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The Next Obamacare Debacle: A Massive Doctor Shortage
While the Obamacare website rollout may be a huge slap in the face of government (in)efficiency and (dis)organization (healthcare.gov has now joined the ranks of all other New Normal "full-time" workers by working part-time following a daily maintenance shutdown from 1 am to 5 am), the reality is that sooner (unlikely) or much later it will be fixed. And while the realization that the Unaffordable Care Act is just that, and will soak up far more cash from the majority of the population will be a slap in the face of all who never understood that socialist Ponzi schemes always cost far more in the bitter end, it is nothing that America's favorite pastime can't resolve - paying on credit. Which means that the biggest threat to Americans as a result of Obamacare is neither the website, nor really who foots the bill (ask future generations), but the actual impact on services, and as CBS reports the next shock to brace for is the sudden drop off in healthcare providers as an imminent "explosion of demand for doctors and services" mean a looming doctor shortage is just around the corner.
At Current Rate, As Many As 52,000 Primary Care Physicians Needed By 2025. Even doctors who support Obamacare say there could be delays due to more patients and fewer doctors, CBS 2’s Dick Brennan reported Monday.
“It’s like shopping during Christmas time. I mean, you’re going to have a tough time if you have all of these people demanding services at the same time,” said Dr. Steven Lamm of the NYU School of Medicine.
Lamm said the Affordable Care Act could mean an explosion of demand for doctors and services, but will the system be able to handle it?
"I think the concern would be that the system will be overwhelmed, that there will be a greater demand that we can meet in a quality fashion and that we will have to delay services for a lot of individuals,” Lamm said.
Wait, did someone just ask if the "system" would be able to handle an unforeseen consequence? The same system that couldn't even maintain the most foreseen event such as website traffic on the main Obamacare portal into day one? Yes, they did!
In the meantime, doctors are preparing to just say to hell with it all.
Right now, there is already a shortage of 20,000 doctors nationwide, and with healthcare expansion, plus increasing population, there will be a need for about 52,000 primary care doctors by 2025.
This while only 20 percent of new doctors become primary care physicians and the new landscape has older doctors bailing, Brennan reported.
“Doctors are planning to retire. Anybody who is anywhere near retirement age is talking about retirement. … There’s just too much going on,” said Dr. Sam Unterricht of the New York State Medical Society.
Others fear that centralizing medical care will squeeze out small independent doctor groups, groups that insurers claim are more expensive, in favor of large centralized care.
“It will be inferior care. They will end up going to clinics, to situations where they don’t have their own private physician. When they go to hospitals they are not going to know any of doctors who are taking care of them,” cardiologist Dr. David Hess said.
...
Just by sheer numbers, doctor retirements will increase. Nearly half right now are over the age of 50, and the American Medical Association says nurses will also be in short supply, Brennan reported.
The makeshift solution: promote unqualified doctors
Doctors say one solution could be a quick infusion of residents. “They are not training enough residents. The number of medical students has increased a little bit, but the number of residency spots has not. They’ve kept the number of residency spots frozen for, I think, 13 years now,” Unterricht said.
In short: less qualified doctors, as those who know what they are doing, and know what is coming choose simply to retire, offset by a surge in veritable Dr. Nicks.
Yet another unqualified success for central-planning.
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Cash on the barrel, and have you seen our 2-for-1 special this week? Actually the delicatessen model works great for building computers to spec, in MN General Nanosystems was the pioneer there. Whiteboards with lists of prices for drives, chips, RAM, etc. all just written out freehand. What do you want? Build it.
Now apply that to medicine and college. USA has another chance (but oh those parasites do need to be, er, treated somehow).......
Not to worry. The shortfall will be made up with fresh medical students from the third world. From now on when you go to the doctor, he'll tell you 'Ah fixes dah sheet'.
You'll get used to it! Like everything else about this country that has gone down the toilet.
