Essentially the ACA shifted medicine into a data collection system that took the control away from clinicians and patients and handed it off to the bean counters and analysts. Diagnostic patient data collection and processing of that information has allowed for a more centralized medical control system versus what we had before. The transfer of patient information within the system is massive. This has enabled individuals higher up the food chain using computer models to establish what they deem are acceptable protocols for patient care based on this data collection. Patient care has slowly moved from the personal patient/clinician relationship to a more data driven one size fits all model better suited for cost considerations and efficiency than what is in the best interests of a specific patient.

The ACA laid the groundwork for this data driven system. Ask any physician in emergency care that has been around long enough to know what the old system was like. They will tell you that a huge amount of their time is now spent gathering the proper data that in the previous system used to be spent actually caring for patients. I knew many colleagues that packed their shingles away shortly after the changes of the ACA were implemented. For many, it was too much of a change from how they had been practicing for decades. Several of those practices simply disappeared forcing their patients into corporate care.

I realize that with progress comes change. Those that cannot change with the progress get left behind. But, change is not necessarily always for the better. I think when is comes to health care on this side of the passage of the ADA, we have lost far more than any perception of gain.

Essentially the ACA shifted medicine into a data collection system that took the control away from clinicians and patients and handed it off to the bean counters and analysts. Diagnostic patient data collection and processing of that information has allowed for a more centralized medical control system versus what we had before. The transfer of patient information within the system is massive. This has enabled individuals higher up the food chain using computer models to establish what they deem are acceptable protocols for patient care based on this data collection. Patient care has slowly moved from the personal patient/clinician relationship to a more data driven one size fits all model better suited for cost considerations and efficiency than what is in the best interests of a specific patient.

The ACA laid the groundwork for this data driven system. Ask any physician in emergency care that has been around long enough to know what the old system was like. They will tell you that a huge amount of their time is now spent gathering the proper data that in the previous system used to be spent actually caring for patients. I knew many colleagues that packed their shingles away shortly after the changes of the ACA were implemented. For many, it was too much of a change from how they had been practicing for decades. Several of those practices simply disappeared forcing their patients into corporate care.

I realize that with progress comes change. Those that cannot change with the progress get left behind. But, change is not necessarily always for the better. I think when is comes to health care this side of the passage of the ADA, we have lost far more than any perception of gain.

Essentially the ACA shifted medicine into a data collection system that took the control away from clinicians and patients and handed it off to the bean counters and analysts. Diagnostic patient data collection and processing of that information has allowed for a more centralized medical control system versus what we had before. The transfer of patient information within the system is massive. This has enabled individuals higher up the food chain using computer models to establish what they deem are acceptable protocols for patient care based on this data collection. Patient care has slowly moved from the personal patient/clinician relationship to a more data driven one size fits all model better suited for cost considerations and efficiency than what is in the best interests of a specific patient.

The ACA laid the groundwork for this data driven system. Ask any physician in emergency care that has been around long enough to know what the old system was like. They will tell you that a huge amount of their time is now spent gathering the proper data that in the previous system used to be spent actually caring for patients. I knew many colleagues that packed their shingles away shortly after the changes of the ACA were implemented. For many, it was too much of a change from how they had been practicing for decades. Several of those practices simply disappeared forcing their patients into corporate care.

I realize that with progress come change. Those that cannot change with the progress get left behind. But, change is not necessarily always for the better. I think when is comes to health care this side of the passage of the ADA, we have lost far more than any perception of gain.

Essentially the ACA shifted medicine into a data collection system that took the control away from clinicians and patients and handed it off to the bean counters and analysts. Diagnostic patient data collection and processing of that information has allowed for a more centralized medical control system versus what we had before. The transfer of patient information within the system is massive. This has enabled individuals higher up the food chain using computer models to establish what they deem are acceptable protocols for patient care based on this data collection. Patient care has slowly moved from the personal patient/clinician relationship to a more data driven one size fits all model better suited for cost considerations and efficiency than what is in the best interests of a specific patient.

The ACA laid the groundwork for this data driven system. Ask any physician in emergency care that has been around long enough to know what the old system was like. They will tell you that a huge amount of their time is now spent gathering the proper data that in the previous system used to be spent actually caring for patients. I knew many colleagues that packed their shingles away shortly after the changes of the ACA were implemented. For many, it was too much of a change to how they had been practicing for decades. Several of those practices simply disappeared forcing their patients into corporate care.

I realize that with progress come change. Those that cannot change with the progress get left behind. But, change is not necessarily always for the better. I think when is comes to health care this side of the passage of the ADA, we have lost far more than any perception of gain.

Essentially the ACA shifted medicine into a data collection system that took the control away from clinicians and patients and handed it off to the bean counters and analysts. Diagnostic patient data collection and processing of that information has allowed for a more centralized medical control system versus what we had before. The transfer of patient information within the system is massive. This has enabled individuals higher up the food chain using computer models to establish what they deem are acceptable protocols for patient care based on this data collection. Patient care has slowly moved from the personal patient/clinician relationship to a more data driven one size fits all model better suited for cost considerations and efficiency than what is in the best interests of a specific patient.

The ACA laid the groundwork for this data driven system. Ask any physician in emergency care that has been around long enough to know what the old system was like. They will tell you that a huge amount of their time is now spent gathering the proper data that in the previous system used to be spent actually caring for patients. I knew many colleagues that packed it in shortly after the changes of the ACA started being implemented. For many, it was too much of a change to how they had been practicing for decades. Several of those practices simply disappeared forcing their patients into corporate care.

I realize that with progress come change. Those that cannot change with the progress get left behind. But, change is not necessarily always for the better. I think when is comes to health care this side of the passage of the ADA, we have lost far more than any perception of gain.