Rand Paul's eye exam

The circus that is going on in the attempt to find something to blame the president for, just got a little funnier.

Those who oppose him merely for existing need to check out their facts before making certain statements.

This month Rand Paul, a darling of the Tea Party, gave a speech in Iowa to the state Republican Party. He attacked some provisions in the Affordable healthcare act (Obamacare) that he found to be a little too silly and burdensome. According to him, "Obamacare" was forcing doctors to use 122,000 new medical diagnostic codes. These are the descriptions used to inform the government on injuries, and include such things as turtle bites and walking into objects.

What he is referring to is the transition from the older system of medical code classifications that originated from the World Health Organization (the ICD-9) to the more detailed classifications (ICD-10).

The problem with his complaints about “Obamacare” is that the changes were mandated by the Bush White House in its final days and reflect the changes in international standards for coding care.

As the Bush’s Department of Health and Human Services (HHS) wrote in a press release dated August 15, 2008, it had issued rules to implement “a long-awaited proposed regulation that would replace the ICD-9-CM code sets now used to report health care diagnoses and procedures with greatly expanded ICD-10 code sets, effective Oct. 1, 2011”.

When the American Medical Association (AMA) and other medical groups argued that this was too short a window for implementing such a large, complicated change, the Bush HHS listened and delayed ICD-10 implementation to October 2013. The Obama administration went along with that, and further delayed implementation to October 2014.

Obviously, then, these changes are not related to the Affordable Healthcare Act, and either Rand Paul is not aware of that, or is ignoring that to make a false point.

In August, 2008, Obama had not even been elected yet, and "Obamacare" was still at least one year in the future.

Rand Paul is a doctor, and certainly he kept up with such changes while he was practicing medicine. Some might argue that many doctors may also be confused about the timeline of the changes, but they are not making big public pronouncements like Paul does.

once again, in order to paint a bad image of the president, those who oppose him are assigning Dubya's handiwork to him.

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