Obamacare is placing doctors squarely in the crosshairs. The Centers for Medicare and Medicaid Services (CMS) has initiated a labyrinth of programs which will make government reimbursement for medical services even more of a nightmare for the targeted group.

Under a provision of the 2010 healthcare law Medicare payments will be tied to cost containment and quality of care. The Physician Value-Based Payment Modifier Program, according to experts like Donald Berwick of the Center for American Progress, reflect the "theme" of Obamacare: "value-based purchasing."

When you hear the word 'value' coming out of a socialist's mouth, watch out. It doesn't mean quality of care; it means reduction of care and forced compliance.

The major difference between a private physician's place in the community and a government paid physician is the first must be responsible only to himself and his patients. If he messes up or has a bad bedside manner, he's to blame and may even lose his practice. This reflects a free market.

But in a nationalized, federal health care system where doctors work for the government, it's the government which removes poor or unacceptable doctors. So, either the market determines your fate, or a remote bureaucracy does.

All of this is not sitting well with the medical establishment.

Doctors are being informed by Centers for Medicare and Medicaid Services (CMS) they will face stiff penalties, in some case retroactive, if they do not comply with certain requirements in a timely manner. 

The group is already set to take a 27% Medicare pay cut beginning next year and with the tangled web of regulations, medical professionals are reporting the programs are so confusing they don't know what to do to earn a bonus or avoid a penalty.

The Medicare overhaul, which comes with a bunch of overlapping timelines and backdating reporting requirements, has now prompted 112 medical associations and agencies to send an urgent letter to the CMS acting administrator Marilyn Tavenner. The letter predicts an "imminent storm" if physicians are forced to participate in multiple programs under the threat of fines and deadlines.

Like Catholic liberals who bought into the administration's lie about Obamacare and abortion, members of the American Medical Association (AMA) who signed the letter to Tavenner are now feeling the sting of betrayal. 

The undersigned organizations are writing to express our profound concern about the imminent storm that is about to occur due to simultaneous implementation of multiple programs that will create extraordinary financial and administrative burden as well as mass confusion for physicians.

These programs include the value-based modifier, penalties under the electronic prescribing (e-prescribing) program, physician quality reporting system (PQRS) and electronic health record (EHR) incentive program, along with the transition to ICD-10.

Physicians face the ongoing threat of steep Medicare physician payment cuts due to the flawed sustainable growth rate (SGR) ...These cuts alone will take a huge toll on physician practices and patient access to care. Yet, this is only the beginning.

Obama and his minions at CMS are out to abolish the free market fee-for-service model at the heart of American medicine. Regulating Medicare into oblivion is only the beginning. 

Read more M. Catharine Evans at Potter Williams Report