Calling Dr. Howard, Dr. Fine, Dr. Howard…? Take a Number!

There is a looming, if not current, crisis in health care delivery in the United States involving a shortage of physicians. I have previously written about what I believe will be a two-tiered system of healthcare that will split patient’s care into those who will be seen in the single-payer government controlled system and those that will pay a fair price to be seen in a non-government controlled environment, free of any bureaucratic encumbering. What will inflame this situation even further, will be a critical shortage of physicians, such that those patients who are in the government-controlled group will have significant difficulty in accessing the care and face time with an actual doctor, regardless of whether they have insurance or not. So much for accessibility!

The situation will be worse in the emergency rooms. With the substantial reduction in Medicare and Medicaid physician payment, more and more doctors are opting out of the plans. As people who were not previously insured and who have chronic disease are now enrolled in Medicaid and other programs, they will have the sense that they now can seek care. The reality is that there will be no one to care for them, as doctors flee the government-funded entitlement programs owing to insufficient reimbursement to meet their ever-increasing overhead. The solution- why, go to the emergency room.

The completely inundated emergency rooms will not be equipped to handle the increased load so the waits will be extraordinarily long. When coupled with the influx of 18 million previously uninsured Americans making more than $50,000 a year, 10 million of whom make more than $75,000 a year, into physician’s offices, and fewer of those physicians at that, there will be a de facto rationing by waiting. What diagnoses will be missed? What cancer will not be caught in time? Who shall live and who shall die.

What then will we do about the shortage of physicians, particularly family practitioner and internists? Physician extenders will see us; people such as nurse practitioners and physician’s assistants. We will likely accept more and more foreign medical school graduates whose familiarity with our culture and the needs of our people will be a substantial initial handicap to their ability to give us the best overall care.

The question next begged is what about seeing a specialist if you have the government plan commonly known as Obamacare? With the number of patients now having insurance suddenly and dramatically increased by the mandate in the PPACA (Obamacare), there will be longer and longer waits to see specialists. One only has to look to Massachusetts to see the future of specialty care for all of us.

Calling Dr. Howard, Dr. Fine, Dr. Howard? Sorry, No answer. Please leave a message at the beep. If this is a true emergency, please hang up and dial 911.

You can leave a response, or trackback from your own site.

25 Responses to “Calling Dr. Howard, Dr. Fine, Dr. Howard…? Take a Number!”

  1. Hi! Good stuff, please do keep us posted when you post again something similar!

    • Dr. Brooks says:

      Thanks for the thumbs up!

      Thank you so much for linking the site. I am grateful for your kindness and your support!

      As you enjoy the blogs, please tell more of your friends about the radio site and especially the blog site as well. Would you also do us the honor of asking your friends (as well as you) to subscribe to the blogs by clicking the RSS logo on the front page of the website? It would be greatly appreciated and know that I will always endeavor to produce incisive and timely pieces on issues that affect the Nation’s Health!
      We would appreciate you downloading the podcasts if you missed the program and also your liking us on Facebook @ Health of the Nation Remember, you can also can catch our broadcasts live on Sundays at 5PM to 6 PM Central on 570 AM, KLIF by going to the website and clicking on the Streaming bar.
      Thank you again for the time you took to read the blog and to comment. Thank you so much for linking the site. I am grateful for your kindness and your support!
      As you enjoy the blogs, please tell more of your friends about the radio site and especially the blog site as well. Would you also do us the honor of asking your friends (as well as you) to subscribe to the blogs by clicking the RSS logo on the front page of the website? It would be greatly appreciated and know that I will always endeavor to produce incisive and timely pieces on issues that affect the Nation’s Health!
      We would appreciate you downloading the podcasts if you missed the program and also your liking us on Facebook @ Health of the Nation Remember, you can also can catch our broadcasts live on Sundays at 5PM to 6 PM Central on 570 AM, KLIF by going to the website and clicking on the Streaming bar.
      Thank you again for the time you took to read the blog and to comment.

      Mitchell Brooks, M.D.

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    • Dr. Brooks says:

      Thanks so much for your wonderful comments! Wow! I’m feeling there is a lot to which I must live up.

      Thank you so much for linking the site. I am grateful for your kindness and your support!

