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Rise in concierge care draws scrutiny
ABC News ^ | 05/09/2013 | Ali Gorman, R.N.

Posted on 05/11/2013 2:37:53 PM PDT by Kid Shelleen

When President Obama unveiled the Affordable Care Act, he said, "You won't lose your doctor." However, thousands in our area say they are because their doctors are changing their practice.

The doctors are switching to a concierge or boutique medical practice. --snip-- Dr. Lazowick says he wanted to get back to the reasons he became a doctor, which was difficult with the way healthcare is going.

He says, "I was on this conveyor belt where I was treating a problem moving to the next."

Dr. Lazowick is not alone. Many primary care doctors are taking this route. And the pace seems to be accelerating, with the approach of full implementation of healthcare reform in January 2014.

(Excerpt) Read more at abclocal.go.com ...


TOPICS: News/Current Events
KEYWORDS: 0carenightmare; boutique; concierge; conciergecare; doctor; doctors; healthcare; obamacare

1 posted on 05/11/2013 2:37:53 PM PDT by Kid Shelleen
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To: Kid Shelleen

My dad was an OB-GYN. He retired early in the ‘80s when the government started to interfere with his practice. I think that whirring sound I hear now is him spinning in his grave.


2 posted on 05/11/2013 2:43:59 PM PDT by American Quilter (I believe the Benghazi whistleblowers.)
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To: Kid Shelleen

Great. Now we can go shopping and visit the doctor at the same time.


3 posted on 05/11/2013 2:44:09 PM PDT by UCANSEE2 (The monsters are due on Maple Street)
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To: Kid Shelleen

Wow, liberals get their hands on something and it immediately turns to cr@p? Who coulda seen this coming?


4 posted on 05/11/2013 2:46:13 PM PDT by South Hawthorne (In Memory of my dear Friend Henry Lee II)
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To: Kid Shelleen

My doctor of 20 years switched to ‘Concierge Medicine’ at the beginning of 2013


5 posted on 05/11/2013 2:46:58 PM PDT by Java4Jay (The evils of government are directly proportional to the tolerance of the people.)
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To: Kid Shelleen

he wanted to get back to the reasons he became a doctor, which was difficult with the way healthcare is going.

I’d be willing to pay more for doctor visits to home. Now that would be service. How much? Sign me up and bring me a half gallon of milk and a loaf of bread, okay?


6 posted on 05/11/2013 2:51:37 PM PDT by Joan Kerrey
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To: South Hawthorne

Well, I guess the doctors read the “you have to pass the bill to see what’s in it”, and decided to take action.

Unintended consequences anyone???


7 posted on 05/11/2013 2:52:07 PM PDT by Ed Condon (Give 'em a heading, an altitude, and a reason.)
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To: Ed Condon

Are you sure the consequences were unintended?


8 posted on 05/11/2013 2:54:59 PM PDT by Rides_A_Red_Horse (Why do you need a fire extinguisher when you can call the fire department?)
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To: Kid Shelleen

This is no surprise to this retired physician. But it seems to be a bit of a surprise to the R.N. who wrote the article. Obamacare will drive primary care physicians to concierge practice, but this article fails to point this out.


9 posted on 05/11/2013 2:59:29 PM PDT by conservativehistorian (civilizational suicide continues)
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To: Kid Shelleen

The Democrats will find ways to punish these doctors. The mechanisms they can employ are numerous.


10 posted on 05/11/2013 2:59:50 PM PDT by BlueStateRightist
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To: UCANSEE2
"Now we can go shopping and visit the doctor at the same time. "

More like you can now go to the DMV and wait for your doctor along with waiting for your plate.

11 posted on 05/11/2013 3:03:50 PM PDT by Paladin2
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To: Kid Shelleen

The libtard assclowns always seem to be surprised that people change their behavior when the rules are changed ... idiots!


12 posted on 05/11/2013 3:03:56 PM PDT by tx_eggman (Liberalism is only possible in that moment when a man chooses Barabas over Christ.)
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To: tx_eggman

The doctor that I had for over 10 years was switching to concierge care a few years ago, so I considered it. However, she was also in favor of Obamacare....so much so that she was one of the physicians in the Rose Garden with Obama....and the only one from Arizona. I dropped her services right before that, but I still don’t understand how she could be in favor of both Obamacare and concierge care.


13 posted on 05/11/2013 3:11:53 PM PDT by Prince of Space (Be Breitbart, baby. LIFB.)
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To: Kid Shelleen

actually, this sounds like a bargain, I am going to look at signing up


14 posted on 05/11/2013 3:13:32 PM PDT by dila813
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To: Kid Shelleen

Soon enough we’ll see the IRS change their regulations such that “concierge service” will result in some sort of reduced fees and/or higher taxes. Also, “concierge” and “service” will be cause for more scrutiny of tax returns.


