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

[TH3]

Still waiting for documentation/back up the the black market costs that make hc in other countries equal in costs to ours.....our is it just smoke and conjecture like ^^

[birdog1960]

They don't see the fool's gold yet. That's fine. This is like a fad in that sense, cool now, embarrassment later. When they realize that they can't actually see the doctor, for which they are paying, without sliding him an extra $200 per visit to "move up on the list"? Yes, the lady(90% of the time, it's a lady) holding the clip-board at the "velvet rope" is going to be very unkind.

 

John Adams: walking around in parachute pants, sporting his Don Johnson hair and sport coat, and playing with his pet rock. He's the coolest...today. But, later, when he tries to get in with that outfit? He's going to get the "fire code" excuse.

 

And what's better? When they start howling about the "unfairness" of it all! Obamacare the unfair, fairness policy. The best is when the "fixer" Democrats demand to be allowed to fix it, and suddenly realize , that the far-left buffoons have made that impossible, due their idiotic "cost control" plan: Meaningful Use.

 

Meaningful Use: a tenet of this abortion, that it seems hardly anyone but me truly understands. And therefore: few see it correctly as the giant cluster F that will be the #1 barrier to "fixing Obamacare"s success. When the Ds finally arrive at the notion that they have to immediately jack up health care supply, or the whole thing folds, it is Meaningful Use that will make doing that impossible. No doctor is going to "invest" $100, so that he can return at best $80, and face the ongoing threat of a fine, or, lose his existing %, because he tried to grow his practice.

 

He's going to do: nothing. (I can just see the Public Service announcements cajoling them to do it anway). There won't be any way to get "new" Obamacare docs to provide the supply. So, now JA has to see a PA, or an RN, who isn't really capable of providing an Dx, nor are they legally qualified to do so. And, I'm sure there will be all sorts of legal wrangling to try and make that possible.....to which the trial lawyers will say "no way", because then they would lose out on their #1 way of proving malpractice = misdiagnosis. It's going to be very fun to watch trial lawyers fight the "we must keep it alive no matter what" Obamacare supporters.

 

The knives and guns will have to come out, because for both sides: that's a fight to the death.

 

It's going to be hilarious watching them all fight, and scurry about...and then? There's my crew, or more likely, our partners, offering everyone, but the lawyers, of course, the ONLY way out. Once again, I encourage you all to do your own work on Meaningful Use, because once you do, you'll see things straight.

i don't know anyone employing a velvet rope with some faceless lady taking bribes for appointments nor do i ever imagine such a thing occurring.

 

your delusions are definitely worsening.

 

if you haven't heard, the trend is towards population based medicine. health systems are going to take on risk by providing care for all facets of a large number of insured lives. and we will all be financially and ethically motivated to provide quality outcomes at the lowest possible cost. there will certainly be conflicts e.g. specialists no longer seeing as many cases or follow ups that aren't really medically necessary ie: less will be needed.. same goes for much of the testing currently done. but large numbers of insured lives is one of the keys to success. so, no velvet rope and kickbacks for access. there will be shortages of primary care docs, no doubt. hopefully there will be a market driven supply and demand solution for that problem. you all have so much faith in that mechanism, after all.

 

meaningful use has been very rapidly adopted. the only docs that i know that aren't certified yet or don't have plans to be soon are ready to retire.

Edited April 19, 2014 by birdog1960

[OCinBuffalo]

Still waiting for documentation/back up the the black market costs that make hc in other countries equal in costs to ours.....our is it just smoke and conjecture like ^^

Hey tithead, I've given you that exact thing, 10 pages ago in this thread, and in the other where you asked for it.

 

Learn: you directly challenge somebody here, be prepared to get a long post in response

 

If you didn't read it, 10 pages ago, how the F is that my fault?

[Koko78]

New York's exchange has been a tremendous success...

 

http://www.nydailynews.com/news/politics/state-obamacare-sign-ups-top-960k-article-1.1759267

 

Of those who enrolled in coverage through the state's exchange, 525,293 qualified for Medicaid and 435,479 signed up for private insurance.

 

...well at signing people up for programs they could have just gone to their local Department of Social Services office to sign up for. How many hundreds of millions spent just to have ~55% of "uninsured" people sign up for welfare benefits they already qualified for?

