Free Markets, Free People

Will Doctors Opt Out Of Public Option?

It appears at least some plan too. Dr. Alfred Bonati, who heads the American Society of Medical Doctors, says he plans to say “no” to accepting patients under a government run plan and, according to a poll he cites, so do an awful lot of other physicians:

Perhaps this is why a nationwide, nonpartisan poll of physicians this month found that a full 70 percent oppose the health care reform proposals under consideration by Congress. Sixty-six percent feel that a government-run health insurance plan would restrict doctors’ ability to give the best advice and offer the best care possible to their patients. Perhaps most importantly, 60 percent said they would not accept new patients covered by a government insurance plan.

His reasons are based in experience:

Nearly all the doctors polled have worked with Medicare. Most have likely been denied Medicare reimbursement, or given minimal reimbursement, for a course of treatment that they prescribed that best fits the needs of a patient and that patient’s family. They know that government coverage does not allow for flexibility, creativity, or, sometimes, even compassion.


I share the view of the 60 percent in the August poll — those doctors who are planning to “just say no” if government-run health coverage is implemented. Many of us already do not accept patients who are on Medicare or Medicaid because of restrictions those programs put on our decisions as doctors. It pains us to turn away a patient in need, but the narrow rules of government reimbursement programs stymie our ability to follow our oath, so we simply opt out and work with patients who are also in need but have more flexible, private coverage.

If a government option gains the popularity that is expected — after all, who would not choose the most affordable option available, and how could any option compete with one that is subsidized by taxpayers — millions of Americans will face severely limited options in choosing a doctor. As physicians reject working with a system that does not honor our oath, patients will be left opening their own checkbooks, or going into credit card debt, to get the treatment they need and deserve.

The law of unintended consequences again raises its head. The government may indeed put a public option in place – whether or not the citizens of the nation want it or not. And they may, through legislation, force insurance companies to take everyone without exception, but -at least not at this point- they can’t force doctors to accept patients under plans that don’t feel reimburses at a rate commensurate with the care given or doesn’t allow them to treat a patient in accordance with the oath they took.

Of course that then leaves that system with a problem and the government with a dilemma – does it then force MDs to take anyone who applies (as it will insurance companies) regardless of insurance plan? And if so, how do you suppose doctors and other health care providers will react?

It is these sorts of problems, dilemmas and unintended consequences that few are talking about in this great “debate”. What if it is doctors who become the Atlas that shrugs when all is said and done. What options would the government then have – in this land of the “free” and home of the brave?



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12 Responses to Will Doctors Opt Out Of Public Option?

  • unfortunately, the next step is to pass a law requiring Doctors to see patients on the plan by either tying it to their license or making it illegal to not accept it.

    • tying it to their license

      I remember a commenter here years ago arguing that exact thing regarding pharmacists and her “right” to medicine. (I think it was specifically the morning-after pill and pharmacists who didn’t want to carry it because of religious objections.) Among other things, she saw no problem with forcing pharmacists to carry any and all drugs because they must have state licenses to be in business. No libery-based argument would sway her – she wanted her medicine and didn’t want to drive or move closer to a compliant pharmacist.

  • Joel C. beat me to it.

    Once you decide that health care is a right, then people who deny that right are committing a crime, no?

  • —>people who deny that right are committing a crime

    Yeah, a hate crime and they will use the power of civil rights laws to send them to federal prison.

    Good luck with trying to deny treatment.

    After a few very public show trials the rest of the sheep will get in line.

  • You think the people who feel they can force you to have insurance wouldn’t also tell doctors they have to see any patient? Of course they will.

  • Greedy Republican Doctors refuse patients!
    MDs shill for Big Insurance and Big Pharma!
    Right Wing Doctors hate the idea of a Black President!
    Why Doctors put Green before Grandma!
    Senate investigates Primary Care Physicians.
    Medical Ethics committee explores penalties on non-participant Docs.
    Cuban Doctors, they care for you!

    Just trying out some headline and lead-in angles for Obama’s media Czar to suggest to The Ministry of Information when the proper time comes.

