Dr. Doug Moir fills out a patient’s medical history on the computer after her visit. Moir has less time forpatients since electronic health record software became federally mandated. Peggy Peattie • U-T
Despite the predictions of fortune tellers in politics and think tanks, we won’t know for years whether the Affordable Care Act, otherwise known as Obamacare, will ultimately leave people sicker or healthier, richer or poorer. Yet already the law, coming on top of previous legislation, is speeding the demise of an American small-business institution; the one-doctor medical practice. Their problems began in the late 1990s. Government cost controls steadily eroded revenues while simultaneously boosting costs, by stacking on requirements for paperwork and accounting. More