Topic: Obamacare has doctors planning exit
Sojourning_Soul's photo
Sun 07/21/13 06:35 PM
Edited by Sojourning_Soul on Sun 07/21/13 06:40 PM
Obamacare has doctors planning exit

60% say many physicians will retire from medicine early within next 3 years

The study said: “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 care.”

Orient affirmed that many doctors are unable to continue a private practice and will end up working for a corporation hospital where the profits are distributed to shareholders.

She warned that such scenarios often end up giving the feeling of an assembly line, where a patient sees a doctor briefly, is given a diagnosis and shown the door.

Doctors in that system, she said, will be punished if they spend too much time on a patient, or possibly if they provide too much treatment.

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http://www.wnd.com/2013/07/obamacare-has-doctors-planning-exit/


msharmony's photo
Sun 07/21/13 06:59 PM
God forbid the lined pockets will change from doctor to corporation JUST so people can get the care they need,,,,,

the previous system of letting them go bankrupt, have homes foreclosed, and die,, was much better

as long as doctors could continue with their private job security,,,,:wink:

soufiehere's photo
Sun 07/21/13 07:06 PM
Edited of offensive name-calling.

soufie
Site Moderator

msharmony's photo
Sun 07/21/13 07:08 PM
thanx, Im trying to stay anonymous,, don't need anyone exposing my name on here,,,

oh

that's not what you meant,,,,nm:smile:

willing2's photo
Sun 07/21/13 08:17 PM
Politicians are exempt from this BS plan.
Must be a great one! laugh

Sojourning_Soul's photo
Mon 07/22/13 06:37 AM

God forbid the lined pockets will change from doctor to corporation JUST so people can get the care they need,,,,,

the previous system of letting them go bankrupt, have homes foreclosed, and die,, was much better

as long as doctors could continue with their private job security,,,,:wink:


DRs earn a living, and yes a good one, but it is not them who destroyed the dollar, raised the cost of everything, and bought and paid for crooked politicians.

Corporate run, stockholder hospitals are where people go to die, not be cured. The ACA could be explained as the gov't wanting a bigger share of the $$$ pie....a hostile take over of yet another freedom of choice of the people... given to the IRS and the Insurance companies.

Don't think for a minute this would have passed if someone wasn't benefiting other than the people! The peoples lobby does not exist in DC!

willing2's photo
Mon 07/22/13 07:00 AM
Edited by willing2 on Mon 07/22/13 07:02 AM
Why no claim that politicians have to buy into ******care?

Defend Hussein at all costs. laugh

no photo
Mon 07/22/13 07:08 AM
the benchmark is whether I ( and you) will have affordable premiums and convenient care that is competent: not too much not too little and being seen expediently

any system that trims the docs habit of ordering tests just to wax the bottom line is helping, but that is not enough...I am afraid, for example that if I go to a Dr for one small test that I need I will be pressured for several others I do not feel I need. Since I have an HSA that would be very expensive for me for no reason other than to satisfy this dr's curiousity OR to give him the excuse he needs to pronounce that I need even MORE tests and medicines....no

heck I just did a 4 mile climb the weekend before last and I challenge anyone to find a healthier diet than mine AND I am totally asymptomatic.....why do I need tests? I don;t.

So if Obamacare gives me affordable premiums ($30/mo or less) because I don't need routine medical care I do not want to have a big monthly outlay,...... and it discourages docs from "test mania," I'm all for it.

But I have actaully read that it's going to be more expensive. We'll see. In about 3-4 mos time I will be comparing the options I have - my private Ins. to the options in the "exchanges" what ever those are

Sojourning_Soul's photo
Mon 07/22/13 07:14 AM

Conrad_73's photo
Mon 07/22/13 07:22 AM
Edited by Conrad_73 on Mon 07/22/13 07:24 AM
this was posted by a Friend of mine,a Medical Doctor from the US on FB!

"Experience and the law of unintended consequences suggest the "Patient Protection and Affordable Care Act" will neither protect patients nor make health services affordable. Actual caring will resemble that of the U.S. Postal Service.
Services will be rationed and denied in arbitrary manner after long waiting, as in other countries with government health systems.
Advocacy groups will institute something like a 'disease-of-the-month-club,' to apply political pressure to cover various conditions.
In short, decisions which ought to be made by patients and physicians will instead be made by cold, distant bureaucracies.