      As you enjoy the blogs, please tell more of your friends about the radio site and especially the blog site as well. Would you also do us the honor of asking your friends (as well as you) to subscribe to the blogs by clicking the RSS logo on the front page of the website? It would be greatly appreciated and know that I will always endeavor to produce incisive and timely pieces on issues that affect the Nation’s Health!
      We would appreciate you downloading the podcasts if you missed the program and also your liking us on Facebook @ Health of the Nation Remember, you can also can catch our broadcasts live on Sundays at 5PM to 6 PM Central on 570 AM, KLIF by going to the website and clicking on the Streaming bar.
      Thank you again for the time you took to read the blog and to comment. Thank you so much for linking the site. I am grateful for your kindness and your support!
      As you enjoy the blogs, please tell more of your friends about the radio site and especially the blog site as well. Would you also do us the honor of asking your friends (as well as you) to subscribe to the blogs by clicking the RSS logo on the front page of the website? It would be greatly appreciated and know that I will always endeavor to produce incisive and timely pieces on issues that affect the Nation’s Health!
      We would appreciate you downloading the podcasts if you missed the program and also your liking us on Facebook @ Health of the Nation Remember, you can also can catch our broadcasts live on Sundays at 5PM to 6 PM Central on 570 AM, KLIF by going to the website and clicking on the Streaming bar.
      Thank you again for the time you took to read the blog and to comment.

      Mitchell Brooks, M.D.

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    • Dr. Brooks says:

      You are very welcome.

      As you enjoy the blogs, please tell you friends about the site and the blog site as well and would you do us the honor of subscribing to the blogs by clicking the RSS logo on the front page of the website? It would be greatly appreciated and know that I will always endeavor to produce incisive and timely pieces on issues that affect the Nation’s Health!

      We would so appreciate your liking us on Facebook @ Health of the Nation and you also can
      catch our broadcasts live on Sundays at 5PM Central on KLIF by going to the website and clicking on the Streaming bar.

      Thank you again for the time you took to read the blog and to comment.

      Mitchell Brooks, M.D.

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      As you enjoy the blogs, please tell you friends about the site and the blog site as well and would you do us the honor of subscribing to the blogs by clicking the RSS logo on the front page of the website? It would be greatly appreciated and know that I will always endeavor to produce incisive and timely pieces on issues that affect the Nation’s Health!

      We would so appreciate your liking us on Facebook @ Health of the Nation and you also can
      catch our broadcasts live on Sundays at 5PM Central on KLIF by going to the website and clicking on the Streaming bar.

      Thank you again for the time you took to read the blog and to comment.

      Mitchell Brooks, M.D.

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    • Dr. Brooks says:

      We try to provide information that stimulates thinking. I am delighted you enjoyed the post.

      As you enjoy the blogs, please tell your friends about the radio site and the blog site as well. Would you also do us the honor of asking your friends (as well as you) to subscribe to the blogs by clicking the RSS logo on the front page of the website? It would be greatly appreciated and know that I will always endeavor to produce incisive and timely pieces on issues that affect the Nation’s Health!

      We would appreciate you downloading the podcasts if you missed the program and also your liking us on Facebook @ Health of the Nation Remember, you can also can catch our broadcasts live on Sundays at 5PM to 6 PM Central on 570 AM, KLIF by going to the website and clicking on the Streaming bar.

      Thank you again for the time you took to read the blog and to comment.

      Mitchell Brooks, M.D.

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    • Dr. Brooks says:

      Keep on reading and I’ll keep on writing!

      As you enjoy the blogs, please tell your friends about the radio site and the blog site as well. Would you also do us the honor of asking your friends (as well as you) to subscribe to the blogs by clicking the RSS logo on the front page of the website? It would be greatly appreciated and know that I will always endeavor to produce incisive and timely pieces on issues that affect the Nation’s Health!

      We would appreciate you downloading the podcasts if you missed the program and also your liking us on Facebook @ Health of the Nation Remember, you can also can catch our broadcasts live on Sundays at 5PM to 6 PM Central on 570 AM, KLIF by going to the website and clicking on the Streaming bar.

      Thank you again for the time you took to read the blog and to comment.

      Mitchell Brooks, M.D.

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      It’s no sweat; it’s something i greatly enjoy doing and am pleased you enjoy reading what I write!

      As you enjoy the blogs, please tell your friends about the radio site and the blog site as well. Would you also do us the honor of asking your friends (as well as you) to subscribe to the blogs by clicking the RSS logo on the front page of the website? It would be greatly appreciated and know that I will always endeavor to produce incisive and timely pieces on issues that affect the Nation’s Health!

      We would appreciate you downloading the podcasts if you missed the program and also your liking us on Facebook @ Health of the Nation Remember, you can also can catch our broadcasts live on Sundays at 5PM to 6 PM Central on 570 AM, KLIF by going to the website and clicking on the Streaming bar.

      Thank you again for the time you took to read the blog and to comment.

      Mitchell Brooks, M.D.

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    • Dr. Brooks says:

      The points have to do with Western Society and its onslaught by radical Islam.

      When Jordan controlled the Holy Sites, visitors who were dhimmiwere not permitted to their holy sites, especially the Western Wall. Now there is free access for everybody.

      Radical Islam is misogynistic by Western standards, in Israel, with the exception of the current ranting of the religious extremists on the far far right, women have equal rights and can dress as they please. They are also protected under the law.