 

It's also interesting to note that there is no mention of how many of those 435,479 were actually uninsured prior to Obamacare kicking in, nor how many of those who signed up actually have (and are paying for) coverage.

[OCinBuffalo]

i don't know anyone employing a velvet rope with some faceless lady taking bribes for appointments nor do i ever imagine such a thing occurring.

 

your delusions are definitely worsening.

 

if you haven't heard, the trend is towards population based medicine. health systems are going to take on risk by providing care for all facets of a large number of insured lives. and we will all be financially and ethically motivated to provide quality outcomes at the lowest possible cost. there will certainly be conflicts e.g. specialists no longer seeing as many cases or follow ups that aren't really medically necessary ie: less will be needed.. same goes for much of the testing currently done. but large numbers of insured lives is one of the keys to success. so, no velvet rope and kickbacks for access. there will be shortages of primary care docs, no doubt. hopefully there will be a market driven supply and demand solution for that problem. you all have so much faith in that mechanism, after all.

 

meaningful use has been very rapidly adopted. the only docs that i know that aren't certified yet or don't have plans to be soon are ready to retire.

You don't even know what your costs are, yet you declare that you will be doing things for the lowest possible cost? And, not knowing it for one guy, is made better by not knowing it for all of the "population". Who is delusional again?

 

How the F will you prove "lowest possible cost" to anyone? What happens when your unplanned work(at least 60% of the work that occurs in every single health care outfit on this planet), costs more than you figured...but...you can't figure it, because you don't know what it costs? And you call this: ethical? (Btw, we are your only chance of ever actually being "ethical" in this. How funny is that?)

 

Oh sure, let's bring in B-large and his dopey, "I know what an MRI costs, because I work sampled 3 of them last year, and then extrapolated the average onto every one of the 837 MRIs we did". "Variance? Nah, every MRI costs the same, and birdog ethically says that this cost is always the "lowest possible cost"...because my financial allocation averaged, Excel spreadsheet says so".

 

birdog, you can try to blow smoke up somebody else's ass, but not mine. I know this stuff cold now, so of course I love your pulled-from-ass, solution-free solution:

there will be shortages of primary care docs, no doubt. hopefully there will be a market driven supply and demand solution for that problem.

You acknowledge the fact that a solution is required. Therefore, you acknowledge the fact that a problem has been created. What you don't seem to get is the challenge that Meaningful Use directly presents any solution(except mine) to that problem.

 

Like the many useless twits I encounter in health care: you predict that a "solution" will materialize out of thin air, but don't have the foggiest clue how to even begin providing one. For the rest of you: We see here what happens when "hopefully" encounters oxygen. Absolutely nothing. "Hope and Change!" "Forward!"

 

You have no earthly idea what Meaningful Use means, and neither do your pals. You see it in terms of "point in time", not "over time", which is required for this scam to own you, as designed. Question: What's it gonna take to keep you certified?

 

 

Oh, didn't think about that, did we? Poor birdog. He doesn't see it yet. Well? As I've said: they are just handing this to us. We can turn Meaningful Use on its ear, and actually use it as a weapon against the government. But, only for non-useless twits...and only because the Friends of Birdog created the problem for us to solve.

[boyst]

So, with me being ineligible for the new insurance just yet by my new and likely short term employer I have the ACA coverage. I attempted to pay several times and have yet to pay a dime despite getting a letter about my coverage from the provider I chose. Well, I am going to see if I really have to pay it. I won't use the coverage at all - its more a just in case situation and I am going to avoid paying for it because I will just blame the website for being a failure and say I thought I never had coverage. Or something like that - ya know, basically skip out on the bill because I was not and am still not able to pay thru the ACA site.

[PearlHowardman]

It's also interesting to note that there is no mention of how many of those 435,479 were actually uninsured prior to Obamacare kicking in, nor how many of those who signed up actually have (and are paying for) coverage.

 

What I can tell you about those 435,479 newly insured is that their health insurance plans have high monthly premiums, no out of network benefits, high deductibles, and high patient copays.

 

Obamacare plans are the same catastrophic health plans that Obama said were junk!

[TakeYouToTasker]

I'd love it if our Doctors, who own practices, could speak to this.

Edited April 20, 2014 by TakeYouToTasker

[keepthefaith]

 

 

Obamacare plans are the same catastrophic health plans that Obama said were junk!

