Obamacare Shoving Doctors Out of Private Practice

First went the dinosaurs, then the dodo. Are physicians in private practices next on the path to extinction? The trends show the numbers of physicians practicing privately are steadily dropping. Some blame Obamacare for pushing doctors out the door. Is this accusation based on fact or fantasy?

Survey says
A 2012 survey of physicians conducted by the Doctor Patient Medical Association, or DPMA, found that 90% of respondents thought the U.S. medical system was on the wrong track. 83% said that they were actually thinking about leaving the profession. 95% of physicians responding to the survey thought that private practices are losing out to corporate medicine.

Who's to blame? Nearly two-thirds said the government was the root of most of their problems. Even more identified the best solution as reducing government involvement in medicine.

Keep in mind a couple of things about this survey, though. First, faxes were sent to fewer than half of all active physicians in private practice. Only 4.3% of these surveys were returned. The responses don't necessarily accurately represent the opinions of physicians nationwide. Second, Obamacare wasn't specifically mentioned in the questions asked.

However, a 2013 physician survey by Deloitte that did use statistically valid sampling methods appears to confirm some of these concerns, albeit with lesser intensity. This survey found that 57% of physicians think that "the practice of medicine is in jeopardy." Only 31% gave the U.S. health care system a favorable grade. 62% said that more physicians will retire early because of how the practice of medicine is changing, with around 75% saying that fewer qualified individuals will pursue medicine as a career.

Regarding Obamacare, 44% of physicians think that the law is "a good start" compared to 38% who think that it is "a step in the wrong direction," with 18% undecided. 93% of physicians are concerned about being paid too little for services performed under episode-based bundled payments, which was promoted in Obamacare. More than half of physicians expect their incomes to fall dramatically over the next three years.

Doctors in the house
The reality is that, regardless of physicians' opinions about Obamacare, the law is contributing to more doctors moving away from private practices. Health care reform emphasized close collaboration between health care providers through Accountable Care Organizations, or ACOs, and bundled payments. Many expected private physician practices to be acquired with this focus -- and they were right.

A 2011 survey by the Medical Group Management Association showed almost 75% more doctors employed by hospitals since 2000. Less than half of all U.S. doctors now work in private practices. An article published in the New England Journal of Medicine attributed acceleration of this trend to Obamacare.

HCA Holdings (NYSE: HCA  ) , the nation's largest private hospital chain, embarked upon a major hiring campaign for physicians over the last few years. A key impetus behind this wave of bringing new doctors on board came from the ACO emphasis in Obamacare.

Hospitals aren't the only organizations scooping up physicians. Major insurers have also gotten into the act as they adapt to the new health care landscape created by Obamacare.

In 2011, UnitedHealth Group (NYSE: UNH  ) bought Monarch Health Group, a large physician group in Southern California. UnitedHealth's Optum business segment previously purchased two smaller physician groups in the region -- AppleCare Medical Group and Memorial HealthCare Independent Practice Association.

Humana (NYSE: HUM  ) acquired Metropolitan Health last year. Metropolitan Health operates a network of physicians and other clinical professionals who focus on providing care for Medicare beneficiaries. Humana also bought Concentra, with its 300 health clinics spread across 40 states, in 2010.

No-good goodbye?
Will this trend of doctors saying goodbye to their private practices be a good thing? Not necessarily.

According to one estimate, Medicare pays more than $1 billion per year than it would otherwise when doctors work for hospitals. That's largely because hospitals receive higher reimbursements from the government program for many specialty services than individual doctors would.

Another potential issue stems from the possibility that hospitals could push doctors in their employment to pump up numbers of admissions and tests. Health Management Associates (NYSE: HMA  ) is under investigation in several states for possible actions including the "medical necessity of emergency room tests and patient admissions." A 60 Minutes story in December focused on some of these alleged admissions issues. The company disputes these accusations.

Of course, if you own stock of hospitals that are hiring away physicians from private practices, the trend is probably quite welcome. In large part due to the impact of Obamacare, hospital stocks have soared. HCA shares are up more than 60% over the last year. HMA stock gained more than 130% during the same period.

The way of the dinosaur and dodo?
Physician private practices will almost certainly continue to decline, but they probably aren't headed for total extinction. Some doctors will resist the temptation to work for larger entities, even if their pay suffers as a result.

While the shift away from private practices was already under way prior to Obamacare, the legislation definitely threw gasoline on the fire. As a result, perhaps another federal action is now needed: adding physician private practices to the endangered species list.

Obamacare will undoubtedly have far-reaching effects. The Motley Fool's new free report, "Everything You Need to Know About Obamacare," lets you know how your health insurance, your taxes, and your portfolio will be affected. Click here to read more. 


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  • Report this Comment On June 08, 2013, at 11:57 AM, kthor wrote:

    obama is pro -big business ..hates the small businesses .....big news is next yr is probably the best time to cheat on taxes after he ordered the IRS to .....

  • Report this Comment On June 08, 2013, at 2:07 PM, SammyP1 wrote:

    You glossed over the fact that the survey methodology is completely flawed. You also failed to disclose that the Doctor Patient Medical Association is a Beltway based right wing group that is a member of something called the National Tea Party Federation and has ties to the corporate backed American Legislative Exchange Council and was founded purely for the purpose of opposing health care reform.

  • Report this Comment On June 08, 2013, at 3:13 PM, Hjin wrote:

    Obviously, SammyP1 didn't read the rest of the article, such as the part where it says: "However, a 2013 physician survey by Deloitte that did use statistically valid sampling methods appears to confirm some of these concerns, albeit with lesser intensity.".

  • Report this Comment On June 08, 2013, at 3:19 PM, Hjin wrote:

    Private practices are being hit from all sides of the ACA. First, reimbursement is expected to drop precipitously because more patients are expected to be covered by medicare. Second, administrative expenses are expected to spike due to additional regulations. Third, additional expenses to large medical equipment makers and insurance privders due to the ACA are being passed down, which increases operating costs to private practices.

  • Report this Comment On June 08, 2013, at 3:24 PM, Makikijoe wrote:

    There will be newly-created insurance exchanges and subsidies for lower- and moderate-income families beginning in 2014. This could provide coverage for more than 6 million uninsured young adults.

    The New Health Care Act will protect many people from medical debt The Act's elimination of lifetime limits on health insurance coverage, effective later this year, could go a long way to helping people who purchase health insurance on the individual market, or through their college or university, avoid medical debt in the event of a serious injury or illness.

    Insurance companies will be prohibited from arbitrarily “dropping” patients for minor and petty “pre-existing” conditions. They can no longer charge a fee for an annual check-up either. Thank you President Obama. For Americans who are worried about too much government control, you have been hoodwinked by the conservatives. The government SHOULD have the right to mandate that certain things in be included in ALL health care policies.

    Otherwise, cheap skate companies will be selling policies that, although attractively priced, are in reality, not of much use when a person actually gets sick.

    The new law is a great step forward and we should all thank the (back then) Democratic controlled Congress which simply wouldn’t accept the inadequate GOP alternative plans Republicans were offering. Those puny plans would not have helped anywhere near as many people as the new health care law will help.

  • Report this Comment On June 08, 2013, at 3:30 PM, therylmccoy wrote:

    I'm so glad that Obama went after the heartless and greedy insurance companies. Next, I hope they go after the overcharging hospitals to lower the cost of healthcare.

    Doctors deserve a fair wage, but for many many procedures a PA is good enough. $25 for a single aspirin or $77 for a box of gauze is money that can go toward wages.

  • Report this Comment On June 08, 2013, at 3:41 PM, greyhound44 wrote:

    Thankfully, I retired at age 58 3/4 on 31 Aug 2003.

    Expat MD: NBME; ABIM; ABNM; ABR w/spec comp NR and now 4.5 decades of irreplaceable training and experience.

  • Report this Comment On June 08, 2013, at 3:54 PM, voronwae wrote:

    It's unfortunate that the majority of the money in medicine goes to MBAs, and not doctors. That transition began taking place in the early eighties, and will probably be accelerated as we try to lower costs.

    It's also unfortunate that as we lower the costs of healthcare, the brunt will be taken by doctors and nurses. The healthcare corporations and insurance companies will protect their slice of the pie to the last.

  • Report this Comment On June 08, 2013, at 4:07 PM, bc3b wrote:

    therylmccoy -

    You left out scumbag trial lawyers who drive hospital costs and insurance rates. There is a family of ambulance-chasing lawyers who are the primary sponsor of Detroit Tigers telecasts. Imaging what that costs and how it adds to hospital, doctor and insurance costs.

  • Report this Comment On June 08, 2013, at 4:10 PM, sagehopper wrote:

    Not news. We have 7 doctors here in my town who have retired because of it. And a full dozen that do not take any more medicare patients.

