Free Republic
Browse · Search
Bloggers & Personal
Topics · Post Article

Skip to comments.

You thought you knew how bad Obamacare was? Think again
Flopping Aces ^ | 11-30-12 | DrJohn

Posted on 11/30/2012 11:33:19 AM PST by Starman417

Each year, Congress holds a sword of Damocles over the heads of the medical profession. The "doc fix" is a budget adjustment to bring Medicare fees into the world of reality. democrats love to omit it for the sake of appearances.

Obamacare cuts $716 billion from Medicare. Obama calls it "waste." Physicians call it reimbursement. What that will do is make finding Medicare providers far more difficult.

The AMA supported Obamacare, on the promise that the law would include a permanent “doc fix.” But Democrats reneged on that promise, owing to the cost of a permanent SGR adjustment: something on the order of $200 billion over ten years, depending on the prescribed growth rate of the fees.

Instead, the Affordable Care Act further reduced fees to health care providers, by $415 billion over the 2013-2022 time frame. As these reductions go into effect, more and more physicians are certain to stop taking new Medicare patients. We already see this problem with the Medicaid program for low-income Americans, where doctors don’t accept Medicaid patients, leading to poor health outcomes.

The Obama campaign offers several lame defenses of these cuts. “The President’s plan doesn’t cut [benefits] by one dime,” insists deputy campaign manager Stephanie Cutter. “He ends taxpayer subsidies to insurance companies, and weeds out waste, fraud, and abuse, which saves the Medicare system $716 billion.”

But Cutter’s assertion the law doesn’t cut benefits only makes sense if you don’t count getting a doctor’s appointment as a “benefit.” And her argument that the provider cuts merely amount to eliminating “waste, fraud and abuse” displays a callous disregard for how the law’s blunt, across-the-board payment reductions affect doctors like Joseph Shanahan, and seniors like Beverly Frake.

About that "free" exam Obama promised you:

If you are here for that annual exam, you will not be covered if you want to discuss any new ailment or unstable condition. I cannot bait and switch to another code — that’s illegal. We, the physicians, are audited all the time and can lose our license for insurance fraud.

You, the patient, will then have to make a decision.

Do you want your “free” yearly exam, or do you want to pay for a visit which is coded for a particular, new problem? You can have my “free” exam if you only discuss what Obamacare wants me to discuss.

This happened to me personally, as a patient, when I went for my physical. It is the law. If you are complaining of a new problem, then you have to reschedule, since Obamacare is very clear as to what is covered and what is not. Obamacare — intentionally — makes it as difficult to be seen and taken care of as possible.

Patients can be very tricky. I have had patients make an “annual” exam, only to want to discuss and be treated for another ailment. I can’t do it.

I can hear the complaints from you guys already — I become the bad guy. “Why don’t you just take care of the problem, and not bill out any different code? You’re a rich doctor, and we are entitled to free stuff.”

It doesn’t work that way. First, doctors are not rich and, like most of you, actually work terribly hard for a living. Second, Obamacare is the law — and as I said earlier, we are audited all the time now.

Also — I don’t ask for free gas when I go to the gas station, or ask for free food from the supermarket. Additionally, Obamacare has a 23% cut in Medicare reimbursement to doctors and hospitals.

These lower payments won’t cover the cost of staying in practice to take care of the patient.

Sound goofy? You ain't heard nuthin' yet:

(excerpt) Read more at floppingaces.net...


TOPICS: Business/Economy; Government; Politics
KEYWORDS: health; insurance; obama; obamacare

1 posted on 11/30/2012 11:33:21 AM PST by Starman417
[ Post Reply | Private Reply | View Replies]

To: Starman417

“Out with the old doctors. In with the new.” - Stalin


2 posted on 11/30/2012 11:42:04 AM PST by massgopguy (I owe everything to George Bailey)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Starman417

Once again, a special middle finger to all the damn idiots who voted for Obama!!!


3 posted on 11/30/2012 11:47:25 AM PST by AngelesCrestHighway
[ Post Reply | Private Reply | To 1 | View Replies]

To: Starman417

An office employee of mine went to the county health dept for her annual gyn exam and years supply of brand name, non generic pills, (total cost $70 by the way) she said that they asked her a ton of history questions and medications and told her that because of Obamacare they were required to ask the questions and enter it in the computer.

How do you we find Dr’s that will not participate in this outrageous violation of privacy?

Are there any challenges to the health care law for privacy issues? Wasn’t Roe v. Wade determined at least partially on right to privacy?

How can Hipa laws be passed protecting patient privacy from family members, so much that I can’t even pay a bill for my husband without his permission, but the government has the right to know everything about me?