15 posted on 05/11/2013 3:16:34 PM PDT by NittanyLion
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To: conservativehistorian

It’s very, very sad, but the day will soon come when doctors are compelled by the government to practice medicine as the government sees fit.

Even just quitting the practice of medicine will be illegal without gov OK.

Doctors will even have to get permission to move to a new location, or to leave the country.... I know it sounds crazy but unless something happens to change our direction this is what will happen.


16 posted on 05/11/2013 3:17:38 PM PDT by Bobalu (It is not obama we are fighting, it is the media.)
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To: Kid Shelleen

Pointing out a symptom, but never seeking (let alone finding) the problem.

0bama and his minions are achieving their goal with the American healthcare system. It has always been about control, and that comes with single-payer. 0bamacare is only the stepping stone to the fully socialized model envisioned by the commie-in-chief.


17 posted on 05/11/2013 3:18:18 PM PDT by PubliusMM (RKBA; a matter of fact, not opinion. 01-20-2016; I pray we make it that long.)
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To: South Hawthorne

They’re worried this will turn out to be the “haves and have nots”. Unintended consequences.


18 posted on 05/11/2013 3:18:29 PM PDT by Rusty0604
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To: Ed Condon

I have been seeing my local internist for almost six years now at a reduced fee for cash. No paper, no electronic medical records, it’s been great.

Our local Walgreen’s has a clinic staffed by PA’s - asks questions, fills in the blank with pt’s answers and out pops the diagnosis and treatment plan. Was there last night because the little one had an ice cream crisis and it’s just right around the corner. At 7 p.m. there were at least 14 people waiting to be seen. They announced they were closing for the day over the PA and suggested that the people go to the nearest emergency room or come back the next morning at 9 a.m. Welcome to the new standard of medical care.

I wouldn’t be surprised if the concierge docs in the future are subjected to: Denial of state licensure, no prescriptions filled if written by a doctor on the “not Obamacare approved list”, hospital stays for their patients would not be approved, lab tests would not be performed by outside labs, etc.

Obama and Sect. Sillybus are not going to allow this amount of independence.


19 posted on 05/11/2013 3:18:50 PM PDT by Grams A (The Sun will rise in the East in the morning and God is still on his throne.)
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To: Rides_A_Red_Horse

Are you sure the consequences were unintended?

Bingo! As far as I can see this will allow the class warrior in chief to say See!? Those dirty, greedy BASTARDS!!


20 posted on 05/11/2013 3:22:41 PM PDT by TalBlack (Evil doesn't have a day job.)
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To: Prince of Space
I still don’t understand how she could be in favor of both Obamacare and concierge care.

It's the Carl Rowan Principle.

21 posted on 05/11/2013 3:25:48 PM PDT by Slings and Arrows (You can't have IngSoc without an Emmanuel Goldstein.)
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To: Kid Shelleen

Bill Johnston-Walsh, AARP Pennsylvania state operations manager, says, “We want to make sure everyone has access to quality care that they can afford.”

Love it... AARP guy with hyphenated name was probably out there supporting Obamacare and didn’t see this coming?


22 posted on 05/11/2013 3:26:38 PM PDT by DLfromthedesert
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To: Kid Shelleen

If this becomes rampant, we will see more regulations regarding concierge care. If that doesn’t quell the tide, we will probably see regulations that prohibit concierge care physicians from having privileges at hospitals that receive any kind of Federal moneys.

Obamacare will not allow concierge care to impose on this grand[iose] program.


23 posted on 05/11/2013 3:33:07 PM PDT by TomGuy
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To: Kid Shelleen
Freedom of any kind for anybody is not allowed under Obamacare, and especially not freedom for physicians.

Doctors should be grateful simply for the opportunity to serve the feral government.

24 posted on 05/11/2013 3:34:10 PM PDT by E. Pluribus Unum (Islam is a religion of peace, and Moslems reserve the right to detonate anyone who says otherwise.)
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To: Bobalu

Not hard to imagine, it is exactly like that in Cuba.


25 posted on 05/11/2013 3:45:32 PM PDT by kabumpo (Kabumpo)
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To: Kid Shelleen

“The main problem with the retainer model is that it limits the number of patients that a particular primary care clinician cares for,”

Wouldn’t that be a problem only if you were designing a socialistic medical system that guaranteed everyone the same low level of inadequate doctor care?


26 posted on 05/11/2013 4:41:23 PM PDT by catnipman (Cat Nipman: Vote Republican in 2012 and only be called racist one more time!)
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To: TomGuy
“If this becomes rampant, we will see more regulations regarding concierge care. “

The government will never be able to keep up. Ever. Doctors, like ordinary citizens, are immensely brighter than the morons that wind up in politics.

27 posted on 05/11/2013 4:42:06 PM PDT by pieceofthepuzzle (Hil)
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To: Prince of Space

1. Never be surprised when libs are inconsistent. Especially when they are inconsistent over money. They are willing to spend to the last drop of your money, not theirs.