 

Yes, he railed against high deductible plans and those which covered lower percentages of a hospital bill. Than after passage of the law he and his friends at HHS must have had sticker shock themselves which resulted in them rolling out the bronze plans which only cover 60% of a hospital or ER stay after the deductibles are met. Any Tom, Dick , Harry or Jane Doe could have bought a plan like that individually without the new law being passed.

[John Adams]

 

 

Yes, he railed against high deductible plans and those which covered lower percentages of a hospital bill. Than after passage of the law he and his friends at HHS must have had sticker shock themselves which resulted in them rolling out the bronze plans which only cover 60% of a hospital or ER stay after the deductibles are met. Any Tom, Dick , Harry or Jane Doe could have bought a plan like that individually without the new law being passed.

 

Maybe yes, maybe not. The exchange got me a ton more choices than I ever had so I got about my same plan for a LOT less money.

[3rdnlng]

Maybe yes, maybe not. The exchange got me a ton more choices than I ever had so I got about my same plan for a LOT less money.

 

Just wait. The schit is going to hit the fan and you are not going to be happy. I'm approaching this from a practical sense, not a partisan sense.

[John Adams]

 

 

Just wait. The schit is going to hit the fan and you are not going to be happy. I'm approaching this from a practical sense, not a partisan sense.

 

My rates are going to go up? What a non shock that would be. Time will tell.

 

My posts on my experience have defined practical. I'm sharing my experience using the system. It's been excellent. Most of the people responding on here haven't used it so jboys and I are giving our first hand account.

 

So, with me being ineligible for the new insurance just yet by my new and likely short term employer I have the ACA coverage. I attempted to pay several times and have yet to pay a dime despite getting a letter about my coverage from the provider I chose. Well, I am going to see if I really have to pay it. I won't use the coverage at all - its more a just in case situation and I am going to avoid paying for it because I will just blame the website for being a failure and say I thought I never had coverage. Or something like that - ya know, basically skip out on the bill because I was not and am still not able to pay thru the ACA site.

 

I had this payment snafu early too. They figured it out.

[PearlHowardman]

My posts on my experience have defined practical. I'm sharing my experience using the system. It's been excellent. Most of the people responding on here haven't used it so jboys and I are giving our first hand account.

 

I've been on the NYS exchange so you can add my experience to the list. And in my experience the Obamacare plans SUCK!! Obamacare is just a huge insurance swindle.

[Koko78]

I've been on the NYS exchange so you can add my experience to the list. And in my experience the Obamacare plans SUCK!! Obamacare is just a huge insurance swindle.

 

What, specifically, about your experience sucked?

 

(Believe it or not, I'm not asking to be a smartass, I actually want to know.)

[Chef Jim]

What, specifically, about your experience sucked?

 

(Believe it or not, I'm not asking to be a smartass, I actually want to know.)

 

Really. Has anyone had an experience with health insurance the didn't suck pre or post ACA?

[Koko78]

Really. Has anyone had an experience with health insurance the didn't suck pre or post ACA?

 

Mr. Adams, apparently.

[3rdnlng]

Mr. Adams, apparently.

 

And Julia.

[Chef Jim]

Mr. Adams, apparently.

 

He's only applied and gotten coverage. I'll wait to hear his experience when he has a claim or problem.

[PearlHowardman]

The insurance exchange isn't the problem. The problem is that most health plans offered under Obamacare are essentially catastrophic health plans. You pay a monthly premium but never get any financial benefit because of the high deductibles and high copays.

 

If you want a good health insurance plan that actually pays well then the monthly premium is sky high! Either way, the insurance companies get your money.

 

Obamacare is an insurance rip off!!

[Doc]

The insurance exchange isn't the problem. The problem is that most health plans offered under Obamacare are essentially catastrophic health plans. You pay a monthly premium but never get any financial benefit because of the high deductibles and high copays.

 

If you want a good health insurance plan that actually pays well then the monthly premium is sky high! Either way, the insurance companies get your money.

 

Obamacare is an insurance rip off!!

Yep. And as an added bonuses for them, the taxpayers help subsidize many of the premiums while the insurance companies get to pay Medicaid rates, which at least for anesthesia, are about 1/4 what private insurance pays.