Skip to comments.The Doctor Won't See You Now. He's Clocked Out
Posted on 03/16/2013 9:12:16 PM PDT by Innovative
ObamaCare is pushing physicians into becoming hospital employees. The results aren't encouraging.
The irony is that in the name of lowering costs, ObamaCare will almost certainly make the practice of medicine more expensive. It turns out that when doctors become salaried hospital employees, their overall productivity falls.
The result? It is estimated that by next year, about 50% of U.S. doctors will be working for a hospital or hospital-owned health system.
Once they work for hospitals, physicians change their behavior in two principal ways. Often they see fewer patients and perform fewer timely procedures.
(Excerpt) Read more at online.wsj.com ...
Just imagine them unionized (which is what the Dems want).
Dr Obamungumbe will simply insist that peasant doctors give a minimum number of orders per day...malpractice will continue as usual.
The formally profitable non-profit large hospital system my wife works for is already threatening furloughs due to Obamacare. They whacked all of their interns.
Doctors aren’t working anymore than they have to since it doesn’t pay.
Free healthcare is about to get really expensive and crappy.
Whole other story is how we don’t have enough docs and nurses now, and you know the significant losses that will come under deathcare. These people weren’t bluffing about retiring, or moving into totally different careers.
My 3 year old Grandson got a taste of Obamacare this past weekend. He was at the playground, fell forward and hit his forehead on a metal part of the playground equipment. immediately a huge bruise with a deep black and blue dent in his forehead.
Immediately went to the Emergency Care Center. They asked who his primary physician was and to call him. We called him. He was on vacation with no backup. Asked the nurses to at least look at him. No. We can’t help you.
Left, went to Children’s Hospital (annex) - same response. We can’t touch him.
Finally drove downtown and he was eventually seen. 5 hours later.
It’s a nightmare.
Any doc worth their stuff will retire as soon as is possible. Practicing under nobamacare will be stifling and deadening. Good luck everyone with your health.
And it’s only going to get worse.
Thanks for sharing your story — hope your Grandson is OK, despite of this lack of care.
Earlier this year my son was running a very high fever that wasn’t responding to home treatment so we took him to our local Children’s Hospital ER in downtown Cincinnati.
I kid you not, they took an inmate in chains, who did not appear to have any immediate medical ailment, before they saw our son.
We waited hours in the waiting room, his fever broke, we left and followed up with his pediatrician the next morning.
A completely useless visit. Perhaps we should have brought him in wearing chains and an orange jumpsuit?
On the upside it’s given me reasons to learn more about preventative care and first aid.
You should have raised holy hell.
Would a logical conclusion be that nobamacare will die, crushed by its own weight?
No such luck.
The UK National Health Scheme has been running (or not) since 1948.
For an insight on how it works (no sarcasm here) ...google: UK Liverpool Pathway Controversy
"Dec 1, 2012 Almost half of dying patients placed on the controversial Liverpool Care Pathway are never told that life-saving treatment has been withdrawn, ... The system in the UK drags fearful elderly people kicking & screaming from their beds...
“ould a logical conclusion be that nobamacare will die, crushed by its own weight?”
Unfortunately no. Look at the UK and Canada health systems, they are still around. Also, the Eastern European countries still haven’t recovered from the government healthcare system.
This will make Canada’s system look good by comparison.
How many doctors are going to retire? How many already have?
We already lost our doctor last June because he went to work for a hospital in another town 30 miles away. We might have driven to see him except now he is no longer on staff at the hospital that is only 2 miles away from us. He said himself that the move was due to Obamacare and he was not happy about it.
My mother’s pulmonary doctor (for COPD) joined the hospital and did not want to either. He’s from India, here 30 years, and can’t believe he is watching this country go down the tubes. He can’t stand Obama. He said people from India aren’t coming here because of how bad it is or will soon be.
Obama and all democrats are wicked and evil to the core. And a big thanks to John Roberts.
People don't go through 12 years of schooling-training, get tens of thousands of dollars in debt, pay 70-90% of their income for malpractice insurance, face an increased chance of Federally imposed fines, criminal charges and a geometric increase in paperwork to be flat-salaried medical technicians following a robotic regimen of practice imposed by bureaucrats.
they don't relax....I've never seen one shrug off work in the form of tests, examinations,etc......
“flat-salaried medical technicians following a robotic regimen of practice imposed by bureaucrats. “
Unfortunately this about sums it up.
Duh! When you get paid by the hour, guess what happens?
I’m sure you understand me but just to be clear to all; I am not being demeaning to doctors. Simply describing what 0bamaCare will do to doctors. And still no one fully knows what all is in the law or what all regulations will be spawned from it. Not even the bureaucrats charged with coming up with them.
“People don’t go through 12 years of schooling-training, get tens of thousands of dollars in debt, pay 70-90% of their income for malpractice insurance, face an increased chance of Federally imposed fines, criminal charges and a geometric increase in paperwork to be flat-salaried medical technicians following a robotic regimen of practice imposed by bureaucrats.”
Brilliant. I’m a physician board certified in a lucrative subspecialty. Too young to retire. I joined a state run medical center for a decent salary. The only pathway to survival is to forgo private practice and become an employee of the Marxist and his minions. I try to treat all my patients with respect, but they are in for a rough ride with what lay ahead.
We know what you meant.
Doctors will not be allowed to practice medicine, only to follow rules set by bureaucrats as to what tests and treatments they are allowed to order, regardless of considering the actual needs of the individual patients.
