[Undertoad]

Nope

McCaughey tells us that Obamacare is not a plan to make healthcare more accessible to every American; the real “aim [is] to turn doctors into government agents.” How? By “pressuring them financially to ask questions they consider inappropriate and unnecessary, and to violate their Hippocratic Oath to keep patients’ records confidential.”

This stuff is not true, though, fortunately. Doctors are trained to take a sexual history, as part of a thorough evaluation, even when you're just complaining of foot pain. Few disease processes happen in isolation in the body. It's all part of the strange, late-stage Jenga tower that is human health, but when a doctor asks if you're sexually active, take it as a sign that you're being thoroughly cared for.

Obamacare does say that insurance must now pay physicians for preventive services, including things like STI counseling. This is meant to help patients not contract sexually-transmitted diseases, and save the whole system money down the line. It's cheaper and easier for everyone to just not get gonorrhea than to end up with a baby blinded by gonorrhea, or to require antibiotics and contribute to the advent of super gonorrhea.

Preventive services that physicians will be encouraged to offer go well beyond sexual counseling, too. Doctors will be encouraged to talk to you about depression, alcohol abuse, obesity, etc, before these things become a problem. These are practices based on evidence. Doctors aren't forced to offer these services, and they won't be penalized if they don't. Patients likewise don't have to answer questions they don't want to. But the financial incentives will encourage doctors to actually do the things that our best evidence says is the best approach for both the individual patient and the system.

Finally, nothing in the law mandates that the answers to your questions be sent anywhere public. Oppositely, it must remain in a confidential medical record, to be viewed only by healthcare professionals who care for you, under penalty of law, as always.