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70% of California doctors boycotting Obungacare

 
 
Mon 9 Dec, 2013 10:01 pm
http://townhall.com/tipsheet/katiepavlich/2013/12/09/majority-of-doctors-boycotting-obamacarein-california-n1759851

Quote:

Despite being one of the bluest states in the country and one of the first to implement state based Obamacare exchanges, doctors in California are boycotting Obamacare...a whopping 70 percent of them.

Quote:
An estimated seven out of every 10 physicians in deep-blue California are rebelling against the state's Obamacare health insurance exchange and won't participate, the head of the state's largest medical association said.

“It doesn't surprise me that there's a high rate of nonparticipation,” said Dr. Richard Thorp, president of the California Medical Association.

Thorp has been a primary care doctor for 38 years in a small town 90 miles north of Sacramento. The CMA represents 38,000 of the roughly 104,000 doctors in California.


So why exactly the push back? Under Obamcare, doctors are practically expected to work for free.

Quote:
“We need some recognition that we’re doing a service to the community. But we can’t do it for free. And we can’t do it at a loss. No other business would do that,” he said.

California offers one of the lowest government reimbursement rates in the country -- 30 percent lower than federal Medicare payments. And reimbursement rates for some procedures are even lower.


Once again the argument that Republicans are blocking Obamacare's implementation and fear mongering about the law is completely blown out of the water. This isn't the first time we've seen major concerns or push back against Obamcare in the Golden State. Earlier this year, top California Democrat and Insurance Commission Dave Jones warned about fraud and identity theft risks posed to consumers on the exchanges.

Quote:
The state insurance commissioner and anti-fraud groups say the exchange is falling short in ensuring that the people hired as counselors are adequately screened and monitored.

Insurance Commissioner Dave Jones also said the exchange does not have a plan for investigating any complaints that might arise once the counselors start work. That means consumers who might fall prey to bogus health care products, identity theft and other abuses will have a hard time seeking justice if unscrupulous counselors get ahold of their Social Security number, bank accounts, health records or other private information, he said.

"We can have a real disaster on our hands," Jones, a Democrat, said in an interview.


Doctors boycotting Obamacare is the least of our worries, the biggest problem is doctors choosing the leave medicine completely as a result of the healthcare law. According to a recent survey, more than 60 percent of doctors plan to leave medicine early as Obamacare changes the way America does medicine.

Quote:
Most physicians have a pessimistic outlook on the future of medicine, citing eroding autonomy and falling income, a survey of more than 600 doctors found.

Six in 10 physicians (62%) said it is likely many of their colleagues will retire earlier than planned in the next 1 to 3 years, a survey from Deloitte Center for Health Solutions found. That perception is uniform across age, gender, and specialty, it said.

Another 55% of surveyed doctors believe others will scale back hours because of the way medicine is changing, but the survey didn't elaborate greatly on how it was changing. Three-quarters think the best and brightest may not consider a career in medicine, although that is an increase from the 2011 survey result of 69%.

"Physicians recognize 'the new normal' will necessitate major changes in the profession that require them to practice in different settings as part of a larger organization that uses technologies and team-based models for consumer (patient) care," the survey's findings stated.


If you think liberals are concerned about a doctor shortage, think again. Just a few weeks back liberal Salon writer Matt Yglesias told "whiny" doctors to shut up about lesser pay under Obamacare and Democrats on Capitol Hill have offered no serious solutions to solving a doctor crisis and or the lack of reimbursement costs.
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BillRM
 
  0  
Tue 10 Dec, 2013 05:44 am
@gungasnake,
Quote:
Doctors boycotting Obamacare is the least of our worries, the biggest problem is doctors choosing the leave medicine completely as a result of the healthcare law. According to a recent survey, more than 60 percent of doctors plan to leave medicine early as Obamacare changes the way America does medicine.


Same bullshit was hear when medicare come on line and in the very unlikely case that our doctors did any such thing we have a whole world to import doctors from .

Not a problem but for the doctors who decided to cut their own noses off.
izzythepush
 
  1  
Tue 10 Dec, 2013 09:38 am
Quote:
I stuffed their mouths with gold.


Aneurin Bevan.

Quote:
Around 1948, Nye Bevan engineered a notorious "bribe" to win the support of hospital consultants. The father of the NHS made his famous declaration after he brokered a deal in which consultants were paid handsomely for their NHS work while allowing them to maintain private practices.


http://en.wikiquote.org/wiki/Aneurin_Bevan
0 Replies
 
Miller
 
  1  
Tue 10 Dec, 2013 11:04 am
Many physicians are leaving ObamaCare and offering medical care to patients, who like to pay with cash and avoid health insurance , if at all possible.

These are the physicians who refuse to treat Medicare and/ or Medicaid patients. Who can blame them?

I don't blame them and I say more power to all of them.
Miller
 
  1  
Tue 10 Dec, 2013 11:07 am
@BillRM,
BillRM wrote:

we have a whole world to import doctors from .


Yes, and in case there aren't enough physicians from the pits of the Earth to come to the US and practice medicine, remember we can always have a plumber or trash hauler perform a heart valve transplant on us.

0 Replies
 
gungasnake
 
  1  
Tue 10 Dec, 2013 11:11 am
@Miller,

The whole problem with obungacare is that it doesn't fix anything, all it is, is another redistribution scheme. The most major thing you'd want to fix/reform would be tort reform but the demoKKKrats won't let anybody touch that one, obviously, the trial lawyers guild is one of the major pillars of financial support for the rat party.

gungasnake
 
  1  
Tue 10 Dec, 2013 11:15 am
Once again, the country does need health reform, but not Obungacare.

The size of obungacare indicates to me that it is about power and not about health care. Likewise Mark Steyn notes that the job of director or head of public health has become the biggest govt. job in European countries which have public health care i.e. it would be a step upwards from PM or President or King or Grand Duke or anything else to head of health care. In other words, European health care is ultimate bureaucracy. If I had the power to I would institute a sort of a basic health care reform which would be overwhelmingly simple and which would resemble the thing we're reading about in no way, shape, or manner. Key points would be:

1. Elimination of lawsuits against doctors and other medical providers. There would be a general fund to compensate victims of malpractice for actual damage and a non-inbred system for weeding out those guilty of malpractice. The non-inbred system would be a tribunal composed not just of other doctors, but of plumbers, electricians, engineers, and everybody else as well.