  • Report this Comment On June 08, 2013, at 4:12 PM, Vance1965 wrote:

    I see the idiot liberals that think this garbage is going to be good for Socialist Republic of Amerika are out in full force. NOTHING about this bill will help anyone and it will cause a massive healthcare shortage. In ten years the only physicians there will be will be poorly trained foreigners and the quality of care will be third world at best.

  • Report this Comment On June 08, 2013, at 4:25 PM, spamfor wrote:

    Your headline is unbelievably ignorant and inflammatory. The industrialization of medicine has been going on for over 20 years and private practices have been disappearing all that time.

  • Report this Comment On June 08, 2013, at 4:29 PM, emjayay wrote:

    The headline is in no way supported by the article. According to the article, private practices have been declining since 2000. The ACA hasn't even mostly kicked in yet. The new medicare patients didn't even have insurance before and were showing up sick at emergency rooms and then not paying or going to a doctor and not being able to pay.

    The main reason we spend twice what other countries pay for similar to worse outcomes is because of every price for every service being essentially negotiable, and every doctor office and hospital having to deal with multiple insurance companies with different standards for what they will pay for and different fees paid. And patients going bankrupt and not paying much at all. And all the multiple insurance companies spending more money to negotiate every price and deny care on different bases from each other. And the insurance companies and hospitals paying CEO's multi million dollar salaries.

    Unfortunately the ACA does not really address these issues, but has some provisions like requiring insurance companies to spend a certain per centage on actual reimbursements.

  • Report this Comment On June 08, 2013, at 4:29 PM, doco177 wrote:

    1. Millions are and will lose the insurance Obama promised they could keep. Because ObamaCare forces employers to offer expensive Cadillac plans but also offers the option of paying a fine for not providing health insurance that can be cheaper than providing it, between seven and twenty million Americans are likely to lose their health insurance coverage according to the Congressional Budget Office. The original estimate was closer to four million.

    2. The cost of healthcare premiums is about to further skyrocket. Premium costs have already exploded, but that is a slow-motion explosion. In the near future, we could see costs double or worse. Naturally, these costs will hit an already burdened middle class hardest.

    3. Lost jobs. Lost jobs.

    The Federal Reserve's March beige book on economic activity noted that businesses "cited the unknown effects of the Affordable Care Act as reasons for planned layoffs and reluctance to hire more staff."

    Meanwhile, human resources consulting firm Adecco found that half of the small businesses it surveyed in January either plan to cut their workforce, not hire new workers, or shift to part-time or temporary help because of ObamaCare.

    4. Potential doctor shortages that will mean rationing: The healthcare industry is already a bureaucratic quagmire. ObamaCare is about to add steroids. As the profession becomes tyrannized by government, the talented people currently practicing medicine plan to get out sooner than expected. Who knows how many will choose not to get in.

    Doctor shortages are what lead to the nightmare known as rationed care. Here's an unsettling example already being practiced.

    5. Somewhere around $800 billion in tax increases will hit America's middle class. This added burden will not only further oppress a middle class already reeling from a drop in wages over the last few years, but could damage the overall economy.

    6. Inflation, the cruelest tax on the poor. When businesses get socked with added costs brought about by higher taxes and burdensome government mandates, they pass those cost along to the consumer in the form of higher prices.

    7. Added bureaucracy. Even those Obama lapdogs over at the Washington Post's Wonk Blog are admitting that applying for health care is about to get more burdensome than the byzantine paperwork involved in buying a home.

    8. To cut costs or to avoid having to provide insurance, workers on the economic margins are already losing hours, which means a lower paycheck. There are a million sad stories in ObamaVille; here are just a few of them.

    9. ObamaCare is projected to add $6.2 TRILLION to a deficit the GAO has already declared "unsustainable." That's "trillion" with a "t".

    10. More taxes than currently estimated are likely to hit because of situations like this one.

    The govt becoming more involved in health care is the reason the costs have increased. So...Govt creates a crisis, then provides a solution that comes at the expense of liberty and freedom, costs trillions, and by most accounts won't solve the problem but in fact make it far worse.Corruption, incompetence, disregard of the Constitution, and above all lying are integral to the way that this country is being run.

    Three years ago, Obama, Democrats, and his media lied to us about cutting the cost of health care, being able to keep our insurance, and not taxing the middle class.

    Today, those lies and what ObamaCare is and will do to the working and middle class are the biggest untold story in America.

    Just refuse obamacare..REFUSE..If only a mere 20% of the over 300 million population of the USA refuse Obamacare the government would be overwhelmed to even think they could lock every citizen up that refused to participate in the most corrupt and unlawful ways which it was passed that circumvented the constitution of the United States.

  • Report this Comment On June 08, 2013, at 4:31 PM, kelley805 wrote:

    Your title is definitely biased against Obama which is good if you want to raise participation.

    In reality the health care exchanges will lower prices.

    Also more people will get proactive preventive care instead of reactive care at emergency rooms.

    Honestly have you seen emergency room bills versus urgent care bills?

    Urgent cares are springing up to take the place of private practices, Plus it takes 2 weeks to get into a private physician.The best urgent cares will succeed and the result will be lower prices.

    I suggest you create a calendar event for Jan 2017 and see if ObamaCare was the best thing to happen to health care since the stethoscope.

  • Report this Comment On June 08, 2013, at 4:31 PM, grewjac wrote:

    Consider who passed this trainwreck of a law: Congress, a collection arguably dominated by a plurality of... lawyers. Obamacare was their way if freeing up more tee times at the golf courses on Wednesday afternoons. Just drive them out of the lucrative private practice marketplace, forcing them to work for quackeries like Kaiser, where they can't control their hours. So, the ABA beat the AMA in this round. Then, too, how comfortable will those same legislators feel about going under the knife wielded by a surgeon who lost his practice and now works at one of these hospitals?

  • Report this Comment On June 08, 2013, at 4:34 PM, DjohnsonATL wrote:

    If you think ObamaCare is pushing anyone out of the profession, you're sadly mistaken. Physicians have been hurting for years with payments, etc. That has been here before him. Then you have to understand that the government NEVER pays the full medical visit amount. They pay a portion (and so does the insurance companies who negotiate the payments with hospitals). The patients are the only "suckers" who have to pay their full amount. Second, hospital fees are ridiculously high for no reason. My wife was given 1 prenatal multivitamin that bills for $80. A bottle of 50 of the same pill costs $10. How is that justifiable?

  • Report this Comment On June 08, 2013, at 4:34 PM, Upbeat99 wrote:

    IMHO, I hate to see physicians losing their "independence" but it may be that this is about time for the short term. Doctors don't have independence if they don't have the means to can't implement patient-centered outcomes and are too swayed by legal risks, rewards for high-priced procedures, and incentives from the pharmacy industry. It's my hope that PCORI, which is implemented in most countries, will have a positive effect on healthcare costs. In the future I hope physicians can regain their latitude and independence within PCORI guidelnes.

  • Report this Comment On June 08, 2013, at 4:35 PM, compmanjg wrote:

    What a load. First, while the article does go on to mention that the DPMA "survey" is meaningless (though only on statistical theory grounds, without bothering to mention the political orientation of the group--"doctor-patient" my eye), leading the article with it indicates a cartoon-like bias in the article.

    Second, even the article itself points out the fallacy in blaming Obamacare for the movement of doctors from separate practices into large groups or hospital-based practices. Obamacare has not even gone into effect yet. However, the phenomenon of concentrating medical practices and gobbling up by hospitals has been going full-blast since long before anybody had heard of Obama, much less Obamacare. That has been driven almost entirely by the excessively expensive and inefficient system for funding medical care that we have been painfully enduring for decades--and which Obamacare is intended to replace. Blaming Obamacare for it is just confusing. Since when has the Motley Fool, an interesting source of investment advice, been a Fox-like tool of the GOP?

  • Report this Comment On June 08, 2013, at 4:37 PM, mrwinston18 wrote:

    the "problem" is not the affordable care act. it's health insurnace comopanies. if were put all hte money that goes into premiunms and instead all that monet went directly to health care we would be so much better off than having 50 million uninsured. why should people have to die when there is a better alternative getting rid of all health insurnace compnaies so people don't have ot worry about geting health insurnace only if they have a job that will pay for it.

  • Report this Comment On June 08, 2013, at 4:37 PM, drakb1 wrote:

    What is the "Doctor Patient Medical Association"? As a practicing physician heavily involved in several medical associations, I nor any of my colleagues and friends ever heard of this organization. Sounds like some made-up group or inconsequential organization.

  • Report this Comment On June 08, 2013, at 4:42 PM, randomscreename1 wrote:

    You failed to prove your contention. What were the rates of doctors leaving the profession over the 20 years prior to Obama and what were they once he took office. How have they changed. Are their other factors at play.

    You basically started with the contention "OBAMA BAD!" and then made up a bunch of garbage to suit it. I've seen better arguments from high school debaters.

