Doctors Planning Exit Under Obamacare

[quote]lanchefan1 wrote:
A good article in the Sacramento Bee about the penalty tax in the ACA.

http://www.sacbee.com/2013/08/05/5624081/danger-cadillac-tax-ahead.html[/quote]

Unions will never go for that. They would rather loose jobs than take less.

[quote]lanchefan1 wrote:
A good article in the Sacramento Bee about the penalty tax in the ACA.

http://www.sacbee.com/2013/08/05/5624081/danger-cadillac-tax-ahead.html
[/quote]

hmmmm, why would the government want to give an incentive for employers to NOT even offer the high end plans?

Could it be… nah… Artificially “Drive down” costs? No, nah, never, not the government. They’d neva do that.

Or are they looking to “tax the rich”?

[quote]countingbeans wrote:
Or are they looking to “tax the rich”?[/quote]

Union employees could be considered rich. They are getting paid way above market rates, and get a ton of benefits. You include benefits and pay they are well above middle class.

[quote]dmaddox wrote:

[quote]countingbeans wrote:
Or are they looking to “tax the rich”?[/quote]

Union employees could be considered rich. They are getting paid way above market rates, and get a ton of benefits. You include benefits and pay they are well above middle class.[/quote]

I feel like you are looking at this from the wrong perspective. It isn’t like the D’s would be punishing union’s by choice.

Why would the government try and dissuade people from having the most expensive plans?

Really, let’s brain storm.

[quote]dmaddox wrote:

[quote]lanchefan1 wrote:
A good article in the Sacramento Bee about the penalty tax in the ACA.

http://www.sacbee.com/2013/08/05/5624081/danger-cadillac-tax-ahead.html[/quote]

Unions will never go for that. They would rather loose jobs than take less.
[/quote]

There isn’t much of a choice here. I don’t even have one of the so called Cadillac plans but because of my career they jack put rates way up anyway. So we take higher copays and increase what we pay. I can’t understand why some of these cities agreed to cover 100%.

But having people get laid off isn’t an option.

http://www.reuters.com/article/2013/08/06/us-usa-healthcare-security-idUSBRE9750YH20130806

MORE fantastic news… lol

[quote]countingbeans wrote:
http://www.reuters.com/article/2013/08/06/us-usa-healthcare-security-idUSBRE9750YH20130806

MORE fantastic news… lol[/quote]

This is turning out to be more than just a train wreck. Maybe Hiroshima Bomb?

[quote]dmaddox wrote:

[quote]countingbeans wrote:
http://www.reuters.com/article/2013/08/06/us-usa-healthcare-security-idUSBRE9750YH20130806

MORE fantastic news… lol[/quote]

This is turning out to be more than just a train wreck. Maybe Hiroshima Bomb?
[/quote]

Have to make sure your information is all safe and protected before handing it over to the government… Not any irony there.

[quote]Bauber wrote:

[quote]dmaddox wrote:

[quote]countingbeans wrote:
http://www.reuters.com/article/2013/08/06/us-usa-healthcare-security-idUSBRE9750YH20130806

MORE fantastic news… lol[/quote]

This is turning out to be more than just a train wreck. Maybe Hiroshima Bomb?
[/quote]

Have to make sure your information is all safe and protected before handing it over to the government… Not any irony there.[/quote]

This kind of goes back to the electronic health records thing. Some of these databases are on the cloud. What we’re now going to have is the worlds most gigantic ball of personal health records at the fingertips of anyone who knows how to access them. If someone wants info from paper files they have to break into an office, fill up an entire truck with paper, then sort through every record by hand.

[quote]CroatianRage wrote:

[quote]Bauber wrote:

[quote]dmaddox wrote:

[quote]countingbeans wrote:
http://www.reuters.com/article/2013/08/06/us-usa-healthcare-security-idUSBRE9750YH20130806

MORE fantastic news… lol[/quote]

This is turning out to be more than just a train wreck. Maybe Hiroshima Bomb?
[/quote]

Have to make sure your information is all safe and protected before handing it over to the government… Not any irony there.[/quote]

This kind of goes back to the electronic health records thing. Some of these databases are on the cloud. What we’re now going to have is the worlds most gigantic ball of personal health records at the fingertips of anyone who knows how to access them. If someone wants info from paper files they have to break into an office, fill up an entire truck with paper, then sort through every record by hand.
[/quote]

I like the thought of electronic records. Any doctor anywhere in the world can see your history in an emergency. I know there are security issues with it. With that said, if paper copies were the property of each individual then I would be alright with out the electronic copies. A few years ago my doctor left a practice and started his own. I wanted a copy of my records to move with him, and the practice wanted to charge me $5 per page. I had been going to that doctor for over 15 years, so my file was very large. They wanted $1200 to copy my file. That is highway robbery.

