Wrong-o. You get to enjoy a few years of internship. Basically, you and your fellow graduates are now Igors. If you are lucky, you will be making about 30 grand a year. Roughly half of that will be going towards paying off your loans. You now have about as much available income as anyone making 7 bucks an hour, for a forty hour work week.

Forty hour work week? HAH! That would be a vacation! It's not uncommon for interns to work SEVENTY TWO HOUR SHIFTS. Sometimes back-to-back. But that's okay; you didn't want to go back to that crappy one-room apartment with no bathroom anyway. And the great thing about ramen noodles is you can cook them just about anywhere. I mean, it's not like you have a social life! PFFT! You don't even have a car, let alone enough change in your pocket to buy your date a trip to a pay phone! More than likely, you are currently maxing out your credit card, then getting another credit card to pay on the first, then a third to pay on the second. Or borrowing money like a Democrat in Beijing. Either way, you are wracking up more and more debt.

Finally, you are free from your slavery and you can go out and start your own practice. Right? Heh, shine on, you crazy diamond; this is where the REAL money starts flowing...right out of your hands. Office space, zoned and equipped for medical practice, equipment, meds, assistants, appointment-setters, office manager, advertising, STILL paying off all your loans and now you gotta get malpractice insurance.

Thanks to all those lovely lawyers in DC, if your patient has an infected hangnail, and you miss it while diagnosing his brain tumor, it's considered YOUR FAULT. You can and likely will be sued for MILLIONS. So you have to buy the insurance, which can cost tens of thousands of dollars PER MONTH. Which means you are going to be testing your patients for things that would make Greg House say "What the hell is THAT??"

All those extra (and generally unnecessary) tests cost money. This is why going to the doctor is so expensive and one of the reasons health insurance premiums are so high. Then comes the Medicare patient. The doctor treats the patient, and does all the extra tests...and then the government stiffs him. Which means he has to eat that cost. Which means in order to keep food on his own table, he has to charge higher rates to offset.

It's actually worse at the hospital level; not only do they have the same problems as the guy with his own office, but they also have the Emergency Room; one of the only places left where it's actually legal to dine-and-dash. ER treatment is ungodly expensive because of the massive numbers of people who come in, get treated, then never pay the bill. One of the biggest culprits in this are our wonderful undocumented workers, which we will discuss in a later installment.

With all this happening, it's a wonder anyone wants to go into medicine. With ObamaCare, there will be even LESS incentive to do so; you won't be able to offset the cost of taking people with government-run health care, because EVERYONE will be on government-run health care. There will be fewer doctors (according to a recent poll, about half of the doctors questioned said they would seriously consider quitting if HR3200 comes to pass) and many, many more patients. And when there is not enough supply to meet the demand, we have RATIONING.

The remaining doctors will not be able to handle such a workload; most of them are already maxed out on the number of patients they can receive. This is why, when you go to the doctor, he's seeing you and probably five other people at the exact same time. They must take on more patients than they can handle to pay for all the expenses of the practice, which forces them to rush, which makes it more likely that the doctor will make a mistake. To protect themselves, they must pay for malpractice insurance and the cost is shifted to the patient. The long lines to see a physician will begin almost immediately, and they will grow longer. In an effort to shorten the lines, a group of people will have to be placed, and they will determine who gets treated first, and the rest will just have to wait. They will decide whether or not treating your particular ailment will be cost-effective (remember, there's not going to be enough money to go around either, as per our discussion in Part 2.)

How will they decide who gets what? Well, Rahm Emanual's brother has already fund that solution. It's called QALY. It's a curve chart that bases priority on your ability to contribute to society as a whole! Kids under ten and adults over 40 are considered less valuable than those people between 10 and 40. People with disabilities or chronic ailments are also less able to contribute, so they too will be bumped in favor of the whole and fit. And for the elderly...well, old people aren't expected to live much longer anyway. If Grandpa needs a kidney, it would be selfish of him to get it when a 20 year old needs one, even if the 20 year old has one good kidney and Grandpa's fresh out.

Yes, Virginia...there most certainly will be rationing of health care. Obama has already created an economic crisis by jacking our deficit into the trillions, with more spending on the way. The sudden influx of millions of new patients, coupled with a sudden dearth of physicians caused by the passage of HR3200 and the public option with create another crisis. The spike in unemployment as the wealthy can no longer afford to hire people or keep them employed, and small businesses collapse under the weight of additional taxes makes it a hat-trick; plenty of crises to force rationing, which will be governed by what can best be described as...drumroll, please....

Death Panels.