  • Report this Comment On June 08, 2013, at 4:46 PM, mtwbudd wrote:

    Back in the 90`s a whore house was siezed for tax problems .. And by law it was to be run until sold .. Now the government could`nt sell B jobs and whiskey ,, And as a result the establishment was shut down .. Now I ask you ,, If the government could`nt sell b jobs and whiskey ,,, Why would anyone think they can handle healthcare ???

  • Report this Comment On June 08, 2013, at 4:46 PM, globeflyer wrote:

    When/If Obamacare reaches maturity, MD's will be akin to dinosaurs. Medicine by "committee". The next big wave of jobs will go to Nurse Practitioners and PA's. Need a hip replaced? 3-4 years, (using Canada as a measuring stick) and get in line. This is just another way that the Progressive/Communist/Socialist mindset will try to use to eliminate, or weaken, any "class" other than the "ruling class" (politicians). "From each, according to his ability, to each, according to his need"....So obvious, it's not even humorous.

  • Report this Comment On June 08, 2013, at 4:50 PM, compmanjg wrote:

    Doco177,

    Your comments might make sense, if not for the nearly unanimous evidence that you are wrong. All of the other developed countries in the world have some form of government-run health insurance, and all of them cost less than we do, while covering everybody, which we don't. That is so obvious that it is startling that anybody would argue that "increased government involvement" raises costs. Heck, during the last presidential campaign, Mitt Romney stood on a stage in Israel and praised that country for keeping its medical costs so much lower than ours--oblivious to the fact that they do it by having a government-run single payer system.

    So before you trot out long lists of theoretical reasons that a single payer system will cost more, please explain how the evidence supports exactly the opposite conclusion. Scream against global warming if you want, but this is like denying the heliocentric solar system, gravity and that germs cause disease. Evaluating the evidence in such an obvious case ought to matter, at least a little.

    The flaw in Obamacare is that Obama let Republican Senators, with the help of less than a handful of feckless Democrats, squeeze out the "public option" that would have made a difference in cost. As it is, Obamacare does help to expand access to care, but it does little to affect cost (though there are interesting noises to the contrary coming out of states that are trying to make the system work, instead of brainlessly obstructing for political gain), because it leaves the system in the tender hands of the private sector insurance industry, which is all about making a lot of money, which comes from somewhere. If you are serious about criticizing Obamacare for a real failing, you should be complaining that it didn't go far enough. .

  • Report this Comment On June 08, 2013, at 4:56 PM, amysname wrote:

    This is only a temporary thing! Same thing happened in England when they got the National Health started, with a lot of the same promises. Now they have PRIVATE INSURANCE for people that can afford it and THEY are the ones that get the treatments and avoid long waits. The National Health in England still is a BOONDOGGLE needing more money all the time. Seems like Obama loves making the same mistakes as the Europeans or he is arrogant enough to think it won't happen to HIS plan but he is wrong!

  • Report this Comment On June 08, 2013, at 5:05 PM, electricnextday wrote:

    All my cousins and my friends who are doctors, ALL, have a very good income and life. Not even one is having financial problem or those who have their private practice they have enough patients.

    I believe it is normal to have a dual medical system, a private one and a socialized one.

    After our self pockets.

  • Report this Comment On June 08, 2013, at 5:10 PM, compmanjg wrote:

    bc3b,

    The reason they left out the trial lawyers is that they don't contribute significantly to the problem. The evidence of that is obvious, but let's stick with the easiest things:

    1) My insurance premiums doubled between 2000 and 2009. Is there evidence of any increase in costs of malpractice during that time, let alone an increase that would account for that kind of premium growth? Hint--the answer is no.

    2) Texas has had a malpractice "reform" system in place for years that limits recoveries so severely that even some lawyers who represent doctors and hospitals have publicly questioned whether it goes too far. Has there been any change in medical costs in Texas since the reforms took effect that would indicate that the reforms saved any money? Have changes in costs in Texas and other states with similar reforms been any different from changes in states without them? Another hint--the answer to both questions is no.

    Have fun bashing lawyers if you wish. I have said many times that if my objective had been popularity, I would have chosen another profession. (Disclosure:I don't do a lot of medical malpractice work) I even like the jokes. My personal favorite: There are 3 reasons that research labs are using lawyers as experimental animals instead of rats lately:

    1) There are more lawyers than rats,

    2) The techs don't form the same bonds of sympathy with lawyers as they do with rats and

    3) There are some things a rat simply will not do.

    However, when it comes to generating public policy that affects real people, the entertainment value of cracking on lawyers should not replace evaluation of real effects.

  • Report this Comment On June 08, 2013, at 5:14 PM, cwnuechter wrote:

    With less doctors Obamacare will be more financially digestable. We just need to exhibit more patience for our treatment.

  • Report this Comment On June 08, 2013, at 5:15 PM, airjackie wrote:

    Doctors have to live a rich life style and people have to pay the price. I asked a doctor if he would help a person hurt he said not if the person had no insurance or had a credit card to cover my fee. Lawmakers get free health care paid by taxpayers so they feel they need to keep protecting the insurance companies and doctors to keep charging high prices and denying service to a person who has no money or coverage. Sarah Palin defended the doctors/health care saying if you can't afford it that's your problem. Palin did say she and her family gets free health care from Canada. Romney said if you want affordable good health care move to Mass. for Romneycare.

  • Report this Comment On June 08, 2013, at 5:22 PM, crossle27 wrote:

    Sorry Kelly805, but your argument is against all facts. This healthcare tax fiasco is illegal and unConstitutional and our costs will definitely rise, the middle class anyway.

    With a little common sense thrown in to your comments, you might see that this mess was promised to be one trillion, but now is above 2.5 trillion and sebelius is out begging the private sector for money!

    Many States still do not want the exchanges, the people hired to run this mess still do not understand it, the elderly will be hit extremely hard by the massive cuts to Medicare, and they have no funds for the implementation of this partisan 'pass it before you read it' national joke - but you believe magically and without logic it will lower costs. Wow...

  • Report this Comment On June 08, 2013, at 5:23 PM, lokietek1968 wrote:

    Government has no business in healthcare. It is not even authorized by our Constitution. All the ignoramuses here, like all good liberals, only care about intentions not results. How can anyone with a fifth grade education think that adding a layer or two of bureaucrats on top of the existing system would lower costs of healthcare?

  • Report this Comment On June 08, 2013, at 5:39 PM, compmanjg wrote:

    amysname,

    The British National Health Service is not a boondoggle. It is dramatically less expensive than ours--when last I looked, it cost 1/7 as much per person as or system does, which is a really big difference. It also provides service to everybody. There, when the children of working class people get gravely ill, they just get treated. Nobody goes without non-emergency treatment because they have no insurance, and no family has to worry about bankruptcy when somebody gets sick. No appointments get cancelled because of unpaid bills or lack of front money. Doctors' offices don't have to hire three staff people to process insurance claims and nag patients for unpaid bills. And nobody has to live in terror of losing a job, because their family will become uninsured. Medical treatment is about medical care, not drama over what will happen to about money. That sounds like a dream.

    The NHS is not perfect. There are some delays for non-urgent services. However, those delays are never as long as they are for the 1/6 of Americans who don't have insurance; they never get the treatment, no matter how long they wait. And it is true that wealthier people sometimes buy private insurance to get quicker treatment.

    But the biggest indication that the British system is better than ours is that even though you sometimes hear complaints about delays, and the costs have been more of a problem recently (though nowhere near on the level of cost problems we have here, where 17% of our economy is spent on medical care and everything else is warped around that, including government budgets at every level, pension plans that are getting buried under the cost of health care for retirees and private sector employers who have been dropping insurance coverage for their employees for years, as the costs have continued to rise), absolutely nobody there is suggestion that they should change over to a system like ours. When one Conservation Party politician allowed himself to be used by anti-Obamacare forces here, stating opposition to the British System, all of his colleagues in the Conservation Party stumbled over themselves to say that he was nuts and that they all supported the NHS. The one woman who was used as a poster child for delays by the same anti-Obamacare people stated publicly that she never intended to suggest that the NHS was bad,. She was just annoyed that some bureaucrats had delayed her husband's knee replacement, which was resolved sometime thereafter. (No one asked her to compare the irritation of dealing with a government bureaucrat with that of dealing with an insurance company bureaucrat) But the most telling supporter was Margaret Thatcher. When she was Prime Minister, she led a conservative revolution that tore down the British Socialist structure. Her vigor was so extreme, that her party was damaged for decades by what they had done. and when she died recently, decades after she had faded from public life, a surprising number of Brits still hated her. And yet, for all her radical conservatism, she never touched the National Health Service. Support from somebody as extremely conservative as she was should indicate that folks in England consider their systme to be a lot better than ours. If it's good enough for Thatcher, it should be good enough for any American conservative.

    And at least it's probably not a boondoggle.