Time to go off the grid!!


4 posted on 11/30/2012 11:53:18 AM PST by No Socialist
[ Post Reply | Private Reply | To 1 | View Replies]

To: Starman417

They create a crisis, then rush in pretending to fix the crisis, and impose another level of tyranny.


5 posted on 11/30/2012 11:55:44 AM PST by I want the USA back (Only people with their head up their a$$ vote democrat.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Starman417
Obamacare, which extends an already uneconomic, impractical & absurd Federal intrusion into something that is inherently local, immediate & personal--the relationship of a particular physician with a particular patient;--like so much of what comes out of Washington, these days, is fit only for satire. Contemporary Federal policy is almost impossible to adequately satirize. It certainly confirms the idea that truth is even stranger than fiction.

For a post election look at the issue, Obama Or America--Clarity On Irreconcilable Differences.

William Flax

6 posted on 11/30/2012 12:01:00 PM PST by Ohioan
[ Post Reply | Private Reply | To 1 | View Replies]

To: Starman417

Physicians! Go Gault, and you can defeat ObamaCare in less than 90 days.

Accept ObamaCare by participating and you guarantee yourself a lifetime of low income, massive paperwork, and frustration.

If you can’t figure out this choice you’re not smart enough to be a doctor, anyway.


7 posted on 11/30/2012 12:02:40 PM PST by RavenATB
[ Post Reply | Private Reply | To 1 | View Replies]

To: RavenATB

Sorry...”Galt”


8 posted on 11/30/2012 12:03:45 PM PST by RavenATB
[ Post Reply | Private Reply | To 7 | View Replies]

To: Starman417
My cardiologist is retiring once Obamacare takes full effect. My kidney doctor is exploring the possibility of not accepting new Medicare patients. The AMA may have endorsed Obamacare, but I know several doctors who are adamantly opposed to it. They know that the reimbursements they will receive under Obamacare won't compensate them nearly enough for all the aggravation the law will give them, not to mention the need to huge additional staff to handle all the paperwork. And they don't like the idea of some governmental bureaucrat, possibly with no medical knowledge, telling them how or if to treat a patient.

So despite Obama’s claims that you can see any doctor you wish, the fact is that there will be fewer doctors to choose from. Many private practices will close, to be replaced by some “clinic” where you will see a doctor who knows nothing about you and might not even speak English. That is, IF you get to see a doctor. It could be that you will be treated by a nurse practitioner or perhaps someone with little more than paramedic training. Not knocking either profession, but particularly for major issues, the results of being treated by anyone with no medical degree could be fatal.

The Obama administration has lied about this monstrosity from the beginning. Unfortunately, his followers won't know that till they actually need health care. Then it may be too late.

9 posted on 11/30/2012 12:15:22 PM PST by fatnotlazy
[ Post Reply | Private Reply | To 1 | View Replies]

To: Starman417

they’ll be paid...only to NOT practice medicine...but to fill out every piece of personal detail....on each of us.


10 posted on 11/30/2012 12:20:59 PM PST by mo (If you understand, no explanation is needed. If you don't understand, no explanation is possible.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: AngelesCrestHighway
Once again, a special middle finger to all the damn idiots who voted for Obama!!!

And bend over ...

11 posted on 11/30/2012 12:21:48 PM PST by Servant of the Cross (the Truth will set you free)
[ Post Reply | Private Reply | To 3 | View Replies]

To: fatnotlazy

Some practices have sold themselves to hospitals to help cover the paperwork and stabilize their income. There has been a tremendous increase in hospital controlled practices but the physician still has to sit there typing the information into the computer. They can fall under the hospital’s professional liability and eliminate that worry but they will still be under the thumb of the government and the hospital.


12 posted on 11/30/2012 12:24:08 PM PST by DeFault User
[ Post Reply | Private Reply | To 9 | View Replies]

To: Starman417

YES....and “PREVENTIVE” which is supposed to be covered...HA...ONLY if you have NEVER, EVER had a problem before....ie...any prostate problems...NOT preventive; ever had a polyp during a colonoscopy? NOT preventive.


13 posted on 11/30/2012 12:26:21 PM PST by goodnesswins (R.I.P. Doherty, Smith, Stevens, Woods.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: fatnotlazy
there are going to be many more “foreign” DR’s who make much more $$ here taking medicare/medicaid patient then they could ever make at home
14 posted on 11/30/2012 12:26:54 PM PST by markman46 (engage brain before using keyboard!!!)
[ Post Reply | Private Reply | To 9 | View Replies]

To: markman46

nobamacare = stay healthy or die

To all who voted for nobama...may you have many challenges in the future, you putzes!