2. The pressures of O-care are what are going to fill her practice up. No one with the funds to do otherwise are going to put up with the lines, etc.


28 posted on 05/11/2013 4:44:17 PM PDT by RedElement
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To: TomGuy

And a lot of those doctors will get audited by the IRS


29 posted on 05/11/2013 4:53:10 PM PDT by Kid Shelleen (Beat your plowshares into swords. Let the weak say I am strong)
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To: conservativehistorian
Obamacare will drive primary care physicians to concierge practice, but this article fails to point this out.<<

It also fails to point out that all those new Government doctors that are needed for “free health-care” will be recruited from the top 10-20% of the Acme Meat Cutting School...Of course they'll also have to graduate from the Government School of Practicing Physicians after a grueling 8 week course of study, which the poor will affectionately call “Quack School”

30 posted on 05/11/2013 4:54:34 PM PDT by M-cubed
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To: Kid Shelleen

Colorado Congressperson Jared Polis (D) has been hawking Offshore Medical/Surgical Care Business since Obamacare had a breath of life. Good investment opportunity, you betcha.
Momma was start-up guru for an on-line greeting card company and Jared her genius son got to play executive, made Jared rich child with many tools at his disposal.


31 posted on 05/11/2013 5:12:55 PM PDT by virgin (Don't screw with me.)
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To: Bobalu

My doctor dropped out of medicare immediately after the passage of obumber care.

He told me that he had to fill out a 32 page report in order to drop out and continue privately.


32 posted on 05/11/2013 5:18:24 PM PDT by old curmudgeon
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To: Kid Shelleen

The 500 pound gorilla in the room are doctors who are now refusing Medicare, Medicaid, and even routine health care insurance. In doing so, they save so much money by not having to hire a huge staff to do paperwork, that they can offer the same procedures for 50% less cost to their patients.

And make more money for themselves as well. However, they still must comply with lots of the intrusive government b.s. called HIPAA.

http://concierge-physicians.com/strategic-planning-2/ops/tech/9-hipaa-compliance-chklist.html

HIPAA is an insidious thing, as it promises patient privacy, while making their information available to multiple levels of government at whim, in a format easier for government to access. It is the opposite of privacy.


33 posted on 05/11/2013 5:39:47 PM PDT by yefragetuwrabrumuy (Best WoT news at rantburg.com)
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To: Kid Shelleen

This is why HSAs are such a good idea. Too bad they will be outlawed.


34 posted on 05/11/2013 5:52:18 PM PDT by Mike Darancette (Plan "B" is now Plan "A")
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To: conservativehistorian
Obamacare will drive primary care physicians to concierge practice,

Will a concierge Doctor be able to request tests and get a hospital bed for a patient. I see this type of medicine being banned or restricted to the elites. A perq of working for someone is membership in a "health club" or companies hire/rent an in house doctor.

35 posted on 05/11/2013 6:08:30 PM PDT by Mike Darancette (Plan "B" is now Plan "A")
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To: Prince of Space
but I still don’t understand how she could be in favor of both Obamacare and concierge care.

Obamacare will drive patients to her practice.

36 posted on 05/11/2013 6:10:33 PM PDT by Mike Darancette (Plan "B" is now Plan "A")
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To: BlueStateRightist

“The Democrats will find ways to punish these doctors. The mechanisms they can employ are numerous.”

They can punish doctors, but that will only drive more doctors out of medicine. Making “an example” out of doctors that are giving personal, high value and dedicated care to patients will assuredly backfire. The public will be real happy with Democrats when that happens, I’m sure.


37 posted on 05/11/2013 6:19:30 PM PDT by grumpygresh (Democrats delenda est.)
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To: Kid Shelleen

My daughter-in-law finally left hospital Trauma work so she could again work one on one with patients, said the same thing. She feels like she’s now doing what she was trained to do....and not in a hospital setting.

She’s working at a Med-Express and loves it...quality time with patients and at a pace where that is possible.

She often spoke of foreign nurses being hired who had no idea what to do, so they were constantly having to do their work as well.


38 posted on 05/11/2013 6:28:57 PM PDT by caww
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To: Kid Shelleen

Can someone on Medicare or Medicaid pay a doctor with cash to continue seeing a doctor dropping those programs due to poor reimbursement?
Can you switch to concierge care with cash despite being in a federal program?


39 posted on 05/12/2013 4:41:22 AM PDT by tbw2
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To: tbw2
I think you could probably work something out with your doctor but medical insurance is getting so complicated I don't feel qualified to answer your question..
40 posted on 05/12/2013 5:12:35 PM PDT by Kid Shelleen (Beat your plowshares into swords. Let the weak say I am strong)
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To: Paladin2
More like you can now go to the DMV and wait for your doctor along with waiting for your plate.

Well... in my state, the STATE GOVT no longer staffs or runs the DMV office. It is all done by private contractors.

41 posted on 05/12/2013 11:28:56 PM PDT by UCANSEE2 (The monsters are due on Maple Street)
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