The biggest problem with healthcare is those in control do not have medical training. There was a day when doctors decided how to care for patients. Until our healthcare system reverts back to this model it will always be aweful!
Doctors are controlled by what insurance will pay for and what lawyers may sue them for if they don't order something.
And, we as a society, usually 'know' what is wrong with us and how we should be treated. If we don't get what we want, when we want it, we will go somewhere else to get it!
I see it everyday at work. Most of what we see and treat should be handled by the primary care physician. But, the patient can't get in because their PCP has to book solid because reimbursment rates are so low. Pretty soon the patient doesn't even try to go to their PCP because we treat them quickly without an appointment. But, insurance reimburses us at a higher rate so it costs more. It is a vicious circle.
Obamacare isn't going to improve anything. There aren't aren't enough doctors to care for everybody. You add to that more people who will have insurance. Plus, you cut the reimbursemnt rates, you end up with fewer people trying to care for more peolpe for less money. The only way to do that is to limit services.
Everyone will have insurance, but what will it cover? We currently accept most forms of medicaid. However, when we have to refer to a specialist these patients often have a hard time finding one that will accept medicaid.
It is only going to get worse! If you do not have a doctor, get estalished with one soon!