  • Report this Comment On June 08, 2013, at 5:57 PM, notsowrong wrote:

    really sad to know over 2/3 of the USA didn't want this mess, but it got thru, what happened? to our USA

  • Report this Comment On June 08, 2013, at 6:09 PM, frank515 wrote:

    My last Dr visit I was charged 200.00. My Dr gave me some medicine for my problems I can't take because when I am working is when the problems occur most often and the meds he gave me make me tired and sleepy. He forgot to mention the fact that my blood sugar was 118 which is up a good bit from my last blood test. I called back to get my results and could only get voice mail that no one responded to. I went to the office to get a copy of my blood test and then was called to say the Dr considered 118 to be borderline and needed no change at this time. Do you think I should know to be able to change my eating habits?? These Drs have been robbing us and doping us for a long time...I think a change and more scrutiny is needed. I think Obamacare is a change in the right direction! I was using Laurens, SC Family Practice.

  • Report this Comment On June 08, 2013, at 6:09 PM, quasimodo007 wrote:

    the Evil Polluters koch brothers buy these data and Think Tank companies to direct them to give misleading data and to scare people.

    the Evil Polluters koch brothers want to make people think Obama

    Health care is Bad and to vote against it just like the Own and Control the anti union TEa party.

  • Report this Comment On June 08, 2013, at 6:31 PM, maripossa wrote:

    In MY experience, doctors started leaving private practice when Clinton came up with HIPPAA to justify his buddies' salaries. and benefit lawyers.

    Now, our tyrant in chief, does NOT regulate lawyers, insurance companies, nor what really have mattered. It just passed the cost down to those who have insurance, to pay for those who don't by way of benefiting insurance co's.

    obamacare is a communist expansion of socialist agenda. Our insurance premium up 62% we had to drop it. Who can pay $20THOUSAND in insurance from a $7,000 policy? UNSUSTAINABLE!

    Second, selected doctor groups are being PAID MILLIONS to KEEP PATIENTS OUT OF HOSPITAL, OFFICE VISITS. I know a very specific case.

    Third, why will employers pay high premiums when the penalty is less, and, can hire part-time workers?

    It is comical if it weren't for the consequences. But the commander in chief thinks Americans are stupid to make their own decisions, and he is right, EXCEPT some of us can see right thru him -but we are the few, the proud, the ones who CARE for America.

  • Report this Comment On June 08, 2013, at 6:41 PM, 1958Debs wrote:

    So now doctors will have to buy cars that are not sports cars and houses that are not mega mansions? Oh, the HUMANITY!!!!

  • Report this Comment On June 08, 2013, at 6:56 PM, compmanjg wrote:

    notsowrong,

    The same surveys that show that a majority don't like "Obamacare" show that a strong majority give the opposite answers when they are asked how they like the features of it without the attached name.

    Question: How do you like Obamacare?

    Answer: I hate it!

    Question: How do you like a plan that allows people to get insurance when they have pre-existing conditions, requires insurance companies to allow your kids to stay on your insurance until they are 26, pressures your employer (who currently refuses to provide it) to offer you health insurance and creates exchanges that help people who lose their insurance when their jobs are shipped to Vietnam or Mexico get coverage for their families?

    Answer: Hey, that sounds great.

    The negative polls cannot be taken seriously The distaste for Obamacare is the result of the same hypocritical opposition from mouthy Republicans that produced the big fight over increasing the debt limit--from GOP legislators who voted for increases all 7 times that they came up under Bush the Younger--or Paul Ryan's "strong" opposition to stimulus spending, unless he was actively asking for it for his own district. It is a by-product of the Republican strategy of demonizing everything Obama does. Unfortunately, it works well enough to get some people to answer poll questions without bothering to think about them first. That only seems fair, as the GOP has certainly spent enough money and effort (that could have been directed toward actually solving our nations' problems) on it.

  • Report this Comment On June 08, 2013, at 7:27 PM, DrJCA1 wrote:

    I got the heck out of medicine because of the trash I had to put up with. Between the feds, the lawyers, and the insurance companies, I spent more time on paperwork than with patients. I also had to see 40-50 patients a day just to stay afloat. The stress overtook the income for me and many of my friends in the profession. We all retired from it over the past few years. within a decade, all your docs will be business & legal professionals first and medical professionals second. Americans will wait for months to see a doctor or get help. I assure you the future looks very grim for health care in this country.

  • Report this Comment On June 08, 2013, at 7:30 PM, strifle wrote:

    "The trends show the numbers of physicians practicing privately are steadily dropping. Some blame Obamacare for pushing doctors out the door. Is this accusation based on fact or fantasy?"

    Neither. It's a bunch of whining. They'll be having a pity party for a while, then get over it. Just like the rest of Americans. Maybe they should "re-train".

  • Report this Comment On June 08, 2013, at 7:38 PM, rw93003 wrote:

    This is ancient history not news. The first two criticisms were; it will cost a lot more money and drive doctors out of private practice.

  • Report this Comment On June 08, 2013, at 7:42 PM, benjonson wrote:

    Being a doctor close to retirement, I can only say that I'm glad I'm not just starting out. If I were just in practice for a few years, ie. less than 5, I would probably give up and go back to school to do something else. I only got into medicine to help people, but I do expect to be paid to do that and with reimbursements as they are and with Obamacare coming, I can only say that it's not worth the 8 years after college graduation that I spent to become a doctor. All my colleagues, no matter where they are in their practice life, feel as I do and we can only say good luck to future doctors and their patients.

  • Report this Comment On June 08, 2013, at 7:48 PM, celty wrote:

    For all my life I paid medical out of pocket until I married at 45 and got medical insurance through my husbands work. I'm getting all kinds of tests done for a basic physical and hope like hell I'm ok. I could never afford these tests when I had no insurance. Theres something wrong with a system where you have to be on public aid or covered by insurance to be healthy when we send millions to other countries for war and aid. It's not fair to our own people who are Americans. The working poor deserve to be treated fairly.

  • Report this Comment On June 08, 2013, at 8:30 PM, clem13635 wrote:

    repubs and dems both at fault.

  • Report this Comment On June 08, 2013, at 8:40 PM, Observer5226 wrote:

    The doctors sacrifice their time and family to provide care 24 hrsx7days a week.The doctor does not get paid upfront.The doctors don't get a fee for being called out.The doctor makes it by working lots of hours.Lots of things are expected to be free from the doctors office.

    You call plumber or electrician you pay a call out fee. A lawyer talks to you. writes a letter for you, faxes you something.signs a document and the costs are exhuberant. Copying, faxing, printing, wrting letters, filling forms ....free by doctors but same thing by lawyers cost astronomical fees.

    Why cant the government have fixed scheduled fees for these lawyers.They won't because they them selves are lawyers.

    Medical care can be much cheaper and affordable of the ambulance chasers are excluded from medicine. What business does a lawyer have in medicine-only greed for money!!!!!

    If there is a case of malpractice then this should be determined by other doctors and based on the standard of care. Will they fix it..NO.

    They want to fix health care by PUNISHING THE DOCTORS.

    SOON THERE WILL BE LITTLE OR NO DOCTORS IN THIS COUNTRY.

    WE WILL TAKE OUT TRAINING TO OTHER COUNTRIES.

    Mr President has no clue what happens in the practice of medicine. Most money and high charges are from hospital for services-very.very high.The poor doctor does a procedure or a surgery and gets less than 500 dollars but the hospital fees comes up to tens of thousands or hundreds of thousands. Yet the full responsibility of the patient's care rests on the doctor!!!!!!

    This is very unfair.

    I remember in a presidential campaign it was said "the doctor don't want to manage the blood sugars,he wants to have the sugars uncontrolled so he can ampuatate leg and get $30,000" This is ridiculous.Poor surgeon gets less than 500 dollars for taking all the risks and the hospitals rake in the tens and hundreds of thousands of dollars.

    So now you tell me!!!!!!!!!!

    MEDICINE IN THIS COUNTRY IS UPSIDE DOWN

  • Report this Comment On June 08, 2013, at 8:42 PM, SuburbanGal wrote:

    As a healthcare employee, I've worked in corporate dental. As a client, I've utilized corporate veterinary services. Believe me, corporate healthcare isn't what it's cracked up to be. You definitely want to be seeing people who run their own private practice. The care is much better and the service you get from office staff is ten times better.

    It's so sad that private practices are dying out and while I can understand why providers sell to corporate entities when they want out or are ready to retire (they get more money that way), it's just wrong in my book.

  • Report this Comment On June 08, 2013, at 8:47 PM, Dadw5boys wrote:

    Sorry I am not buying this tall tale. Doctors have been joining Medical Groups just like Lawyer join Law Firms where they can become a Partner in the Corporation a reap the Profit .

    This has been going on for a long while and in Texas they were so arrogant about how they ran over patients they bragged about treatment and Cscans the Patients were going to get if they just walked in the door to ABC News .

