The PPACA - Implementation Phase I

[FreshFish]

Re: The PPACA - Implementation Phase I

I'm sure my wife, a public defender, would have plenty to say on that subject (having a right to anothers expertise and labor).

She works, and gets paid for it, no?

I think the complaint is more about able-bodied people who have the capacity to work yet do not work yet still expect to get paid. You probably knew that and pretended otherwise, eh?

 

[Priceless]

Re: The PPACA - Implementation Phase I

She works, and gets paid for it, no?

I think the complaint is more about able-bodied people who have the capacity to work yet do not work yet still expect to get paid. You probably knew that and pretended otherwise, eh?

Doctors don't get paid?

 

[St. Clown]

Re: The PPACA - Implementation Phase I

I'm sure my wife, a public defender, would have plenty to say on that subject (having a right to anothers expertise and labor). None of which would jive with your implied assertion that she is somehow a slave to her clients.

There's a complete difference here in that your wife could take a job with a private firm, moving out of the public defender's office. With single payer medicine there is no moving out of the public realm. Sure, your official employer might be some Catholic hospital, or somthing similar, but your cases and what procedures you're able to perform are all dictated by the federal government because it's paying all the bills.

Concierge medicine might be an option, but that's only if it's permitted. Knowing the class warriors that exist in government and all over progressive politics today, you're likely to see something like that made illegal because it wouldn't be fair.

With that, I wouldn't have sympathy for new doctors entering the field after all of this came to pass, but certainly for those who entered the field prior to this. To have an insurance provider create roadblocks to care is bad enough, a doctor can either find ways around them or to no longer be part of that network, but a single payer is an entirely new paradigm from which there would be no escape other than to seek a new profession.

 

[goldy_331]

Re: The PPACA - Implementation Phase I

Hmmm, I just learned there is an Internal Medicine Concierge office very close to my home. I've been thinking of finding a new doc since it's been a while since I've seen a GP (just specialists as needed). Given a fairly high deductible and an HSA plan, this likely makes a lot of sense for me. I think I'll give them a try.

 

[unofan]

It's mathematically impossible.

And yet the premiums for state of iowa employees dropped about 4% this year.

(I know anecdotes are not data, but since everyone else here seems to think they are, I got plenty of my own)

 

[unofan]

She works, and gets paid for it, no?

I think the complaint is more about able-bodied people who have the capacity to work yet do not work yet still expect to get paid. You probably knew that and pretended otherwise, eh?

Show me a doctor who doesn't get paid, and I'll show you a bridge I have for sale.

Edit: once you get past college football and basketball coaches, the next highest salaries for state employees are typically doctors.

 

[LynahFan]

Re: The PPACA - Implementation Phase I

Show me a doctor who doesn't get paid, and I'll show you a bridge I have for sale.

Edit: once you get past college football and basketball coaches, the next highest salaries for state employees are typically doctors.

Yeah, the chief of cardiology at the major state medical school - how many of those are there per state?

The real issue is not whether the *doctors* get paid (they will/do) - the issue is whether their employers stay solvent, and whether investing in a health care practice appears to be a satisfactory investment. If not, investors' dollars have plenty of other places to go and there won't be enough medical practices to provide all the great care that we're supposed to get under Obamacare.

 

[Rover]

Re: The PPACA - Implementation Phase I

Too much crying out of the Teabagger chorus. If you people were around during WW2, we'd all be speaking German right now with your can't do attitude. Lose the skirts and stop whining already.

A few points:

1) Doctors can either abide by the new rules or get lost. Rules change all the time. They did in my industry (finance). They do in the legal field. They will in medicine. I'm not aware of too many doctors being driven into poverty by gubmint regulations.

2) Conservatives need to abide by the saying: "You're either part of the solution or you're part of the problem". IF Obamacare is soooo unpopular, and its the single biggest issue facing the country today, why aren't we talking about President Romney? Why is the opposition party less popular than toe fungus? Wake up people. We're not laughing with you, we're laughing at you. Stop being dinosaurs already.

