A Doctor’s Oath: Government may be poised to mandate that all doctors participate in Obamacare.

National Review ^ | 02/14/2014 | Marc Seigel

[Yaelle]

Since medicine like cosmetic surgery doesn’t deal with insurance, I wonder if some cosmetic surgeons will just learn how to do things like tonsillectomies etc and do them for cash off the grid.

[kaila]

They will not see you if you are self pay for some good resons. You may be able to afford the physician office visit, but what if you needed more complex treatment or scans? I have seen patients in the clinic where I used to work , who had no insurance and are able to pay for their first visit, but when surgery, MRIs, etc are recommended, they cannot afford it. it then becomes a liability for the physician, because what can he/she do? Deny treatment, and get sued? It opens a real can of worms when you accept patients with no insurance, but are able to afford the initial visit.

[Navy Patriot]

Government may be poised to mandate that all doctors participate in Obamacare.

A little Karma for doctors?

Might be wise to be out of the country when the same government criminalizes quitting.

[molson209]

A lot of doctors close to retirement or financially sound will probably quit

Obama will FORCE them to work

[Diplomat]

I’ll bet any amount of money this doctor voted for obama.

[TNoldman]

As a pre WWll baby I am with you. They may try to starve me, freeze me or they can kill me but they can’t force me to comply. When they come for me they better bring some extra Body Bags because I’m not going down alone!

[kaila]

A lot of physicians ‘participate” in Medicare, but do not accept Medicare patients. it is such a hassle to drop out of the program, it is just easier to not accept new patients instead. If I was a manager of an FP practice, I would not accept new patients on the phone. I would direct them to an online application, in which they fill out their health history, education, and employment. Based on that information, I would then determine who i would accept into the practice. When there are less physicians, you can be more selective. It would also prevent Medicare and Obamacare govt spys from trying to spy on your new appointment practices by trying to call the receptionist.

[Churchillspirit]

A dear friend, who was grew up in Romania under communism, finished her basic medical training and wanted to be a surgeon. She was interviewed and told she must become a dermatologist. No arguments!

[kaila]

For once, the government got it right there. Dermatology: no call, less stress than surgery, insurance does not cover cosmetic derm- so you can set up your own medi spa with cash only payments.

[july4thfreedomfoundation]

Repeal or revolution.

[TigersEye]

Wow! He adds a lot of details I knew nothing about but it is exactly what I’ve been saying since before 0bamaCare became law in ‘09. Doctors will be unable to comply with the ACA and remain in business. The costs for them will exceed their income. It’s not just lower reimbursements it’s added office expenses to comply with mountains of new regulations.

[Varsity Flight]

The real price, or the RICO guaranteed to them, inflated insurance-medical price?

[raybbr]

It won’t be all doctors. Just those who have student loans out to the government. They will become wards of DHHS.

[Varsity Flight]

“What if someone can show them the money first? :)”

The real price, or the RICO insurance-medical no competition price?

No competition RICO

‘

[Safrguns]

>>> They will not see you if you are self pay for some good resons. You may be able to afford the physician office visit, but what if you needed more complex treatment or scans?

That is a GOOD Reason???

They will not see us because the news might be bad???

They won’t see us because they don’t want to get sued for not providing free service?????

Are you kidding me???

that is NOT a good reason.

It is pure and unadulterated COWARDICE!!!

an EXCUSE to hide behind big sugar-daddy insurance companies!

Well guess what... big sugar-daddy insurance companies are about to fall on their Obamacare sword.

What will be the doctor’s “Good” reason be then?.. Hmmm?

Like I said... some doctors are just as socialist in thier thinking as Obama is.

[kaila]

You have never been in the situation in which a person with no insurance comes into your clinic, pays for his first visit, then upon being told he needs an MRI, becomes teary eyed and states he cannot afford it. Then, the patient is looking at you like “solve my problem for me”. Then , it puts pressure on the clinic physician to get an imaging company to scan this patient with no way to pay. It also puts pressure on the clinic to find a physician who can take that specialty problem with no way to pay, All the while, the uninsured patient is looking at you like “ solve it. Its not my problem.”
So, if you want an appointment with a clinic with no insurance, be able to communicate and prove that you can afford the care on top of of your initial visit. Otherwise, you become too much work and liability for them for the small amount you pay anyway. You can be outraged- but that's the fact,jack.

[dljordan]

“The paperwork requires massive staffs and complicated record keeping and data storage.”

This is the life blood of bureaucrats.

[Lurker]

“Absolutely. Government can’t force me to do anything”

Wanna bet?

[GOPJ]

And if the Current Regime, in its wisdom, simply points a finger at someone and says, “Make a doctor out of him (or her)”, there is by no means any certainty that the candidate will ever be much of a healer, or even very good at carrying out the instructions of how to dispose of medical treatment problems.

Holder wants to outlaw businesses being able to do background checks because so many black men are convicted criminals...

I suspect "health care" could become a nightmare beyond belief if criminals are put in charge of people who can't defend themselves.

[grumpygresh]

There are some misconceptions in this thread.
1. A lot of doctors don’t accept new Medicare patients. As far as I know, there is no reg reqiring Medicare providers to take on Medicare patients. I know of no case where a doctor was fined or sanctioned for not taking a new Medicare patient.
2. There is a specific process to opt out of Medicare. However, relatively few do because they are employed by a large hospital group, or if independent, they may accept other plans that require Medicare participation, or the hospital requires it for hospital privileges.
3. Most independent physicians accept self pay at the time of service. IOUs are not typically accepted. However, large hospital groups don’t
cater to self pay patients because the secretarial staff are not typically instructed to give out price quotes to prospective patients. In the past, self pay patents for elective procedures were simply sent a bill. But with inpatient costs so high, most large groups have generally avoided these situations. I would imagine that if the volume of self pay and high deductible policy patients become more prevalent, the hospital groups will need to find a way to cater to this sector on a more systematic basis.
4. Doctors are not as altruistic as Dr. Siegel likes to think. I can’t think of a time when doctors have been more demoralized. Working harder for less, the ruinous rules and regs do not bode well for the future. Doctors will not cheerfully chant patriotic tunes while skillfully performing surgery in the FEMA camps and city hospitals.