  • Not that our esteemed Supreme Court would so hold, but I have a hard time seeing how forcing doctors to accept patients under a government option against their will does not violate the 13th Amendment’s prohibition of involuntary servitude.

  • NO CO-OP’S! A Little History Lesson

    Young People. America needs your help.

    More than two thirds of the American people want a single payer health care system. And if they cant have a single payer system 77% of all Americans want a strong government-run public option on day one (86% of democrats, 75% of independents, and 72% republicans). Basically everyone.

    Our last great economic catastrophe was called the Great Depression. Then as now it was caused by a reckless, and corrupt Republican administration and republican congress. FDR a Democrat, was then elected to save the nation and the American people from the unbridled GREED and profiteering, of the unregulated predatory self-interest of the banking industry and Wallstreet. Just like now.

    FDR proposed a Government-run health insurance plan to go with Social Security. To assure all Americans high quality, easily accessible, affordable, National Healthcare security. Regardless of where you lived, worked, or your ability to pay. But the AMA riled against it. Using all manor of scare tactics, like Calling it SOCIALIZED MEDICINE!! :-0

    So FDR established thousands of co-op’s around the country in rural America. And all of them failed. The biggest of these co-op organizations would become the grandfather of the predatory monster that all of you know today as the DISGRACEFUL GREED DRIVEN PRIVATE FOR PROFIT health insurance industry. And the DISGRACEFUL GREED DRIVEN PRIVATE FOR PROFIT healthcare industry.

    This former co-op would grow so powerful that it would corrupt every aspect of healthcare delivery in America. Even corrupting the Government of the United States.

    This former co-op’s name is BLUE CROSS/BLUE SHIELD.

    Do you see now why even the suggestion of co-op’s is ridiculous. It makes me so ANGRY! Co-op’s are not a substitute for a government-run public option.

    They are trying to pull the wool over our eye’s again. Senators, if you don’t have the votes now, GET THEM! Or turn them over to us. WE WILL! DEAL WITH THEM. Why do you think we gave your party Control of the House, Control of the Senate, Control of the Whitehouse. The only option on the table that has any chance of fixing our healthcare crisis is a STRONG GOVERNMENT-RUN PUBLIC OPTION.

    An insurance mandate and subsidies without a strong government-run public option choice available on day one, would be worse than the healthcare catastrophe we have now. The insurance, and healthcare industry have been very successful at exploiting the good hearts of the American people. But Congress and the president must not let that happen this time. House Progressives and members of the Tri-caucus must continue to hold firm on their demand for a strong Government-run public option.

    A healthcare reform bill with mandates and subsidies but without a STRONG government-run public option choice on day one, would be much worse than NO healthcare reform at all. So you must be strong and KILL IT! if you have too. And let the chips fall where they may. You can do insurance reform without mandates, subsidies, or taxpayer expense.

    Actually, no tax payer funds should be use to subsidize any private for profit insurance plans. So, NO TAX PAYER SUBSIDIZES TO PRIVATE FOR PROFIT PLANS. Tax payer funds should only be used to subsidize the public plans. Healthcare reform should be 100% for the American people. Not another taxpayer bailout of the private for profit insurance industry, disguised as healthcare reform for the people.

    God Bless You

    Jacksmith — Working Class

    Twitter search #welovetheNHS #NHS Check it out


    Senator Bernie Sanders on healthcare (


    • You posted this same crap on another thread. The next time I’ll mark it as spam.

      If you’ve got something to talk about, fine. Have at it. If you’re just dropping in to do your “cyberwarrior” thing with the same boilerplate each time, then do it somewhere else.

    • Tool.

    • FDR proposed a Government-run health insurance plan to go with Social Security.

      And look at what that got us.

  • Of course that then leaves that system with a problem and the government with a dilemma – does it then force MDs to take anyone who applies (as it will insurance companies) regardless of insurance plan? And if so, how do you suppose doctors and other health care providers will react?

    Pssst! I hear there’s an outlaw doctor who’ll do off-the-books prenatal care for cheap. Cash only, no questions. Meet him in the alley behind Mike’s at 9pm.