Hello and welcome to Case of the Day. I’m Dr Croley and today we’re gonna change our focus a little bit. We are not going to be discussing an actual patient or case today. Today we’re gonna be discussing something very passionate that I feel very strongly about and that is what’s gonna happen to healthcare or what is gonna be the future of healthcare in America. What I’m gonna tell you, probably you’re not aware of, in fact, even most physicians are not aware of, and so this is gonna be, probably shocking information to a lot of you.
So, what’s wrong with healthcare? Or what’s the problem with healthcare? And this isn’t gonna be a bash against the Democrats only or the Republicans only. It’s gonna be a bash on both of them. Neither one has a program that is worth anything as far as healthcare is concerned. If we listen to the Democratic side they want the government to run healthcare. And what does that mean? So we already know what that’s gonna look like, because we can look to Europe and see what that’s like. I’ve been to Europe. I know what it’s like first hand. It’s gonna be a decrease in access to healthcare. It’s gonna be a rationing of healthcare and that’s what is gonna happen if the government chooses to run healthcare, which they’re trying to do.
The Republicans’ side wants to turn healthcare over to the insurance companies. And what’s the insurance companies gonna do, such as things such as HMOs, what do they do? They’re gonna ration healthcare because they want the dollars to stay in their pocket. So it doesn’t really whether the Democrats are in charge, or the Republicans are in charge. Both ways, whether there’s insurance or the government, they’re both going to ration and limit access to healthcare.
They are making huge mistakes about these policies and decisions they’re making. In as like, what member of Congress, or what member or staff members writing all these rules about healthcare. I mean, it could be Joe the plumber, I mean, you know, there’s no expertise. How can someone who’s not a medical professional make decisions and policies about healthcare should be run. I’m sure Joe the plumber can do a great job in doing the plumbing for my house, but I don’t want him designing the plumbing for my body and how it’s gonna be taken care of.
So that’s one side of the issue is, is that neither side has done what they should do which is that if they were really smart, they would put together a panel of not just an academic doctor who doesn’t see patients everyday or who has a degree in epidemiology but real doctors who’re in the trenches seeing patients all day everyday ’cause we know the mess as it is. And we know things that we can do to solve that mess. But no one listens to us.
So, next one aspect. The next aspect and you may know something about those things, but the next thing you don’t know about. And this came from Obama’s Stimulus Plan. Not from Obama Care, that’s a totally different subject; we’re not gonna discuss that today. This is about the Stimulus Plan. So the Stimulus Bill, there was a provision in there that all doctors and hospitals need to use electronic medical records.
And at first glance, she said, what’s the big deal about that? In actual reality, there are some good things about electronic medical records. One, is the computer is now has the record and it’s actually legible versus my handwriting which isn’t. We can’t even read our own handwriting as doctors, I mean, that’s a good aspect of electronic medical records. And the other good thing about it is electronic prescription, that is, we now do most of our prescriptions through the computer into the pharmacy, and now there’s a check and balance in the computer system about one drug could react to another. And let’s be honest about it guys, you don’t even know what medicine you’re on. I don’t know what percentage of people who come into my office but they don’t have a clue what medicine they’re taking. So if I prescribe something, I don’t know if there’s gonna be adverse effect from what you’re already taking because you don’t know but that computer system of the medicines does know that. So that is the great thing about electronic medical records when we’re prescribing.
What’s the bad part? Well, for one thing they’re very expensive. And two, the companies who designed these have done a very bad job at designing them and they’re very inefficient. They slow a doctor down and maybe some of you who’ve been to a doctor that has electronic medical record and instead of him or her talking to you, they’re on here typing on the computer trying to put you on record. So that’s one bad aspect but that’s still not down to what I’m pointing, I wanna tell you about and what’s so important. When that Bill passed, instead of a committee, called the HIT committee, the HIT committee was in charge of writing all the rules and regulations about, quote, meaningful use of an electronic medical record. Soon as you turn over to the government to prescribe or prescribe being used for something, it’s thousands of pages. So now doctors are having to deal in hospitals with a huge volume of what practicing medicine is with an electronic medical record, they quote, ‘useful way’.
There’s not, in SS change recently, there’s not one single physician on that committee, writing how doctors are gonna practice medicine. It’s ridiculous. And, they report to no one. That is, there’s no congressional oversight, they don’t report to anyone, they can write anything they wanna write, and do or say anything they wanted in their committee. First, there’s three stages in quote, ‘meaningful use of electronic medical records’. Stage one’s already been implemented. So doctors are now reporting to the government: what, your height, your weight, your body mass index, whether you smoke, you drink, all these different factors that we now report to the government. So they’re gonna start tracking so they wanna become doctors, now the government does, and they’re gonna run they’re own study about health.
Stage two is beginning, ready to be implemented and that’s still continually more reporting so now, we’re now, doctors are now required to take care of you in the best possible way we can. But we now have to do all these reporting and tracking of all these different things that this committee has decided we need to do.
Stage 3 has not been ready yet, but at least, what they’re proposing to do in Stage 3 and this is where we really get down to what’s gonna happen to healthcare unless something changes. Stage 3 is after they collect all these data, and now the government’s a medical expert, now the electronic medical record, once you put it in a diagnosis code into the medical record, it’s then wanna print out a treatment protocol for that diagnosis. And who’s gonna get to choose that protocol? Well the government’s gonna choose what those steps are. And so now they’re gonna know, let’s just take for example Mr. Jones, goes into a doctor’s office 3, 4 or 5 years down the road ’cause there’s gonna be no vote by Congress that this is gonna happen. There’s gonna be no vote by either public that this is gonna happen. You’re just gonna go into a doctor’s office one day in the next few years, three or four maybe. And you’ll go in and say, ‘Doctor, man, my hip is just killing me, I just can’t walk, I’m having trouble walking, I need to do something about this’. The doctor says, ‘Okay, Degenerative Hip,’ and out prints a treatment protocol for your Degenerative Hip. Not that the doctor thinks that you probably need a total hip done, but because now, medical record knows you’re 71 years old and you have three cheeseburgers a week and you weigh 260 pounds and you had a stent put in your heart last six months ago and all these health factors. And instead of printing it out that you need a total hip done, your print said you get a wheelchair.
So that’s where Stage 3 is going to change how healthcare in the United States is gonna be done. Through electronic medical records, the government’s wanna dictate what your healthcare is gonna be and no one knows this is happening. Very few people know this is happening. So, if you think there’s something that you’re not really happy about, then I strongly, compassionately encourage you to tell everyone about this video and have them see it. And email all your friends to tell them to look at it. And then don’t stop there, but then email your Congress person and your senator or now that it’s election time, this is a great time to do this. If you have a candidate who’s running for the first time, call their office and plan out what are they gonna do about this committee who is just running rapid on deciding on how medicine is gonna be practiced in this country. So I encourage you to please, please, if you care about your healthcare, contact these people, and make your voice known that you want doctors in charge of your healthcare, not politicians, not people who are on training making decisions on how healthcare is gonna be done.
And so with that, next time we get back to Case of the Day, it’s gonna be back to regular patient care and about an interesting case. So please do this, please try to make a difference in your healthcare and may God bless you with healthy eyes and great vision.