David Williams

Like the furry critters in Whac-A-Mole, the consequences of Obamacare keep popping up and rearing their ugly heads. When faced with a study that suggested doctors would opt out of accepting Obamacare insurance plans, leading to fewer qualified providers, Obamacare’s chief architect, Dr. Ezekiel Emanuel, let it slip that the folks behind the law think “you don’t need a doctor for every part of your health care.”

Now, there are certainly qualified medical practitioners that can administer flu shots, take a patient’s blood pressure, etcetera – under the supervision of a medical doctor. But unfortunately for an administration already facing tanking approval ratings due to the Obamacare’s massive unpopularity, survey data clearly shows that patients want – and need – trained medical doctors providing their health care.

The push to redefine medical care is not just coming from folks like Dr. Emanuel at the top. State legislatures are muddying the waters by considering measures to expand the procedures that these medical practitioners are allowed to perform. A glaring example of this is in Tennessee where a measure that would allow optometrists to inject anesthesia and operate with a scalpel on the eyelid. California and Louisiana proposed similar legislation in 2013.

To clarify, even though you may call your optometrist “doctor,” they did not attend medical school or complete a residency or surgical internship that would qualify him to perform scalpel surgeries around your body’s organs. Those that did complete medical school and training – ophthalmologists – are trained to perform surgeries in and around the eye and, as importantly, have the necessary training to diagnose problems correctly and handle complications that may arise from these complex procedures.

What proposals like Tennessee’s amount to is erosion of quality of care in the name of providing increased access and lower costs. But even those promises are false. Doctors argue that part of their training is not just how to perform procedures, but also when to – and when not to – perform them. Patients that are misdiagnosed and mistreated in the hands of untrained practitioners will require more care and additional expense through the life of their illness.

That is good neither for the patient nor the system.


David Williams

David Williams is the President of the Taxpayer Protection Alliance (TPA).