Switzerland has a market-based system which works. Care there is as good as in the US at 58% of the per capita cost. Such a system was not even considered here, because the goal is government control, not accessible, affordable or quality care."


He does reside and work here part-time,so is familiar with both systems!


BTW,if Socialism is so great...why does it have to be mandated and forced on people?

Sojourning_Soul's photo
Mon 07/22/13 07:46 AM
Edited by Sojourning_Soul on Mon 07/22/13 08:46 AM



Drivinmenutz's photo
Mon 07/22/13 02:24 PM
I find complaints about Dr's earning too much rather ignorant.

The cost of medical school is about $300,000. They must first acquire a bachelor's degree (of which the cost varies). They are paying 6.8% interest on these loans just like a high-rated mortgage, and like a mortgage will be paying on them for many years. Then, on top of the 8 years you spend in classes (during which, you are making no money), you must complete a residency (ranging between 2-7 years, average being 4) only making about $35,000 a year while working 80 hours a week and studying.

I know a doctor pediatrician who is very reputable, and spends $62,000 a year on malpractice insurance. My cousin, a vascular surgeon, pays about $120,000 a year for the same thing. On top of this, these men are being taxed as though they are actually taking home $250,000 + a year.

If Dr's salaries don't compensate for the time invested in college (average of 12 years including residency), the high costs of said colleges, and the 60-hour work weeks they put in when they get out, there will be very few (only the rich) that could afford to put in the time and effort, and the number of patients will not decrease.


Conrad_73's photo
Mon 07/22/13 02:33 PM

this was posted by a Friend of mine,a Medical Doctor from the US on FB!

"Experience and the law of unintended consequences suggest the "Patient Protection and Affordable Care Act" will neither protect patients nor make health services affordable. Actual caring will resemble that of the U.S. Postal Service.
Services will be rationed and denied in arbitrary manner after long waiting, as in other countries with government health systems.
Advocacy groups will institute something like a 'disease-of-the-month-club,' to apply political pressure to cover various conditions.
In short, decisions which ought to be made by patients and physicians will instead be made by cold, distant bureaucracies.

Switzerland has a market-based system which works. Care there is as good as in the US at 58% of the per capita cost. Such a system was not even considered here, because the goal is government control, not accessible, affordable or quality care."


He does reside and work here part-time,so is familiar with both systems!


BTW,if Socialism is so great...why does it have to be mandated and forced on people?

another one by my Friend!

It will result in long waits to see a doctor, large increases in costs, demoralized doctors and nurses, angry patients, and rationing. The government will dictate which services will be paid for and which will not (death panels). Old sick people will become disposable. It is unclear whether those who might wish to pay for non-covered services with their own money, will be allowed to to so. Can you imagine that??? At least in other countries with socialized systems, one can go outside the system and pay for non-covered services. It is likely that we in the 'land of the free' will not be permitted to do so.

Drivinmenutz's photo
Mon 07/22/13 06:41 PM


this was posted by a Friend of mine,a Medical Doctor from the US on FB!

"Experience and the law of unintended consequences suggest the "Patient Protection and Affordable Care Act" will neither protect patients nor make health services affordable. Actual caring will resemble that of the U.S. Postal Service.
Services will be rationed and denied in arbitrary manner after long waiting, as in other countries with government health systems.
Advocacy groups will institute something like a 'disease-of-the-month-club,' to apply political pressure to cover various conditions.
In short, decisions which ought to be made by patients and physicians will instead be made by cold, distant bureaucracies.

Switzerland has a market-based system which works. Care there is as good as in the US at 58% of the per capita cost. Such a system was not even considered here, because the goal is government control, not accessible, affordable or quality care."


He does reside and work here part-time,so is familiar with both systems!


BTW,if Socialism is so great...why does it have to be mandated and forced on people?

another one by my Friend!

It will result in long waits to see a doctor, large increases in costs, demoralized doctors and nurses, angry patients, and rationing. The government will dictate which services will be paid for and which will not (death panels). Old sick people will become disposable. It is unclear whether those who might wish to pay for non-covered services with their own money, will be allowed to to so. Can you imagine that??? At least in other countries with socialized systems, one can go outside the system and pay for non-covered services. It is likely that we in the 'land of the free' will not be permitted to do so.


