In today’s American Spectator, I discuss what may be Obamacare’s cruelest swindle–dumping 17 million poor Americans into a program that guarantees limited access to doctors and low quality care:

A couple of weeks ago I visited my internist for the annual physical to which she subjects me in order to confirm that my various organs are still operating according to specifications. As she poked and prodded, I asked how her practice was going. This question elicited a resigned sigh and a brief but poignant discourse on the necessity of “firing” her Medicaid patients.

Medicaid imposes so much red tape and pays so parsimoniously that she simply cannot afford to treat these patients and remain solvent. And she is by no means the only physician forced to make this decision.

This is the cruelest deception of the “reform” law. As Avik Roy phrases it: ‘There’s a massive fallacy at the heart of Medicaid and therefore at the heart of Obamacare. It’s the idea that health insurance equals health care.’ And, as is usually the case with the deliberately deceptive fallacies promoted by the Democrats, the target victims are poor Americans.

But don’t make the common mistake of blaming this problem on “rich greedy doctors.” Medicaid doesn’t merely pay less than private insurance. It pays less than the cost of treating a patient.

A primary care medical practice is essentially a small business. How many small businesses can afford to sell their wares for less than cost? To read the rest of the column, click here.

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