” The only pathway to survival is to forgo private practice and become an employee of the Marxist and his minions. I try to treat all my patients with respect, but they are in for a rough ride with what lay ahead.”
And I am sure that under Obamacare bureaucrats will overrule your medical judgment based on your years of training and experience and knowledge of your patients, forcing the application of “one size fits all” medicine.
My father was a family physician from '56 to '86 when he passed on. He warned me that socialized medicine would ruin health care. Told me that about 1982.
The reality is how treatment choices will be much more limited and determined primarily by cost. The UK model (using the National Institute for Health and Clinical Excellence, aka NICE) entails just this type of rationing of drug therapy. And contrary to what some at this site believe, many modern and expensive drugs save and immeasurably improve millions of lives. I see it every day.
...”rationing of drug therapy”
I absolutely agree with you — just add to “drug therapy”, surgeries and tests will also be rationed.
No they should contact a lawyer and have him contact the hospital with the threat of a potential lawsuit for turning away a person with a medical problem.
You’d be amazed how fast you can get a response when you call an organization and say, “Who do I talk to about a lawsuit against you and the hospital?”
I’ve have responses that passed the Speed of Light in return time.
Not to worry. Those doctors from Kenya and Ethiopia and Salvador etc will be more than willing to work on a salary that is 10 times what they’d be paid at home.
That's not irony.
The whole point of Obamacare is to wreck US healthcare so that it can be replaced with socialised, unionised, cradle-to-grave control over the serfs.
A mega-wealthy friend of mine and his equally wealthy friends regularly fly to Thailand for non-emergency tests, treatment and surgeries. He tells me that the medical care there is superb and far surpasses ours and that the physical facilities border on the luxurious.
You should have used the name Juan Valdez, head of line and then no bill.
“Those doctors from Kenya and Ethiopia and Salvador etc will be more than willing to work on a salary that is 10 times what theyd be paid at home.”
And that will define the type of medical care that the American public will get.
As a doctor working for a hospital system, I think you miss the important points. We work on commission, so we are incentivized to be productive.
With Obamacare, we will have a dramatic increase in Medicaid patients. They have no skin in the game (co-pays) and are far more likely to no show for appointments. The hospital loses money treating Medicaid patients, because the reimbursement is so low. I make almost nothing seeing these patients and they don’t listen anyway.
What is likely to happen, aside from early retirement (which I am considering), is that doctors form private groups that refuse to take Medicaid. A friend works for a group that takes only private pay and Blue Cross. It makes the paperwork easier as well.
I'm sure that many will agree that the upside of Obamacare is that the price of those drugs will be driven artificially down to prevent the greedy pharmaceutical companies from making profits.
Never mind that without being able to recoup development costs, those companies won't be developing new drugs. And when they can't afford to support research any more, that puts not only the scientists who work for those companies out of work, but also the scientists who don't work for them, but do the basic research into biology that eventually leads to new therapies and targeted drug development. There is no need to understand fundamental biological processes when nothing will be done with the knowledge.
Being one of those basic researchers, I'm having serious concerns about the future of my career. Obamacare is bad.
“Never mind that without being able to recoup development costs, those companies won’t be developing new drugs. And when they can’t afford to support research any more, that puts not only the scientists who work for those companies out of work, but also the scientists who don’t work for them, but do the basic research into biology that eventually leads to new therapies and targeted drug development. There is no need to understand fundamental biological processes when nothing will be done with the knowledge.”
You make excellent points that many haven’t even started to think about. The ramifications of Obamacare won’t be fully recognized for several years and by that time it will be too late. With Obamacare and his energy policy, Obama is pushing the US down to a third world country.
“doctors form private groups that refuse to take Medicaid.”
If it isn’t already in the bill, Obama will have Congress pass a law that all practicing physicians will have to follow the rules of Obamacare.
They’ve been DYING to put us out of business for years and years.
As soon as a doctor becomes a hospital employee, he drops from 72 hours a week to 38.5. Since he hasn’t taken a vacation in 20 years, he takes his four weeks right away, followed by his mandatory CME.
By the time he comes back to the office, 2/3 of the patients have gone elsewhere, AND he gets a raise.
This is what the People have wanted. Hope they’re happy with it.
That has been illegal in Massachusetts since 1986, and it soon will be coming to a Legislature near you.
“This is what the People have wanted.”
This is NOT what “the people” wanted — even now more are opposing Obamacare than those who are for it. Those who were/are for it have been conned by Obama into believing that they will get something for nothing.
Instead of promoting personal responsibility, which has been the foundation of the US, they are promoting a nanny-state where the government will “take care” of everyone.
This is the biggest con-job on the people.
I saw my doctor on Friday. He mentioned that he would probably be sending me a letter soon, announcing that he'd joined a local medical group (he's currently a sole practitioner). Though he didn't say he was forced or compelled to take such patients, that was the unspoken part of his "increased number of Medicare / Medicaid patients" comment. Basically, he now has to find a way to share overhead costs, in order to offset Obamacare related losses.
My doctor will no longer oversee medical treatment in the hospital. If he refers me to the hospital, staff doctors I don’t know will handle the treatment
And he is now taking Friday’s off. His nurse praticioner deals with Friday emergencies.
Everything the Democrats touch turns to crap.
Four of my doctors have retired.
My cardiologist's group has just joined the main local hospital.
Things getting scary.