The Affordable Care Act II - Because Mr. Obama Loves You All

[birdog1960]

there's a great deal of misunderstanding here re physician supply. the number of med school spots has increased dramatically over tyne last decade. midlevels are filling a void but i'd certainly prefer to seen an md if i needed care. it's explained very well here: http://www.npr.org/sections/health-shots/2015/12/18/460291216/kaiser-permanentes-new-medical-school-to-focus-on-teamwork and here http://www.wsj.com/articles/kaiser-permanente-to-launch-medical-school-1450368001. who would have thought? an insurance company starting a medical school. nope, the government isn't going to be doing the rationing as much as the insurance company trained and employed "providers". it's the natural consequence of a for profit medical system. and it is mostly very bad.

 

Kaiser is actually at the trailing edge of a medical school expansion that has been unmatched since the 1960s and 1970s, say specialists in medical education. (Kaiser Health News is not affiliated with Kaiser Permanente.) In the past decade alone, according to the Association of American Medical Colleges, 20 new medical schoolshave opened or been approved.

That's no coincidence. In 2006 the AAMC called for a 30 percent increase in medical school graduates by 2015 — by admitting more students and building new schools — to meet a growing demand.

Edited December 31, 2015 by birdog1960

[B-Man]

In rural areas this is difficult.

 

We have been trying to hire a PA for 8 months.

 

Any kind of specialty consult, Neurology Psychiatry, even Dermatology is usually a couple of months out.

 

Hopefully we can improve on our Tele-Medicine capabilities

[DC Tom]

there's a great deal of misunderstanding here re physician supply. the number of med school spots has increased dramatically over tyne last decade. midlevels are filling a void but i'd certainly prefer to seen an md if i needed care. it's explained very well here: http://www.npr.org/sections/health-shots/2015/12/18/460291216/kaiser-permanentes-new-medical-school-to-focus-on-teamwork. who would have thought? an insurance company salting a medical school. nope, the government isn't going to be doing the rationing as much as the insurance company trained and employed "providers". it's the natural consequence of a for profit medical system. and it is mostly very bad.

 

Kaiser is actually at the trailing edge of a medical school ension that has been unmatched since the 1960s and 1970s, say specialists in medical education. (Kaiser Health News is not affiliated with Kaiser Permanente.) In the past decade alone, according to the Association of American Medical Colleges, 20 new med schools that has been unmatched since the 1960s and 1970s, say specialists in medical education. (Kaiser Health News is not affiliated with Kaiser Permanente.) In the past decade alone, according to the Association of American Medical Colleges, 20 new medical schoolshave opened or been approved.

That's no coincidence. In 2006 the AAMC called for a 30 percent increase in medical school graduates by 2015 — by admitting more students and building new schools — to meet a growing demand.

 

In the absence of market limitations on supply, government would have to do the rationing anyway.

 

That was always the fatal flaw of the ACA: you can't increase demand with a static supply, and keep costs down. Something, somewhere, will be a limiting factor in that dynamic. You can argue which, market forces or government intervention, is the better means of managing that limiting factor, but you can't just make it go away with wishful thinking.

[Nanker]

But Obama has a phone and a pen! He can do anything!

[B-Man]

Obamacare subsidies may have gone to non-paying customers

 

The Obama administration can't verify that Obamacare subsidies were withheld from customers who didn't pay their health insurance premiums, according to a new inspector general report released Wednesday.

 

The earnings-based subsidies go to low- to middle-income Americans to help make their premiums more affordable — but those customers are expected to pay a share out of their own pockets. But the Centers for Medicare and Medicaid Services doesn't have an effective process to ensure customers are covering their part of the bill, the Inspector General for the Department of Health and Human Services found.

 

Instead, CMS is relying on insurers selling the plans to verify that the customers are paying their premiums and are even eligible to receive them, the oversight agency said.

 

"CMS could not ensure that [advanced tax credit] payments made to [qualified health plan] issuers were only for enrollees who had paid their premiums," the agency wrote.

 

To ensure the subsidies go only to those who pay their premiums, the inspector general recommended that CMS establish its own verification process instead of relying on insurers.

 

In its response, the agency agreed that it should set up its own verification system.

 

http://www.washingtonexaminer.com/obamacare-subsidies-may-have-gone-to-non-paying-customers/article/2579717

 

 

Perhaps, that should have been done from the beginning ?

[DC Tom]

Obamacare subsidies may have gone to non-paying customers

 

The Obama administration can't verify that Obamacare subsidies were withheld from customers who didn't pay their health insurance premiums, according to a new inspector general report released Wednesday.

 

The earnings-based subsidies go to low- to middle-income Americans to help make their premiums more affordable — but those customers are expected to pay a share out of their own pockets. But the Centers for Medicare and Medicaid Services doesn't have an effective process to ensure customers are covering their part of the bill, the Inspector General for the Department of Health and Human Services found.

 

Instead, CMS is relying on insurers selling the plans to verify that the customers are paying their premiums and are even eligible to receive them, the oversight agency said.

 

"CMS could not ensure that [advanced tax credit] payments made to [qualified health plan] issuers were only for enrollees who had paid their premiums," the agency wrote.

 

To ensure the subsidies go only to those who pay their premiums, the inspector general recommended that CMS establish its own verification process instead of relying on insurers.

 

In its response, the agency agreed that it should set up its own verification system.

