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Post by AlwaysAnAztec on Jul 20, 2015 8:41:09 GMT -8
As a primary care physician I can tell you that obamacare is not working as insurance companies keeps pushing for the highest premium increase allowable by the government. The affordable care act is no longer affordable. I have a patient who told me that next year he will no longer be able to afford health coverage because his premium will jump by 30%. The reason for the premium increase is because increase companies have decided the risk pool for the new patients coming into the healthcare setting are very sick patients. Most of these patients are patients who are receiving subsidized insurance from Obamacare. These are the ones who have not seen a physician for years and have neglected their health. The net effect of this situation is that it will likely create a new set of uninsured patients, particularly the working class, who do not qualify for Subsidized insurance and who can't afford the thousands of dollar in premium increase. The bottom line is that most health insurance companies are for profit companies who are in the business of healthcare to make money. The money does not trickle down to the physicians who provide the services. Usually the insurance company pays a healthcare organization a set value to healthcare organizations to care for a specifies amount of patients. That healthcare organization, depending if it is for profit or not then contract out the service to the physicians. The reality is maybe 10% or less of the healthcare dollar spent actually goes to the physicians. The current model has setup too many middlemen who does absolutely nothing to contributes to the wellbeing of a patient. Even though I hate the idea, a socialized program where you remove most of the middlemen is the solution. However, I do realize that will mean loss of job to the middlemen. Nevertheless that is what will save the healthcare system and hopefully create more jobs in the delivery of medicine rather than the business of medicine. Ding Ding Ding. Winner winner. Thank you for validating what I've been saying for years. Get rid of the damn insurance companies.
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Post by AlwaysAnAztec on Jul 22, 2015 8:37:25 GMT -8
And the insurance companies have been doing such a great job. Right. The ACA was a windfall for the medical insurance industry just as Medicare part D was to the pharmaceutical industry. This. Thread isn't about the insurance companies, who by the way my doctors had no problem with and neither did I. It's about getting access to the doctors, which is shrinking and will continue to shrink thanks to ACA. When it takes me four months to schedule a physical when it used to take 10 days.....that sucks. If I were in college today, I wouldn't go into pre-med. it just ain't worth it. Funny... I needed to see my doctor about an issue and was able to get an appointment the next day. They actually offered me one on the same day but I couldn't make it. Maybe its you.
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Post by thepapacy on Jul 22, 2015 9:49:24 GMT -8
This. Thread isn't about the insurance companies, who by the way my doctors had no problem with and neither did I. It's about getting access to the doctors, which is shrinking and will continue to shrink thanks to ACA. When it takes me four months to schedule a physical when it used to take 10 days.....that sucks. If I were in college today, I wouldn't go into pre-med. it just ain't worth it. Funny... I needed to see my doctor about an issue and was able to get an appointment the next day. They actually offered me one on the same day but I couldn't make it. Maybe its you. Same experience for me. I would guess when dealing with anecdotal evidence you see what you want to see, though. The macro argument from the right seems to be, "look, I don't want to wait an extra three days to see my doctor so that a few poors who used to be uninsured can see him as well". Doesn't hold any weight with me, ESPECIALLY until I see proof that increased access vs. wait time is having a net negative effect on health outcomes. The only evidence needed, in my mind anyway, is that doctors vote for Dems more and donate to Dems more than Repubs, with that trend increasing since the ACA was passed.
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Post by aztecwin on Jul 22, 2015 13:02:17 GMT -8
Funny... I needed to see my doctor about an issue and was able to get an appointment the next day. They actually offered me one on the same day but I couldn't make it. Maybe its you. The only evidence needed, in my mind anyway, is that doctors vote for Dems more and donate to Dems more than Repubs, with that trend increasing since the ACA was passed. Lets see your evidence. I detect a made up stat.
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Post by thepapacy on Jul 22, 2015 13:19:38 GMT -8
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Post by aztecwin on Jul 22, 2015 15:12:32 GMT -8
The UHC link shows numbers not amounts. I note that the lower earners would naturally be liberals. Look at their specialties. Looks like you are right on numbers (would not know why unless it is their specialties) and wrong most likely on total donations if you look at the higher earners and where they donate.
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Post by thepapacy on Jul 22, 2015 15:21:53 GMT -8
The UHC link shows numbers not amounts. I note that the lower earners would naturally be liberals. Look at their specialties. Looks like you are right on numbers (would not know why unless it is their specialties) and wrong most likely on total donations if you look at the higher earners and where they donate. Let's see YOUR evidence little man. I detect a made up rationalization. To add - explain why you think total amount matters more than the number of total physicians.