3) It was revealed in 2010 that non-conforming policies would go away. What some people are too stupid to understand is insurance is a shared risk. If everybody only took out policies covering themselves if they got hit by a bus, but ran to the ER for all other ailments, the system would collapse. Policies should have a basic minimum of coverage, much like you have in car insurance. Again, stop whining and using this as a proxy for your frustrations with your personal life. People get old. Deal with it, and preferably not thru politics.

 

[unofan]

Yeah, the chief of cardiology at the major state medical school - how many of those are there per state?

The real issue is not whether the *doctors* get paid (they will/do) - the issue is whether their employers stay solvent, and whether investing in a health care practice appears to be a satisfactory investment. If not, investors' dollars have plenty of other places to go and there won't be enough medical practices to provide all the great care that we're supposed to get under Obamacare.

That was an issue long before Obamacare. I've been hearing my entire adult life about the pending shortage of medical providers

 

[Priceless]

Re: The PPACA - Implementation Phase I

Deborah Cavallaro is a hard-working real estate agent in the Westchester suburb of Los Angeles who has been featured prominently on a round of news shows lately, talking about how badly Obamacare is going to cost her when her existing plan gets canceled and she has to find a replacement.

She says she’s angry at President Obama for having promised that people who like their health plans could keep them, when hers is getting canceled for not meeting Obamacare’s standards.

“Please explain to me,” she told Maria Bartiromo on CNBC Wednesday, “how my plan is a ‘substandard’ plan when … I’d be paying more for the exchange plans than I am currently paying by a wide margin.”

Bartiromo didn’t follow up with the guest, so Michael Hiltzik did. He discovered that Deborah Cavallaro has a pretty awful health plan, which costs $293 a month in premiums, along with a deductible of $5,000 a year and a limit of two doctor visits a year, each of which come with a $40 copay. If she sees her physician more than twice, she’s responsible for 100% of the costs.

Under “Obamacare,” she can sign up for a “silver” coverage plan for $333 a month with a vastly reduced deductible and no limits on the number of times she’s able to see her doctor. She can also sign up for a “bronze” plan and pay as little as $194 a month. She’d have the same deductible she has now, but she’d save on premiums and have no limits on the number of visits.

Under either plan, this woman would have fewer health care costs and greater security with coverage that couldn’t be taken away.

Man that sucks.

 

[Foxton]

Re: The PPACA - Implementation Phase I

Man that sucks.

Even fox news is doing it. It's bizarro world out there.

Greta Van Susteren Clarifies CBS News' Interview With Obamacare Opponent

 

[goldy_331]

Re: The PPACA - Implementation Phase I

Man that sucks.

Yep, it does.

 

[Priceless]

Re: The PPACA - Implementation Phase I

Even fox news is doing it. It's bizarro world out there.

Greta Van Susteren Clarifies CBS News' Interview With Obamacare Opponent

I am stunned. They are usually a beacon of truth.

 

[Tiggsy]

Re: The PPACA - Implementation Phase I

3) It was revealed in 2010 that non-conforming policies would go away. What some people are too stupid to understand is insurance is a shared risk. If everybody only took out policies covering themselves if they got hit by a bus, but ran to the ER for all other ailments, the system would collapse. Policies should have a basic minimum of coverage, much like you have in car insurance. Again, stop whining and using this as a proxy for your frustrations with your personal life. People get old. Deal with it, and preferably not thru politics.

I already regret writing this post but here it goes...

So how do you respond to the "If you like your plan you can keep it" promise from Obama? How were we supposed to know that if we like a plan that Obama likes too, only then we can keep it. And please don't try to say that there are better plans instead they can get because that's not what was promised. Why did he say it? Did he know it wouldn't be true?

