“The crown jewel of Obamacare’s effort to contain health costs, that is the creation of Accountable Care Organizations – did you know about this? I sure as hell didn’t- is so unwieldy that major provider groups have said they won’t participate.

“The idea is to consolidate doctors, turning them into employees of large systems, and then pay these system lump sums of money to take care of groups of patients.

“Wow. Did you know that? Consolidate doctors, turning them into employees of large systems, and then pay these systems lump sums of money to take care of groups of patients. The iron fist of government.

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