Obamacare's effects on private medical enterprise...
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Scooped by Dr. Michael J. O'Connell, PainCare, New Hampshire
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Pain management for acute and chronic pain…

Pain management for acute and chronic pain… | Obamacare's effects on private medical enterprise... | Scoop.it
Dr. Michael J. O’Connell, PainCare’s CEO/Owner in New Hampshire notes that pain management is in many ways the oldest specialty of medicine with evidence of pain control through use of naturally oc...
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Scooped by Dr. Michael J. O'Connell, PainCare, New Hampshire
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Trash talking NFL...

Trash talking NFL... | Obamacare's effects on private medical enterprise... | Scoop.it
Sherman, the gifted and talented cornerback for the Seattle Seahawks, “lost it” when being interviewed post NFC championship game by reporter Erin Andrews.  She appeared half disgusted and half fri...
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Rescooped by Dr. Michael J. O'Connell, PainCare, New Hampshire from News You Can Use - NO PINKSLIME
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Bankrupting USA is obama PLANNED STRATEGY, obamacare is just a FRAUD

Bankrupting USA is obama PLANNED STRATEGY, obamacare is just a FRAUD | Obamacare's effects on private medical enterprise... | Scoop.it
The unspoken success of ObamaCare, ObamaCre, Hegelian Dialectic, Cloward-Piven, NWO

Via #BBBundyBlog #NOMORELIES Tom Woods #Activist Award #Scoopiteer >20,000 Sources >250K Connections http://goo.gl/ruHO3Q
Dr. Michael J. O'Connell, PainCare, New Hampshire's insight:

Many folks ask for my thoughts on the effect Obamacare will have on the healthcare industry’s private medical enterprise in particular.  My answer is complex, and just like anyone else's, uncertain.  Even the survival of Obamacare as healthcare law is very much in doubt.  Regardless, it is evident that Obamacare has set in motion may concepts, actions, and reactions that have made the future of private medical business a Risky Business at best.  Here are four key examples, all direct products of Obamacare that we have observed in my business environs that I feel are critical determinants of our success in the future:

 

Evidence based medicine – This concept received its nascent energies during the G. W. Bush era, and is heavily embraced by the Obamacare doctrine.  The intent is to stimulate the use of treatment that is supported by solid scientific evidence, and discard treatment that is not well supported.  This sounds wonderful in theory, but breaks down miserably under analysis and application.  

¨     First, we could debate the definition of "solid scientific evidence."  Practically every scientific article ever written has an element of bias or has inherent weaknesses; many articles are not and some cannot be double blinded/randomized controlled in format; and all articles are products of humans treating humans.  The latter is possibly the more contributory to the difficulty in pursuit of "solid scientific evidence." 

¨     Second, our society promotes the concept of treatment for a malady, and a pill for a cure.  This notion conflicts dramatically with the lack of solid medical evidence for benefit of many thousands of "standard treatments," antibiotic and statin therapy among them.  Will our society even tolerate the "no treatment option?"

¨     Third, all the science in the world, even if solid and tangible, cannot be assumed to be applicable to end of life situations.  We spend a ghastly inordinate amount of healthcare dollars during the last year of life, suggesting wastefulness of an astounding order.

 

2.   Treatment guidelines – These are products of the insurance industry.  They purportedly guide physicians in how best to treat patients, yet insurance companies take no responsibility for the outcomes.  What they arguably do is restrict treatment options, not for the benefit of the patient or the practitioner, but for the financial reward of the insurance company.  TGs have been developed not out of concern for the welfare of the patient, as much as for the solvency of the payors.  The future will undoubtedly contain more restrictive guidelines, based on "solid scientific evidence," which as I addressed in #1 is elusive at best.

 

3.   Precertification hurdles – These are also products of the insurance industry, and also have a primary goal of saving money for the insurance company in anticipation of possible reduced profits as Obamacare takes hold.  Insurances require phone calls to pre certify, often letters of medical necessity, and of course make the process as difficult as possible, through understaffing, queuing up callers for sometimes an hour at a time, and then feeling free to not follow through and pay for the treatment authorized.  This process has the intended humiliating and demoralizing effect on the practice, and patients are thwarted in getting the care prescribed them. 

 

4.   Cut-throat attitudes – Medicine has always been a somewhat competitive environment, but we are certainly not experiencing the "kinder/gentler" society envisioned by President Bush senior in the 1990s in his inaugural address.  The pressures of Obamacare have turned various specialties into adversaries in pursuit of patients.  Primary care practices, the majority owned by hospitals, are not as quick to refer to non-hospital employed specialists and tend to hold on to patients and treat them instead.  Specialties have vastly expanded their array of treatments so as to recapture lost business, but in the process overlapping treatments with different specialties.  Patients are caught in the middle, and dissatisfaction is mounting among physicians and patients alike.   

 

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Scooped by Dr. Michael J. O'Connell, PainCare, New Hampshire
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Rich, poor gap...

Rich, poor gap... | Obamacare's effects on private medical enterprise... | Scoop.it
Dr. Michael J. O’Connell, PainCare, New Hampshire's CEO/Owner noted that he is always amused when yet another commentator, analyst or news anchor, usually with deeply furrowed brow, raises the issu...
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Scooped by Dr. Michael J. O'Connell, PainCare, New Hampshire
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Again, giving back to the community...

Again, giving back to the community... | Obamacare's effects on private medical enterprise... | Scoop.it
Dr. Michael J. O'Connell, PainCare, New Hampshire's insight:

Dr. Michael J. O’Connell, CEO of Salmon Falls Family Healthcare, inSomersworth,New Hampshire, in addition to ten pain management practices, two chiropractic practices, and five physical therapy centers throughout the state ofNew Hampshire, has been a best friend to the furry population at Cocheco Valley Humane Society (CVHS) for almost a decade. 

 

Well known for giving back to his community, Dr. O’Connell has been an avid supporter of CVHS in addition to several other philanthropic causes throughoutNew Hampshireduring his more than 25-year career as a businessman, entrepreneur, philanthropist, and one-time practicing physician. 

 

The shelter’s annual Holiday Appeal for 2013 surpassed the 2012 campaign by 20%.  Dr. O’Connell generously matched $30,000 in donations.  He also continues to contribute $7,500 per month from his personal salary year round to support the CVHS medical/surgical services. 

Ms. Leslie Heindl, Executive Director at CVHS, thanked Dr. O’Connell for his continued

tremendous support. 

 

In addition to Dr. O’Connell’s donation, Salmon Falls Family Healthcare has set up a dog-house shaped donation bin in its lobby to collect wish list items such as food, blankets and toys for the shelter.  That is a unique attraction that certainly makes a child’s visit to the doctor more entertaining and highlights the tremendous importance of pets in the lives of children and adults alike. 

 

To find out more about Salmon Falls Family Healthcare, visit www.salmonfallsmd.com.  For anyone wanting to learn more about the animals available for adoption at CVHS, or make a donation, visit www.cvhsonline.org.

 

 

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