Unlike the July Effect the High Inpatient Mortality of the Obamacare Effect will be Year Round

Posted by PITHOCRATES - November 9th, 2013

Week in Review

The Affordable Care Act is making health insurance unaffordable for many.  Especially for those young and healthy who are being whacked open like a cash piñata to pay for the poor, old and sick.  Which is why they are losing their health insurance.  So they must enter the exchanges.  And pay for a lot of insurance coverage they will never use.  Well, to be fare, chances are they will never use any of their insurance with those sky-high deductibles.  Making any doctor visit an out-of-pocket visit.

But that isn’t the only place the Affordable Care Act is shaking down people.  Obamacare is also shaking down doctors.  By cutting their Medicare and Medicaid reimbursements.  Making them take pennies on the dollars.  Making it hard for those in a private practice to pay their staff.  And their bills.  Which isn’t why they went into medicine.  So these doctors are leaving Medicare and Medicaid.  Some are even retiring.  Leaving the profession instead of being beaten up by Obamacare.  So just as Obamacare is giving more free health care to people there will be fewer health care providers.  Which puts a story like this into a new light (see Sicker heart attack patients fare worse in July by C. E. Huggins posted 11/7/2013 on Reuters UK).

Rumor has it the worst time and place to be sick is in a teaching hospital in July, when new doctors-in-training enter the wards and others are promoted. A new study of heart attack patients shows this pattern of worse outcomes known as the “July effect” may indeed be true – but only for the sickest people.

“Patients who are already at high risk of inpatient mortality – because of their age and other (co-existing) diseases – are likely the most to be affected by physician inexperience in July,” Dr. Anupam Jena told Reuters Health in an email. He led the research at Harvard Medical School in Boston…

“Our study is different because it recognizes that the July effect should not be present for all patients, but primarily those patients for whom small clinical errors or relative physician inexperience can substantively impact patient outcomes,” Jena said.

There will be a new name to explain another rise in inpatient mortality.  The Obamacare effect.  Where fewer health care providers will have to do more with less.  Increasing wait times.  Overworked doctors will spend less time with each patient.  And they will make mistakes.  Or miss things they might have caught if they had more time.

So in the future as you sit around with your grandchild on your knee you can talk about the good old days.  Before the Obamacare effect.  When we rushed people to the hospital to make them well.  And most got well.  Unlike after the Obamacare effect.  Which turned the once envied U.S. health care system into the VA hospitals of the Seventies.  Places to avoid like the plague.  Which is why after the Obamacare effect people would rather take their chances with heart attacks and strokes at home.  Instead of going into an Obamacare hospital for near certain death.

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