    Billing for unneed things is what has been killing us on the Cost of Medical Care. Between the greed of the HMO draining off the dollars. Then these Medical Groups, who that have trainers come in and teach their staff how to max the profit from every patient treating them like an ATM, we can't get a handle on cost.

  • Report this Comment On June 08, 2013, at 8:48 PM, SanPasqual wrote:

    A a future practice or corporate doctors already exists with private practitioners ... split billeting to incur double billings. A doctor will only afford a single billable procedure per visit. By splitting visits, they can charge for each procedure AND a separate office visit.

    Leave it to private practitioners to find new ways to squeeze additional revenues.

  • Report this Comment On June 08, 2013, at 8:52 PM, Observer5226 wrote:

    What is practiced in medicine now is not direct-patient-doctor interaction and care,

    Doctors are now practicing doctor-computer care-the focus is on the computer making the medical record look good and ensure all bullets are in place. Because the insurance companies and payors pay you by what they want you to document. Lots of the record consists essentially of junk and unnecessary stuff.

    The main focus in treating a patient is at the bedside or direct one on one patient-doctor interaction.

    No the patient has the middle man-the computer-that the doctor has to use.The delivery and quality of care is based on the computer NOT THE PATIENT!!!!!!!!!!!!!

    Then insurance company sends personal to review you charts instead of calling the patient and asking about the quality of care received.

    This is garbage care!!!!!!!!!!!!!!

    In the emergency room patient might be seen by ER doctor for less than 5 mins but look at the computer and you will see pages of documentation!!!!!!!!!!!!!!!!!!The computer must look good not the patient?????NONSENSE

  • Report this Comment On June 08, 2013, at 8:53 PM, Dadw5boys wrote:

    People talk about the Prastic of Medince but forget the HMO;s changed the name to Health Care.

    See under Health Care the Doctors HELP YOU LIVE WITH YOUR ILLNESS !]

    That's it !

    You only get Medical Care at the ER, if you live to get there !

    Doctors went to Medical School.

    The HMO's taught them Health Care .

    Just listen, if you can stomach it, the Nixion HMO Tapes where he gave his approval of the HMO Plans to Charge more for Insurance but pay for less Medical Care. And Nixion saying " I like that "!

  • Report this Comment On June 08, 2013, at 9:04 PM, DannyBoy13 wrote:

    Here's how a national health service with doctor shortages works: My girlfriend was out walking the dog, she slipped in the mud and broke her wrist.

    She went to hospital. A PA took a look and placed the wrist in plaster. She was told that an ortho would look at her when one became available.

    8 weeks went by. One Monday an NZHS nurse rang us up and informed my girlfriend that an ortho would see her on Thursday, "but be ready to have your wrist rebroken if it didn't heal properly."

    It didn't heal properly....

  • Report this Comment On June 08, 2013, at 9:05 PM, Observer5226 wrote:

    HMO's have removed the word medical doctor or physician with the word "PROVIDER"

    HMO wants hikes in premiums every 6 months and deny patients testing putting the patient at risk and the doctor at liability for the sole purpose

    of MAKING TRILLIONS OF DOLLARS IN PROFITS. CEO'S get millions of dollars per year in bonus for this!!!!!!!!!!!AT THE EXPENSE OF THE INSURED who is paying the premiums but is denied testings and denied better medications-PLAN DONT COVER-a common phrase.

    They don't want to pay for things like migraine medications that works well and the doctor is stuck!!!!!!!!

    They dictate to the doctor what tests can/cannot be done and what medications patient can/cannot get. But patient expects doctor to offer best treatment and care.

    Is like the doctor is practicing but yet the insurance company WHO DO NOT HAVE A LICENSE TO PRACTICE MEDICINE AND HAVE TO MEDICAL TRAINING MAKES THE DECISION!!!!!!!!!!

    This is absolutely RIDICULOUS. And they get away with it!!!!!!!!!!!!!!

  • Report this Comment On June 08, 2013, at 9:06 PM, republicaneagle wrote:

    This article was written by the liberal media to dupe people into thinking Obamacare is good for them and the entire healthcare profession. Not true. I work in a doctor's office and we're going to have many serious problems with health insurance and caring for patients. Nobody is going to benefit from less doctors practicing. There will be more layoffs and people out of work. Less doctors means less choices and less people to care for the ill. Obamacare is going to cost everybody more, too. We're all going to have less money than we do now. A Republican should've been elected as President so we'd have a better healthcare system. I hope we get a Republican President in 2016 so we can improve our healthcare system and much more. Don't vote for Hillary Clinton. She'll ruin everything, too.

  • Report this Comment On June 08, 2013, at 9:12 PM, POPIGREG wrote:

    TRUE STORY. My good friend moved to Indonesia last year for his RETIREMENT.

    He bought a National Insurance Policy as U.S. Medicare is no good there. He suffered a massive coronary and had Triple Bypass Surgery. TOTAL COST TO HIM? $9,342 in U.S. Dollars!!! 6 people in the ER ALL visited him many times during recovery!! His monthly premium is $40+ per month. He says he probably NOT return for the Christmas Holidays. DUHHHHHH.....

  • Report this Comment On June 08, 2013, at 9:14 PM, Observer5226 wrote:

    The feelings doctors probably have is that Mr President dislikes DOCTORS!!!!!!!!!!!!!!!

    90% of practicing doctors in 2013 probably dislike the current president and would prefer a republican president. Lot of docs used to like the president about 4 -5 years ago but now that has changed. It is like one of the agenda is to punish doctors.Lets see.....punish at the expense of having fewer doctors and creating chaos.It is already happening.

  • Report this Comment On June 08, 2013, at 9:45 PM, californiamarty wrote:

    Speak to any doctor in private practice and he or she will tell you the same thing. They are going to be overwhelmed even more than they are now by the IRS paperwork from Ovomitcare.

    This law will kill our greatest medical system and the IRS will be swarming over our medical records and bank accounts to enforce the draconian law that should never have been passed.

    When the costs kick in, even the Obamabot kool aid drinkers are going to howl.

  • Report this Comment On June 08, 2013, at 9:45 PM, Observer5226 wrote:

    It would be a nice idea for doctors to work a 40 hour work week like everyone else. After hours if a doctor is needed I guess one just has to call 1-800-MR PRESIDENT!!!!!!!!!!!!!!!!

  • Report this Comment On June 08, 2013, at 9:51 PM, Observer5226 wrote:

    It seems the new motto is 'work hard and be successful and you shall be punished and I will take more from you but if you don't work and want to live of the system then don't work and I shall pay you, give you cell fone and food stamps as well as those who work hard shall pay your health care too AND NO TAXES!!!!!!!!!!

    Let's all jump on this happy bandwagon and see what happens!!!!!!!!!!!!!

  • Report this Comment On June 08, 2013, at 9:54 PM, veritas75 wrote:

    Thank you all for your insightful and intellectual dissection of what you each believe to be the problem, but the reality is harsh. I don't know if it is the president or the insurance companies, but I've got a sneaking suspicion that they are all to blame. Since the Affordable Health Care Act has passed my premiums have doubled. I have a group policy on myself and a high deductible policy on my wife. The deductible on the policy will rise from $7000 to $11,000 in July so that the premium will stay within our budget. Cheer all you want for the "newly covered", but I have never met an individual who was refused medical treatment even without insurance. Even with insurance, I'm not feeling very comfortable anymore.

  • Report this Comment On June 08, 2013, at 9:59 PM, Clownzilla wrote:

    A few simple questions t those who keep saying that other countries have working national healthcare.

    1. How much money do they spend on their military? Do they have to depend on other countries to defend their homeland from countries like Russia & China or can they defend themselves?

    2. How much R&D is done in these countries and how much R&D is done in the United States and simply imported afterwards?

  • Report this Comment On June 08, 2013, at 10:22 PM, bulletsville wrote:

    Its all about affordable healthcare and the U.S. spends more than any other developed nation however gets the lowest returns. Its all about the money and not the actual treatment.. The insurance companies dont want to lose control and its all about the lobbyists and absolutely nothing about providing affordable health care to 50 million uninsured. Doctors are quitting family practice due hours both in the practice along with time spent in hospitals which I was told by one.

  • Report this Comment On June 08, 2013, at 10:30 PM, VRSEFgold wrote:

    “He who seals all of his past will prove to be the biggest FRAUD in history.” Guess who.

  • Report this Comment On June 08, 2013, at 10:31 PM, Kfrim wrote:

    Why are physicians and health care providers who are the "worker bees" of the health care system have absolutely no say in deciding any of the health care decisions.

    So this is the scenario,

    We will tell you what to do, how to do it, pay you what we want ,without any guarantees or job security...and we can change the rules when we want.

    Young bright minds are going to line up at the admissions door of their local medical school ready to borrow a quarter of a million dollars to jump on this deal.