Once Yellen and the 12 stooges in the Fed crash the US dollar those med students from the third world will be happy to stay where their at and choose another country.
universal health care, the right thing to do, but america (as usual) going about implementation in the wrong way. no surprise, given the fumbling of iraq/afghanistan.
the following steps should have been taken years ago:
Yeah what a good idea. Let's do more of what's already not working. Idiot!
We can't solve problems by using the same kind of thinking we used when we created them - Albert Einstein
Obamacare: Flocks of vultures circling a dying carcass.
universal healthcare is working in many european countries with equal or better outcomes over their entire populations and at least 1/3 the cost of what the us spends.
why can't the us tweak those models?
oh, yea...that's just too hard to do.
actually, i take it all back. i should have known better. americans are incapable of doing anything of major scale without the fear of "the big bad other", and even then, the outcomes of those endeavors are questionably successful...
sorry, but the "nwo/state/corp" whatever is a reality that isn't going away. accept it or fight it. hint: you'll lose if you fight in the traditional sense. your only salvation is to get off the system by establishing/joining ecovillages, alternative energy and trade systems. which of you junkers are actually doing that?
Tort law has a trivial impact on the total amount of medical spending. The real issue is all the fraud loaded into the system.
tort law compounds the insurance problem, which makes it more costly for hospitals and doctors to practice. it requires reform.
those first two i mentioned should have been done decades ago.
the other elephant in the room is the product/service supplier side. not fraud. just capitalism doing what capitalism does best.
Some Americans support universal health care, others don't. It's a shame that we can't set up a voluntary system, wherein those who believe in universal health care contribute to a special fund - tax money prohibited! - and anyone wanting to participate can take some of the money when needed for health care. Anyone not desiring to participate in such a system would be left to cash-based health care, or perhaps to getting an individually customized insurance policy for extraordinary expenses. I wonder which would work better? Not that it will ever happen, but I doubt that all those proponents of universal health care would willingly contribute any of their money.
Once again we are confronted with the spectacle of the Progressives wanting to spend other people's money rather than donating their own.
You had to ruin it by putting a label in there. Progressives, blue, red, purple...they ALL want to spend OPM. I don't know who's worse but I DO know who the loudest hypocrites are.
And yes, I've done the pay cash as you go plan. Doesn't work here when Dr visit costs 400/per.
It's called state rights, which is where health care should be managed if at all. States desiring universal health can propose a plan and put it to a vote. If the citizens do not want it, they will vote it down. If they want it, it is much more managable at the state level.
You also cannot print money to cover over poorly managed systems at the state level, another benefit.
Point of clarification: National Health Insurance (with doctors and hospitals as privately operated businesses) could work from an economic standpoint if the politicians are willing to put limits on what care is delivered. Otherwise it will spiral out of control. Of course, no politician would touch that with a ten foot pole. This type of system does work reasonably well in some countries...
National Health System - where the hospitals and doctors are owned and operated by the government is a complete cluster and all countries who have this are having very real problems with it such as cost overruns, decreasing quality, long wait times.
Perhaps if our economy gave less of a reward (salaries, bonuses) to investment bankers and hedge funds, then more of our "smart kids" might put pursue a medical career, instead.
But, you may be wondering how it is that such a change in our economy's reward system could be implemented in our free market economy. Well... for starters, our goverment could curtail the artificial support being given to the financial TRADING industry (which, in the last 15 years, has consisted of QE, bailouts, lax regulations, and taxation policies {e.g. the hedge fund dividend loophole}).
It seems reasonable that a wealthy nation like the US should have care for everyone. (Well, we do since hospitals are required to treat patients regardless of ability to pay). But you are leaving out some little factoids - our lifestyle is what drives our costs. Reduce weight, smoking, drinking, drugs, processed food and sitting on your ass all day and the vast majority of our problems go away. Obesity is the key since it affects every other area of life, reducing quality while increasing costs.
And you do realize that government subsidies are strictly wealth transfers from the next generation to this one. You didn't actually think there were funds to cover this did you?
That's it!!! The government should control EVERYTHING. Healthcare. What one eats. How much one exercizes. Establish a bureaucracy to check one's asshole after a nice dump.
