More obamacare excellence... [Archive] - Glock Talk

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meathead19
12-04-2012, 19:45
http://health.usnews.com/health-news/news/articles/2012/12/04/study-foresees-shortage-of-primary-care-doctors

good stuff.

engineer151515
12-04-2012, 19:51
America deserves what she votes for.

Get in line early. The lines are gonna get long.

meathead19
12-04-2012, 20:01
America deserves what she votes for.

Get in line early. The lines are gonna get long.

It's really sad though. I didn't vote for this nor did anyone I personally know.

But it's going to happen.

samurairabbi
12-04-2012, 20:13
That article seems to confuse PRIMARY CARE and INTERNAL MEDICINE. Most internal medicine types are specialists, to whom the primary care types (GP, FP, etc.) refer patients after initial treatment. The approaching crisis is in primary care, not the internal medicine specialties.

Powers77
12-04-2012, 21:19
A recent house guest was a Cardiologist from a major midwest city with 20 years experience. He was in Las Vegas attending cosmetic surgery seminars. During an exercise walk he explained that he's preparing himself to move his practice to cosmetics as much as possible. They are private pay procedures with no insurance company or government agency to determine his prices.
I have a strongly suspect that others will be seeking other options or just leaving the profession for early retirement. We are so screwed.

certifiedfunds
12-04-2012, 22:01
That article seems to confuse PRIMARY CARE and INTERNAL MEDICINE. Most internal medicine types are specialists, to whom the primary care types (GP, FP, etc.) refer patients after initial treatment. The approaching crisis is in primary care, not the internal medicine specialties.

I BELIEVE internal med is considered primary care with some students going on from internal med or within internal med to specialties.

EX: friend is an endocrinologist. I BELIEVE she was internal med and fellowship trained in endo

certifiedfunds
12-04-2012, 22:02
A recent house guest was a Cardiologist from a major midwest city with 20 years experience. He was in Las Vegas attending cosmetic surgery seminars. During an exercise walk he explained that he's preparing himself to move his practice to cosmetics as much as possible. They are private pay procedures with no insurance company or government agency to determine his prices.
I have a strongly suspect that others will be seeking other options or just leaving the profession for early retirement. We are so screwed.

Hair plugs. Tell him to go hair plugs.

Save a bald man's life and he's grateful. Give him hair again and he's indebted to you for eternity.

skeeter7
12-04-2012, 22:13
It's all Bush's fault...

LASTRESORT20
12-04-2012, 22:26
Barack Obama laughing - YouTube

medicfire104
12-05-2012, 01:07
A bit off topic here, but first off I didn't vote for him nor do I favor his health care plan. Having said that I thought insurance company's can't deny you for previous medical conditions or is this not in effect yet? The reason I say this is a friend of mine works part time, her husband works full time but his job doesn't offer insurance. She said she applied for medical insurance and was denied because she is Bipolar, needs some happy pills, and since she had a non cancerous lump removed from her breast she was also denied. Can she be denied for these conditions? If the part that you can't be denied is in effect what can she do now?

Glockgeezer
12-05-2012, 10:28
My neighbor is a Neurologist. I asked him, the other day, what he thought about Obamacare. He said most of the MD's he knows will be switching to private pay only treatment. I think this is only the tip of the iceberg.
My wife had a heart valve replaced about 4 yrs. ago. It was a bovine valve which means that it will have to be redone in 5 to 10 yrs. She will be 75-80 yrs. old. Now she's worried with the new coverage, it won't be covered. It cost between one-half and one million dollars by the time she was done with therapy. Good luck with that!

devildog2067
12-05-2012, 10:31
My wife had a heart valve replaced about 4 yrs. ago. It was a bovine valve which means that it will have to be redone in 5 to 10 yrs. She will be 75-80 yrs. old. Now she's worried with the new coverage, it won't be covered. It cost between one-half and one million dollars by the time she was done with therapy.

Which insurance paid for it initially?

Dennis in MA
12-05-2012, 11:12
Hair plugs. Tell him to go hair plugs.

Save a bald man's life and he's grateful. Give him hair again and he's indebted to you for eternity.

I remember in the late 80's, when Sy Spirling was on TV every half hour ON the half hour and AIDS was an epidemic.

The US spent more $ per year on hair regrowth than on AIDS research.

Go bald, young man, go bald!

certifiedfunds
12-05-2012, 11:31
Though Obamacare doesn't address dentistry, dentists are anticipating that starting in 2013 people will begin dropping their dental premium due to rising healthcare premiums, causing more dentists to transition their offices into hair salons and day spas.