    Physicians need to have a strong say in all this, after all, we are not all(not yet) financially partnered with the insurance companies and hospital systems.

  • Report this Comment On June 08, 2013, at 10:57 PM, Observer5226 wrote:

    The doctor has to be "on-call" at the hospital. Hospitals tell the doctor "'we give you a privilege to practice her so you have to be on-call." What do they pay the doctors to be on call? Answer=0 dolalrs..........because we give you the privilege to be here!!!!!!!!!!!!!! In what other profession does this non-sense happens? NONE.

    If patient has no insurance doctor gets ZERO and if Insurance say they not paying doctor gets ZERO.Yet still the doctor must provide the best care and make hospital look good!!!!!!!!!!!!

    Now they want to pay hospitals by patient's survey. A bunch on nonsense being done by hospitals that has ZERO to do with medicine so they can look good.Good Quality of care is quick an rapid diagnosis and treatment and good outcomes....THE TRUTH IS THIS COUNTS FOR ZERO......what counts is everything else....was the floor clean, did you get food on time. now hospital rooms are like luxurious hotel rooms;soon there will be manicure, pedicure, hair dressing and other services for patients.Is this health care or more$$$$$$$$$$$$$$???

  • Report this Comment On June 08, 2013, at 11:32 PM, Shaul11 wrote:

    Of course the U.S. healthcare delivery system is off course for more than half a century. It has totally lost its medical ethics. The 44 million uninsured working American men, women and their children were taken hostage by Corporate racketeering and the greed of the private practitioners Pay $200 to $300 dollars for a doctor visit to consult a GP or buy health insurance premium which is beyond the reach of working class families. Now, the day of reckoning have come, for the entire health care industry to seek salvation for their year of apathy and Americans are shedding no tears for them. Let them all rot in hell.

  • Report this Comment On June 08, 2013, at 11:45 PM, Kfrim wrote:

    Shaull 11,

    May god give you health ....and wisdom

  • Report this Comment On June 09, 2013, at 12:21 AM, Freddbe wrote:

    The days of charging people what every you feel like needs to come to an end. Over price healthcare got created with over price don't cover much insurance companies. Doctor and lawyers play the roll of god in this country. Maybe they took lesson from a used car dealer.

  • Report this Comment On June 09, 2013, at 1:44 AM, mum45 wrote:

    Ya'll speak of England's NHS system that everyone is entitled too, BUT has bankrupt the country too. It sounds great, sure. Because IF you don't wanna wait 2-6 wks after finding out you have cancer of any kinds, you can buy Private insurance WHEN you need it(then waste money when there is no illness). But those whom are low income, will not be able to afford the Best of care.

    I presently have a friend in England whom has found out she has cancer, between finding out & seeing any Dr on NHS system is almost 5 wks. The cancer survival rate on NHS in England is like 15%. She doesn't earn enough to go private. In the US the survival rate before Obamacare starts is higher than it will be after it starts. But its like 70-85%. So you want the NHS? Oh & although we have NHS, which you call FREE, isn't. We pay high prices in food, petrol/gas, rent, bills, personal goods, you name it. I'd say IF i was in England still, my food bill each week for one person is between $100 & $150 eating to every crumb, as this isn't much food. So your be willing to pay $9 for gallon of gas(for the cars you drive), i bet not. Which is about how much it was just 2 yrs ago, but heard its gone up since. Oh with the shortness of medicine is another problem NHS has... Being our Gov't only pays a set amount(as Obamacare will too), our Drug companies sell mostly elsewhere now, so its really hard to get access under NHS. Its great, ain't it having FREE health care....lol..

    My dad almost lost his life with cancer under NHS, so now he goes Private. It wasn't the cancer that almost took his life, it was lack of nurses seeing to him while in hospital, you see under NHS, there is no button you push, no private rooms(think of military dooms), no Tvs, & basically no service, cause there ain't no money to be made & staff are there to make a living as you when you go to work... So my dad went private & survived!!!!

    Gov't in the US does not bid on equipment like other countries do for our hospitals/Doctors, which is why the US has higher costs too. The reasoning the US Gov't gave was the American people will go into debt just to get these services & they don't care. Did you know, it would be cheaper to fly to an European country with the family for a mini vacation & pay for services there than here in the US. Many Americans do just this..

    I believe France charges less than $400 for an MRI, yet in the US its over $1,000. Did you know the US gov't has you on a double whammy, cause it is the American foods that makes one very ill, why children have many ear infection(this is NOT normal, but has become the Norm in the US), to cancers, Type 2, to Liver, Kidney & Heart damages. There is Arsenic, mercury, Lead, Bio-tech, HFCS(Tis not a sugar but x3 chemicals, pretend to be a sweetener), Wheat is no longer Wheat in the US, no wonder your going in circles with High Health care costs... Don't listen to me, research yourselves... Ive had too, i've gotten really sick & trying to recover. Russia just stopped Importing Beef & Pork because the High levels of chemicals used exceed their beliefs on safety to the human body. You will find that ALL countries have a safety net on the use of chemicals in foods, the US uses the highest, which ALL other countries state is Unsafe for any human being. Our bodies can not digest these chemicals. The FDA will not change this, til people stop buying, why would they, its a multi-billion business. And every one of the 10 food companies in the US does this, adding the chemicals. Back a few years, one of the food companies was MISSING a large amount of Mercury(In tons of weight), it was decided it was added in with the foods...FDA response was Oh Well..... Are you still chasing your tail?

  • Report this Comment On June 09, 2013, at 1:53 AM, tseirpa wrote:

    For the people who think that this whole obamacare will stop people from going deeply in debt because of medical bills obviously hasnt looked at the plans nor thought it out.

    High deductible plans... which means that these people will need to hit several thousands of dollars in bills before the policy will even kick in. ( yes they get their yearly but if they bring up an issue while in there, it becomes problem solving and not preventative and you will be charged). many people who had never had insurance before will go to the doctor and get tests and drugs, etc... and then the huge bills will hit. way more then they would have had to pay if they were uninsured ( since some providers would give the uninsured a discount but now because they will have insurance it is illegal for the provider to write off any of the patients portion).

  • Report this Comment On June 09, 2013, at 1:55 AM, mum45 wrote:

    It would of cost me $8,000 to have a complete(yep this is the term used in the US) Colonoscopy done here, so instead took a mini vacation & total cost for one week was......wait,,,,,,,, Less than $3,000. I stayed in a nice B&B for the week, bought a few nice gifts, bought some good foods with no chemicals in, what-so-ever(yes food can taste good without chemicals), & this paid for my return flight!!!!

    Why even go into debt, think outside of the US(box)!!!!

  • Report this Comment On June 09, 2013, at 2:10 AM, Mac42765 wrote:

    Frankly, INSURANCE IS the biggest SCAM there is, next to govt ,church, and charities, that is.

    IRS has absolutely NO BUSINESS accessing our medical records, more or less having them! (Which, is HOW govt will come to access them also).

    Forcing me to pay high ins premiums for two seniors, will bankrupt us within 2 years. If something major happens, it will all be over (but the cryin). Totally wiping out an elderly couples short term financial security is unconscionable. It will throw them onto welfare type services then, we can talk nasty about their freeloading butts til the day they die...which will be sooner rather than later as they fanagle with that 'end of life' issue by pulling the plug whenever they can.

    I dont think local businesses who depend on that money are going to appreciate when their profits hit the floor. as govt/insur takes money out of our local economy.

  • Report this Comment On June 09, 2013, at 2:10 AM, mum45 wrote:

    Clownzilla, well said on Qs. Britain does not spend anywhere close to the US, BUT one has to realize the US is like x6 million more people than England & counting! But even in Math, it still would be a lot less. But then there is a lot of waste that goes on in the US military too.... Which isn't happening as much in European, as there is not enough pounds to waste.

    The NHS system is so broke, it even declared bankrupt just a few years ago. So to bring more monies in, the Gov't is taxing the heck outta the poor, taking disability away from those whom are blind, literally disabled, to cough up some quick cash. Many American's will jump on that & say that ain't right, but your gotta know the British gov't GIVES you a house or an Apartment to live in, you just pick the town you wanna live in. They give you a Grant to fix up the house, its YOURS without a legal document. IF you wanna live there the rest of your life, you can. Oh so different to America, really it is. But When one is under Gov't, living or working & receiving help of any kind, Gov't CAN & WILL give & TAKE whenever they wish, why Social Medicine you DON't want in America. Its NOT the American Way for one. Having a life under NHS means NOT owning your own home, means not having anything of value, forget a boat, or a camper, or fishing trips, it means you LIVE poor.

  • Report this Comment On June 09, 2013, at 2:21 AM, TerryFlowers wrote:

    As long as we depend upon the healthcare insurance industry to finance our medical needs we will pay too much for too little and our healthcare providers will be burdened with a massive amount of office/billing overhead.