And just in case you're unencumbered by the thought process, <Sarc>!
I have a close friend who is a 67 year old radiologist and works in a large hospital in Florida. He gets between $2.50 and $5.00 to read an X-ray. That's right...$2.50 and $5. The hospital bills between $500 and $700 for the same X-ray. He is part of a group and no longer has to pay the $200,000+ annual in malpractice insurance premium himself but still...$2.50 to $5. He is retiring this year. Says every doc in the hospital has nothing but disastrous predictions regarding O'BlunderCare.
Fate the Magnificent
"Push the Button, Max"
He could sell books on amazon. That may help with the jag payments
When I was living out of the country for a time I got sick and needed to see a doctor. I paid about $50, got seen and prescribed medicine, and was on my way. Granted this wasn't any major procedure or illness, but it was quick, cheap and no insurance required.
You didn't have to fill out four pages of government forms in triplicate? Amazing...
Just wait. At some poiint paying cash for healthcare will be on par with buying meth.
The set of jobs Americans can't do and the set of jobs Americans won't do just got bigger.
The FED is going to print the money for the ObamaCare boondoggl. It is a freeforall orgy for FRAUDULENT contractor services. Also a globalist military action against the United States of America.
I still can´t believe that when the Democrats were at the table discussing this plan..that these questions had to come up...it could not of been all roses at that table....if you add 40 million to the party..there is going to be less...and if you increase the costs..there will be less too...pretty easy to figure that out....so to me they have another plan...and to me that is socialized healthcare for us..the sheeple...but private hospitals for them...no more cancer treatments for us..only them....this is when the word Elite will be defined....either you are one ..or you die on the street...
Yea life's a bitch, unless you are one.
these questions had to come up
That's why they had that guy sitting there with the canned air horn......those things are really loud.
the mistake here is believing that any of the poiticians were at the table.
they weren't.
the health insurers wrote the bill.
the medical industry (in trying to maintain and fatten the parasitic insurance industry) has priced itself out of reach for all but the wealthiest.
and it has now reduced the actual workers (nurses, doctors) to minimum wages.
its the tipping point....something has to go....
and this is the best way to rid ourselves of the five paper pushers for every real productive worker (doctors, nurses)
pray for the collapse.
its the only way to save us from the insurers greed.
The Man Who Wrote the Blueprint for Obamacare from His Prison Cell
Robert Creamer is the husband of Democrat Rep. Jan Schakowsky. He formerly served as … a lobbyist for George Soros’s Open Society Institute. Today Creamer heads the Strategic Consulting Group, a political consultancy whose list of clients includes ACORN and the Service Employees International Union….
Pursuant to an FBI investigation, Creamer in 2006 was indicted for bank fraud and tax evasion…. He ultimately was sentenced to five months in federal prison plus eleven months of house arrest….
While incarcerated, Creamer wrote a 628-page political manual titled Stand Up Straight! How Progressives Can Win (published in 2007). In the Acknowledgements section of the book, Creamer stated that his political views had been deeply influenced by “the legendary community organizer” Saul Alinsky.
Stand Up Straight! advanced the notion that the Democratic Party could win a permanent majority in Congress by doing the following:
“To win,” added Creamer, “we must not just generate understanding, but emotion—fear, revulsion, anger, disgust.” …
http://www.newsrealblog.com/2009/12/15/the-man-who-wrote-the-blueprint-for-obamacare-from-his-prison-cell/
Options for current doctors:
1) Stay and get pummelled with newer, sicker patients for same pay.
2) Move overseas where people are healthier and borders are secure..open new practice.
3) Open a cash-only practice, stack it up with profits, show a net loss, get SNAP benefits.
4) Self diagnose a case of schitophrenia, get SSDI, work under the pseudonym Dr. Hugh Jorgan, a urologist.
5) Quit and open a chain of Papa John's stores.
Gotta keep options open.
The ACA is the only health care 'reform' that the GOP would allow. Funny how now the very same GOP is freaking out at how bad a law it is that they designed.