2. Elimination of the artificial exclusivity of the medical system. In other words our medical schools could easily produce two or three times the number of doctors they do with no noticeable drop off in quality.

3. Elimination of the factors which drive the cost of medicines towards unaffordability. That would include both lawsuits against pharmaceutical companies and government agencies which force costs into the billions to develop any new drug. There should be no suing a pharmaceutical for any drug which has passed FDA approval and somewhere between thalidamide and what we have now, there should be a happy medium.

4. Elimination of the outmoded WW-II notion of triage in favor of a system which took some rational account of who pays for the system and who doesn't. The horror stories I keep reading about the middle-class guy with an injured child having to fill out forms for three hours while an endless procession of illegal immigrants just walks in and are seen, would end, as would any possibility of that child waiting three hours for treatment while people were being seen for heroin overdoses or other lifestyle issues.

All of those things would fall under the heading of what TR called "trust busting". There would also be some system for caring the truly indigent, but the need and cost would be far less than at present.

By far the biggest item is that first one. I don't know the exact numbers but if you add every cost involved in our present out-of-control lawyering, it has to be a major fraction if not more than half of our medical costs. The trial lawyers' guild being one of the two major pillars of financial support for the democrat party is the basic reason nobody is saying anything about that part of the problem.

Other than that, you almost have to have seen some of the problems close up to have any sort of a feel for them.

Item 2, this is what I saw in grad school some time ago, although I do not have any reason to think much has changed. In the school I attended, there appeared to be sixty or seventy first year med students walking around and all but one or two of them would have made perfectly good doctors, they were all very bright and highly motivated. The only way the school should have lost any of those kids was either they discovered they couldn't deal with the sight of blood in real life or six months later they changed their minds and went off to Hollywood to become actors or actresses; the school should never have lost more than ten percent of them. But they knew from day one that they were keeping 35% of that class.

That system says that you know several things about the guy working on your body: You know he's a survivor, and that's highly unlikely to be from being better qualified than 65% of the other students; You know he hasn't had enough sleep (he's doing his work and the work of that missing 65%); You know he's probably doing some sort of drugs to deal with the lack of sleep... One of my first steps as "health Tsar" or whatever would be to tell the medical schools that henceforth if they ever drop more than15% of an incoming class, they'll lose their accreditation.

Item 3. My father walks into a pharmacy in Switzerland with a bottle of pills he normally pays $50 for in Fla. and asks the pharmacist if he can fill it. "Why certainly sir!", fills the bottle of pills and says "That will be $3.50." Seeing that my father was standing there in a state of shock, the man says "Gee, I'm sorry, Mr. V., you see, we have socialized medicine in Switzerland and if you were a Swiss citizen and paid into the systemn, why I could sell you this bottle of pills for $1.50 but, since you're foreign and do not pay into the system I have to charge you the full price, certainly you can appreciate that."

The guy thought my father was in shock because he was charging him too MUCH... Clearly whatever needs to be done with drugs amounts to trust busting, and not extracting more money from the American people.

Item 4. A caller to the Chris Plant show (D.C./WMAL) the other morning, an ER nurse, noted that much of the costs which her hospital had to absorb, as do most hospitals, was the problem of people with no resources using the ER as their first and only point of contact to the medical profession. She said that there were gang members who were constantly coming in for repairs from bullet holes and knife damage and drug problems, that they could not legally turn any of those people away, and that there was zero possibility of ever collecting any money from any of them, and that the costs of that were gigantic.

Clearly throwing money at that problems is not going to help anything either. Again if I'm the "Medicine Tsar", those guys would be cared for, but not at the ER or at least not the part of the ER where normal people go, and they would not be first in line. Mostly they'd be dealing with medical students who needed the practice patching up knife and bullet damage.
0 Replies
 
BillRM
 
  1  
Tue 10 Dec, 2013 08:43 pm
@Miller,
Quote:
These are the physicians who refuse to treat Medicare and/ or Medicaid patients. Who can blame them?

I don't blame them and I say more power to all of them.


More power to them making that business modal work for more then a percent or less of all doctors.

They might wish to learn to cut hair and turn back to the old meaning of a barber shop where you get your hair cut and your teeth pull and minor operations done.
0 Replies
 
BillRM
 
  1  
Tue 10 Dec, 2013 08:46 pm
@gungasnake,
Strange how every other first world nation on earth provide universal health care at far less of a cost per person then we do.
0 Replies
 
parados
 
  1  
Tue 10 Dec, 2013 09:47 pm
@gungasnake,
Stories like this make me laugh. So if the doctors aren't going to accept patients with insurance what are they going to do? Take only cash or chickens in payment?
0 Replies
 
parados
 
  1  
Tue 10 Dec, 2013 09:48 pm
@Miller,
Miller wrote:

Many physicians are leaving ObamaCare and offering medical care to patients, who like to pay with cash and avoid health insurance , if at all possible.

These are the physicians who refuse to treat Medicare and/ or Medicaid patients. Who can blame them?

I don't blame them and I say more power to all of them.

So doctors are going to only take rich patients without insurance? They won't be in practice long trying to do that.
0 Replies
 
 

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