A posting on the KevinMD.com blog gives a sobering look at the challenges facing physicians--as clinicians, patient advocates and parents--if the Supreme Court rules the entire reform law unconstitutional.

The blog, from Bob Doherty, senior vice president of government affairs at the American College of Physicians, looks at provisions in the law that clinicians and patients take for granted now just two years after enactment.

Doherty walks through several scenarios that bring up sobering questions: If the whole law is thrown out, do patients with new or expanded coverage lose those benefits immediately? Will the 10% bonus Medicare pays for primary care visits be gone immediately? Will pre-existing insurance coverage immediately cease? Are older children immediately no longer covered under parental policies? Do federally funded emerging accountable care organizations immediately stop?

There will be little guidance from the Supreme Court and Congress on how to move forward, Doherty warns. “And there’s almost no chance that Congress will step in to repair the wreckage.”

The blog , “Chaos for Doctors if the Affordable Care Act is Struck Down,” is here.

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