Judging by their unprecedented use of the word “unprecedented” to describe everything the Obama administration has done it appears that they truly think they have fundamentally changed the national landscape in one short year.

Of course, those outside the delusional bubble of the White House know that the only truly unprecedented thing this administration has done is to destroy its own popularity faster than any other modern president, primarily thanks to its ham-handed push for a left-of-center realignment of the nation.

Nowhere is this more apparent than in the titanic health care “reform” struggle.  The administration cannot seem to grasp the reality or the reasons for the public’s rejection of Obamacare.  The White House is correct that Americans want to reform health care and make it more affordable, accessible and understandable.  But the people know intuitively that a government takeover, or just a much bigger government role, won’t achieve those goals.

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Rationing Medicare will not require clandestine meetings in smoke filled rooms. Simply reduce physician reimbursement to below the cost of delivering quality care, and free market forces will take care of the rest.

Medicare has already begun the process of backdoor rationing. Facing overwhelming budget shortfalls, Medicare needs to trim its books. Washington found a clever solution: eliminate the billing code for “physician consults.”

As a hospital physician, I often admit Medicare patients with chest pain or shortness of breath. If my patient needs urgent help from a cardiologist, I call a colleague for assistance.

Until December 31, 2009 the cardiologist could charge a “physician consult” fee for getting out of bed, coming to the hospital, and evaluating a patient with a potentially life threatening problem. Medicare paid $195.76 for this middle-of-the-night work (the same rate as when done during the day).

By eliminating the “physician consult” billing code, Medicare now advises the specialist to charge for a “hospital admission.” For two more months, Medicare will pay $175.67 for this service. However, without a change in current law, the physician’s reimbursement for a “hospital admission” will drop to $141.63 on March 1. This is why the “Doc Fix” is so important for working physicians and their Medicare patients.

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