    Everyone, except the healthcare insurance industry, would be economically better off with the enactment of HR 676 into law. Let's eliminate the healthcare insurance industry and recover the billions of our healthcare dollars that they use to lobby, contribute to campaigns (bribe), marketing, advertising, etc. annually.

    Employers would no longer be burdened with providing healthcare benefits for their empolyees/families. We would eliminate the insurance premiums we currently pay. Yes, taxes would go up, but not by as much as we would save with the elimination of the premiums.

    HR 676 = HEALTHCARE FREEDOM, JUSTICE AND EQUALITY

  • Report this Comment On June 09, 2013, at 2:24 AM, mum45 wrote:

    So why keep going to these Dr's or Hospitals & KEEP paying out these HIGH prices... When you & your family can take a mini vacation & pay less in care...???

    It is sad when one's Gov;t is very misleading, making us ill, not caring, take-take constantly. Yes, Obama wants total control, he wants us as puppets, Obamacare isn't ideal & many won't wake up til their debts return much deeper than now.

    That FREE Womans care isn't available for the one's that really need it, on Bronze Insurances, its only available to those whom PAY for the FREE care(lol)...SURPRISED, i hope not!!!

    Mac, Well said...It is ALL wrong & gonna hurt a lot of people!!!!!

  • Report this Comment On June 09, 2013, at 2:27 AM, TerryFlowers wrote:

    The U.S. is the only democratic, capitalistic, developed nation in the world that does not have some form of healthcare financing for all of its citizens. U.S. citizens pay, on average, twice that of any other democratic, capitalistic, developed nation in the world for their healthcare. The U.S. ranks mediocre to poor in many healthcare categories compared to the rest of the democratic, capitalistic, developed nations of the world.

    Doesn't this tell us something? HR 676 is a comprehensive financing plan for all of our citizens. No more medical induced bankruptcies/foreclosures. Good for the economy and good for the health of our nation's citizens.

  • Report this Comment On June 09, 2013, at 2:41 AM, TerryFlowers wrote:

    Inflated medical costs/fees are due to the contracts that the healthcare insurance industry (HII) and the healthcare providers (HP) negotiate...often on an annual basis. The HII negotiate huge discounts from the HP..often as much at 70%. The HP must bill the HII the usual/customary fee. In order to maintain a revenue flow sufficient to make a profit and continue to operate the HP must inflate the fees. When a private-pay patient is billed, again the usual/customary fee must be used. The result: inflated healthcare costs.

    I realize that there are other factors which contribute to high fees...greed being one of them...but we need to eliminate the HII.

  • Report this Comment On June 09, 2013, at 3:14 AM, northland1 wrote:

    It is common in change like this to have people view it negatively and pessimistically, and for some people to quit and drop out, some from a need to protest, some just not willing to expend the effort, some expecting the worst without giving it the time this kind of change is going to need, etc. Healthcare will go on, people will still go into medicine...its better than flipping burgers at McDonalds.

  • Report this Comment On June 09, 2013, at 5:13 AM, stevmg wrote:

    Concur with the ACA being a start. We couldn't go on the way it was before, it (ACA) will have to be modified but the basic principle will have to continue and that is that some people will pay for medical care others use. That's what insurance is. Most of us cannot save enough to pay for anything out of routine care. That's why we will all have to chip in. There will have to be tighter controls on the extensive over-testing and procedures done on people who no longer contribute to society (elective surgeries on eighty-year olds) and keeping people alive past their sail-by dates. We actually may need fewer doctors than now.

    Other countries have higher life expectancies by far than we do (not a few months more but several years more), have fewer doctors per capita, lower medical costs and NO medical bankruptcies. The cost for this is "pulling the plug on Grandma", less (extensive) cancer surgeries other than ones done with a realistic cure rate (bowel, breast, uterine) etc., etc.

    That's the price.

  • Report this Comment On June 09, 2013, at 6:29 AM, devoish wrote:

    Who is most likely to improve the problems in medicine? (Choose 3)

    Doctor/Medical professionals.........................................80%

    Patients....................................................................................64%

    Congress .................................................................................30%

    Government involvement in general..............................18%

    Hospitals....................................................................................16%

    President ...................................................................................16%

    Health plans/insurance........................................................15%

    Third-party payers..................................................................9%

    Lawyers.......................................................................................4%

    Medicare/Medicaid.................................................................2%

  • Report this Comment On June 09, 2013, at 6:30 AM, devoish wrote:

    ^ That was from the DPMA survey.

    Best wishes,

    Steven

  • Report this Comment On June 09, 2013, at 8:48 AM, nokaoi4u wrote:

    Already doctors will not address more than one thing each time you visit...I went recently to a ortho doc about my knees and elbows hurting me...he wanted to do my left knee only, said I had to come back to do each limb.....what the heck is up with this...I went to a dermatologist for 2 little bumps ; one on my neck and another on my abdomen --he would only do the one on my neck he said I had to come back for the one on my belly.....? now I find they don't make enuf taking care of both on the same visit....this is crap....what happened to treating the person as a whole....not individual parts?

  • Report this Comment On June 09, 2013, at 9:02 AM, jcphenry wrote:

    This is a system under stress. Those who think this is a necessary and good kind of "creative destruction" fail to see the damage done to the individuals who own these practices. You do not just get a better and more efficient medical care system by bankrupting or driving out of business the same very highly trained people--the doctors who have trained more than a decade to qualify--who you somehow then expect to happily go to work for some giant corporate healthcare entity as if nothing had happened. The government is doing damage here and it is much more than some doctors who will suffer.

    Medicare cannot continue if it fixes prices as it does while costs go up. Most medical practices are actually very efficient, but the federal government greatly disadvantages them compared to corporate care entities who also are paid facility fees. This is a lesson no one wants to learn, but it is nothing less than the government picking winners and losers.

  • Report this Comment On June 09, 2013, at 9:08 AM, rdmcdonald48 wrote:

    Obama said last week with the IRS scandal and the revelation that your phone and internet was being accessed by government listeners that we have to "trust" the government. Do we?

    Nancy Pelosi told us that they had to pass it before they would know what was in it. Then, the President told us that we could "keep your doctor" and "keep your insurance company", which we now know is another series fo lies. At best these were material misrepresentations made to the populous in order to get what they want.

    Now we know you cannot keep your company, and we find that doctors are quitting practice rather than be driven out as a result of the government refusing to pay a fair price for services rendered.

    I ask you, as an intelligent individual, how long are you going to continue to support this mis-treatment of the US Taxpayer by a government which, by all appearances, is bound and determined to run roughshod over the American population through lies and misdirection as well as legislation and spying on US citizens. How long?

  • Report this Comment On June 09, 2013, at 11:00 AM, EricMJohnson wrote:

    This is the general trend of our government and economy for the last 100 years. Corporations and banks have taken control of government, despite the general popularity of socialist ideas by the Democrat Party. People running corporations are not stupid, they have learned how to harness the hatred towards them and use it to accumulate more power for themselves. Free market principles have long been abandoned; they have been replaced with corporatism. Small farmers, small business, independent entrepreneurs are being edged out by mega corporations that have Congress and the president under their control.

  • Report this Comment On June 09, 2013, at 11:27 AM, skypilot2005 wrote:

    Please pass me some of that “Obama Care” Kool-Aide.

    Those of you that are drinking it, please note that the I. R. S. is going to make sure everyone pays what they are obligated to pay under the program. They are the “Enforcers”.

    In light of the current I. R. S. “Scandal”, I can’t believe anyone is comfortable with that.

    Reference:

    http://online.wsj.com/article/SB1000142412788732384480457852...

    Cleta Mitchell: How to Investigate the IRS

    Cleta Mitchell, the attorney who helped expose the tax agency's abuses, has a road map for identifying the culprits. It doesn't stop in Cincinnati.

    “By JAMES FREEMAN

    Washington

    The woman who helped expose IRS abuse of conservative activists has more news to share: The abuse continues, and she sees no evidence that the White House, the IRS or the Justice Department is doing anything to end it. "This is not in the past tense. This is still going on," says Cleta Mitchell, perhaps the country's pre-eminent expert on campaign-finance and political tax law.

    In 2012, Ms. Mitchell worked to persuade members of Congress that reports of IRS harassment of conservative groups were credible. GOP lawmakers demanded information from the IRS and triggered the internal audit that finally forced the agency last month to acknowledge abuses it had previously denied. Now Ms. Mitchell is determined to end the abuse and identify the culprits.

    Don't bet against her. A partner at elite international law firm Foley and Lardner, Ms. Mitchell is sketching out a road map to uncover the truth and force reform—whether or not the Obama administration cooperates.

    So far it looks like the administration will not.

