Posted by: Witch Doctor | August 17, 2009

ObamaCare – An ophthalmologist’s view


Yes indeed, My Black Cat, there is truly a real war going on in the USA over healthcare.  Emotions are running very high.

At first it seemed to The Witch Doctor it was fundamentally a Republican/Democrat divide, but now she is not so sure that there are not other factors. Like fear.

It may be partly due to the public’s mistrust of politicians in any government. And fear of inappropriate rationing coupled with erosion of the doctor-patient relationship.

An ophthalmologist in the USA gives his view. He says he has been sitting in the sidelines listening to the debate but feels the time has come to give a doctor’s perspective.



“First off, the government has involved very few of us physicians in the healthcare debate”

Although he also says the AMA support Obama’s plan.

Basically, he is saying that government funded healthcare ie Medicaid and Medicare, is already rationing essential items and this is an indicator of what might happen if medicine becomes fully “socialised.”

“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.”

He also makes an interesting statement that most doctors and patients in the UK would find a bit odd.

“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.”

Do you suppose he means that doctors are vulnerable to “Creep” if they work for the state, My Black Cat?

Do you suppose there is a feeling in the USA that somehow the state will compromise the role of “The Independent Medical Practitioner” and that somehow the professional patient / doctor relationship will suffer?

Is that what you think he means, My Black Cat?

And what’s all this about the NHS rationing coronary artery stents to those over 59?

Who is spreading these strange rumours? And why?

The article OBAMA-CARE AND ME has generated about 160 comments to date.

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