The Incoming OCD-10

WHO LogoThere’s truly no denying that America has a fundamental problem with its expectations of its healthcare system. Similarly, there’s little rational denial of the fact that ObamaCare won’t improve this and will only matters worse.

So now, of course, we’re about to be saddled with the OCD-10.

OK, it’s actually the ICD-10 (International Classification of Diseases, version 10), not the OCD-10, but it certainly looks to be an example of Obsessive-Compulsive Disorder on the part of the World Health Organization (WHO). ICD-10 will increase the number of diagnostic available codes from approximately 17,000 in ICD-9 to over 155,000. If that’s not a case OCD, I don’t think I really want to know what it is.

There are many who wouldn’t this would be a problem, which is why a large part of why it’s been largely ignored outside of medical circles. The other reason being that the Lamestream Media is loath to add to the woes of Liberal politicians in an election year. Sadly, that ignorant majority is wrong; this is a problem, both financially and operationally.

For decades the US has used the WHO’s ICD as a way to standardize billing for medical procedures. Resultantly, medical practitioners have to use the proper codes in order to get reimbursed by health insurance companies or the government. These massive and largely nonsensical changes to the ICD will directly and adversely effect the operational efficiency of America’s entire healthcare industry.

AMA ICD10 Cost Chart
ICD-10 Cost Estimates By AMA

According to the American Medical Association (AMA) the costs to medical practitioners in terms of physician productivity losses, payment disruptions, training, testing, and practice assessments, as well as the implementation itself will be staggering…and, not the least bit surprisingly, drastically higher than earlier estimates.

The markedly higher implementation costs for ICD-10 place a crushing burden on physicians, straining vital resources needed to invest in new health care delivery models and well-developed technology that promotes care coordination with real value to patients. Continuing to compel physicians to adopt this new coding structure threatens to disrupt innovations by diverting resources away from areas that are expected to help lower costs and improve the quality of care.

— Ardis Dee Hoven, MD
President, American Medical Association

In the end it will the American people seeking medical attention that will bear the burden of these regulation-imposed costs, both in direct increases in their medical costs and in the loss of medical access due to smaller practitioners being driven out of business, the reduction in medical advances, and the natural self-protection instincts of medical practitioners who may well take more conservative approaches is treatment rather than risk not being reimbursed in a timely fashion, or at all, for expensive, aggressive procedures.

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Unhappy Birthday

The misborn, bastard crotch-dropping of Obama and the coterie of Liberals wrongfully fouling America’s Congress, Obamacare, turned three today.

Obamacare Birthday
Happy Birthday, Obamacare!

Given that much of it still isn’t defined beyond broadly written laws and we’re already saddled with over 20,000 pages of new regulations, I’d say that this isn’t a happy birthday or anniversary for the American people.

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California Leads The Way

california-flag-burningIn recent decades the phrase, “As California goes, so goes the nation” has become commonplace, strongly implying that California leads the way in America’s political, social, and economic trends. Sadly for America’s future, this is not a wholly unfounded idea.

One need only look to the effects of California’s leftwing, neo-Socialist laws, regulations, and taxcode upon small businesses to see that, if California leads the way, then that way is to financial ruin.

This is not to say that California doesn’t provide many well established routes for Californians to start small businesses, the driving force in employment.

ca-small-business-routes
California’s Many Routes To Starting A Small Business

It’s just that those routes all lead out of California and into states with less punitive laws and taxes and, obviously, the jobs those small businesses would provide followed along the same routes.

Both sadly and scarily, California did lead the way in this. On a national scale America is suffering the same fate as our laws, regulations, and tax code drives corporations overseas because offshoring is the only way that they can survive in the current global market.

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There Are Rules

America is a society of laws, rules, and regulations. That is its greatest failing and a symptom of the disease that may well kill her in the not-to-distant future.

There are just so very rules and regulation...
There Are Rules, Rules For or Against Everything

There are rules for or, more often these days, against so many things, even many things that we’d, as normal people, would never think anyone would make a rule about. 😉

But hey! The government is made up of lawmakers and law enforcement personnel. They need to justify and secure the future of their jobs somehow. Protecting us from ourselves is just the easiest way for them to do that.

And, by the Gods, dogs smoking and drinking wine while skateboarding is obviously a clear and present danger to society! Who knows what it could lead to.

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That’s Exactly Right!

It’s quite rare that can read or hear anything that this trumped-up, little, bastard by-blow of 1960’s rebellion, Obama says and say, “That’s exactly right!” It does happen upon rare occasions though.

That’s exactly right. And and, you know, a year from now I think people are going to see that we’re starting to make some progress. But there’s still going to be some pain out there. If I don’t have this done in three years, then there’s going to be a one-term proposition.

— President Obama
February 02, 2009, The Today Show

Well, it’s been over three years and, if improving the American economy was what he was supposedly going to “get done,” he’s made no progress. Indeed, he’s made matters far worse – far worse even then his Liberal cronies in Congress have managed to do – with his incessantly repeated class-warfare and anti-business sentiments.

Boy! You’ve got nascent but still huge and stinking economic catastrophe on your hands. You did built that! Nobody else made that happen.

Even more than ObamaCare’s overwhelming costs to businesses – costs all centered upon adding or maintaining employees, it is the climate of fear that Obama has instill in businesses that is keeping American unemployment numbers grievously high. Every time Obama attacks businesses, threatens to bypass Congress to do things via Executive Orders, or voices support for the rabble of OWS, he increases this climate of fear and causes corporations to tighten their purses in order to hopefully weather the storm that they fear Obama will bring.

Obama Has a Dream
Obama’s Dream – An American Nightmare

So yes, Obama is exactly right and there must be a one-term proposition, no matter what that takes, if America is going to recover in our lifetime or, possibly, ever.

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