 

[busterman62]

Re: The PPACA - Implementation Phase I

Please find a physician you trust-and respect-who has been in practice for many years and ask him to be honest when you ask him if he would- 1)choose his profession as a life's work now and 2)would he want his son or daughter to follow in his footsteps given the current state of medical practice.

1) No
2) No

 

[Priceless]

Re: The PPACA - Implementation Phase I

I already regret writing this post but here it goes...

So how do you respond to the "If you like your plan you can keep it" promise from Obama? How were we supposed to know that if we like a plan that Obama likes too, only then we can keep it. And please don't try to say that there are better plans instead they can get because that's not what was promised. Why did he say it? Did he know it wouldn't be true?

No one forsaw that people would prefer to keep eating Alpo when they can pay the same (or less) for hamburger.

 

[Rover]

Re: The PPACA - Implementation Phase I

I already regret writing this post but here it goes...

So how do you respond to the "If you like your plan you can keep it" promise from Obama? How were we supposed to know that if we like a plan that Obama likes too, only then we can keep it. And please don't try to say that there are better plans instead they can get because that's not what was promised. Why did he say it? Did he know it wouldn't be true?

While I haven't spoken to him recently, I'm guessing he was speaking in generalities as most of the population (those with employer insurance, those on Medicare, a good portion of private insurance, etc) won't see any changes.

buster and Dr, I appreciate your perspective as always, but I'm not sure I'm expecting the medical profession to cease to exist because of Obamacare. Its sounds a little like people telling us billionaires will stop trying to make money if their taxes go up 5%.

 

[St. Clown]

Re: The PPACA - Implementation Phase I

No one forsaw that people would prefer to keep eating Alpo when they can pay the same (or less) for hamburger.

So long as an act is filled with good intentions, it doesn't matter if you're lying to every person in the United States to complete your goal? Okay, I got it.

 

[goldy_331]

Re: The PPACA - Implementation Phase I

While I haven't spoken to him recently, I'm guessing he was speaking in generalities as most of the population (those with employer insurance, those on Medicare, a good portion of private insurance, etc) won't see any changes.

buster and Dr, I appreciate your perspective as always, but I'm not sure I'm expecting the medical profession to cease to exist because of Obamacare. Its sounds a little like people telling us billionaires will stop trying to make money if their taxes go up 5%.

Umm, estimates now that 51% of company insurance will be cancelled as well:

It turns out that in an obscure report buried in a June 2010 edition of the Federal Register, administration officials predicted massive disruption of the private insurance market.
the administration’s commentary in the Federal Register did not only refer to the individual market, but also the market for employer-sponsored health insurance.

Section 1251 of the Affordable Care Act contains what’s called a “grandfather” provision that, in theory, allows people to keep their existing plans if they like them. But subsequent regulations from the Obama administration interpreted that provision so narrowly as to prevent most plans from gaining this protection.

“The Departments’ mid-range estimate is that 66 percent of small employer plans and 45 percent of large employer plans will relinquish their grandfather status by the end of 2013,” wrote the administration on page 34,552 of the Register. All in all, more than half of employer-sponsored plans will lose their “grandfather status” and get canceled. According to the Congressional Budget Office, 156 million Americans—more than half the population—was covered by employer-sponsored insurance in 2013.

Another 25 million people, according to the CBO, have “nongroup and other” forms of insurance; that is to say, they participate in the market for individually-purchased insurance. In this market, the administration projected that “40 to 67 percent” of individually-purchased plans would lose their Obamacare-sanctioned “grandfather status” and get canceled, solely due to the fact that there is a high turnover of participants and insurance arrangements in this market.

Keep throwing the deck chairs off the Titanic and keep insisting it's a minor leak that we'll bail out in the morning...

 

[Priceless]

So long as an act is filled with good intentions, it doesn't matter if you're lying to every person in the United States to complete your goal? Okay, I got it.

I wouldn't call it a lie. He didn't account for crazy/stupid people.