2bgop
12-05-2012, 11:37
Though Obamacare doesn't address dentistry, dentists are anticipating that starting in 2013 people will begin dropping their dental premium due to rising healthcare premiums, causing more dentists to transition their offices into hair salons and day spas.

Sweet, am out almost 600k to be able to open a tanning salon/teeth whiting office. Maybe I can market it to wedding parties.

TK-421
12-05-2012, 11:39
This isn't anything new, I remember hearing a few years ago that were people saying we'd be short on doctors around this time or shortly after.

Slug71
12-05-2012, 11:42
Stuff like this should go to Referendum and let the people have a say. The outcome may not be different but still.....

certifiedfunds
12-05-2012, 11:49
Sweet, am out almost 600k to be able to open a tanning salon/teeth whiting office. Maybe I can market it to wedding parties.

We need to talk. Pm me your email again.

It's about to get cut throat. Be nimble


Posted using Outdoor Hub Campfire (http://www.outdoorhub.com/mobile/)

Bren
12-05-2012, 12:11
A recent house guest was a Cardiologist from a major midwest city with 20 years experience. He was in Las Vegas attending cosmetic surgery seminars. During an exercise walk he explained that he's preparing himself to move his practice to cosmetics as much as possible. They are private pay procedures with no insurance company or government agency to determine his prices.
I have a strongly suspect that others will be seeking other options or just leaving the profession for early retirement. We are so screwed.

That isn't even close to the real down side - the problems is, medicine is no longer going to be a career that attracts the "best and brightest" - so lower quality students will finally be able to get into medical school and, if it gets bad enough, the admission standards can get pretty low. If a school has a couple of hundred seats to fill, they will get filled...with somebody. Right away, the good doctors may be retiring or changing their practices, but in 20 years the really good ones will no longer exist.

2bgop
12-05-2012, 12:23
That isn't even close to the real down side - the problems is, medicine is no longer going to be a career that attracts the "best and brightest" - so lower quality students will finally be able to get into medical school and, if it gets bad enough, the admission standards can get pretty low. If a school has a couple of hundred seats to fill, they will get filled...with somebody. Right away, the good doctors may be retiring or changing their practices, but in 20 years the really good ones will no longer exist.

Exactly. The price of the degree is going up and there is nothing but downward pressure on the future earnings.

Left-Right
12-05-2012, 17:45
A bit off topic here, but first off I didn't vote for him nor do I favor his health care plan. Having said that I thought insurance company's can't deny you for previous medical conditions or is this not in effect yet? The reason I say this is a friend of mine works part time, her husband works full time but his job doesn't offer insurance. She said she applied for medical insurance and was denied because she is Bipolar, needs some happy pills, and since she had a non cancerous lump removed from her breast she was also denied. Can she be denied for these conditions? If the part that you can't be denied is in effect what can she do now?

She can be denied coverage until Jan 1, 2014. Until then, she might look into joining a high risk pool. Premiums are high, but she should get some coverage. Starting in 2014, she will not be denied coverage and would also get a community rating on her premiums.

GlocknSpiehl
12-05-2012, 19:27
Another thing to consider is that Medicare reimbursements to specialists are being cut too. Many specialists are already refusing to take new Medicare patients, with more planning to stop taking them next year. What does that mean? Welol, those people will overburden the few specialists left taking Medicare patients, or they will have to go to a hospital to be treated as hospitals will still take Medicare patients.

But wait! Obamacare was supposed to stop people from going to hospitals for routine care...

certifiedfunds
12-05-2012, 21:18
Another thing to consider is that Medicare reimbursements to specialists are being cut too. Many specialists are already refusing to take new Medicare patients, with more planning to stop taking them next year. What does that mean? Welol, those people will overburden the few specialists left taking Medicare patients, or they will have to go to a hospital to be treated as hospitals will still take Medicare patients.

But wait! Obamacare was supposed to stop people from going to hospitals for routine care...

hospitals don't treat patients. doctors do

samurairabbi
12-05-2012, 21:56
hospitals don't treat patients. doctors do
With Medicare, a doctor in a private practice is reimbursed by Medicare part B. That same doctor doing the same treatment in a Hospital is reimbursed by part A. The difference can be enormous, and will probably get bigger in coming years; hospitals have more political clout than do individual doctors.

certifiedfunds
12-05-2012, 22:09
With Medicare, a doctor in a private practice is reimbursed by Medicare part B. That same doctor doing the same treatment in a Hospital is reimbursed by part A. The difference can be enormous, and will probably get bigger in coming years; hospitals have more political clout than do individual doctors.