My mother has had rheumatoid arthritis for almost 30 years now. Her rheumatologist always taken good care of her and works out of his office (private practice). He refuses any government insurance (especially state-run). These insurances apparently decide how much a procedure should cost and pay their own estimate regardless of the actual price of said procedure. The result is a $100 loss per checkup (at minimum). Meaning, his business pays out that $100 dollars, instead of raking anything in. He's gonna be shut down when this new health plan hits, as he won't be allowed to refuse government insurance.

Mortman's photo
Mon 07/22/13 09:11 PM

I find complaints about Dr's earning too much rather ignorant.

The cost of medical school is about $300,000. They must first acquire a bachelor's degree (of which the cost varies). They are paying 6.8% interest on these loans just like a high-rated mortgage, and like a mortgage will be paying on them for many years. Then, on top of the 8 years you spend in classes (during which, you are making no money), you must complete a residency (ranging between 2-7 years, average being 4) only making about $35,000 a year while working 80 hours a week and studying.

I know a doctor pediatrician who is very reputable, and spends $62,000 a year on malpractice insurance. My cousin, a vascular surgeon, pays about $120,000 a year for the same thing. On top of this, these men are being taxed as though they are actually taking home $250,000 + a year.

If Dr's salaries don't compensate for the time invested in college (average of 12 years including residency), the high costs of said colleges, and the 60-hour work weeks they put in when they get out, there will be very few (only the rich) that could afford to put in the time and effort, and the number of patients will not decrease.




Obamacare has nothing to do with doctor salaries. All Obamacare does is set certain mandates on health insurance. Insurance companies already negotiate accepted rates for given procedures and then pay that rate to the doctors. Under Obamacare, people who already have coverage under their employer plans won't see any change. People who have to buy their own insurance will then have expanded options, including comparing prices from more companies than before and seeing an honest comparison of prices for their market area all in one place (the state exchanges).

That said, I agree that doctors should be well paid so that we get the best talent in those jobs.

Sojourning_Soul's photo
Tue 07/23/13 08:15 AM

PAUL: A union cloud over Obamacare as broken promises infuriate the president’s base

As the details of Obamacare become more known, Americans become more concerned, and for good reason. President Obama promised that if you were happy with your health care, you could keep it. As with so many other government promises, this, too, turns out to be an empty one.

Even people you think would be solid Obama supporters are waking up to the more damaging aspects of the Affordable Care Act.

http://www.washingtontimes.com/news/2013/jul/19/a-union-cloud-over-obamacare/#ixzz2ZpJFIFNt

Drivinmenutz's photo
Tue 07/23/13 07:10 PM


I find complaints about Dr's earning too much rather ignorant.

The cost of medical school is about $300,000. They must first acquire a bachelor's degree (of which the cost varies). They are paying 6.8% interest on these loans just like a high-rated mortgage, and like a mortgage will be paying on them for many years. Then, on top of the 8 years you spend in classes (during which, you are making no money), you must complete a residency (ranging between 2-7 years, average being 4) only making about $35,000 a year while working 80 hours a week and studying.

I know a doctor pediatrician who is very reputable, and spends $62,000 a year on malpractice insurance. My cousin, a vascular surgeon, pays about $120,000 a year for the same thing. On top of this, these men are being taxed as though they are actually taking home $250,000 + a year.

If Dr's salaries don't compensate for the time invested in college (average of 12 years including residency), the high costs of said colleges, and the 60-hour work weeks they put in when they get out, there will be very few (only the rich) that could afford to put in the time and effort, and the number of patients will not decrease.




Obamacare has nothing to do with doctor salaries. All Obamacare does is set certain mandates on health insurance. Insurance companies already negotiate accepted rates for given procedures and then pay that rate to the doctors. Under Obamacare, people who already have coverage under their employer plans won't see any change. People who have to buy their own insurance will then have expanded options, including comparing prices from more companies than before and seeing an honest comparison of prices for their market area all in one place (the state exchanges).

That said, I agree that doctors should be well paid so that we get the best talent in those jobs.


I hope you are correct. However, aren't there provisions in the bill prohibiting the denial of patients due to their insurance providers? And isn't there a third, government funded, coverage for those who "can't afford" private insurance?

I do think it to be a good idea to allow easier comparisons of market prices.