Mama Can't Find a Doctor, and Other Fallout From New Democratic L

medx

Guru
100+ Post Club
654
Texas
Mama Can't Find a Doctor, and Other Fallout From New Democratic Legislation

"Lately, even the most elite in media have started to report some of the intended and unintended consequences of the rushed and ill-conceived federal health care bill passed earlier this year by the Barack Obama administration and the Democrat-controlled Congress.
And I've had my first eye-opener. Like everyone of their generation, my parents automatically qualify for Medicare. Soon after the new health care bill passed, their personal physician retired. When they set about looking for a new one, they kept hearing the same refrain: "We are no longer accepting new patients."
Why? Because while Congress fashioned a massive -- and massively expensive -- new health care program, they have also allowed Medicare reimbursements to physicians to be reduced. Many seniors have physicians who are their contemporaries because they've been under their care for many years. As these older physicians retire, their patients are scrambling to find replacements. They're encountering "do not apply" signs on the doors of medical facilities.
Now that's change you can believe in.
Next comes the unfolding realization that the new law is stocked with all sorts of little gems that are destined to make life harder for the young and those still working. For example, many small businesses already dread the annual task of creating 1099 tax forms for those individual contractors they pay each year for goods and services. Apparently they now also will be required to issue similar forms to every corporation, vendor or other party they pay during the taxable year.
As interpreted by many, the new law suggests the need for, say, a local hardware store to search out the tax identification number of huge corporations they pay for products or services. If this interpretation of the law is correct, and it's truly enforced, business in America will be ground to a halt by a cascade of paperwork.
Also in the coming months, all types of entities touched by the new financial reform laws will suddenly learn that they are required to comply with new bureaucratic rules related to the ethnicity, or other demographic profiles, of their employees. Maybe this is well-intended, but once again the burden of compliance will be staggering.
There's more. Under the guise of a "watered down" climate bill, there could soon be plenty of opportunities to add even more costs to American businesses. Ultimately, those costs will be passed on to consumers, of course.
Take the example of the possible ramifications of requiring energy companies to generate specific percentages of their total energy output from wind, solar and other non-traditional sources. The goals being put forth are unattainable, and the inefficiencies and high costs of trying to reach them anyway will only result in higher energy bills for all. And government subsidies to support these new energy sources will mean tax dollars being wasted.
There has been a mad rush to pass all these half-baked pieces of legislation. Now, as the devilish details start to emerge, it's becoming clear that these new laws will have a huge impact on the lives of millions of Americans.
The past provides examples of how poorly designed legislation can eventually lead to sad results. Recall that lovely deal cut by congressional Republicans when they passed the "Bush tax cuts."
In a compromise effort designed to gain passage of the cuts, the GOP agreed to sunset them in 2010. They even went so far as to gradually reduce the so-called death tax to virtually nothing in the year 2010, only to allow it to revert to its punitive original percentages in 2011.
So not only does it stand to reason that mama and daddy can't find a physician. It also stands to reason that their kids might not want them to find one, thanks to the onerous "death tax" penalties if those parents live beyond this year! (Yes, I'm kidding, but this shows a perversity of the coming tax laws.)
This demonstrates that the Republicans of the Bush years could pass legislation just as stupid as anything that's been passed by Democrats this year.
But there's a difference. The GOP passed bad laws out of sloppiness, and from the presumption that they would remain in power for the foreseeable future. The legislation emerging from the current Congress and the Obama administration apparently has a different motive. The Democrats seem less concerned with keeping power in the long run and more concerned about altering every feature of the economic landscape before the nation wakes up to the realization that we have been buried under an avalanche of paper, forced to look for physicians that aren't available or are just plain out of business."

Townhall - Matt Towery - Mama Can't Find a Doctor, and Other Fallout From New Democratic Legislation
 
Re: Mama Can't Find a Doctor, and Other Fallout From New Democrat

This has been brewing for some time and will only get worse. While (according to CMS) 99% of docs in Georgia accept Medicare assignment that does not mean you will find a doc to treat you.

13 years ago my mother-in-law became very ill and needed a referral to an oncologist and a few other specialists. Having been relatively healthy, especially for a 76 year old, she required very little patient care and no medications.

That changed a few years after moving to Atlanta.

She was able to find a PCP without much difficulty, but the special care she needed was a challenge. After several calls she was finally able to find someone who would agree to see her.

This was 1997. I can't imagine it is any better now.

After a lot of hassle she was able (with our help) to find first one specialist then another who would see her. She died 7 months after taking ill.

Within 2 years her PCP (who became our PCP) changed his practice. No more Medicare and no more insurance of any kind. Cash only and an annual $1800 fee.

This is not a new problem but an old one that is only going to be impacted negatively by Obamacrap.
 
Re: Mama Can't Find a Doctor, and Other Fallout From New Democrat

Within 2 years her PCP (who became our PCP) changed his practice. No more Medicare and no more insurance of any kind. Cash only and an annual $1800 fee.