I didn't realize that. It makes sense, then, that this is going to increase hospital utilization significantly.

LEOson
12-05-2012, 22:26
The question is, how bad are we as citizens willing to let it get before we do something about it? The scary part is that at 22, I'm scared this country is going to be in shambles by the time i'm 30 if I'm lucky. :nailbiting:

TK-421
12-05-2012, 22:33
The question is, how bad are we as citizens willing to let it get before we do something about it? The scary part is that at 22, I'm scared this country is going to be in shambles by the time i'm 30 if I'm lucky. :nailbiting:

I'm 22 as well. Fortunately I know people up in Canada that would probably let me bunk with them while I get acclimated to living in a different country, if I ever decided it's gotten bad enough that I need to leave.

Now if only I could figure out a way to make them realize their gun laws suck and they need gun friendly law makers. :supergrin:

LEOson
12-05-2012, 22:37
I'm 22 as well. Fortunately I know people up in Canada that would probably let me bunk with them while I get acclimated to living in a different country, if I ever decided it's gotten bad enough that I need to leave.

Now if only I could figure out a way to make them realize their gun laws suck and they need gun friendly law makers. :supergrin:

No joke, this election just made the decision for me...I'm not every having kids. Don't think I could go to Canada other than to visit. I'd essentially be running right to what I was trying to get away from

certifiedfunds
12-05-2012, 22:42
The question is, how bad are we as citizens willing to let it get before we do something about it? The scary part is that at 22, I'm scared this country is going to be in shambles by the time i'm 30 if I'm lucky. :nailbiting:

Generally speaking, a couple of things are certain for your generation:

1. You will enjoy a lower standard of living than your parents.

2. You will face much higher tax burdens than they did to pay off the debt they saddled you with and to support them via SS and Medicare.

3. You will enjoy lesser quality and availability of healthcare.

4. Gainful employment will be harder to find.

LEOson
12-05-2012, 22:50
Generally speaking, a couple of things are certain for your generation:

1. You will enjoy a lower standard of living than your parents.

2. You will face much higher tax burdens than they did to pay off the debt they saddled you with and to support them via SS and Medicare.

3. You will enjoy lesser quality and availability of healthcare.

4. Gainful employment will be harder to find.

Yay me eh?:help: Isn't it fantastic that 51 % of the country can force their stupid beliefs on the other 49 %? I still have no clue how he got re-elected. It sucks that those of us that know how it's gonna go are gonna get screwed by the idiots.

certifiedfunds
12-05-2012, 22:56
Yay me eh?:help: Isn't it fantastic that 51 % of the country can force their stupid beliefs on the other 49 %? I still have no clue how he got re-elected. It sucks that those of us that know how it's gonna go are gonna get screwed by the idiots.

That's democracy and the reason the founders didn't design the United States to be one.

LEOson
12-05-2012, 22:59
That's democracy and the reason the founders didn't design the United States to be one.

Guess that's the price we pay. I mean obviously I'd much rather be here than say China or Korea, but this blows.

certifiedfunds
12-05-2012, 23:09
Guess that's the price we pay. I mean obviously I'd much rather be here than say China or Korea, but this blows.

Not necessarily. Repeal the 17th Amendment before it is too late.

LEOson
12-05-2012, 23:11
Not necessarily. Repeal the 17th Amendment before it is too late.

It would never happen

certifiedfunds
12-05-2012, 23:13
It would never happen

then refer back to post 29

HollowHead
12-05-2012, 23:34
Not necessarily. Repeal the 17th Amendment before it is too late.

Explain, please. I'm glad that our two senators have equal say to any other state's two senators and without the constraints of term limits. HH

engineer151515
12-06-2012, 00:46
Explain, please. I'm glad that our two senators have equal say to any other state's two senators and without the constraints of term limits. HH


The Seventeenth Amendment to the United States Constitution established direct election of United States Senators by popular vote instead of by State legislature. The original intent of the Constitution was to isolate the Senate from populist movements - more the arena of the House of Representatives - and to inject more direct representation of State legislatures, the very bodies charged with funding and enforcing Federal mandates.

It was then, and remains, a very poor Amendment and reduced the Senate to a private club rabble.