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Post by aztecwin on Jul 22, 2015 15:34:04 GMT -8
The UHC link shows numbers not amounts. I note that the lower earners would naturally be liberals. Look at their specialties. Looks like you are right on numbers (would not know why unless it is their specialties) and wrong most likely on total donations if you look at the higher earners and where they donate. Let's see YOUR evidence little man. I detect a made up rationalization. To add - explain why you think total amount matters more than the number of total physicians. The evidence is in your link. Money talks!
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Post by tuff on Jul 28, 2015 16:20:52 GMT -8
This. Thread isn't about the insurance companies, who by the way my doctors had no problem with and neither did I. It's about getting access to the doctors, which is shrinking and will continue to shrink thanks to ACA. When it takes me four months to schedule a physical when it used to take 10 days.....that sucks. If I were in college today, I wouldn't go into pre-med. it just ain't worth it. Funny... I needed to see my doctor about an issue and was able to get an appointment the next day. They actually offered me one on the same day but I couldn't make it. Maybe its you. I had lunch with mine yesterday and he told me he, and two other of the five partners are hanging it up at the end of the year. They lost their office manager and his primary nurse of 32 years. He is tired of coming in on his weekends off to fill in paperwork. He has cut back on 35% of his time with patients. I have been going to this doctor for almost 30 years. I don't know about your doctors, but mine was very good and very popular and in high demand. Several of my clients are sensing the same thing is going to happen to them. This is not good.
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Post by tuff on Jul 28, 2015 16:22:15 GMT -8
This. Thread isn't about the insurance companies, who by the way my doctors had no problem with and neither did I. It's about getting access to the doctors, which is shrinking and will continue to shrink thanks to ACA. When it takes me four months to schedule a physical when it used to take 10 days.....that sucks. If I were in college today, I wouldn't go into pre-med. it just ain't worth it. lol if it takes you four months to schedule a physical, you must also be one of those billionaires who pays a 65% effective tax rate... if less kids go into the medical field, the market would dictate lower tuition to attend medical school. lower tuition creates more incentive to go, and equilibrium is restored. you know, adam smith sh it. Idiot!
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Post by AlwaysAnAztec on Jul 29, 2015 8:17:03 GMT -8
Funny... I needed to see my doctor about an issue and was able to get an appointment the next day. They actually offered me one on the same day but I couldn't make it. Maybe its you. I had lunch with mine yesterday and he told me he, and two other of the five partners are hanging it up at the end of the year. They lost their office manager and his primary nurse of 32 years. He is tired of coming in on his weekends off to fill in paperwork. He has cut back on 35% of his time with patients. I have been going to this doctor for almost 30 years. I don't know about your doctors, but mine was very good and very popular and in high demand. Several of my clients are sensing the same thing is going to happen to them. This is not good. Sorry that your doctor is retiring. Everyone is different and retires for different reasons. I had a primary care physician who worked until he was in his mid 80's and my mother-in-law's worked until 90. On the other hand, I play golf with a couple that retired in their 50's. There has been a shortage of primary care physicians for decades as they are not compensated appropriately. That needs to change. Good luck in finding a new doctor.
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Post by thepapacy on Jul 29, 2015 9:30:36 GMT -8
Funny... I needed to see my doctor about an issue and was able to get an appointment the next day. They actually offered me one on the same day but I couldn't make it. Maybe its you. I had lunch with mine yesterday and he told me he, and two other of the five partners are hanging it up at the end of the year. They lost their office manager and his primary nurse of 32 years. He is tired of coming in on his weekends off to fill in paperwork. He has cut back on 35% of his time with patients. I have been going to this doctor for almost 30 years. I don't know about your doctors, but mine was very good and very popular and in high demand. Several of my clients are sensing the same thing is going to happen to them. This is not good. An older doctor is retiring because he doesn't want to hire a new office manager nor do paperwork himself? Thanks a lot Obama!
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Post by tuff on Jul 30, 2015 12:33:03 GMT -8
I had lunch with mine yesterday and he told me he, and two other of the five partners are hanging it up at the end of the year. They lost their office manager and his primary nurse of 32 years. He is tired of coming in on his weekends off to fill in paperwork. He has cut back on 35% of his time with patients. I have been going to this doctor for almost 30 years. I don't know about your doctors, but mine was very good and very popular and in high demand. Several of my clients are sensing the same thing is going to happen to them. This is not good. Sorry that your doctor is retiring. Everyone is different and retires for different reasons. I had a primary care physician who worked until he was in his mid 80's and my mother-in-law's worked until 90. On the other hand, I play golf with a couple that retired in their 50's. There has been a shortage of primary care physicians for decades as they are not compensated appropriately. That needs to change. Good luck in finding a new doctor. Thanks for your concern, AaA. After so many years you build up a trust and friendship with the man. But I fully understand his reasoning and I am sure he will get me a good referral. Maybe the single payer is the answer, I don't know anymore. But, if it is I hope they think it out a lot better than the Obamacare fiasco. Just eliminate the lawyers is a good start.