No Republicans voted for Obamacare. You guys own it. It's the Democrat's disaster.
You might want to stop eating stupid for breakfast.
New med school graduates will have to work for Obumma for 5 years before qualifying to choose where they work.
They'll choose outside the US and take the licensing exam for that country.
Their screwed.
There is going to be a shortage of Hospitals...as they will not make enough money to keep open....they will go broke and then sell to a "discounter" or go private if they can..but I bet that will be illegal soon....so the quality will drop a lot....what is wide open is the lawsuits...they are not limited and there will be millions more of those as the care does drop and the mistakes rise...lets just face it ..you are going to die earler now....we just capped our medical incentives....no new breakthroughs...no time for that....as you have a line of a 1,000 people waiting at your door every day...good luck...I think Health tourism will explode....I live in Colombia..nice hospitals down here...great equipment..drugs are cheap...good Doctors and they will get better as many move down here from the USA...good insurance and cheap...I am actually thinking about getting into the medical tourism business....I think there is a future in it...
rolling. shortage of hospitals my ass!
will they stop building marble palaces with magnificent art before or after this shortage?
Please, grow up...have you been to a hospital lately? the two local hospitals in my area are nicer than the four seasons hotel in manhattan
and the salaries of management are beyond belief.
You have a good point there. In my area they have erected massive "cancer units". Apparently poisoning people is big business.
or...treating them is
When Yellen and the Fed members crash the US dollar what fresh med student anywhere will want to pratice in the US?
What engineer or scientiist would want to reside in the US? Other countries are offering much better deals for talent.
In most places with socialized medicine the doctors are predominantly third worlders imported to fill the gaps with supervising physicians native born. Plebes like us will have Nigerian doctors, put you in a room with a hyena, have to import the hyena as well..
Government regulated treatments.... wonderful.
Any self respecting doctor will close his shop to this mess and open a cash and carry business model.
I took the time, read the Law.
Cash and carry medicine will be outlawed, The provision is in the Law.
2700+ pages of societal control. This Law is NOT about healthcare, it is about absolute control.
O'care will eventually demand doctor's comply or licenses will be revoked/suspended....count on it.
52,000 new doctors needed to work under ObaMao Deathcare? Good luck with all that!
BS.
Total BS.
The medical industry is so overbuilt in my area that the local doctor had to put up a sign WALK INS welcome.
The doctor in my neighborhood is going under --- LACK OF PATIENTS, no one can afford a visit any more for routinue care....
so....empty office hours. Same minute appts.
Get over this line of propaganda.
What's in front of our eyes says NO CHANCE.
Perhaps you live in an area that is the exception that proves the rule.
IMO - the real issue with specialists. I live in the crowded north east, New England. I've got to wait at least 2 months to see an endocrinologist...UNLESS I want to go see people who graduated from med school where they had to be saved by Clint Eastwood in "Heartbreak Ridge".
Plenty of appointments available at the large multi-doctor practice in our new england town. Nice urgent care clinic there too with full access to your records and insurance.
Blame the lack of specialist appointments on the specialist cartels. They intentionally limit the number of residencies and excessively lengthen them to discourage competition. GPs will have to take back much of the minor surgery and easy specialty care that they've passed on to specialists in recent years. Which means they'll need to be appropriately compensated.
I like young foreign docs myself -- the training standards are brutal, I'll take a quick appointment with anyone who can pass them over waiting a few months for a old white male.
There's almost never a line at the illegal alien clinic in my town. You go in there, you can see a doc or a nurse in no time and get basic level attention fast. I wouldn't go to them for a brain transplant, but figuring out the flu or an injury, yeah, sure. Plus, they're cheap. The office looks like a cut-rate insurance office, the examining room just has a table and a seat and a chart of the human body. That's about it. Worked for me. Now, I'll probably just lie and say my name is Jose, pay in cash, and Bob's your uncle.
hold on there amigo! If you Juan a doctor then Juan's your uncle! You admit Bob's your uncle and they'll know you're Joe.
