Doctors will retire or start a private practice. This will be a total disaster.
Well, the government has been so successful at managing our finances in other
departments I have no doubt they will continue their string of success with
healthcare.Unfortunately even "guaranteed" care under
obamacare can't cure the pre-existing condition called liberalism and the
inherit illness they have of wasting other peoples money on failed policies.
Interesting that some of the Obama/care supporters are attacking the messenger
here. I knew the President and his plan were suspicious when he
stated a few years ago "If you like your health care plan, you can keep
it." What he wasn't telling us is that there was no guarantee that the
plan you currently have will even exist by the time Obamacare came into being.
One had to be either totally naive, or totally biased politically to support
that statement. And I just have to say it again, since the Republicans were
totally left out of Obamacare, anything that goes wrong can be put on the
Democrats. And you can count on a lot going wrong with it. Just wait.
you really need to talk to your Doctor friends to find the truth about this. Not
any of them are liking what they see coming from Obamcare
For what it's worth.Thirty five years ago, health insurance
cost me $31 a month for myself, and wife. Our first child cost a total of $400
for the doctor, and hospital.Amazing how things have changed.
The DN article doesn't report a balanced summary of the survey's
findings at all. It would be better, and more honest if DN simply reprinted the
survey so readers could at least get the facts and arrive at their own
conclusions.Oh, by the way.Over 20,000 letters were sent
out to physicians and only 613 completed the surveys.
Only a few,been buying into the MNSBC and DNC misinformation, I see.Ryan's plan would have done nothing to current or near-future
medicare recipients, but would have reformed it for much later recipients.
@metamoracoug – “We simply cannot afford to perform $2500 worth of
services and get reimbursed 450 bucks.”First – thank you
very much for adding something substantive to the discussion (unlike all the
“I hate Obama” nonsense). However, everything you said implies that
the price(s) charged for those procedures are an accurate reflection of the true
costs (direct, overhead, reasonable profit margin). This is highly
questionable - for one, you would be hard pressed to find virtually any medical
procedure done in the U.S. that could not be performed for a fraction of the
cost in any other country (including any country where the overall
cost-of-living is roughly equal to ours).I agree that doctors can
get squeezed by others within the medical industry (drug companies, device
makers, insurance companies, etc…) and that is a big flaw in a system rife
with flaws.But the problem is not Medicare… the problem is at
least one of the providers along the supply chain is making out like a bandit.
Matt4226: You have hit upon the real issue. Most Americans are living an
unhealthy lifestyle. They rarely exercise. They fill their bellies with high
calorie, highly refined, low nutrition foods. They spend 5 or 10 more times the
amount of minutes in front of a screen than the amount of time they are outside.
You want to lower the cost of healthcare? Start by improving your
own health. That is the reason I don't want national
healthcare. It removes any personal responsibility for taking control of my
Metamoracoug's comment sounds credible and I believe is pretty accurate.
So, the question is, why does UT blame Obama for Congress' and the previous
administration's assault on Medicare Reimbursements. It was Ryan and
company that proposed dismantling Medicare and the assault on reimbursements
began long before Obama - just ask your pathologist. Granted, nothing has
improved. But since all of the following statements are pretty accurate: the
problems discussed in the article predate Obamacare; the Republican Congress
won't pass anything additional that Obama wants to fix the problem; UT
hates everything Obama proposes; and the only alternative the Republican
Congress suggests is more cuts to Medicare - I'm honestly not understanding
why Utahns are whining. It seems to me, Utahns are winning - they are getting
their cuts by attrition. Problem solved.
One voter said: "Maybe we should increase doctors salaries and create the
worlds most expensive system so they could have two country club
memberships."This is a fallacy. The physician in our office
took a 45% pay cut so that none of her staff had to be laid or take a pay cut
during the recession. Is doing a little better now, but only because we are
limiting the number of Medicare patients we see. I add that we do not except
Medicaid patients because Illinois public aid does not cover the services our
physician performs.Doctors -- especially those in private practice
-- are not as wealthy as perceived by most in this country. And lest we forget,
they invested a ton of time and acquired a pile of debt to earn the right to be
a little better off than the trash man.
Tyler D said: "First – the Medicare reimbursement scare is a red
herring."Speaking as one who actually manages a private medical
office, you are wrong. Our physician performed neuropsych evals. Only 4-5 are
done each week because the assessment takes 7-10 hours. We now limit Medicare
evaluations to one per week. It costs our office about $800 to break even.
