The healthcare debate has become manifestly vociferous over the past weeks as Americans decidedly flex their democratic muscle in a debate that is increasingly dividing the lines. The Obama administration have given us scant details about what to really expect and the angst is growing as contrived and misinformed ideas from both sides replace the missing factual richness of the explanations we deserve and have been expecting. As far as I, as a surgeon, am concerned, HR 3200 will (finally) address the Sustainable Growth Rate issue. The resultant plan will not require physician participation and there will be a greater focus on Physician Quality Reporting Initiative. An alternative plan will come into existence. Private insurance companies are up in arms. Private insurees are up in arms too - concerned that they will be unable to access their doctors and be subjected to the “substandard care” akin to that provided in other wealthy countries in Europe and Asia.

The only silence seems to be from the uninsured. Strangely, not one of the 37 million of them seems to object. Might they know something we don’t?

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