[quote]RyuuKyuzo wrote:
From what I’ve read, the number of doctors in the U.S. hasn’t changed in the last 20-30 years, despite the population growth. The way I see it, everyone is looking at this problem backwards. The issue isn’t demand-side, it’s supply-side. There just simply isn’t enough supply (doctors), and ignoring this while trying to make the service cheaper is only going to further slice the supply. In other words, Obamacare is the exact opposite of a solution – it’s only going to make the problem worse; And these early retirees are a damning proof of that.[/quote]

My parents have been practicing medicine for over 25 years as family physicians. Last year, my father sold his private practice and merged with a hospital because he could not afford to implement the new government regulations, primarily regarding electronic medical records (which can cost upwards of 50-60 thousand dollars to outfit a medical building with the necessary infrastructure) in addition to other regulations. In the process, he signed a 5-year employment contract with the hospital. Even though he works more hours now (14-15 hours a day, 5-6 days a week), he expects to receive a pay cut beginning next year, because he is not meeting his quota for patients as dictated by the hospital. He plans on retiring after his contract ends. He will be in his early 60s.

My mother was forced into early retirement after being diagnosed with breast cancer a few years ago. After a year of radiation treatment and chemotherapy, she no longer has the mental capacity or physical stamina to deal with the incredibly stressful environment of the medical workplace, especially when the “quota system” of treating patients is in place. She is in her mid 50s.

I completely agree with your post. In a world where doctors are a limited and essential resource, the government provides absolutely no incentive to go into a field that requires an incredible amount of hard work, dedication, and sacrifice, in addition to accruing several hundred thousand dollars of debt. In fact, these “reforms” seem to be pushing doctors out of the medical field all together.

[quote]dmaddox wrote:

[quote]CroatianRage wrote:

[quote]Bauber wrote:

[quote]dmaddox wrote:

[quote]countingbeans wrote:
http://www.reuters.com/article/2013/08/06/us-usa-healthcare-security-idUSBRE9750YH20130806

MORE fantastic news… lol[/quote]

This is turning out to be more than just a train wreck. Maybe Hiroshima Bomb?
[/quote]

Have to make sure your information is all safe and protected before handing it over to the government… Not any irony there.[/quote]

This kind of goes back to the electronic health records thing. Some of these databases are on the cloud. What we’re now going to have is the worlds most gigantic ball of personal health records at the fingertips of anyone who knows how to access them. If someone wants info from paper files they have to break into an office, fill up an entire truck with paper, then sort through every record by hand.
[/quote]

I like the thought of electronic records. Any doctor anywhere in the world can see your history in an emergency. I know there are security issues with it. With that said, if paper copies were the property of each individual then I would be alright with out the electronic copies. A few years ago my doctor left a practice and started his own. I wanted a copy of my records to move with him, and the practice wanted to charge me $5 per page. I had been going to that doctor for over 15 years, so my file was very large. They wanted $1200 to copy my file. That is highway robbery.
[/quote]

I agree that electronic records are useful, the problem is that we have to use records that meet specific criteria and don’t currently have an inexpensive option. My ideal situation would be my own specific computer generated forms that are stored locally on a hard drive or server. In this situation I could easily and inexpensively transfer patient records to other providers and not have to pay crippling monthly rates.

[quote]pushharder wrote:
No one can sum it up better than Trump
Let me get this straight . . …
We’re going to be “gifted” with a health care
plan we are forced to purchase and
fined if we don’t,
Which purportedly covers at least
ten million more people,
without adding a single new doctor,
but provides for 16,000 new IRS agents,
written by a committee whose chairman
says he doesn’t understand it,
passed by a Congress that didn’t read it but
exempted themselves from it,
and signed by a Dumbo President who smokes,
with funding administered by a treasury chief who
didn’t pay his taxes,
for which we’ll be taxed for four years before any
benefits take effect,
by a government which has
already bankrupted Social Security and Medicare,
all to be overseen by a surgeon general
who is obese,
and financed by a country that’s broke!!!

‘What the hell could possibly go wrong?’[/quote]

[quote]zecarlo wrote:
So now we know why 6 out of 10 doctors became doctors. [/quote]
Yea for the money, What medical school did you attend?

[quote]CroatianRage wrote:

[quote]pushharder wrote:
No one can sum it up better than Trump
Let me get this straight . . …
We’re going to be “gifted” with a health care
plan we are forced to purchase and
fined if we don’t,
Which purportedly covers at least
ten million more people,
without adding a single new doctor,
but provides for 16,000 new IRS agents,
written by a committee whose chairman
says he doesn’t understand it,
passed by a Congress that didn’t read it but
exempted themselves from it,
and signed by a Dumbo President who smokes,
with funding administered by a treasury chief who
didn’t pay his taxes,
for which we’ll be taxed for four years before any
benefits take effect,
by a government which has
already bankrupted Social Security and Medicare,
all to be overseen by a surgeon general
who is obese,
and financed by a country that’s broke!!!