    Thus far, senior IRS officials in office when the abuses began have often provided untruthful answers, first by telling Congress in 2012 that the IRS wasn't targeting President Obama's ideological opponents and more recently by suggesting that low-level employees were to blame. Sometimes they've been unwilling to provide any answers at all, such as when Lois Lerner, the head of the IRS unit overseeing tax-exempt organizations, asserted her Fifth Amendment privilege to avoid self-incrimination, but not before proclaiming her innocence at a congressional hearing.”

    Remember in life, nothing is free unless you are a dependent of the “State”. Good Luck with that.

    Fool On,

    Sky

    Proud Capitalist

  • Report this Comment On June 09, 2013, at 11:31 AM, Nwakuche wrote:

    Here in the US, there is no health insurance! They say there is one but there is non. It is not affordable to the average person in this country. All the insurance companies are doing are simply collecting money and not providing the service.

    The system is completely broken. I hear people say there is NHS in the UK does not work. My family lived there for over three(3) years; got quality medical services with no bills to pay and no collections' calls.

    There is the need to overhaul the system. I want to see how the affordable health care plays out; but stating that this society should remain in the past unworkable arrangement is pedestrian.

    Let's try this out ok!

  • Report this Comment On June 09, 2013, at 12:04 PM, auldfoxe wrote:

    The Affordable Care Act was passed with the intent to bring health care to the biggest possible majority of the American public, not to placate the medical profession.

    So doctors are telling us those $500,000 to $600,000 a year jobs are harder and harder to come by?

    Things are bad all over.

  • Report this Comment On June 09, 2013, at 1:20 PM, inreality01 wrote:

    The plan from day #1 was to get government in control of all healthcare and to eliminate all choices for citizens. Eliminating the ability for people to have a private practice, make a good income or even attend medical school without government assistance are all methods to ensure politicians control everything.

    Prior to Obamacare the government already consumed 50% of all healthcare dollars. We didn't have a free market prior to Obamacare and yet the politicians always blame the free market.

    Obamacare clearly is not Constitutional despite what some of our fellow citizens in black robes have said. You don't need to be a Constitutional scholar to understand some of the basic premises of our Constitution.

    We tolerate this behavior from our politicians and courts. We have the ability to change things if we choose but for some reason we keep electing idiots that want to control us.

    There is nothing more important then individual freedom and economic liberty. No tax, fee, regulation, government program or piece of legislation is more important than freedom.

    We have a government that is too large and consumes too much.

    We should be ashamed what we have ALLOWED our government to become.

  • Report this Comment On June 09, 2013, at 2:02 PM, RussSB wrote:

    Doctors have been closing their private practices in increasing numbers for the last 15 plus years. It did not start with the passage of the Affordable Care Act. This article is typical of the conservative agenda to distort information to make it support the anti-anything-Obama position. The facts do not support your assertion. Doctors began closing their practices when insurance companies took over how and to whom health care is delivered. This has limited what doctors can charge for services and who they can treat. Because insurance companies are running the show, doctors and other providers have to employ people to figure out ways to jump through the hoops and obstacles that the insurance companies have in place so the doctors can actually be reimbursed. A private practice can become very expensive to run. Add the frustration of dealing with insurance companies, and it make sense to close the practice and get a job working for a hospital or a medical group. As an employee you don’t have the headaches. For some people, all of this has sucked the life out of the medical profession for them, and sadly they leave. I have known some very fine doctors who have given up and moved on to other pursuits.

    To try to blame this on the Affordable Care Act is incredibly short-sighted. This Act is not the end of the process, it’s just the beginning – there is more to come, the final product will likely look different. The healthcare system has been broken for a long time. It needs to change. Change is hard. Change does not mean the sky is falling. If people would stop weeping and wailing, and use some of that energy to get creative, they might actually find ways to make it work better.

  • Report this Comment On June 09, 2013, at 2:16 PM, cdkeli wrote:

    So much misinformation here!! The entire point of the ACA is to increase the number of family practice GP's that are so few and poorly treated by the healthcare system and greedy insurance companies and to reduce the number of excessively paid specialists that medical schools have turned out in droves that only multiply the inflationary costs of the industry and serve only very rich while the poor and middle-class are increasingly driven into bankruptcy, foreclosure, homelessness, and finally destitution or suicide in old age. This is the problem that if it's resolution escapes us will permanently freeze the American economy into wildly disproportionate and mutually malevolent classes of arrogant capitalist haves and the vulnerable poor of have-nots.

  • Report this Comment On June 09, 2013, at 2:33 PM, healthyinMN wrote:

    We found that Physicians who decided to stay in Private Practice, do not have the $$ to have the EMR. This puts patients at a disadvantage, should they show up in an ER. We have no way to access the patient's chart if the patient is not a good historian,and even the best historian, put in a vulnerable situation, don't remember everything.

    Additionally, the Centers for Medicare/Medicaid, is driving 65 quality measures, that these doctors do not participate in ...no EMR.

    It is time for these albeit small number of Physician Groups to join a Corporate Practice.

    In our experience, outside of having access to the EMR, and following all the quality measures, they are able to continue to provide "better" care, without much hassle. They just need to do it and stop complaining!!!

  • Report this Comment On June 09, 2013, at 2:33 PM, grandpareggie wrote:

    Listen up! No matter how you slice it....

    Obama Care = Smith & Wesson

  • Report this Comment On June 09, 2013, at 2:34 PM, LadyMantle wrote:

    The only way for a "real doctor" to survive these days is to get out of debt fast and then hang your shingle on a low-overhead modest practice. Come up with a list of procedures and exams you do, put the price right out there for all to see and make it affordable (not like the ACA) but really affordable and say, "cash only, we do not accept insurance claims. If more doctors were able to practice in this way, they could cut their costs down to nothing and still make a profit and their communities would thank them for it. Someone needs to breakout of this healthcare mess we are in and start caring about people.

    I know of a chiropractor who does this. Charges $25.00 per visit.

  • Report this Comment On June 09, 2013, at 8:18 PM, skypilot2005 wrote:

    On June 09, 2013, at 1:20 PM, inreality01 wrote:

    "The plan from day #1 was to get government in control of all healthcare and to eliminate all choices for citizens. Eliminating the ability for people to have a private practice, make a good income or even attend medical school without government assistance are all methods to ensure politicians control everything."

    Yup.

    And who provides for the defense of the countries with supposed wonderful free health care?

    The U. S.

    If they paid for their own defense, they'd be broke and speaking Russian.

    We are indirectly subsidizing their "free" health care systems.

    They are sure quick to criticize ours. Talk about ungrateful.

    Sky

    Proud of our "System"

  • Report this Comment On June 10, 2013, at 12:34 AM, Kfrim wrote:

    I have two issues with government run health care

    1) The current VA system does not have a great reputation. Many patients who are fortunate enough to afford it, choose to go out of the system to receive better care.

    2) If the government health care plan was so great, why are all the politicians(who implemented it for the rest of us) exempt from being on the plan?

  • Report this Comment On June 10, 2013, at 2:23 AM, Makikijoe wrote:

    It's not perfect but it's a good start towards univeral health insurance, something that most other prosperous industrialized countries already have.

    The new law will help millions of people become "covered" by insurance when fully in place.

    The Repugs did NOTHING during the 8 years of the George W. Bush presidency to help millions more people get covered by health insurance.

    Then, in January 2009, when the Democrats got control of BOTH the Congress AND the White House there was a opportunity for some real, meaningful and comprehensive advance towards universal health care.

    The ugly Repugs did everything they could possibly do to destroy the Democratic written bill. The Republicans threw a political tantrum because the bill ddn't fit their own ideological ideas of limited government.

    The GOP put their conservative ideology BEFORE their concerns for the health of their fellow Americans. For that, I'll never forgive them.

    Republican alternative proposals to the health care law were weak, ineffective, and would not have covered anywhere NEAR as many people as the new health law will, when fully implemented.

    It's quite simple. Republicans suck.

    Generally speaking.

  • Report this Comment On June 10, 2013, at 5:58 AM, swd4h wrote:

    Fee for service medicine is like driving your car until it breaks and the fixing it. The ACA is creating a system of paying for outcomes rather than break fix. So it encourages maintenance like changing the oil, filters, break pads etc... If the ACA creates a system where we ensure people with high blood pressure are checked periodically and they avoid a stroke, isn't that better? The health system prior to the ACA did not do that. The individual physician only looked at the world from the physician perspective rather than the patient perspective.

  • Report this Comment On August 18, 2013, at 2:18 PM, DYINGBREED wrote:

    it's true, just got off the phone with my PCP, small family practices are a dying breed

    I feel so bad for her, she is one of the best doctors around but she and her practice are going broke. she says insurance and corps OWN them. they even had to close a couple days during the week to save on electricity :/

    I told her I would help FOR FREE in any way I can to save her practice. they have lots of new rules and regulations now which old school drs. are not accustomed to.

    Due to how this is affecting my Dr. and I, I dislike Obama care, it is not in favor of small businesses. I am really screwed without this Doctor and pretty upset :(

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