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Post by tuff on Jul 30, 2015 12:42:01 GMT -8
I had lunch with mine yesterday and he told me he, and two other of the five partners are hanging it up at the end of the year. They lost their office manager and his primary nurse of 32 years. He is tired of coming in on his weekends off to fill in paperwork. He has cut back on 35% of his time with patients. I have been going to this doctor for almost 30 years. I don't know about your doctors, but mine was very good and very popular and in high demand. Several of my clients are sensing the same thing is going to happen to them. This is not good. An older doctor is retiring because he doesn't want to hire a new office manager nor do paperwork himself? Thanks a lot Obama! Well, the paperwork(computers)and regulations are the main reason he has cut back 35% from his patients. He has hired a new office manager, but he lost a great one in the process. FYI, he is 60, and his two other partners are just over 50. Too young to quit. But you don"t care, really.
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Post by aztecwin on Jul 30, 2015 13:10:55 GMT -8
An older doctor is retiring because he doesn't want to hire a new office manager nor do paperwork himself? Thanks a lot Obama! Well, the paperwork(computers)and regulations are the main reason he has cut back 35% from his patients. He has hired a new office manager, but he lost a great one in the process. FYI, he is 60, and his two other partners are just over 50. Too young to quit. But you don"t care, really. It just might be that a "single payer" or "Social Security for All" is the answer. We just have to really carefully define who "all" are.
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Post by thepapacy on Jul 31, 2015 11:30:30 GMT -8
Well, the paperwork(computers)and regulations are the main reason he has cut back 35% from his patients. He has hired a new office manager, but he lost a great one in the process. FYI, he is 60, and his two other partners are just over 50. Too young to quit. But you don"t care, really. It just might be that a "single payer" or "Social Security for All" is the answer. We just have to really carefully define who "all" are. Honestly would trade you immigration for single payer. Increase border security (though we already have? Really not sure what the Pubs want as far as triple moats and drones or whatever... But regardless) and limit new immigrants to those who wish to serve or have a degree. Those already here illegally don't get citizenship, get deported if they commit a crime, can't vote and we enforce E Verify on all employers. In exchange we move to the Canadian system. I think even those here illegally now should be allowed health care, but if we enforce immigration the costs will be high only short term. How to pay wise... It would immediately remove taxes for Medicare and Medicaid and increase small and large business margins dramatically, boosting economic activity. Each year a moderately progressive tax is charged to all individual income regardless of source to an amount that equals the program's outlay in the previous fiscal year.
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Post by aztecwin on Jul 31, 2015 12:22:58 GMT -8
It just might be that a "single payer" or "Social Security for All" is the answer. We just have to really carefully define who "all" are. Honestly would trade you immigration for single payer. Increase border security (though we already have? Really not sure what the Pubs want as far as triple moats and drones or whatever... But regardless) and limit new immigrants to those who wish to serve or have a degree. Those already here illegally don't get citizenship, get deported if they commit a crime, can't vote and we enforce E Verify on all employers. In exchange we move to the Canadian system. I think even those here illegally now should be allowed health care, but if we enforce immigration the costs will be high only short term. How to pay wise... It would immediately remove taxes for Medicare and Medicaid and increase small and large business margins dramatically, boosting economic activity. Each year a moderately progressive tax is charged to all individual income regardless of source to an amount that equals the program's outlay in the previous fiscal year. I would talk about it. I have problems with both what I said and with what you said.
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Post by OCEOTL on Aug 10, 2015 16:33:29 GMT -8
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Post by aztecwin on Aug 11, 2015 10:29:12 GMT -8
I saw this. I would really have to look at how they came to that conclusion carefully. Personal observation tells me it is not that way. I know that premiums are way up unless you get subsidized. I know that it is harder to get an appointment quickly unless it is an emergency at least with my medical group. I would not be quite so skeptical if it were not the NYT.
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Post by thepapacy on Aug 14, 2015 11:22:44 GMT -8
Today in "Fun with Anecdotes!" -
Needed to see a doctor yesterday and had moved since my last trip to an office. Called a doctor's office in the AM, got a 5:30 appointment the same day. Got there at 5:00, took about 20 minutes for intake and paperwork, and was seen by a nurse, the doc, and was out before 6:00. There was one person waiting when I walked in, maybe 2 or 3 waiting when I walked out.
Access to doctors expanding! Obamacare is a success!
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