52,000 new doctors needed to work under ObaMao Deathcare? Good luck with all that!
Or we just need 52,000 doctors to work twice as hard. Do we have 52,000 doctors?
we have doctors sitting in their offices now twiddling their thumbs, with no patients because, in supporting the parasitic health insurance industry, the prices of a standard office visit are now beyond the reach of the average person.
My doctor also does lawn mowing for a little extra spending cash. It's good to have a skill to fall back on.
When you say we, I guess you are from another country, because I have never seen a doctors office that didn't have a line out the door.
right. sure. no lines, no waiting here.
we have empty doctors offices. we have hospitals closing wings. medical care has priced itself out of business here trying to support five paper pushers for every worker (doctors, nurses) and million dollar salaries for administrators.
this is the crack at the edge of the universe.....just like the housing bubble....
The price of an office visit for my doc is $60 ... if you pay cash.
He's retiring next year.
Thanks .gov!
Frito: Yah I know this place pretty good, I went to medical school here.
Pvt. Joe Bowers: In Costco?
Frito: Yah I couldn't believe it myself, luckily my dad was an alumnus and pulled some strings.
Welcome to CostCo. I love you. Welcome to CostCo. I love you.
It's CALAMITYCARE!
NICE!
<- ObamaSnare
<- OsamaBare
There is no actual shortage of doctors. There is however a shit ton of them leaving their practices and finding alternative work or just choosing to sit at home. No one wants to work for .20 cents on the dollar and be told they have to do something at a loss (Medicare/Medicaid). You might have heard also that there are shortages in STEM / IT talent just like this. Some of us just won't get out of bed for anything less than we're worth. I don't get out of bed for anything less than $35/hr. They're all out there, they exist, they just choose to not participate. First IT, now PeeHdees going Gault. Whose next?
http://blogs.wsj.com/peggynoonan/2013/11/04/obamas-catastrophic-victory/
Obama’s Catastrophic VictoryIt is NOT a disaster. It is what they wanted. In order to destroy the current system.
Obama said when he was 'senator' and canidate that universal healthcare was going to be incremental.
He has succeeded with the help of democrats and one RINO in particular...Susan Collins...who voted this out of committee. Never would've been on the floor if not for her.
This is in now way incremental.
This is a giant, giant Fascist insurance-corporate brick wall that stops any chance of universal healthcare. It's the precise opposite direction.
Universal health care has NO insurance corporations.
NO premiums. NO approved or compliant plans.
It's what Canada has. You yanks need to ask what health care really is by looking North.
The next step is pretty obvious- you want to practice medicine, you cannot turn away people on the government's plans.
In Nevada our legislature just passed a law to allow nurse pactitioners to set up independent practices. Some of them have a 'doctorate' in nursing and are now calling themselves 'doctor Jones'.
Both physicians ( MDs and DOs) and nusres got to college (thats 4 years)
. Physicians go to med school and then do 5 years to get speciality training ( 9 years after college). Nurses get their 'doctor' with about 3 or 4 years. In the future when someone calls themselves doctor you should probably ask....barefoot or real...
Now when I hear someone one the Saturday radio pumping vitamins and calling themselves just 'doctor' I know it is a chiropractor.
Physicians, those who went to medical school, will make sure their credentials are made known if they wish to distinguish themselves from the pretenders.
I am a MD but I understand the libertarian argument about govermental restriction of occupation through licensing.
I am also a patient and for some shit I want the real deal, especially if it is a serious health matter.
There is a place for triage and a place for real expertice. I will tell you that years of experience help but the foundation of a great medical school education trumps all other experiences. If you do not learn how to learn...well you just don't learn.
good luck out there folks. I am an expert and I won't suffer because I know who is good. You probably will suffer. Our system seems on the verge of collapse and I mean soon.
The prescription drug pipeline is in trouble (FDA to blame) and increasing regulations are making it hard to run a practice.I won't bore you with details but it is true.
