do that's how they're selling it.
Fifteen members are gonna sit there on high and decide which treatments a valuable.
Which -- and also they're gonna cut reimbursements to hospitals and doctors okay this is gonna cause a huge problem and help yourself first -- all you -- fifteen people sitting on the ball and they say this treatment -- it's okay this treatment doesn't look it's not okay that's what criteria will be -- well they're gonna use studies but they're gonna use the studies which do what's called comparative effectiveness where they say one treatment is better than another.
But my experience with this is that it's always premature -- other -- one starting cherry picks its -- comes to some conclusion you know cardiac stents are not saving lives or.
Not prostate treatment works -- that doesn't you end up cutting a very valuable -- what I need is a practicing physician.
-- choices to make to help my patients if you take away my choices I can't cure anybody.
How do we know that they will not -- use dollars and cents as a criteria that this costs a hundred dollars a pill and this cost fifty dollars a pill.
Back -- out this one's and it can they do that.
They're gonna try to do that but let me tell you what the problem -- that is.
In the long run that may end up costing more because if you take a treatment a way that prevents the disease or treats a disease early.
Because it's expensive.
Than the disease may progress you end up -- more hostile.
Analyzed patient it somehow or other you've got to -- the cost the whip shelling out for medical -- and a bulletin that says you gonna have this but not that is one way of doing it know you're.
No let me tell you -- because the real problem is over -- we've talked about it on the show -- the real problem is if you.
-- have been insurance card to -- -- to see a doctor if -- around or hospital in the bill gets built up.
It's not going to -- by cutting certain services that I actually need to be able to offer.
It's gonna have only work if we cut down the whole -- -- problem and build in more deductibles -- -- taken us in the opposite there is the panels that -- so highly debated.
During the Obama -- entire debate -- these the death of the are the death panels exactly right because it -- -- I think the respirator and you're saying you can't have a respirator over a certain age.
That's effectively is that -- a bad to use the expression death panels in this instance is it I don't like inflammatory terminology like this but if you use it to convey that services that could save lives are being cut on for that -- you like the word rationing better I like the word rationing by the way I want -- cherry -- that we're.
I'm talking government rationing -- the Democrats always say what we have rationing every bit short private insurers cut down on my choices.
But this is bureaucratic government rationing.
From people who are insensitive to the needs of the -- -- -- this is not practicing doctors and only went -- at around on this panel would be appointed by the current administration in office that's -- Catholics and that's right and Kathleen Sebelius is saying well the congress -- to check and balance -- -- -- ever gonna see congress.
Tell the president I don't want that assures that you politicized medical treatment have you not -- flat out politicize because we're not putting practicing doctors on this -- that don't know how much they don't they're gonna use quality health care of people.
Bureaucrats a 165000.
Dollars a year but you -- play plus plenty of endorsements after you leave the panel.
We did say that seriously are sarcastic -- is hundreds or -- you know the most -- Qualified health care professionals do you think these people are going to be.
Qualified to make the right decision for the gonna cut corners -- where you know people with complex needs are gonna end up suffering more and costing motor.
-- that -- exactly right I think what it.
What ends up happening here is what's your practicing doctor like me that you see what's actually going on in the trenches every day you end up making the wrong decisions that's not the kind of people on -- -- there was a good discussion.
At a time -- thank you.
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