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Author Topic: Doctors are revolting against ObamaCare  (Read 1253 times)
The True Adonis
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« Reply #25 on: March 15, 2013, 08:09:36 AM »

Because they all get $$$$$ and control the way it is. 
I think we are fucked for years to come.
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« Reply #26 on: March 15, 2013, 08:11:26 AM »

I think we are fucked for years to come.

Correct unless the system hopefully implodes and we can have a chance at a do over. 
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The True Adonis
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« Reply #27 on: March 15, 2013, 08:17:08 AM »

Correct unless the system hopefully implodes and we can have a chance at a do over. 
As long as Obamacare remains, Private Health Insurance will only grow- Too Big to Fail (it already is at this point) will be engraved in granite.
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« Reply #28 on: March 15, 2013, 08:19:39 AM »

As long as Obamacare remains, Private Health Insurance will only grow- Too Big to Fail (it already is at this point) will be engraved in granite.

ObamaCare is the worst possible thing that could have come about - a private mandate to buy an insurance package that requires all sorts of shit you will never use w no price control whatsoever. 
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« Reply #29 on: March 15, 2013, 08:34:46 AM »

Republicans should love ObamaCare.  Its the same thing Bob Dole proposed with Insurance Companies at the forefront.  

Can anyone tell me which Republican supports dismantling the Health Insurance Industry?   Huh    Huh    Huh
TA. Sometimes i think youre one of the smartest men on this board.

I just dont know when your goofing around or serious at times.
But you are right. The healthcare mandate is not a Doctor problem unless you listen to the complete bullshit from the other side. The doctors and healthcare professionals (money people) love the mandate, and medical groups here in California are scrambling to try to enroll the prospective new members. Is it shitty for the pt.. yes... but this whole "doctors will suffer " is insane
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The True Adonis
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« Reply #30 on: March 15, 2013, 08:57:25 AM »

TA. Sometimes i think youre one of the smartest men on this board.

I just dont know when your goofing around or serious at times.
But you are right. The healthcare mandate is not a Doctor problem unless you listen to the complete bullshit from the other side. The doctors and healthcare professionals (money people) love the mandate, and medical groups here in California are scrambling to try to enroll the prospective new members. Is it shitty for the pt.. yes... but this whole "doctors will suffer " is insane
Doctors are not bereft of greed, especially when they are part of a large health conglomerate ran as a corporation.  They love having the middle man around because its guaranteed income.  Moreso now with a government mandate in place.

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« Reply #31 on: March 15, 2013, 09:00:41 AM »

Doctors are not bereft of greed, especially when they are part of a large health conglomerate ran as a corporation.  They love having the middle man around because its guaranteed income.  Moreso now with a government mandate in place.



Bingo.   If they had to negotiate w patients directly like most other people have things would be a hell of a lot different. 
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« Reply #32 on: March 15, 2013, 10:01:38 AM »

Bingo.   If they had to negotiate w patients directly like most other people have things would be a hell of a lot different. 

dude.. you were just saying that doctors are going to the poor house before.. .what the fuck are you talking about now?


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« Reply #33 on: March 15, 2013, 10:02:22 AM »

Bingo.   If they had to negotiate w patients directly like most other people have things would be a hell of a lot different. 

Bingo?...bingo what... this goes against everything youve been saying you fucking shapeshifter
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« Reply #34 on: March 15, 2013, 10:06:14 AM »

Doctors are not bereft of greed, especially when they are part of a large health conglomerate ran as a corporation.  They love having the middle man around because its guaranteed income.  Moreso now with a government mandate in place.



Ive said this for 2 years now.. this Mandate just made ensured the Physicans are well stocked with patients.
Ive said that the Obamacare was pure shit because it didnt fix the root of the problem, as its not "universal" Its making medical groups rich
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« Reply #35 on: March 17, 2013, 06:56:20 AM »

http://online.wsj.com/article/SB10001424127887323628804578346614033833092.html?mod=WSJ_Opinion_LEADTop


Good job supporting ObamaCare solely because Obama is black you stupid fuck.
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« Reply #36 on: March 17, 2013, 10:26:19 AM »

Neuhofel strongly believes in continuity of care and believes his system will allow for a long-lasting doctor-patient relationship despite job, insurance or health conditions. That’s because he doesn’t accept any third party health plans.


Neuhofel said he has seen patients who had diabetes but hadn’t been to a doctor in five years because they changed jobs and lost insurance.

“That’s the silliest thing in the world,” he said. “It shouldn’t be expensive or difficult for people to do that.”