Learn a bit about medical tourism before an emergency. It may save your life or the life of someone you love.
the real problem is the insurance industry...once it got its claws in, the prices were obscured and rose exponentially.
now we're at a place where the insurers have created a tipping point -- here, where i live, we have people who can afford premiums, but can't afford then to pay for any care. (the insurer -- yes it is a monopoly -- will only provide policies with 15K deductibles).
so, we are now in the business of employment for paper pushers, not the business of providing any care.
in another business, this might continue indefinitely. problem is, people do need care.
obamacare was written by insurers for insurers.....and just attempted to prolong their gutting of the economy. they consumre 18% now, imagine the salaries and bonuses they can reap if this can be racheted to 20% or 21%.
So they work to force the younger folks into the kill zone with ObamaCare.
what we need to see is a massive collapse of the program so that the insurers stranglehold is broken.
Many of the doctors in Vegas did it to themselves because they were stupid and greedy, which were the symptoms leading up to the crash in LV in 2008. I lived in Vegas until 2009, used to be the best city in America, the coolest by a mile.
I got a colonoscopy from this douchebag in 1999, before he started to cut corners:
http://www.reviewjournal.com/news/desai-sentenced-life-prison-possibilit...
When I worked for MGM resorts, this guy was in the plan I had:
http://medboard.nv.gov/Public%20Filings/2011/Yee%20Order%20of%20Summary%...
After seeing this, no more. I go with the following:
>Cash payments only (which one can easily negotiate down to what the co-pay was).
>Full vetting of doctor before they lay a finger on me (i mean, now you are taking your life into your own hands when you go to a doctor.
> Had to negotiate two procedures since them, got an abdominal aorta ultrasound for $100 cash (would have cost more if I went through ins).
>Wifey got a bone density scan for $40 cash.
If .gov tries to outlaw this, drs. will still do it, there is no question about it....moved to NOFL, and this is now easy to get good care and a reduced price, all it takes is a little initiative, something that people in USA have very little of, but some will get on board.
I have met and dealt with 100s of doctors in the U.S. and have only ever met a couple that I would characterize as "stupid." Whatever shortcomings a U.S. physician may have (and they could have many), they are, in general, not stupid.
There really is no problem with nurse practitioners writing prescriptions. This should be common practice (though most states do not permit it). As for diagnosing illnesses and determining a full plan of care, only an MD or DO can do this properly. The real problem is in the artificial limitations that med schools place on the number of MDs and DOs that they train. The other problem is that many people enter medicine in the U.S. for the prestige (akin to being Brahmins or what have you in their own culture) and the money. As such, there are too many specialists in proportion to general practitioners. This problem only gets worse with each passing day.
I know 3 doctors who will be exiting "practicing" in the next 18 months. All 3 are well respected and highly sort after, as they have been chased by all the top hospitals on the east coast. All three landed huge positions at Children's hosptials. 2 ar enot yet sure what they will be doing, but one has already laid out his/her direction. He/she will be moving into research. Already published hundreds of peices, already has a side college "professorship" and already working in the research field. Yeah, they have no life except medicine. Doctors like that are what we need, and instead - we are driving them away. It is a time in their life when they have had enough of the hours in the office and away from family. Research will provide them with a 5 day a week, 9 hour day. YES, they will have to travel for research and presentations.. But seriously, tghe last 4 places they presented was San Fransisco, Miami, St.John's and NY City. 5 star hotels... Now, thats the life.
Nothing a massive open online course can't solve. I mean, who needs hands on experience when you can just look at a screen?
Maybe people could become certified for providing low level care to their family? How about local do it yourself diagnostic equipment. What if we had a group of people pool their money together and bought diagnostic equipment so they could atleast regularly check themselves. Lots of things are easier to treat if caught early. x ray machines, Chem panels, Ultrasounds. Do it yourself teeth cleanings sound reasonable?
Best wishes, Jesus saves.
that thar sownds like tha ter'rism. It be gitmo fer yoo!
