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The PJ Tatler

Bryan Preston


April 14, 2014 - 2:56 pm

Louisiana Gov. Bobby Jindal, likely 2016 GOP hopeful, has a couple of ideas for “improving” Obamacare according to a Bloomberg editorial. One of them will expose Americans to substandard medical treatment.

Jindal’s plan includes two excellent ideas. The first is to let nurse practitioners and other medical professionals practice to the full extent of their abilities.

Jindal’s second idea involves giving tax breaks for purchasing insurance plans. But it’s the one above that’s troubling, and I say that as an admirer of Jindal. We’ve looked at it before here at Tatler.

Obamacare is creating a doctor shortage in a couple of ways. One, it’s driving doctors straight out of practice over growing frustration with the new systems mandated by the law. Two, over the long term it’s expected to create more demand by insuring more people (supposing that it actually ends up insuring more people).

The idea of allowing medical practitioners who are not physicians to perform tasks, including diagnosis and some surgeries, limited to physicians is not a new idea. Two groups, optometrists and nurse practitioners, have been trying to increase the number of kind of treatments they are allowed to perform for a few years, to add to the scope of their practices and increase revenue. Neither are MDs and therefore do not have the years of training that MDs have. Most Americans probably don’t realize it, but optometrists do not receive anything close to the kind, scope and length of training that ophthalmologists receive. The latter graduate medical and are specialists in their field. Some optometry schools do not even require a college degree.

Allowing non-MDs to do tasks reserved for doctors has already caused problems.

Jindal’s plan would do at least two bad things. The first is that it would expose unsuspecting Americans to substandard treatment at the hands of people who are professionals, but are not fully trained medical doctors. The second is that it might contribute to saving Obamacare, a bad policy that needs to be repealed in full and replaced with a thoughtful market-based reform.

Bryan Preston has been a leading conservative blogger and opinionator since founding his first blog in 2001. Bryan is a military veteran, worked for NASA, was a founding blogger and producer at Hot Air, was producer of the Laura Ingraham Show and, most recently before joining PJM, was Communications Director of the Republican Party of Texas.

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All Comments   (7)
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"Our overbearing central planning policies are better than their overbearing central planning policies so vote for us!"

The federal government is not a state government by design, Governor.
45 weeks ago
45 weeks ago Link To Comment
Just repeal the damn thing. I wish GOP Hopefuls would STOP LISTENING TO THE ADVISERS!

I do believe there are those that truly want to "fix" OCare only for the reason they want to be ones sailing the ship into the iceberg. They figure "Hell, we're going down, might as well be the one to get us there!"
45 weeks ago
45 weeks ago Link To Comment
I would like to "fix" Obamacare like the dog it is.

My way to have a dog "fixed" assures it will produce no mongrel offspring.

HOWEVER, if we take Jindal's idea and expand it, I think it would have some brilliant applications. Here is my idea:

Democrats can have BOTH Obamacare and/or ExpandoCare.

ExpandoCare will allow Chiropractors to perform spinal "enhancements". These are like boob jobs for Democrat spines, when they find themselves unable to muster any sign of courage in their Pajama Boy existence. (Yes, some Republicans will probably want to sneak across the aisle)

I also think massage parlors should be allowed to perform electile dysfunction treatment on the horn dog Democrats who constantly keep their "warm on women" at the front lines of their politics.

I think Planned Parenthood ought to be allowed to perform fifth and sixth term abortions on Democratic politicians.

The Death Panels should be able to do all assessments for Democratic patients. Proctors Without Borders they can deny treatment for any and all expendables.

Conservatives, unfortunately will not have anything like this available. They have to keep the doctors and hospitals they like.

Both sides win. Democrats get to prove just how much they love having the healthcare they designed.

And Republicans ....get to watch them get it.
45 weeks ago
45 weeks ago Link To Comment
Fix it with fire.
45 weeks ago
45 weeks ago Link To Comment
You've missed the worst thing about Jindal's plan, the fatal flaw that tells us clearly that he is NOT the conservative Presidential champion we need:

His plan assumes, as a given, that it is up to the federal government to "fix" healthcare.

The only "fixing" Obamacare needs is spelled R-E-P-E-A-L.

All other "solutions" need not apply.

45 weeks ago
45 weeks ago Link To Comment
How about the problem that employers can deduct employee insurance costs from their income, but a self-insured person must pay taxes on his insurance costs? This has nothing to do with fixing health care; it has everything to do with fixing unfair tax policies on health insurance.
45 weeks ago
45 weeks ago Link To Comment
There's a lot that needs fixing about our tax code. Most of what needs fixing is there in the first place because ideas like Jindal's have been implemented - the wretched idea that everything under the sun is the business of the

The fact that Jindal does not seem to understand that disqualifies him from serious consideration for national office.

He should never sit in Congress or the White House.

45 weeks ago
45 weeks ago Link To Comment
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