‘What the hell could possibly go wrong?’[/quote]

Reactionary garbage as suspected. This woman fails to realize that most every other industrialized country have a wholly government run healthcare system that costs half as much, gets better results and doesn’t force it’s public into BK. Maybe Obamacare isn’t the answer but neither is the status quo.

[quote]Zeppelin795 wrote:

[quote]CroatianRage wrote:

[quote]pushharder wrote:
No one can sum it up better than Trump
Let me get this straight . . …
We’re going to be “gifted” with a health care
plan we are forced to purchase and
fined if we don’t,
Which purportedly covers at least
ten million more people,
without adding a single new doctor,
but provides for 16,000 new IRS agents,
written by a committee whose chairman
says he doesn’t understand it,
passed by a Congress that didn’t read it but
exempted themselves from it,
and signed by a Dumbo President who smokes,
with funding administered by a treasury chief who
didn’t pay his taxes,
for which we’ll be taxed for four years before any
benefits take effect,
by a government which has
already bankrupted Social Security and Medicare,
all to be overseen by a surgeon general
who is obese,
and financed by a country that’s broke!!!

‘What the hell could possibly go wrong?’[/quote]

Reactionary garbage as suspected. This woman fails to realize that most every other industrialized country have a wholly government run healthcare system that costs half as much, gets better results and doesn’t force it’s public into BK. Maybe Obamacare isn’t the answer but neither is the status quo.[/quote]

Better results? Again, have you ever been to a country in Europe or Canada and seen their health care system at work? Walk into an ER there and I promise you will change your mind.

[quote]Bauber wrote:

[quote]Zeppelin795 wrote:

[quote]CroatianRage wrote:

[quote]pushharder wrote:
No one can sum it up better than Trump
Let me get this straight . . …
We’re going to be “gifted” with a health care
plan we are forced to purchase and
fined if we don’t,
Which purportedly covers at least
ten million more people,
without adding a single new doctor,
but provides for 16,000 new IRS agents,
written by a committee whose chairman
says he doesn’t understand it,
passed by a Congress that didn’t read it but
exempted themselves from it,
and signed by a Dumbo President who smokes,
with funding administered by a treasury chief who
didn’t pay his taxes,
for which we’ll be taxed for four years before any
benefits take effect,
by a government which has
already bankrupted Social Security and Medicare,
all to be overseen by a surgeon general
who is obese,
and financed by a country that’s broke!!!

‘What the hell could possibly go wrong?’[/quote]

Reactionary garbage as suspected. This woman fails to realize that most every other industrialized country have a wholly government run healthcare system that costs half as much, gets better results and doesn’t force it’s public into BK. Maybe Obamacare isn’t the answer but neither is the status quo.[/quote]

Better results? Again, have you ever been to a country in Europe or Canada and seen their health care system at work? Walk into an ER there and I promise you will change your mind. [/quote]
If the U.S. healthcare system is so good why does it never rank number 1 or even in the top 10? Also the amount of people who have to claim BK because of the outrageous costs?

http://ccs.infospace.com/ClickHandler.ashx?du=www.photius.com%2Frankings%2Fhealthranks.html&ru=http%3A%2F%2Fwww.photius.com%2Frankings%2Fhealthranks.html&ld=20130823&ap=1&app=1&c=genieo4a.11&s=genieo4a&coi=771&cop=main-title&euip=98.208.234.155&npp=1&p=0&pp=0&pvaid=4e7822cd34cb4bbb94ae66f6d80cd62c&ep=1&mid=9&en=8lDtv8QA6BAcJB5nvTu3YH5%2BVEA1mWvV20yeX02F968%3D&hash=8D53B7CB86068D5B6D23ED87054F520Ahttp://ccs.infospace.com/ClickHandler.ashx?du=www.photius.com%2Frankings%2Fhealthranks.html&ru=http%3A%2F%2Fwww.photius.com%2Frankings%2Fhealthranks.html&ld=20130823&ap=1&app=1&c=genieo4a.11&s=genieo4a&coi=771&cop=main-title&euip=98.208.234.155&npp=1&p=0&pp=0&pvaid=4e7822cd34cb4bbb94ae66f6d80cd62c&ep=1&mid=9&en=8lDtv8QA6BAcJB5nvTu3YH5%2BVEA1mWvV20yeX02F968%3D&hash=8D53B7CB86068D5B6D23ED87054F520A

[quote]Zeppelin795 wrote:

