Skip to content


Pay for Performance: An Early Target for Revolutionary Repeal of Obamacare

David McKalip, M.D.
Campaign For Liberty
Tuesday, March 23rd, 2010

As the elitists in our nation’s capital celebrate an unprecedented take over of health care by government and corporations, it is imperative that we begin the work of repealing the many provisions of this bill that hurt patients. While the individual mandate is a necessary and important target for attack, there is an even more sinister component of Obamacare that must be repealed by a new Congress: “Pay for Performance”. This will be one of the key victories liberty lovers should work for in the new “peaceful revolution” of America in 2010.

Pay for Performance (PFP) is a system that provides “incentive” payments for physicians and hospitals to comply with cost-cutting goals of government and insurance companies. Rather than being a reward for providing the best care for patients, PFP is better described as a system that punishes doctors for spending health care dollars on their patients. PFP thus really stands for “Penalties for Physicians” or “Punish for Practice”. The doctor will have a choice: do the right thing and offer the most innovative and appropriate care to patients, or fail to even tell the patient about all the more costly care that is available to them. It will be difficult to trust your doctor in this new system.

Pay for performance has been shown to lead doctors to avoid sick patients and game the system for good report cards. It requires expensive and cumbersome computerized medical record systems that distract doctors and nurses from patient care and drains money from patients as well. Following government medical protocols has been shown to hurt patients who automatically receive so called “best practices” with no thought given to the individual patient. And for all this, it has been conclusively shown that PFP does not decrease death rates or suffering. The only way it can hope to reduce costs is through forced rationing by punishing physicians for going over budget on patient care.

Like so many other areas of this bill, the Secretary of Health and Human Services (HHS) will be given broad powers to dictate what is considered an appropriate amount of spending. Doctors are about to be placed on a budget for each episode of care. Doctors will be paid less if the cost of care of patient care is higher than budgeted. Section 3007 of HR 3590 states these costs are “expenditures per individual as determined appropriate by the Secretary” and the “Secretary may take into account the amount of growth in expenditures per individual for a physician compared to the amount of such growth for other physicians”. Thus, if your doctors is getting out of line and spending more than other docs, they will be singled out for punishment. That is a powerful incentive to change the culture of medicine from one of serving individual patients to one of going along with the group to serve the bureaucrats. These cost measures and the determination of whether a doctor was unfairly penalized can’t be appealed to any court (“There shall be no administrative or judicial review (page 676)). Herein congress again shows its contempt for the US constitution, American citizens, doctors and patients. Access to the courts and due process is a fundamental right for Americans. It will be important for a test case to be found to challenge this denial of rights to the courts. Another battle for the peaceful revolution.

The Secretary will also have broad powers as well to define what a “quality physician” is and bribe patients to see who she says. Section 10331 empowers her to pay Medicare patients an “incentive” to see the doctor that a bureaucrat approves. The secretary will arbitrarily designate a “quality physician” based in large part on cost considerations including “resource use” and “efficiency” and “other information as determined appropriate by the Secretary”. Herein we see a glaring example of creating monarchal powers for the Secretary of HHS.

One of the biggest miracles of the founding America was that individuals could escape living under the arbitrary rule of man. We were founded as a nation where the “rule of law” prevailed so that no monarch or man could force us to live in fear and bend our lives to their wills. That will not be the case with Obamacare’s Pay for Performance models. Committees will create protocols with one goal in mind: cut spending on patient care. Doctors who choose to follow their ethical obligation to offer a patient all appropriate care will be singled out and punished. They will be placed in the newspaper with a bad rating and economically penalized until they can no longer remain in medical practice.

In my March 16, 2010 Piece on Campaign for Liberty, I indicated that Congress is showing contempt for America by forcing this bill to pass and was planting the seeds of a peaceful second American Revolution. One of the goals we should fight for in this revolution is electing enough principled Congressman in November 2010 to repeal all Pay for Performance language in America’s unjust health laws in 2011. President Obama will then need to explain why he would veto a bill that would prevent rationing by insurance companies and the government. Call for the Republican party leaders to immediately call for repeal of pay for performance and all its variants in the law. The time has come to recruit more soldiers and work for victory. I will see you on the battlefield for freedom.

Pay for Performance: An Early Target for Revolutionary Repeal of Obamacare

David McKalip, M.D.
Campaign For Liberty
Tuesday, March 23rd, 2010

As the elitists in our nation’s capital celebrate an unprecedented take over of health care by government and corporations, it is imperative that we begin the work of repealing the many provisions of this bill that hurt patients. While the individual mandate is a necessary and important target for attack, there is an even more sinister component of Obamacare that must be repealed by a new Congress: “Pay for Performance”. This will be one of the key victories liberty lovers should work for in the new “peaceful revolution” of America in 2010.

