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The latest installment of ObamaCare is a scheme that’s uprooting the elderly poor and disabled who get care under Medicare and herding many into state-run Medicaid plans.
The court has confirmed what everyone already knew: Managed care necessarily entails financial incentives to control runaway medical inflation.
The elements of the current crusade against managed care combine the front-page horror story of the access-denied victim with the political clout of a network of influential millionaires.
By next year, about two-thirds of American physicians will be working as salaried employees of large groups and hospitals. This movement has been underway for years. Over the last decade, the number of independent physicians was falling by about 2% a year. But these trends are now accelerating.
President Obama and his team have set in motion economic forces that force insurers to give consumers fewer choices among doctors and hospitals, and will have to live with the result.
A transformation is under way in health care that will displace the entrenched giants among the ranks of America's health maintenance organizations and pharmacy benefit managers.
Many Americans have a low opinion of politicians and businesspeople, viewing them as dishonest and immoral.
President Obama is blaming insurers for rising insurance prices and increases in the number of uninsured Americans rather than acknowledging the role his health plan has played, but it will be much harder for him to dodge the rising tide of Americans lacking any health insurance.