Still haven't learned math, I see.

He's charging far less than insurance or premiums would cost.

Nationalization of healthcare will definitely create shortages. The real questions are: What demographic will be hurt the most? And how high will taxes be raised so the govt can compensate its own victims?

Everyone is already guessing at how long indentured servitude will be for physicians but I haven't seen a single projection or discussion on preventing FMGs from exercising the nuclear option.

Also, I've yet to see/read anything about the legality of declaring a healthcare state of emergency and forcing doctors to treat patients.
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The True Adonis
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« Reply #37 on: March 17, 2013, 10:51:05 AM »

Still haven't learned math, I see.

He's charging far less than insurance or premiums would cost.

Nationalization of healthcare will definitely create shortages. The real questions are: What demographic will be hurt the most? And how high will taxes be raised so the govt can compensate its own victims?

Everyone is already guessing at how long indentured servitude will be for physicians but I haven't seen a single projection or discussion on preventing FMGs from exercising the nuclear option.

Also, I've yet to see/read anything about the legality of declaring a healthcare state of emergency and forcing doctors to treat patients.
What the hell are you talking about?  I don`t support Obamacare and the article posted has NOTHING to do with Obamacare.
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« Reply #38 on: March 17, 2013, 11:24:40 AM »

Was a joke, TA.

Democrats steal your sense of humor?
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The True Adonis
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« Reply #39 on: March 17, 2013, 12:31:25 PM »

Was a joke, TA.

Democrats steal your sense of humor?
Yes!  They have stolen all humor, mine included, because at the present, they are the biggest joke in town.
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« Reply #40 on: March 17, 2013, 01:51:23 PM »

Yes!  They have stolen all humor, mine included, because at the present, they are the biggest joke in town.

FWIW,

There are things people just need to find out the hard way. Not trusting politicians is one of them
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Skip8282
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« Reply #41 on: March 17, 2013, 05:47:22 PM »

It hasnt... but im new on the scene so i havent been able to compare it to anything...






No, and I wouldn't expect it to be felt immediately.  But as more doctors are pushed to treating people on Medicaid, either your wages are going down, premiums are going up, or some combination (the latter most likely, IMO).
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AbrahamG
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« Reply #42 on: March 17, 2013, 06:03:21 PM »

Agreed, but why is this not represented in Washington by anyone except Bernie Sanders and the former Congressman Anthony Wiener?

I'd be interested in knowing what "grandpa's" position is on this matter.
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« Reply #43 on: March 17, 2013, 06:07:33 PM »

I'd be interested in knowing what "grandpa's" position is on this matter.

gramps would have you in chains where you belong.
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« Reply #44 on: March 18, 2013, 12:28:54 AM »

http://online.wsj.com/article/SB10001424127887323628804578346614033833092.html?mod=WSJ_Opinion_LEADTop


Good job supporting ObamaCare solely because Obama is black you stupid fuck.

Lol you're retarded. I said I don't support Obamacare. I'm just destroying your dumbass baseless argument. So....from that and  disregarding the fact that I have repeated many times, " I'm not a fan of Obama care" you deduce " you are for Obama care cuz he's black"......and you wonder why republicans are accused of living Ina bubble. You hear and read what you want.

Or you're a retarded troll
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dario73
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« Reply #45 on: March 19, 2013, 12:32:09 PM »

Tags: obamacare | family | physician | shortage Top Doc: Say Bye to Your Family Doctor When Obamacare Hits
Monday, 18 Mar 2013 06:27 PM

By Bill Hoffmann

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inShare inShare0 Americans may no longer have access to their family doctors because of Obamacare, according to Dr. Scott Gottlieb, a resident fellow at the American Enterprise Institute.

“By next year more than 50 percent of all physicians in the country … will be working either for a hospital or a hospital and health network as a salaried employee,’’ Gottlieb told Newsmax TV’s “The Steve Malzberg Show.’’

“So the idea of the local doctor owning their practice and practicing locally — that’s going away.’’

That’s because incentives in the Affordable Care Act will pay physicians to practice as employees rather than to own their own businesses, Gottlieb explained.

“This is going to have some negative ramifications for our patients,’’ he said.

“They’re going to get more of their care from hospital-owned clinics that aren’t going to have the look and feel of the local doctors’ office.’’

Just as alarming, he added, is that doctors “basically are just working shifts and accountability to the patient could be lost as they get handed off from shift to shift to shift.’’

Editor's Note: ObamaCare Is About to Strike Are You Prepared?

