by Stella Paula

The  day the Supreme Court ruled in favor of ObamaCare, a friend called me.   He’s an extremely dedicated, much-loved surgeon, and he was frustrated and livid  in equal measure.

“I’ve  actually had a lot of experience working in all different types of  environments,” he began.  “I’ve worked in a government-run socialized  medical care system, and I saw the waste and inefficiency.

“The  longer people worked in that system, the less work they wanted to do, because  the more you wanted to do, the more they dumped on you.  So after a while  you stop doing it, because they’re not paying you to do more.  Why should  you do a difficult case, a difficult surgery that will take you hours and hours  to do?

“You  might start out wanting to do it, but after a while, you just run out of energy,  because there’s no incentive.  You’d have to be a superhuman being to  continue to work in that system and not be worn down by it.

“Because  nobody wanted to work, it would take an hour to turn over the surgical  room.  In my private practice now, it takes ten minutes.

“And  I saw tremendous waste: closets of stuff that never got used.  Nobody  cared.

“Capitalism  has completely transformed my sub-specialty.  When I was in training, a  common procedure that I do now took 40 minutes, and people needed a month of  recovery.  Now it takes 10 minutes, and people can go back to work almost  immediately.

“And  all these improvements were driven by the financial incentive.  Capitalism  has had a tremendously positive effect on patient care and outcome in my  specialty.

“But  when I go to meetings now, I see that there’s very little innovation going  on.  Everything’s being impacted by ObamaCare, which, among other things,  raises taxes on medical devices.

“You  know, doctors are people, and we’re being hammered on all sides here. It’s  the paperwork; it’s insurance; it’s transitioning to electronic medical records,

so  the government can get their mitts into your practice.  It’s lawsuits; it’s  rising overhead and decreasing compensation; it’s stress upon stress upon  stress.

“And  a lot of doctors are going to say, ‘Forget it.  I don’t want to do this  anymore.’ Guys that are 5 or 10 years older than me are just going to give up  and walk away.

“Why  should I be a slave to the government? You know, it used to be that doctors  would do charity work at a charity hospital.  Nobody wants to do it  anymore, because we’re too overwhelmed.

“I  work 60 to 70 hours a week, so how am I supposed to fight back against this?   Most doctors don’t have the time to lobby their congressman or go to  Washington.  If you’re a doctor in the trenches, you’ve got a stressful  job; you’ve got a family.  You’re seeing the same number of patients and  making half the income you used to make.  People are litigious these days,  so you’ve got to worry about lawsuits.  When are you going to find time to  lobby a politician?

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