HollowHead
12-06-2012, 00:50
The Seventeenth Amendment to the United States Constitution established direct election of United States Senators by popular vote instead of by State legislature. The original intent of the Constitution was to isolate the Senate from populist movements - more the arena of the House of Representatives - and to inject more direct representation of State legislatures, the very bodies charged with funding and enforcing Federal mandates.

It was then, and remains, a very poor Amendment and reduced the Senate to a private club rabble.

So, a governing body should elect a governing body instead of the people? HH

cowboywannabe
12-06-2012, 01:08
we are getting the government we deserve.

engineer151515
12-06-2012, 01:20
So, a governing body should elect a governing body instead of the people? HH

That is the way it was originally established. To give representation to the 50 State governing bodies within the Congress while the more numerous House of Representatives was more directly influenced by the whims and notions of the voting populous.

The Senate was once considered quite elite. Now, it is just a mini House of Representatives. It splits the power of 435 into 100 people, two from each State.

Big Bird
12-06-2012, 03:50
So, a governing body should elect a governing body instead of the people? HH

No...not at all. The House is supposed to represent the people. The Senate was intended to represent the interests of the individual states and act as another check on the power of the Federal government. Now its simply an extension of the House of Representatives but with 6 years terms.
When the Senate became directly elected by the people it was no longer accountable to the state's that appointed their senators but directly to the people. Nobody represents the interests of state governments in Washington anymore and as a result the Federal government runs roughshod with all kinds of legislation that most state governments would never agree to. You can say that since the senators represent the people in their states its the same thing. But its not--not even a little.

certifiedfunds
12-06-2012, 07:33
Explain, please. I'm glad that our two senators have equal say to any other state's two senators and without the constraints of term limits. HH

BB and engineer have pretty well covered it. Only thing to add is that the framers included a number of anti-democratic measures in the structure of the government. The senate was one as was the supreme court.

Repealing the 17th would move mountains in terms of fixing what ills this country. From Obamacare to illegal immigration to unfunded mandates to tax increases judicial appointments

certifiedfunds
12-06-2012, 07:35
Actually I prefer repealing the 16th and the 17th and end direct taxation. Let the feds tax the states according to census data. Let the states turn around and collect from the citizens.

Imagine 2 senators standing before their state legislatures explaining to them why they need to go home and explain to their friends and neighbors why they must now pay more in taxes.

kenpoprofessor
12-06-2012, 07:55
I'm 22 as well.

This explains almost everything you post. :wavey:

Have a great gun carryin' Kenpo day

Clyde

larry_minn
12-06-2012, 08:29
I have talked to a number of Dr.s PA.s etc. Many are working on "exit stratigy" due to the person who resides in white house.
One ER Doc. (who imo is dang good, still keeps pts/family in loop but has knowledge/and common sense) is signed up for law school.`
He wants no part in what comming. (course I told him I could no longer talk to him) :) "But can I put your number on speed dial Just in case?"

certifiedfunds
12-06-2012, 09:35
I have talked to a number of Dr.s PA.s etc. Many are working on "exit stratigy" due to the person who resides in white house.
One ER Doc. (who imo is dang good, still keeps pts/family in loop but has knowledge/and common sense) is signed up for law school.`
He wants no part in what comming. (course I told him I could no longer talk to him) :) "But can I put your number on speed dial Just in case?"

Why would he go from a lucrative ER doc job to another starving lawyer? Most private practice lawyers I know are fighting to make $100,000. A successful lawyer these days does $200,000. An ER doc can make $200k in his sleep, literally.

2bgop
12-06-2012, 09:48
Why would he go from a lucrative ER doc job to another starving lawyer? Most private practice lawyers I know are fighting to make $100,000. A successful lawyer these days does $200,000. An ER doc can make $200k in his sleep, literally.

I hire tons of kids with JDs, most for around 3k a month.

Taphius
12-06-2012, 22:51
Though Obamacare doesn't address dentistry, dentists are anticipating that starting in 2013 people will begin dropping their dental premium due to rising healthcare premiums, causing more dentists to transition their offices into hair salons and day spas.

That's a shame, I feel my teeth are more important to my overall health right now than standard medical care (bruxism ftl).

Although that will probably change when I get older, but that should be my choice to spend money where my priorities are...

Boot Stomper
12-07-2012, 15:26
Though Obamacare doesn't address dentistry, dentists are anticipating that starting in 2013 people will begin dropping their dental premium due to rising healthcare premiums, causing more dentists to transition their offices into hair salons and day spas.


GREAT! Now we will all have that beautiful British smile.