Gottlieb — who also served at the Food and Drug Administration as Deputy Commissioner for Medical and Scientific Affairs — said the concept of Obamacare has already been tested — and has a record of failure.

“We’ve tried this before in the 1990s and it didn’t work when we tried to give hospitals incentives to buy out doctor practices, run these integrated living systems. A few hospitals survived and thrived but most of them didn’t. Most of them failed,’’ he said.

“There’s this naďve notion that if you can just consolidate doctors around a hospital and it’s going to lead to improve in care and better coordination of care. But that’s not what’s happening.’’



Read Latest Breaking News from Newsmax.com http://www.newsmax.com/Newswidget/obamacare-family-physician-shortage/2013/03/18/id/495239?promo_code=11102-1&utm_source=11102Real_Clear_Politics&utm_medium=nmwidget&utm_campaign=widgetphase1#ixzz2O11o21sI
Urgent: Should Obamacare Be Repealed? Vote Here Now!
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« Reply #46 on: March 19, 2013, 12:49:43 PM »



Kaiser Health News | 32 Comments

Group Appointments With Doctors: When Three Isn't A Crowd

More doctors are holding appointments with multiple patients, a trend some say may help ease a forecasted shortage of physicians.




By Michelle Andrews, Kaiser Health News




TUESDAY, March 19, 2013 (Kaiser Health News) — When visiting the doctor, there may be strength in numbers.

In recent years, a growing number of doctors have begun holding group appointments — seeing up to a dozen patients with similar medical concerns all at once. Advocates of the approach say such visits allow doctors to treat more patients, spend more time with them (even if not one-on-one), increase appointment availability and improve health outcomes.

Some see group appointments as a way to ease looming physician shortages. According to a study published in December, meeting the country's health-care needs will require nearly 52,000 additional primary-care physicians by 2025. More than 8,000 of that total will be needed for the more than 27 million people newly insured under the Affordable Care Act.

"With Obamacare, we're going to get a lot of previously uninsured people coming into the system, and the question will be 'How are we going to service these people well?' " says Edward guy, who has developed group-visit models and consults with providers on their implementation. With that approach, "doctors can be more efficient and patients can have more time with their doctors."

Some of the most successful shared appointments bring together patients with the same chronic condition, such as diabetes or heart disease. For example, in a diabetes group visit, a doctor might ask everyone to remove their shoes so he can examine their feet for sores or signs of infection, among other things. A typical session lasts up to two hours. In addition to answering questions and examining patients, the doctor often leads a discussion, often assisted by a nurse.

Insurance typically covers a group appointment just as it would an individual appointment; there is no change in the co-pay amount. Insurers generally focus on the level of care provided rather than where it's provided or how many people are in the room, guy says.

Some patients say there are advantages to the group setting. "Patients like the diversity of issues discussed," guy says. "And they like getting 2 hours with their doctor."

Patients sign an agreement promising not to disclose what they discuss at the meeting. Although some patients are initially hesitant about the approach, doctors say their shyness generally evaporates quickly.

"We tell people, 'You don't have to say anything,' " says Edward Shahady, medical director of the Diabetes Master Clinician Program at the Florida Academy of Family Physicians Foundation in Jacksonville. Shahady trains medical residents and physicians to conduct group visits with diabetes patients. "But give them 10 minutes, and they're talking about their sex lives."

Though group appointments may allow doctors to increase the number of patients they see and thereby boost their income, many doctors are uncomfortable with the concept, experts say, because they're used to taking a more authoritative approach with patients rather than facilitating a discussion with them.

According to the American Academy of Family Physicians, 12.7 percent of family physicians conducted group visits in 2010, up from 5.7 percent in 2005.

Some studies have found that group visits can improve health outcomes. In an Italian trial that randomly assigned more than 800 Type 2 diabetes patients to either group or individual care, the group patients had lower blood glucose, blood pressure, cholesterol and BMI levels after four years than the patients receiving individual care.

Doctors say patients may learn more from each other than they do from physicians. "Patients really want to hear what others patients are experiencing, " Shahady says.

Jake Padilla of Westminster, Colo., participated in his first group visit more than a decade ago, shortly after he had heart bypass surgery.
 
Padilla, now 67, continued to attend group appointments geared to primary-care patients' concerns for years after that at the Kaiser Permanente outpatient clinic near his home. (Kaiser Health News is not affiliated with Kaiser Permanente.) He usually went once a month or so, and the members of the group constantly changed.

