How Care Can Be Rationed in a Health Insurance Exchange
The government will coerce doctor and patient both through their efforts at "tiering" physicians based on compliance with guidelines and rationing. This already exists through some private insurers but in the health insurance exchange government pressure will add to the tyranny. If your doctor is not compliant or complicit with the guidelines you will pay more to see that doctor. Different tiers are tied to variable co-pays patients must ante up. Since these tiers are also tied to utilization and cost, doctors who see sicker patients will be tiered lower and their patients likewise penalized with higher co-pays. This shows why (despite President Obama's promise) you may not necessarily get to keep your own doctor or your own plan.