Medicare reimburses about $525 with a co-payment of about $125. That's
pretty simple math -- $150 short on each Medicare patient.At the
beginning of the year, Congress acted to postpone until 1 January 2014 a 32% cut
in the Medicare reimbursement rate. If that had not occurred -- and if it
doesn't happen again next year -- we would not be seeing any Medicare
patients. We simply cannot afford to perform $2500 worth of services and get
reimbursed 450 bucks.
Until you get priced out of healthcare entirely; I suggest studying herbal
medicine, or SOME form of homeopathy.Unless you're either poor
to lower middle class, or wealthier than me, you won't be able to afford
medical care.Of course the poor will always have medicaid, or
something similar, and the wealthy will probably be able to afford healthcare
for awhile, but all the rest of us in-between will be out of luck.Between my spouse and myself and our employers we are now paying just over 20k
per year for insurance. Next year I'm going to just drop both of them and
pay the Obamacare penalties. I plan on just showing up to the e.r. like
the illegals do when I need care which is seldom anyway!
WHAT NOW? wrote, "However, upon close inspection, Eric informs readers who
took the time to read the entire piece...The problem has been brewing for years
now".But the implication of the headline is that one has
something to do with the other. And so, as you state, it gives the usual
complainers a chance to go off on the president. Had the writer of the
headcline been more responsible that might not have happened.OH, who
am I kidding? Of course it would. Some folks don't need an excuse.It's just irritating, that's all.
Only in the United States of America can you find a healthcare system that is
the most expensive in the world and at the same time find doctors who are going
bankrupt. The system is broken and the ACA will not fix it, but doing nothing
will also not fix it. Our system is designed to treat diseases
instead of preventing them. Until we can change that it will only get worse.
With obesity rates on the rise there will be more people who will require
disease treatment at younger and younger ages increasing the burden on the
system. Medicare and Medicaid will bankrupt our country if the
system is left as is. One way to raise revenue to pay for expected costs would
be to tax prepared foods both at the grocery store and at restaurants. Another
idea is to shift subsidies from corn, wheat and soy to fruits and vegetables or
just eliminate them completely.
@WHAT NOWYou left out half the sentence. "The problem has been
brewing for years now, driven in part by sharp declines in reimbursements for
Medicare."Like it or not, sharp declines in reimbursements are a
feature of Obamacare. Proponents of Obamacare are going to have to own this.The loss of doctors due to Obamacare was predictable, and predicted.
To "silo" if the report that you quote is truthful, why is it that my
insurance now costs me more and covers much less? My relatives that work for a
health insurance company have been telling me that thanks to Obamacare and the
mandates and regulations it imposes that you will see more insurance agencies
crumbling because nobody can afford the care mandated.Remember we
were sold a $900 billion program that is now a $2.6 Trillion program. Where are
the savings, where is the improved care?To "ECR" large
portions of the ACA are now in effect, and we can now see the results of that
decision.To "Fred44" during those same 20 years we have gone
from around 800 mandates to over 2600 mandates on insurance providers. Those
were done by the government, that is partially why the cost has gone up so much.
You also have an increase in lawsuits against doctors, which drives up their
malpractice insurance.If you want somebody to blame, you have
lawyers and politicians.
"Obamacare forcing doctors out of a job?" Your title implies that but
the article doesn't describe that. Title seems very misleading.
What are people so mad about? Look on the bright side. Now nobody in the world
will hate us for our good fortune cause we'll be just like them!
Write ACA into a headline and the usual suspects regurgitate the usual talking
points.However, upon close inspection, Eric informs readers who took
the time to read the entire piece..."...The problem has been
brewing for years now...".When the Republicans had control of
the White House, the Senate and the House, they did nothing to fix the
problem.So, let's blame the current administration for the
Republican failure to fix the problem that has been brewing for years.
Maybe somebody can help me understand what is happening to my money. For the
last twenty years, long before the Affordable Health Care Act, my company
insurance premium increases have hovered right around 10% a year. In that same
20 year period of time the number of doctors I can select from has decreased and
my out of pocket expenses have increased because we keep chipping away at the
plan. I am not buying the poor doctor theory either, but if they aren't
making money then somebody in the health care system is cleaning up.
Liberals, even when evidence adds up there is still always an excuse. Maybe
that's the problem, they just excuse themselves instead of taking
responsibility.When doctors and hospitals can't stay in
business because they have to eat the costs that medicare won't cover, then
we will be in big trouble. And the liberals will probably still have excuses
instead of solutions.
