Wednesday, April 25, 2012

Down the Rabbit Hole “Alice in Wonderland”

 

 

Most physicians when questioned about PPACA are truly ambivalent about the law and whether the fact that it may very well  be unconstitutional.

However they do not want reform to fail completely, nor undo more than two years of preparation, not only through publicly funded efforts, but the private hospital preparations and hard cold assets poured into HIT, health reform, ACOs and other organizational imperatives.

In fact if PPACA is overturned or throttled by the constitutional issues much of the changes will not be wasted at all. Some experts state they fail to see ROIs for HIT and other reform proposition.  However as Yogi Berra once said, “It ain’t over until its’ over”.  The time elapsed is still very short when compared to the life of Medicare and medical practice in America.

The Supreme Court is at a difficult juncture.  Their decision will ultimately effect our health non-system in whichever direction they decide.

One of the few groups willing to address the subject was the American Medical Association. In a statement, the AMA's president-elect, Jeremy Lazarus, says, "With the countless hours of work already done to implement this new law, it is hard to imagine the full impact of it disappearing."

Reading the Federal Register on health care issues is a daunting task, as are the determinations set for in the regulations.

It will require some serious “reverse engineering”  in any case no matter what SCOTUS decides to ‘throw out’

"I think it's more akin to Alice in Wonderland," it has been said. "That we're going down the rabbit hole and nobody really knows what it's going to look like inside."

But in the next few months, they may find out.

Here are some who offer their “wisdom”

Some might opine, “It’s as good as any”

Rabbit
Oh my ears and whiskers, how late it's getting!

Alice's Adventures in Wonderland:
Either the well was very deep, or she fell very slowly, for she had plenty of time as she went down to look about her and to wonder what was going to happen next.

Lewis Carroll Quotes
If you don't know where you are going, any road will take you there.

Alice's Adventures in Wonderland:


Alice: But it's no use going back to yesterday, because I was a different person then.

Through the Looking Glass:


The Queen: Now, here, you see, it takes all the running you can do, to keep in the same place. If you want to get somewhere else, you must run at least twice as fast as that!

 

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