 

http://www.washingtonexaminer.com/obamacare-subsidies-may-have-gone-to-non-paying-customers/article/2579717

 

 

Perhaps, that should have been done from the beginning ?

 

Oh, that's just !@#$ing magical. Even by government standards, that's incompetent.

[IDBillzFan]

 

Oh, that's just !@#$ing magical. Even by government standards, that's incompetent.

 

Gee, if only someone could have predicted all the waste and incompetence this unread piece of legislation would unfold.

[Azalin]

 

Gee, if only someone could have predicted all the waste and incompetence this unread piece of legislation would unfold.

 

Now be fair - we had to pass it in order to know what was in it, remember?

[IDBillzFan]

 

Now be fair - we had to pass it in order to know what was in it, remember?

 

Not to mention, it created over 400,000 jobs almost immediately...just like Pelosi said it would.

 

Truth be known, the only two things we know for certain about Obamacare is that within 5 years the law will be so bad that the media will start referring to it as a bipartisan law, and within 20 years it will be referred to as GOP legislation passed exclusively on party lines. And when someone on the right argues against that point, the left will start yelling about how the GOP was so adamant about passing the law, they spit on a black congressman on the way to getting the law passed.

 

It'll be in all the school textbooks.

[Azalin]

 

Not to mention, it created over 400,000 jobs almost immediately...just like Pelosi said it would.

 

Truth be known, the only two things we know for certain about Obamacare is that within 5 years the law will be so bad that the media will start referring to it as a bipartisan law, and within 20 years it will be referred to as GOP legislation passed exclusively on party lines. And when someone on the right argues against that point, the left will start yelling about how the GOP was so adamant about passing the law, they spit on a black congressman on the way to getting the law passed.

 

It'll be in all the school textbooks.

 

[Tiberius]

http://www.cbsnews.com/news/60-minutes-overtime-on-the-road-with-the-health-wagon/

 

 

Great 60 Minutes piece on what not having Obamacare means for the people of a red state. Pretty sad.

[DC Tom]

http://www.cbsnews.com/news/60-minutes-overtime-on-the-road-with-the-health-wagon/

 

 

Great 60 Minutes piece on what not having Obamacare means for the people of a red state. Pretty sad.

 

It means they get free health care?

[Tiberius]

It means they get free health care?

To you that's what it means. Of course to you Joachim Peiper isn't Joachim Peiper and the Fed isn't a Regulatory agency

[Deranged Rhino]

[DC Tom]

To you that's what it means.

 

 

This week, 60 Minutes boarded the Health Wagon, a mobile health clinic in a beat-up Winnebago. It's run by Teresa Gardner and Paula Meade, two nurse practitioners who navigate the hills and hollows of Appalachia, providing free medical care to the working poor.

[Chef Jim]

http://www.cbsnews.com/news/60-minutes-overtime-on-the-road-with-the-health-wagon/

 

 

Great 60 Minutes piece on what not having Obamacare means for the people of a red state. Pretty sad.

 

I didn't watch the 60 Minutes piece but I did read the story and it looks like having Obamacare available to these people left them right where they were before it......uninsured. So what did the ACA do for these people?

[Tiberius]

 

I didn't watch the 60 Minutes piece but I did read the story and it looks like having Obamacare available to these people left them right where they were before it......uninsured. So what did the ACA do for these people?

Because the state did not participate in the medicade expansion

 

Yes, as a last resort before they died. Obamacare would have provided healthcare before they had to sit, suffer and wait for a traveling health care van to show up

[DC Tom]

Yes, as a last resort before they died. Obamacare would have provided healthcare before they had to sit, suffer and wait for a traveling health care van to show up

 

Obamacare would have opened doctor's offices and clinics in Appalachia?

[Tiberius]

 

Obamacare would have opened doctor's offices and clinics in Appalachia?

Good point, since there hasn't been the money for health care in the area there is a lack of clinics and such. That's another good think about Obamacare, it provides the funding and the clinics will follow

there's a great deal of misunderstanding here re physician supply. the number of med school spots has increased dramatically over tyne last decade. midlevels are filling a void but i'd certainly prefer to seen an md if i needed care. it's explained very well here: http://www.npr.org/sections/health-shots/2015/12/18/460291216/kaiser-permanentes-new-medical-school-to-focus-on-teamwork and here http://www.wsj.com/articles/kaiser-permanente-to-launch-medical-school-1450368001. who would have thought? an insurance company starting a medical school. nope, the government isn't going to be doing the rationing as much as the insurance company trained and employed "providers". it's the natural consequence of a for profit medical system. and it is mostly very bad.

 

Kaiser is actually at the trailing edge of a medical school expansion that has been unmatched since the 1960s and 1970s, say specialists in medical education. (Kaiser Health News is not affiliated with Kaiser Permanente.) In the past decade alone, according to the Association of American Medical Colleges, 20 new medical schoolshave opened or been approved.

That's no coincidence. In 2006 the AAMC called for a 30 percent increase in medical school graduates by 2015 — by admitting more students and building new schools — to meet a growing demand.

Would be hard to believe that this growth would have taken place without the massive government budget for health care. Government funded demand is fueling the increase in supply in part at least

[keepthefaith]

Do they have snow plows nearby to plow their snow as readily as those that live in urban/suburban areas? I think we need Obamaplow now to cover that. It's not fair that people who choose to live in very remote poverty don't have access to snoweplow services. Tax the rich and let's get it done. This is waaayyy overdue.