[quote]Bauber wrote:

[quote]Zeppelin795 wrote:

[quote]CroatianRage wrote:

[quote]pushharder wrote:
No one can sum it up better than Trump
Let me get this straight . . …
We’re going to be “gifted” with a health care
plan we are forced to purchase and
fined if we don’t,
Which purportedly covers at least
ten million more people,
without adding a single new doctor,
but provides for 16,000 new IRS agents,
written by a committee whose chairman
says he doesn’t understand it,
passed by a Congress that didn’t read it but
exempted themselves from it,
and signed by a Dumbo President who smokes,
with funding administered by a treasury chief who
didn’t pay his taxes,
for which we’ll be taxed for four years before any
benefits take effect,
by a government which has
already bankrupted Social Security and Medicare,
all to be overseen by a surgeon general
who is obese,
and financed by a country that’s broke!!!

‘What the hell could possibly go wrong?’[/quote]

Reactionary garbage as suspected. This woman fails to realize that most every other industrialized country have a wholly government run healthcare system that costs half as much, gets better results and doesn’t force it’s public into BK. Maybe Obamacare isn’t the answer but neither is the status quo.[/quote]

Better results? Again, have you ever been to a country in Europe or Canada and seen their health care system at work? Walk into an ER there and I promise you will change your mind. [/quote]
If the U.S. healthcare system is so good why does it never rank number 1 or even in the top 10? Also the amount of people who have to claim BK because of the outrageous costs?

http://ccs.infospace.com/ClickHandler.ashx?du=www.photius.com%2Frankings%2Fhealthranks.html&ru=http%3A%2F%2Fwww.photius.com%2Frankings%2Fhealthranks.html&ld=20130823&ap=1&app=1&c=genieo4a.11&s=genieo4a&coi=771&cop=main-title&euip=98.208.234.155&npp=1&p=0&pp=0&pvaid=4e7822cd34cb4bbb94ae66f6d80cd62c&ep=1&mid=9&en=8lDtv8QA6BAcJB5nvTu3YH5%2BVEA1mWvV20yeX02F968%3D&hash=8D53B7CB86068D5B6D23ED87054F520Ahttp://ccs.infospace.com/ClickHandler.ashx?du=www.photius.com%2Frankings%2Fhealthranks.html&ru=http%3A%2F%2Fwww.photius.com%2Frankings%2Fhealthranks.html&ld=20130823&ap=1&app=1&c=genieo4a.11&s=genieo4a&coi=771&cop=main-title&euip=98.208.234.155&npp=1&p=0&pp=0&pvaid=4e7822cd34cb4bbb94ae66f6d80cd62c&ep=1&mid=9&en=8lDtv8QA6BAcJB5nvTu3YH5%2BVEA1mWvV20yeX02F968%3D&hash=8D53B7CB86068D5B6D23ED87054F520A

http://www.cnbc.com/id/100840148[/quote]

Medicare started the entire health care cost rise back under Johnson. When they paid cost +10% and did not put any stipulations on the cost so hospitals ran wild.

Again have you ever been to a ER in one of the countries you so highly speak of? Stop dodging the question. Those rankings have proven to be bullshit. Explain why all medical innovation and procedures originate in the US. Explain why the best care (albeit very expensive in most cases) is in the US. I am not saying reform isn’t needed, but obamacare is an absolute disaster. And everyone with a brain knows this.

So again have you ever been in an ER in one of those countries? I have in multiple and it is appalling. In Rome the main hospital (best hospital) in the country the head surgeon of the hospital literally told me if my GF at the time needed to have her appendix removed he would immediately go to the US embassy and get back to the states ASAP as he wouldn’t operate on his dog there if he could help it.

A simple surgery like appendix removal. Oh and I also paid him 600 dollars cash just to be seen. The wait was 3 DAYS. Yes, you heard me 3 days. No lie. Unless you had cash and greased some hands. They had gymnasium size rooms literally packed to complete limits with people on cots moaning and groaning waiting to be seen. So, if this is the care you want down the road be all for Obamacare.

I also had an exchange student from Slovakia live with me for 2 years. Amazingly smart and kind person. His country has had socialized medicine for 20+ years and he even explained it was a disaster. He tore his ACL as a sophomore in high school and they refused to fix it because it wasn’t necessary for him to live a normal life. He was an amazing Tennis player, but couldn;t keep up in the upper circuits due to that injury. He was amazed here at the access, cleanliness, and timely manner you could get seen at a doctors office. You keep linking all this bullshit from people who have never been anywhere and sit at a desk and think they know things are so great everywhere else and that it sucks here. They have no real world experience, know nothing of the medical field, and you flock to them to fit your agenda. Grow up, travel a little, and then come back to me.