OBAMA and his obamacare are doing exactly what they were planned to do. WRECK THE AMERICAN ECONOMY... and impose tyranical nazi libs BACKED BY THE freee shit / bobbleheads-yes we can crew.... in complete control of the WORKER DONKEY / taxpayer... pull that cart sukka. The elite think they can buy their way out... ask Mr Dimon how that works out. You play ball with this bunch of thugs at your own peril.
This has already happened. Went to a doc-in-the-box recently: no one spoke English. Foreign frontdesk people, foreign docs, No Englee spoken here...Live in a majority white area. What up with that? And do any women believe that Muslim docs will give them care and let them live? I don't think so!
The point ya'll are missing though is that Supreme Court Justice John Roberts is brilliant. The pansy-hinnied Republicans wanted him to stop Oboma care and he threw it right back in their laps. Justice Roberts said, in essence, "Ya'll remember the original Tea Party? Just how much in taxes do you want to pay?" By doing so he framed the issue as one of government control and nothing but. He deserves our respect and appreciation.
And it is not socialicism as so many want to call it. They want to call it socialism to Avoid the reality: It is Communism. Communism because once you control healthcare, you control every single thing associated with it from bandages to gurneys to vitamin C. Good luck, pansies.
WHO controls is the key question, and the answer is:
it can't be communism.
OR socialism.
This is corporate controlled and that makes it Fascism every time.
Socialism is precisely the opposite where each PERSON owns the means of production.
None of that here: otherwise everyone would be a doctor or have an ownership stake in the education of each doctor.
Hello this is dokta Singh in Bangalore.... I am now ready to perform your castration via remote control robot on the internet,... what's that ... your in for a knee operation.... oh so sorry. Press * for customer service... NEXT
When the US dollar crashes talent will flee the country for better deals.
Any immigrating talent will cease. Wecome to Zimbabwe.
If you like your AR-15, you can keep your AR-15.
the DEATH PANEL advises us that you voted republican in the last election and we can schedule the doctor for your critical injury on 11/6/2021.. ok?? meantime use meditation to deal with the pain... and see Dr Siragusa who will assist with your leak..
Hi, Everybody!
I design products for a living, if I followed the health care model for appointments out would work like this:
A new client calls and I make them fill out a ten page form with their past three year's history of products designed. Then they have to give me their bank account information so I can check if they can pay. At the first meeting I have them wait outside my office for a half hour and then have them come in.
I ask: "What do you need designed?"
The client tells me and I look at him and nod my head. I then grab a piece of paper and draw a single line. I then print out an invoice for $500 and send him on his way.
Predictably upset the client says he won't pay. I tell him that when he signed the documents he authorized me to charge him for the appointment, if he doesn't pay he can expect to be sent to a collection agency in 30 days.
You think I'll get any repeat business?
No?
Well I would if you needed a license to become a designer and every one of us worked that way.
Time for a new higher education system.
After Highschool>1 year of typical freshman bs, etc,>2 years of science, math>3 years of medical school> Intern with GENERAL MEDICAL PRACTITIONER, for 2 years> Hang your shingle as a GENERAL MEDICAL PRACTITIONER.
So you pay/borrow for 6 years of school, start making money as an intern at 24, then enter the market at age 26 making around $80k.
I love to hear the Health Care Industry whine. I hope they banked all the loot they ripped off over the last 40 years because that shit is over.
Obamasnare made a gulag out of health care.
There ain't no fixin' it and there ain't no savin' it.
Private practice will be destroyed in 5 years...so watch costs skyrocket
Not true. A cash only practice is the only type of practice where a solo doctor can thrive with obamacare. These huge deductibles will make patients price sensitive.
These huge deductibles are a bonanza for cash only solo practices. I can drop my insurance overhead and compete on price, even if i dont belong to your insurance panel. 35 bucks to see me as an established patient or 75 to see someone else if you havent met your deductible? I will do great.
There will be a renaisance in private cash only practice. I will have cut my costs and charges in half and make the same money with less hassle.
I think Dr. Abu in the cartoon is demonstrating what the price of two aspirin will be under Bamacare, as written by Big Pharma and Big Insurance.
