Frustrated with the suppressing effects of the Patient Protection and Affordable Care Act and the continued sky rocketing costs of health care, this Fall, Colorado will vote on Amendment 69, a petition induced amendment to the Constitution of the State of Colorado.
If passed, this single payer health insurance program will go into effect over an 18 month period. It's goal? To eliminate insurance premiums (about $8,000 to $12,000 per family annually), "un-affordable deductibles" (as much as $7,000 per family), and any out of pocket expenses like co-pays.
In the United States, The Affordable Care Act (ACA) is a
health care ordinance established by the federal government (it is commonly
referred to as Obamacare). The Act was adopted as a law by US President Barrack
Obama on March 23, 2010.
The goal of this law is to reform the United States
health systems by providing and improving access to quality and affordable
health care, health insurance, and providing American citizens with more rights
and protections by reducing health care expenditure for both individuals and
Doctors Strike Back
much of the controversy surrounding Maintenance of Certification (MOC), is the question of how much, or even
whether, the process as currently structured actually improves physician
performance and/or patient outcomes.
On February 3, 2015, many physicians
received a surprising email from Richard Baron, MD, MACP, president and chief
executive officer of theAmerican Board of Internal Medicine
(ABIM). Referring to the board’s controversial maintenance
of certification (MOC) program, Baron wrote, “ABIM clearly got it wrong.
Two recent studies in theJournal of the American Medical Association
are sparking fresh controversy over the effectiveness of, and need for, themaintenance of certification
(MOC) requirements mandated by the American Board of Internal Medcine (ABIM.)
The studies inJAMA’
s December 10 issue both look at MOC’s impact on the costs and quality of patient care, although in different ways. Thefirst study
led by ABIM’s Bradley Gray, Ph.D., compared costs and outcomes for two
groups of Medicare beneficiaries during the years 1999-2005: one group
treated by internists who received board certification in 1991, and were
thus required to recertify in 2001, and a second group treated by
internists who certified in 1989, and were thus grandfathered out of
ABIM’s recertification requirements.