Pragmatist,The fact that Obamacare does NOTHING, NADA, ZILCH, ZIPPO, ZERO,
NOTHING!!!!!! to control costs makes your 9:33 post irrelevant.I was
not blaming BO for the cost increases between the cost to deliver your daughter
versus the cost to deliver your granddaughter. Nice obfuscation, though.He and the dems ARE responsible for chasing doctors out of the business.
In every other industrialzed nation in the world, the tort laws are different
than they are here. The losing party in a civil lawsuit is responsible for all
court costs, including legal fees in those other countries. That kind of change
would put a dent in the pocket books of ambulance chasers but would make the
practice of medicine a lot safer. Only those with justifiable cases would be
bringing them to court. The way our systemn works now, a person can be forced
to pay damages they don't owe, simply because the threat of a court case
can be more expensive than settling out of court. I don't have time or
space to tell some frightening stories from those who have been victimized this
way. It's a mess we should all be interested in cleaning up.
I'm not sure if it is Mr. Schultzke or the person who wrote the headline
but one of them should apply for a job in the op-ed department. The implication
that the yet-to-be-started ACA is responsible for doctors leaving the profession
enmasse is nonsense. The issues described in the article - insurance
reimbursment, malpractice suits and others - have been plagueing the medical
profession for years. A close friend of mine praticed medicine in the US until
the 1980's when he took a job in Saudi Arabia. He returned to the States
in the late 80's and, on the advice of friends in the profession, he never
practiced again. Why? Becuase of frivilous law suits and outrageous malpractice
insurance premiums. Another friend is a gynocologist who was sued by one of his
patients. When she attampted to continue seeing him after the law suit he asked
what she was thinking. Her response, "Well I didn't sue you, I sued
your insurance company" The cost of competing in the free market medical
industry is what is causing the mass exodus, not the Affordable Care Act.
Great news. Maybe market forces will actually correct this industry
long-insulated from real market forces. There will be pain in the
correction, but if in the end prices come down and maybe insurance companies
stop shielding providers and consumers from the actual cost of care then
everyone will benefit.Unfortunately, I don't see that happening
as a side effect of with a government program, it will only add another layer of
inefficiency and cost. But I predict that one day doctors will provide care to
patients and patients will pay for the care. That will lead to competition and
lower prices. One Day.
From the article title:"As Affordable Care Act kicks in, doctors face
early retirement, bankruptcy"The author makes a thinly veiled
attempt to tie ACA to the retirement and bankruptcy figures of doctors. In
doing so, all the regular right wingers jump on board to tout how correct they
were, and that this article proves it.However, the title, and the
article are both fabrications by the author. Anyone who bothers to actually
read the survey results would see that.In fact, the first point made
in the executive summary on page one of the report states:"The
performance of the U.S. health care system is suboptimal, but the Affordable
Care Act (ACA) is a good start to addressing issues of access and cost."
The survey numbers posted later in the report reinforce this.Leave
it to DN to publish an article claiming the exact opposite of the actual events,
and leave it to the normal crowd of lemmings to follow the story over the edge
without bothering to actually read it.
Maybe we should increase doctors salaries and create the worlds most expensive
system so they could have two country club memberships. Or we could bring down
costs and lower the deficit.
In Obama's first four years, --thirteen thousand new regulations were
added---USA TodayHmm? Regulations are like speed bumps on a
highway, and just slows things down. You see it in education, medicine, travel,
starting businesses, gun ownership, banking, medicare,etc.What kind
of transformation is our country experiencing?
Mountainman..that's exactly the point..Rommney would have done nothing to
prevent the rising costs of medicare, and it's not pulling out
700billion..that's a Fox new analysis, it's 700 billion in savings,
most of which has little to do with doctors. DN subscriber..why the
hatred for doctors retiring early..are you kidding..Hutterite said it best..65
to 70 is not retiring early, their simply going to retire when they are suppose
to. Lost in DC it didn't boil over until
Obamacare..that's the best one yet. Where have you been for the past 40
years. Let me use my old tired example. My yougest daughter cost us $400 when
she was born. The child she had last year cost $10,000 with no
complications..and that's Obamacars fault?
@KDave"No problem, we can always follow Europes lead and import
our Doctors and nurses from India and the Philipines."Ha, what
do you mean follow their lead? You do it already!!!
Is it just me, or are the doctors retiring because they're of retirement
No problem, we can always follow Europes lead and import our Doctors and nurses
from India and the Philipines.
