1)I prefer to give the patient the medical care they need, rather than the so-called care some bureaucrat thinks the patient should get. 

2)I prefer that the care I give to patients remain a matter known only to them and me and whoever else they deem a party to this knowledge.  I am aware of no clause authorizing betrayal in the Hippocratic oath.  The push of electronic medical records and the scam of “meaningful use,” which commands patient betrayal is one of the most sinister aspects of the “law.”

3)If people believe that health insurance companies are restrictive now on what they will and won’t pay for, they will soon realize with the exchange plans the true fulfillment of the wildest dreams of the corporate health cronies.  The taxpayer will unwillingly fund these companies and the government will simultaneously define and limit what claims these companies must pay, a certain recipe for profits, the obscenity of which has likely never been seen.  They actually can’t accurately be called “profits” as the whole system has been and will increasingly be rigged.  It is no coincidence that government-funded research is already claiming that the preventitive care guaranteed by Obamacare is unnecessary, prostate screenings, mammograms, colonoscopies, etc.

4)Certain states are rejecting the Medicaid expansion of Obamacare.  Many if not most of the young people are recognizing this as the next government Ponzi scheme, refusing to participate.  State attorneys general (Oklahoma’s Scott Pruitt, in particular) have identified weaknesses in the “law” and are basically attempting to nullify it.  More employers are seceeding from the game and taking the path of “self-insurance.”  It is time for the physicians to step up and join the ranks of the resistors.  Without uniform and widespread physician participation, this “law” is dead on arrival.  Refusal to participate will hasten a healthy and new consumer market in health care where patients, by and large, purchase health care, not coverage, the health coverage reserved for only the most daunting and expensive of challenges.

G. Keith Smith, M.D.