The last doctor i saw, Dr. Welcher gave me six months to live. I couldnt pay the bill, He gave me another six months
- Credit to Henny Youngman
Much better to go back to mass uninsured or underinsured to confine the pool of doctors to a smaller group of people, i.e. the poor can forget about getting any decent healthcare.
You will know you have a shitty plan if the clinic tells you it will take 8 weeks to see the doctor and encourages you to make an appointment with a nurse "practitioner".
Doors open quickly for good insurance.
I am close to being cash only.
Anybody can afford a 35 dollar established patient fee. I have never sent anyone to collections and never turned anyone away if they couldnt pay and had no insurance for other options
Volunteerism is better than coercion.
Would you accept Bitcoin? Just curious.
oink oink oink
quack quack quack
baa baa baa
chop chop chop
OT. Monad.
Thanks for the quote concerning Francisco D'Anconia. That was cool. Please consider continuing your charitable giving of your intellectual largess.
Regards
1inthebeginning
Suicide is the most unnatural act. It requires a sustained external effort. Mind control.
Obviously there is no shortage of doctors, just a policy demand for more worthless bureaucratic leeches. Quacks. The American mind is being diluted and drown, led to slaughter. Obama is not acting alone.
Follow the white rabbit
Dont forget quality of doctors in this equation.
More Obamacare debacles, surprise motherfucking surprise. Fraud, kickbacks all legal and immune from prosecution. Anyone surprised yet?
http://www.nytimes.com/2013/11/05/us/politics/federal-health-law-may-not...
WASHINGTON — The Affordable Care Act is the biggest new health care program in decades, but the Obama administration has ruled that neither the federal insurance exchange nor the federal subsidies paid to insurance companies on behalf of low-income people are “federal health care programs.”
The surprise decision, disclosed last week, exempts subsidized health insurance from a law that bans rebates, kickbacks, bribes and certain other financial arrangements in federal health programs, stripping law enforcement of a powerful tool used to fight fraud in other health care programs, like Medicare.
The main purpose of the anti-kickback law, as described by federal courts in scores of Medicare cases, is to protect patients and taxpayers against the undue influence of money on medical decisions.
...
What these progressive idiots don't get is that nobody has a right to someone else's labor. They look at healthcare as a thing, when it is anything but. If I study medicine for 15 years, nobody has a right to the knowledge I acquire; I can provide it at no charge if I want to, or I can charge a million bucks for a basic physical. It's my choice because it's my knowledge and my labor in turning that knowledge into a service.
This is evident in the number of doctors who are retiring. But they're not really retiring, they're just going underground to set up home-based practices with a carefully chosen clientele whom will pay cash or provide a service for the doctor in exchange for medical care.
Progressives will be left scratching their heads when utopia finally arrives but there are no participants.
No one has a right to another's labor, but healthcare is a monopoly with huge barriers to entry. No one has a right to a monopoly either.
If you like your President you can keep your President. (Green)
Or, you can send him and his advisors to the Hague for trial. (Red)
the new doctors are "in".
http://thefreethoughtproject.com/cops-sodomize-man-traffic-stop-terrifying/
Persuasion to join monopoly occupations like Medicine and Science captures the dreams of the third-stringers who find such nice perfectly-folded uniforms just lying around. We get what we pay for and to whom.
For decades the American Medical Association has pursued a policy of restricting the number and capacity of medical schools in the US. Which is why so many medical students go to other countries for their training and so many foreign doctors have ended up working here. Now that a large increase in the use of medical talent can be expected, doctors are complaining that there are not enough doctors. These guys (for the most part) do not know when they are well off. They sound like a bunch of overpaid and overaged adolescents. What a contrast, for example, is the case of Cuba which now provides medical care for almost all of its citzens and sends qualified doctors to help in other countries. i
Most Americans are not aware of the risks they are taking in the current medical care system. They place themselves under the sole care of one doctor who can make grievous mistakes in diagnosing and prescribing treatments. A polyclinic system is far more sensible, since a variety of opinions and specialties being available can reduce the occurance of mistakes and provide better protection for patients.