15 posted on 11/30/2012 1:06:14 PM PST by hal ogen (First Amendment or Reeducation Camp?)
[ Post Reply | Private Reply | To 14 | View Replies]

To: Starman417

Doctors should bill the AMA if that outfit supported Obamacare.


16 posted on 11/30/2012 1:06:36 PM PST by blueunicorn6 ("A crack shot and a good dancer")
[ Post Reply | Private Reply | To 1 | View Replies]

To: Starman417

” The AMA supported Obamacare, on the promise that the law would include a permanent “doc fix.” But Democrats reneged on that promise”

So does the AMA still support Obamacare now?


17 posted on 11/30/2012 1:46:29 PM PST by lowbridge (Joe Biden: "Look, the Taliban per se is not our enemy.")
[ Post Reply | Private Reply | To 1 | View Replies]

To: Starman417

So if they find something “new” with the “free exam”.... it’s no longer covered??


18 posted on 11/30/2012 2:06:33 PM PST by GeronL (http://asspos.blogspot.com)
[ Post Reply | Private Reply | To 1 | View Replies]

To: hal ogen
love your tag line.

in calif you already see the foreign drs and its getting worse i guess i will refuse to precipitate in nobamacare, make all my cash liquid

19 posted on 11/30/2012 4:21:27 PM PST by markman46 (engage brain before using keyboard!!!)
[ Post Reply | Private Reply | To 15 | View Replies]

To: GeronL
"So if they find something “new” with the “free exam”.... it’s no longer covered??"

YEP!!!

20 posted on 11/30/2012 7:26:22 PM PST by goodnesswins (R.I.P. Doherty, Smith, Stevens, Woods.)
[ Post Reply | Private Reply | To 18 | View Replies]

To: Mears

bfl


21 posted on 11/30/2012 7:29:05 PM PST by Mears
[ Post Reply | Private Reply | To 1 | View Replies]

To: Starman417

markbook


22 posted on 11/30/2012 7:32:46 PM PST by Pajamajan (Pray for our nation. Thank the Lord for everything you have. Don't wait. Do it today.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: goodnesswins

lol

That is just insane


23 posted on 11/30/2012 7:36:14 PM PST by GeronL (http://asspos.blogspot.com)
[ Post Reply | Private Reply | To 20 | View Replies]

To: Mears

bfl


24 posted on 11/30/2012 7:45:21 PM PST by Mears
[ Post Reply | Private Reply | To 9 | View Replies]

To: GeronL

Don’t believe the crap people are posting in this and other threads. Treatment for the “new” condition will be covered, but at another appointment. If the situation is urgent the new appointment might immediately follow the first appointment (like 1:00 PM => 1:30 PM), or you could even be referred directly to the hospital where it will be covered or to a specialist. I hate Obamacare as much as anybody especially since I am 55+ but people are posting ungrounded opinions, or, at worst, lies.


25 posted on 11/30/2012 8:08:28 PM PST by steve86 (Acerbic by Nature, not NurtureĀ™)
[ Post Reply | Private Reply | To 23 | View Replies]

To: GeronL; steve86

OK...here’s my recent example....16 years ago I had a colonoscopy....had 2 polyps....have had 2 colonoscopy’s since...no polyps....scheduled another colonoscopy for this week (6 years since the last one)....in the pre-prep insurance work, they told us....BECAUSE you had previously had polyps 16 years ago....it will NOT be considered PREVENTIVE....and therefore you will be charged the NORMAL type of charges...my husband had his “preventive” colonscopy a couple years ago (never had polyps)...and he paid NOTHING....if you think Obamacare is going to be BETTER than what we have now...you are living in lala land...


26 posted on 11/30/2012 9:48:35 PM PST by goodnesswins (R.I.P. Doherty, Smith, Stevens, Woods.)
[ Post Reply | Private Reply | To 23 | View Replies]

To: GeronL; steve86

And, furthermore, I believe those over the age of 70 probably will be told they are not eligible for colonoscopy (or other services)...because the money won’t be there....


27 posted on 11/30/2012 9:53:32 PM PST by goodnesswins (R.I.P. Doherty, Smith, Stevens, Woods.)
[ Post Reply | Private Reply | To 23 | View Replies]

Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.

Free Republic
Browse · Search
Bloggers & Personal
Topics · Post Article

FreeRepublic, LLC, PO BOX 9771, FRESNO, CA 93794
FreeRepublic.com is powered by software copyright 2000-2008 John Robinson