Pay for Performance (PFP) is a system that provides “incentive” payments for physicians and hospitals to comply with cost-cutting goals of government and insurance companies. Rather than being a reward for providing the best care for patients, PFP is better described as a system that punishes doctors for spending health care dollars on their patients. PFP thus really stands for “Penalties for Physicians” or “Punish for Practice”. The doctor will have a choice: do the right thing and offer the most innovative and appropriate care to patients, or fail to even tell the patient about all the more costly care that is available to them. It will be difficult to trust your doctor in this new system.

Pay for performance has been shown to lead doctors to avoid sick patients and game the system for good report cards. It requires expensive and cumbersome computerized medical record systems that distract doctors and nurses from patient care and drains money from patients as well. Following government medical protocols has been shown to hurt patients who automatically receive so called “best practices” with no thought given to the individual patient. And for all this, it has been conclusively shown that PFP does not decrease death rates or suffering. The only way it can hope to reduce costs is through forced rationing by punishing physicians for going over budget on patient care.

Like so many other areas of this bill, the Secretary of Health and Human Services (HHS) will be given broad powers to dictate what is considered an appropriate amount of spending. Doctors are about to be placed on a budget for each episode of care. Doctors will be paid less if the cost of care of patient care is higher than budgeted. Section 3007 of HR 3590 states these costs are “expenditures per individual as determined appropriate by the Secretary” and the “Secretary may take into account the amount of growth in expenditures per individual for a physician compared to the amount of such growth for other physicians”. Thus, if your doctors is getting out of line and spending more than other docs, they will be singled out for punishment. That is a powerful incentive to change the culture of medicine from one of serving individual patients to one of going along with the group to serve the bureaucrats. These cost measures and the determination of whether a doctor was unfairly penalized can’t be appealed to any court (“There shall be no administrative or judicial review (page 676)). Herein congress again shows its contempt for the US constitution, American citizens, doctors and patients. Access to the courts and due process is a fundamental right for Americans. It will be important for a test case to be found to challenge this denial of rights to the courts. Another battle for the peaceful revolution.

The Secretary will also have broad powers as well to define what a “quality physician” is and bribe patients to see who she says. Section 10331 empowers her to pay Medicare patients an “incentive” to see the doctor that a bureaucrat approves. The secretary will arbitrarily designate a “quality physician” based in large part on cost considerations including “resource use” and “efficiency” and “other information as determined appropriate by the Secretary”. Herein we see a glaring example of creating monarchal powers for the Secretary of HHS.

One of the biggest miracles of the founding America was that individuals could escape living under the arbitrary rule of man. We were founded as a nation where the “rule of law” prevailed so that no monarch or man could force us to live in fear and bend our lives to their wills. That will not be the case with Obamacare’s Pay for Performance models. Committees will create protocols with one goal in mind: cut spending on patient care. Doctors who choose to follow their ethical obligation to offer a patient all appropriate care will be singled out and punished. They will be placed in the newspaper with a bad rating and economically penalized until they can no longer remain in medical practice.

In my March 16, 2010 Piece on Campaign for Liberty, I indicated that Congress is showing contempt for America by forcing this bill to pass and was planting the seeds of a peaceful second American Revolution. One of the goals we should fight for in this revolution is electing enough principled Congressman in November 2010 to repeal all Pay for Performance language in America’s unjust health laws in 2011. President Obama will then need to explain why he would veto a bill that would prevent rationing by insurance companies and the government. Call for the Republican party leaders to immediately call for repeal of pay for performance and all its variants in the law. The time has come to recruit more soldiers and work for victory. I will see you on the battlefield for freedom.

Related Posts with Thumbnails

Posted in Health Care, Politics.

Tagged with , , .


0 Responses

Stay in touch with the conversation, subscribe to the RSS feed for comments on this post.



Some HTML is OK

or, reply to this post via trackback.

Support #altnews & keep Dark Politricks alive

Remember I told you over 5 years ago that they would be trying to shut down sites and YouTube channels that are not promoting the "Official" view. Well it's all happening now big time. Peoples Channels get no money from YouTube any more and Google is being fishy with their AdSense giving money for some clicks but not others. The time is here, it's not "Obama's Internet Cut Off Switch" it's "Trumps Sell Everyones Internet Dirty Laundry Garage Sale". This site must be on some list at GCHQ/NSA as my AdSense revenue which I rely on has gone down by a third. Either people are not helping out by visiting sponsors sanymore or I am being blackballed like many YouTube sites.