This is not a new problem but an old one that is only going to be impacted negatively by Obamacrap.
This will happen more and more over the next few years.

medicare supplement insurance plans United of Omaha Gerber New Era Sentinel Aetna Humana Blue Cross Blue Shield Drug Coverage Doctors pharmacist new information advanatge
Medicare Supplement Insurance
Medicare supplemental
Medicare Supplement Insurance
American Seniors Medicare Supplement Insurance
American Seniors
retired people
 
Last edited:
Re: Mama Can't Find a Doctor, and Other Fallout From New Democrat

Hey Medx,
One should have a perspective of history (or at least know something) in order to really discuss things intelligently. First of all when you say "Because while Congress fashioned a massive -- and massively expensive -- new health care program, they have also allowed Medicare reimbursements to physicians to be reduced. Many seniors have physicians who are their contemporaries because they've been under their care for many years. As these older physicians retire, their patients are scrambling to find replacements. They're encountering "do not apply" signs on the doors of medical facilities." You should know that the automatic reduction of 21% to physicians was authorized by Congress back in the 1990 - that has not happen under Obama...every year Congress has to vote to authorize to have that reduction waived -and it so happens that Republican ALWAYS vote to have the reduction... so much for them wanting to preserve Medicare!!
 
Re: Mama Can't Find a Doctor, and Other Fallout From New Democrat

You should know that the automatic reduction of 21% to physicians was authorized by Congress back in the 1990 - that has not happen under Obama...every year Congress has to vote to authorize to have that reduction waived -and it so happens that Republican ALWAYS vote to have the reduction... so much for them wanting to preserve Medicare!!

Spot on! Just because some reporter writes it, it doesn't mean that he knows what he is talking about.

Actually, Medicare has fairly recently increased payments to doctors who follow Medicare's protocol when treating patients with certain health problems. Diabetes just happens to be one of them, there are many, many more that give a doctor the opportunity to earn more money when treating patients on Medicare.

But true to form, the "reporters" are not going to print that because that doesn't feed the "sky is falling" people.
 
Re: Mama Can't Find a Doctor, and Other Fallout From New Democrat

The other underlying problem here that none of the reforms address the real cost of healthcare and reigning it in. The new bill doesn't really address it and there are no provisions to really get at it in the future. There are vague references to it with no concrete specifics around streamlining the administrative duplication that exists today along with the inconsistencies that exist in the system itself. There are also great variations in prescribed unnecessary expensive treatments that can differ greatly by geographic area and therefore greatly influence differences in Medicare spending in various regions. None of this is addressed in real terms and until these hard issues are tackled, no amount of "insurance reform" will fix any of the problems, since insurance costs will continue to rise and the only answer that insurance companies will ultimately have will be to raise premiums, cut payments to providers and cut commissions to agents and brokers. We have a system based on activity, not outcomes and that leads to all sorts of unnecessary expense.
 
Re: Mama Can't Find a Doctor, and Other Fallout From New Democrat

automatic reduction of 21% to physicians was authorized by Congress back in the 1990

Close, but no cigar.

A new Medicare reimbursement formula (SGR for Sustainable Growth Rate) was voted on and passed. But each year the formula was applied and then overridden by Congress to allow something more than the formula dictated. The Medicare "deficit" has been carried over each year and has accumulated to 21% which was to go into effect in January of this year.

This from a contributor to InsureBlog. Kelley is an office manager for a (mostly) geriatric practice.

"On June 1st the extension of 2009 fee schedule ended and the 2010 fee schedule, with a 21% percent cut went into effect. However, CMS suspended processing all claims for 10 business days, that is until June 15th, in the hope that Congress would again, for the third time this year, extend the 2009 fee schedule. For example, it was extended on January 15 to April 1. Congress did not extend in time to stop the April 1st deadline and CMS held all claims the first 10 business days in April. At the last minute, the extension was passed for June 1 and now we are in the same situation we were in on the first of January and again on April 1 of this year. At this time, it does not look promising that the bill will pass. If it does not pass, then CMS will process all claims from June 1 on based on the reduced 2010 fee schedule. My revenue cycle has been a roller coaster this year; I cannot count on revenue coming in in a timely manner."

You can learn a lot from someone on the front lines of medicine. Kelley has been a frequent contributor and commenter who has shared a wealth of information on the Medicare mess.

Rather than address the issue, Congress voted to kick the can further down the road.

And don't forget the mandated cut was part of the savings that helped fund Obamacare. They put the cut in and then planned on adding that expenditure back under a separate "doc fix".

For now at least, docs are reimbursed at last years rate.

Washington's idea of controlling the cost of health care is to simply pay docs less. They are already paid 20 - 30% less than commercial carriers pay and Congress thinks it is OK to cut that another 21%.

CMS is looking at realigning the formula to pay PCP's more and specialists less but so far it has not been implemented.

As it stands now, docs have to rig the system to get paid a fair price for services rendered. Slight changes in the coding can mean the difference in payment of $62 for an office visit vs. $93.

Of course with NHS lover Berwick in charge it will be interesting to see how he slashes payments and limits coverage going forward.
- - - - - - - - - - - - - - - - - -
The Doctor Is Not In - Rasmussen Reports™
 
Last edited:
Back
Top