So this is what passes for journalism these days? More like something we would
expect from a high school debate – full of non-sequiturs and hysteria.First – the Medicare reimbursement scare is a red herring. A quick
look at the prevalence of thriving hospitals and clinics in Florida exposes this
claim for what it is.Second – what does this statement have to
do with anything (other than to show that Medical Schools, licensed by the AMA,
have had a stranglehold on the supply of doctors for decades and now it is
biting us in the backside)?"One out of three practicing
physicians in the United States is over the age of 55, and many of them are
expected to retire in the next 10 or 15 years.”Doctors want to
start enjoying their golden years somewhere between 65-70? And in other news,
scientists suggest that the Earth is spherical in shape. One fact
simply torpedoes the entire premise of this article – doctors in the U.S.
have higher incomes than their international peers, which is why doctors from
other countries continue to try and emigrate in droves.
What would you expect from a bill that had zero doctors involved in its writing?
There are two doctors in the US Senate and eighteen in the House. All
Republican. No Republican was permitted to see the bill before the Senate voted
on it. The House was not permitted to change one iota in the bill.This was all about politics and had nothing to do with Health Care.Obama Care also banned every conservative solution to our nations health care
problems. They don't want real, market based solutions. You can't
impose socialized medicine on the American people unless there is a problem so
you can't allow any real solutions.
Liberals are victims of ideology and not students of reality. Because of that
articles like this one are appearing all over the country. Magaret
Thatcher was right, the problem with socialism (and that's exactly what
Obama believes and is motivated by i.e. gun control, healthcare control, share
the wealth, higher taxes, bank control)is that eventually you run out of others
@ pragmatistferlife- Why the hatred for doctors "retiring early" at
ages 65-70? They are not slaves to be chained to a medicare cubicle for life,
and age 65-70 is pretty much the high side of retirement age nowadays.This piece hits at one (of many) core weaknesses of Obamacare. It does
nothing to increase the availability of medical care, but only meddles with the
cost side using the failed notions of price controls or the unhealthy
prescription of "bureaucrats know better than doctors," and as a last
resort will implement the accurately named "death panels" to ration the
dwindling amount of care to chosen beneficiaries.Obamacare fails to
tackle the obscene abuses of the tort industry (who make more and retire earlier
than doctors), or to increase the number of health care providers with
incentives for more people to undertake the arduous challenge of becoming
physicians, or increase the number of medical or nursing schools. Or, allowing
free market competition where people can choose the insurance they desire
(different for a healthy 20 year old single male than a 50 year old mother of
6).Obamacare will be the death of us all.
Rationing? Deathe panels?BO SAID they would not happen, but when
there is not enough supply, rationing in some form or another has to occur.pragmatist,it may have been brewing, but it never boiled over
until BO and the dems rammed Obamacare down our throats through back-room
negotiations, bribery, and skullduggery.. And the majority of the nation did
not reject Romney's business acumen - polls showed more trusted him with
the economy than they did BO; they just bought into BO's class warfare and
I fear for the coming health care debacle! Knowing what is going on with health
exchanges in one of the eastern states the corruption in trying to implement it
is terrible, contract are being awarded to relatives who have no experience in
the subject of the contract awarded to them. And the Dr's who spent 15 +
years of their lives becoming expert in saving lives are being written off as if
they never completed kindergarden. Do we have kings and princes
ruling over us? Why won't congress and the white house sign on and
participate in the same health care system they put in place for us? We should
demand that they must participate and just maybe they will get rid of it!
Right, Nate, but you can't keep him if he retires!!
@ Pragmatistferlife. Mitt Romney would have repealed Obamacare and not
transferred $750 billion out of Medicare to waste on Obamacare! Imagine that!
So it's been brewing for years, long before Obamacare. A set of cardiology
tests I had last year cost over $20,000, and doctors who are over the age of 55
now are expected to retire early by retiring in the next 10 to 15 years. Sorry
sir this just doesn't add up. Just another ideological hack piece. Mitt Rommney would have done what..continue to pay medicare
reimbursments at their current rates, while saving the system from bankruptcy?
Again it didn't add up and a majority of the nation knew it.
Stop worrying. Barack Obama said, if you like your doctor, you can keep him.
Regulations, ambulance chasing lawyers, Obama Care.... I don't know why
anyone would want to sacrifice 12 to 16 years of their lives to be doctors. My
hats off to them.Get rid of burdensom regulations as well as tort
reform to corral the ambulance chasers and things might change.
Don't blame me, I voted for Mitt Romney! I absolutely knew this was going
to happen and its only going to get worse!