It's not just Google/YouTube defunding altenative chanels (mine was shut), but Facebook is also removing content, shutting pages, profiles and groups and removing funds from #altnews that way as well. I was recently kicked off FB and had a page "unpublished" with no reason given. If you don't know already all Facebooks Private Messages and Secret Groups are still analysed and checked for words related to drugs, sex, war etc against their own TOS. Personally I know there are undercover Irish police moving from group to group cloning peoples accounts and getting people booted. Worse than that I know some people in prison now for the content they had on their "secret private group". Use Telegrams secret chat mode to chat on, or if you prefer Wickr. If you really need to, buy a dumb phone with nothing for the NSA/GCHQ to hack into. Ensure it has no GPS tracking on it and that the battery can be removed. These are usually built for old people to get used to technology storing only a set of numbers to call. However they have no games, applications to install or other ways people can exploit the computer tracking device you carry round with you most of the day - your smart phone. If you are paranoid ensure that you can remove the battery when travelling around and do so to prevent GPS tracking or phone mast triangulation. Even with your phone in Flight mode or turned off, it can be turned on remotely and any features like front or back cameras, microphones and keylogging software can be installed to trace you.

So if your not supporting this site already which brings you news from the Left to the Right (really the same war mongering rubbish) then I could REALLY do with some..

Even if it's just £5 or tick the monthly subscription box and throw a few pound my way each month, it will be much appreciated. Read on to find out why.

Why?

Any support to keep this site would be appreciated. You could set up a monthly subscription for £2 like some people do or you could pay a one off donation as a gift.
I am not asking you to pay me for other people's articles, this is a clearing house as well as place to put my own views out into the world. I am asking for help to write more articles like my recent false flag gas attack to get WWIII started in Syria, and Trump away from Putin. Hopefully a few missiles won't mean a WikiLeaks release of that infamous video Trump apparently made in a Russian bedroom with Prostitutes. Also please note that this article was written just an hour after the papers came out, and I always come back and update them.

If you want to read JUST my own articles then use the top menu I have written hundreds of articles for this site and I host numerous amounts of material that has seen me the victim of hacks, DOS plus I have been kicked off multiple hosting companies, free blogging sites, and I have even had threats to cease and desist from the US armed forces. Therefore I have to pay for my own server which is NOT cheap. The more people who read these article on this site the more it costs me so some support would be much appreciated.

I have backups of removed reports shown, then taken down after pressure, that show collusion between nations and the media. I have the full redacted 28/29 pages from the 9.11 commission on the site which seems to have been forgotten about as we help Saudi Arabia bomb Yemeni kids hiding in the rubble with white phosphorus, an illegal weaapon. One that the Israeli's even used when they bombed the UN compound in Gaza during Operation Cast Lead. We complain about Syrian troops (US Controlled ISIS) using chemical weapons to kill "beautiful babies". I suppose all those babies we kill in Iraq, Yemen, Somalia and Syria are just not beautiful enough for Trumps beautiful baby ratio. Plus we kill about 100 times as many as ISIS or the Syrian army have managed by a factor of about 1000 to 1.

I also have a backup of the FOX News series that looked into Israeli connections to 9.11. Obviously FOX removed that as soon as AIPAC, ADL and the rest of the Hasbra brigade protested.

I also have a copy of the the original Liberal Democrats Freedom Bill which was quickly and quietly removed from their site once they enacted and replaced with some watered down rubbish instead once they got into power. No change to police tactics, protesting or our unfair extradition treaty with the USA but we did get a stop to being clamped on private land instead of the mny great ideas in the original.

So ANY support to keep this site running would be much appreciated! I don't have much money after leaving my job and it is a choice between shutting the server or selling the domain or paying a lot of money just so I can show this material.

Material like the FSB Bombings that put Putin in power or the Google no 1 spot when you search for protecting yourself from UK Police with "how to give a no comment interview". If you see any adverts that interest you then please visit them as it helps me without you even needing to give me any money. A few clicks per visit is all it takes to help keep the servers running and tag any tweets with alternative news from the mainstream with the #altnews hashtag I created to keep it alive!

However if you don't want to use the very obvious and cost free ways (to you) to help the site and keep me writing for it then please consider making a small donation. Especially if you have a few quid sitting in your PayPal account doing nothing useful. Why not do a monthly subscription for less money instead. Will you really notice £5 a month?



css.php