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Coming soon to a country near you! In order to control the out-of-control costs of RomneyCare, Massachusetts has just passed a law that places the state in control of every doctor and everything they do in the practice of medicine.
It’s worse than you think:
Under the new law, all Massachusetts doctors, hospitals, and other providers must register with a new state bureaucracy as a condition of licensure. Yes, if you are any kind of health care provider in Massachusetts, you now belong to the state- that is, if you want to actually earn a living in your field. The new “state bureaucracy,” not unlike the Independent Payment Advisory Board (IPAB) in ObamaCare, will have a lot to say about what providers do each day as it tracks and reports their financial performance, price and cost patterns, state-sanctioned quality measures, market share, and other statistics. …
According to the new law, no registered provider is permitted to make “any material change to its operations or governance structure,” without the commission’s approval. In addition, the commission has the authority to rewrite the terms of provider contracts with insurers as well as payment levels and methods if they are “deemed to be excessive,” to police providers who exceed benchmarks, and demand “performance improvement plans” of those providers found to be spending too much money on patient care. Providers who consistently spend above the authorized amount on patient care can be fined $500,000 for disobeying the rules of the commission, an amount that the uber-liberals of the state believe to be a mere pittance of a penalty. [emphasis mine]
Want to bet there will soon be a shortage of doctors in Massachusetts? Expect an exodus. And if Obamacare isn’t repealed expect the same kind of imposing regulation to happen to the rest of the country, resulting in a similar exodus of doctors from the field.
Also, the language I have emphasized above illustrates how much of a communist state Massachusetts has become when it comes to the practice of medicine. No contract between anyone in that field is valid. No matter what you and your doctor or insurer agree to, the state bureaucracy can come in and change it, unilaterally, at its whim. Hail comrade!
Romney himself has always argued that RomneyCare was a good thing to do, and constitutionally legal. On the latter point he is correct. A state has always had the right to pass such a law, under our federal system of government. And for the moment, the Supreme Court has even said that the federal government can do the same, though I personally believe the Roberts decision will not survive later challenges.
However, on the former point Romney has always been dead wrong. RomneyCare, like any other government-run regulatory scheme designed to save the world, simply cannot work, as it ignores the reality of economics and the marketplace. Whether Romney will eventually realize this is probably going to depend more on how the voters vote in November than anything else. A landslide victory, with many tea party conservatives entering Congress, will help focus his mind in the correct direction.