Dr. Rosen:       The first year of the new health care reform has been concluded. Has it affected any of our practices?

Dr. Edwards:  It has affected my practice in surprising ways. Not only with the Medicaid patients who have been incorporated into our HMOs, but also our Medicare patients who have experience untold denials of care.

Dr. Milton:      We’ve experienced similar restrictions in our Medicare population. We thought it must be from the Medicare funding that Obama transferred (or stole) from the Medicare program to his own program.

Dr. Kaleb:       We felt it must be the result of the same transfer of funds. The unfortunate result is that now both programs are so short of funds, that the strong arm of socialized medicine is affecting the quality of care in both programs.

Dr. Ruth:         Since we don’t take Medicaid in our office, we weren’t sure why our Medicare patients are being so restricted. They complain that drugs they have gotten for years, are now severely restricted or unavailable to them. They are being asked to take different and unfamiliar prescriptions. That may be simple for young people, but Medicare patients are generally old and it is difficult for them to changes habits when they were doing so well before.

Dr. Rosen:       It appears that Obama Care is causing a number of unintended consequences. The trajectory of each is still unclear and may remain unclear for years to come. The Medicare consequences are still evolving 50 years after inception. What a waste of physician talent.

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