      Radical Islam’s goals are the imposition of Sharia Law and a caliphate. All israel wants is to be left alone and in peace. Israel has not committed acts of terror against non-Jewish countries.

      The list goes on and on and on. The issue is that we are in a real fight for Western Civilization in my view and if we do not deal with this festering pustule of society, we will be riddled by the cancer that is this movement; a cancer which may not be operable should we permit its growth.

      As you enjoy the blogs, please tell you friends about the site and the blog site as well and would you do us the honor of subscribing to the blogs by clicking the RSS logo on the front page of the website? It would be greatly appreciated and know that I will always endeavor to produce incisive and timely pieces on issues that affect the Nation’s Health!

      We would so appreciate your liking us on Facebook @ Health of the Nation and you also can
      catch our broadcasts live on Sundays at 5PM Central on KLIF by going to the website and clicking on the Streaming bar.

      Thank you again for the time you took to read the blog and to comment.

      Mitchell Brooks, M.D.

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      Thank you for becoming a new reader. There have been hundreds of positive replies and few negatives; astonishing, really.

      As you enjoy the blogs, please tell you friends about the site and the blog site as well and would you do us the honor of subscribing to the blogs by clicking the RSS logo on the front page of the website? It would be greatly appreciated and know that I will always endeavor to produce incisive and timely pieces on issues that affect the Nation’s Health!

      We would so appreciate your liking us on Facebook @ Health of the Nation and you also can
      catch our broadcasts live on Sundays at 5PM Central on KLIF by going to the website and clicking on the Streaming bar.

      Thank you again for the time you took to read the blog and to comment.

      Mitchell Brooks, M.D.

  11. When I initially commented I clicked the “Notify me when new comments are added” checkbox and now each time a comment is added I get three e-mails with the same comment. Is there any way you can remove me from that service? Thanks!

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      I will write more on the subject; thanks for the feedback. I am grateful for your kindness and your support.
      As you enjoy the blogs, please tell more of your friends about the radio site and especially the blog site as well. Would you also do us the honor of asking your friends (as well as you) to subscribe to the blogs by clicking the RSS logo on the front page of the website? It would be greatly appreciated and know that I will always endeavor to produce incisive and timely pieces on issues that affect the Nation’s Health!
      We would appreciate you downloading the podcasts if you missed the program and also your liking us on Facebook @ Health of the Nation Remember, you can also can catch our broadcasts live on Sundays at 5PM to 6 PM Central on 570 AM, KLIF by going to the website and clicking on the Streaming bar.
      Thank you again for the time you took to read the blog and to comment. Thank you so much for linking the site. I am grateful for your kindness and your support!
      As you enjoy the blogs, please tell more of your friends about the radio site and especially the blog site as well. Would you also do us the honor of asking your friends (as well as you) to subscribe to the blogs by clicking the RSS logo on the front page of the website? It would be greatly appreciated and know that I will always endeavor to produce incisive and timely pieces on issues that affect the Nation’s Health!
      We would appreciate you downloading the podcasts if you missed the program and also your liking us on Facebook @ Health of the Nation Remember, you can also can catch our broadcasts live on Sundays at 5PM to 6 PM Central on 570 AM, KLIF by going to the website and clicking on the Streaming bar.
      Thank you again for the time you took to read the blog and to comment.

      Mitchell Brooks, M.D.

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      I will be posting more on this subject, especially the encroaching Government!
      Thank you so much for linking the site. I am grateful for your kindness and your support!
      As you enjoy the blogs, please tell more of your friends about the radio site and especially the blog site as well. Would you also do us the honor of asking your friends (as well as you) to subscribe to the blogs by clicking the RSS logo on the front page of the website? It would be greatly appreciated and know that I will always endeavor to produce incisive and timely pieces on issues that affect the Nation’s Health!
      We would appreciate you downloading the podcasts if you missed the program and also your liking us on Facebook @ Health of the Nation Remember, you can also can catch our broadcasts live on Sundays at 5PM to 6 PM Central on 570 AM, KLIF by going to the website and clicking on the Streaming bar.
      Thank you again for the time you took to read the blog and to comment. Thank you so much for linking the site. I am grateful for your kindness and your support!
      As you enjoy the blogs, please tell more of your friends about the radio site and especially the blog site as well. Would you also do us the honor of asking your friends (as well as you) to subscribe to the blogs by clicking the RSS logo on the front page of the website? It would be greatly appreciated and know that I will always endeavor to produce incisive and timely pieces on issues that affect the Nation’s Health!
      We would appreciate you downloading the podcasts if you missed the program and also your liking us on Facebook @ Health of the Nation Remember, you can also can catch our broadcasts live on Sundays at 5PM to 6 PM Central on 570 AM, KLIF by going to the website and clicking on the Streaming bar.
      Thank you again for the time you took to read the blog and to comment.

      Mitchell Brooks, M.D.

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