One woman who attended the group was 102 years old, he remembers. Fellow patients wanted to know how she managed to live that long. One of her secrets, she said, was deep breathing. Padilla has since used that advice when his blood pressure gets out of control.

But group visits aren't for everyone. Padilla's wife, Tedi, went to one meeting with him and never went back.

"She said she didn't have time to sit there and listen to all those patients," he says.

Kaiser Health News is an editorially independent program of the Henry J. Kaiser Family Foundation, a nonprofit, nonpartisan health policy research and communications organization not affiliated with Kaiser Permanente.
 
Last Updated: 03/19/2013
 | 32 Comments


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Option D
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« Reply #47 on: March 20, 2013, 01:34:09 AM »

Tags: obamacare | family | physician | shortage Top Doc: Say Bye to Your Family Doctor When Obamacare Hits
Monday, 18 Mar 2013 06:27 PM

By Bill Hoffmann

More ways to share...  Mixx  Stumbled  LinkedIn  Vine  Buzzflash  Reddit  Delicious  Newstrust  Technocrati Share:   More . . . A    A   |    Email Us   |    Print   |    Forward Article
0
inShare inShare0 Americans may no longer have access to their family doctors because of Obamacare, according to Dr. Scott Gottlieb, a resident fellow at the American Enterprise Institute.

“By next year more than 50 percent of all physicians in the country … will be working either for a hospital or a hospital and health network as a salaried employee,’’ Gottlieb told Newsmax TV’s “The Steve Malzberg Show.’’

“So the idea of the local doctor owning their practice and practicing locally — that’s going away.’’

That’s because incentives in the Affordable Care Act will pay physicians to practice as employees rather than to own their own businesses, Gottlieb explained.

“This is going to have some negative ramifications for our patients,’’ he said.

“They’re going to get more of their care from hospital-owned clinics that aren’t going to have the look and feel of the local doctors’ office.’’

Just as alarming, he added, is that doctors “basically are just working shifts and accountability to the patient could be lost as they get handed off from shift to shift to shift.’’

Editor's Note: ObamaCare Is About to Strike Are You Prepared?

Gottlieb — who also served at the Food and Drug Administration as Deputy Commissioner for Medical and Scientific Affairs — said the concept of Obamacare has already been tested — and has a record of failure.

“We’ve tried this before in the 1990s and it didn’t work when we tried to give hospitals incentives to buy out doctor practices, run these integrated living systems. A few hospitals survived and thrived but most of them didn’t. Most of them failed,’’ he said.

“There’s this naďve notion that if you can just consolidate doctors around a hospital and it’s going to lead to improve in care and better coordination of care. But that’s not what’s happening.’’



Read Latest Breaking News from Newsmax.com http://www.newsmax.com/Newswidget/obamacare-family-physician-shortage/2013/03/18/id/495239?promo_code=11102-1&utm_source=11102Real_Clear_Politics&utm_medium=nmwidget&utm_campaign=widgetphase1#ixzz2O11o21sI
Urgent: Should Obamacare Be Repealed? Vote Here Now!

lol ....ok...Healthcare partners...Medical group.... Doctor owned. Endorses Obamacare as its good for business according to the doctors.....so..ummm..ye ahhhh
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« Reply #48 on: March 20, 2013, 03:44:31 AM »

Most docs are agajnst kenyacare
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dario73
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« Reply #49 on: March 20, 2013, 05:44:35 AM »

lol ....ok...Healthcare partners...Medical group.... Doctor owned. Endorses Obamacare as its good for business according to the doctors.....so..ummm..ye ahhhh
Read it again:

“This is going to have some negative ramifications for our patients,’’ he said.

“They’re going to get more of their care from hospital-owned clinics that aren’t going to have the look and feel of the local doctors’ office.’’

Just as alarming, he added, is that doctors “basically are just working shifts and accountability to the patient could be lost as they get handed off from shift to shift to shift.’’

Editor's Note: ObamaCare Is About to Strike Are You Prepared?

Gottlieb — who also served at the Food and Drug Administration as Deputy Commissioner for Medical and Scientific Affairs — said the concept of Obamacare has already been tested — and has a record of failure.

“We’ve tried this before in the 1990s and it didn’t work when we tried to give hospitals incentives to buy out doctor practices, run these integrated living systems. A few hospitals survived and thrived but most of them didn’t. Most of them failed,’’ he said.

“There’s this naďve notion that if you can just consolidate doctors around a hospital and it’s going to lead to improve in care and better coordination of care. But that’s not what’s happening.’’


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