ObamaCare – let the race to the bottom begin
Doctors in New York aren’t particularly happy about ObamaCare:
New York doctors are feeling queasy about ObamaCare — and many won’t participate in the new national insurance program because they fear they’ll go broke, The Post has learned.
“ObamaCare is going to send me more patients to see and then cut the payments to provide the care — that’s what’s going to happen,” predicted Donald Moore, a primary-care doctor in Prospect Heights, Brooklyn. “I will not accept it.”
Moore claims that President Obama made a big mistake by requiring uninsured residents to obtain medical coverage from for-profit insurers through the ObamaCare health exchanges instead of through public health programs like Medicaid.
Under tremendous pressure to keep costs down and profits up, Moore said he’s concerned that commercial insurers will pay doctors less for patient visits and services than either Medicaid or Medicare.
Many doctors, he argues, won’t be able to cover their costs with such skimpy fees.
Moore scoffed, “Who’s going to sustain the losses? The insurance companies? It’s basically going to be a race to the bottom.”
No kidding. And that’s precisely what was predicted here long ago. Just because you have insurance doesn’t mean a doctor is going to take you on as a patient. Result? The same solution – packed and overcrowded emergency rooms. Hospitals going broke treating everyone who comes through the door on the pittance their insurer pays for the treatment.
And how do doctors feel about the beginning of ObamaCare? Well they’re not sure at all how it works:
Despite a much publicized rollout, many other doctors said they haven’t decided whether to become ObamaCare providers, because they haven’t been notified by insurers or the state about reimbursement rates.
“I have not spoken with anyone who has made a decision to participate in the exchanges. We simply don’t have any information about which we can make a decision,” said Dr. Paul Orloff, president of the New York County Medical Society.
“We have no idea what the reimbursements will be or what the claims-form process will entail.”
Until they are, why would any sane medical practice take on new patients?
The Medical Society of New York State is conducting a survey of doctor concerns about the program and asking whether they will accept patients who buy policies.
“There’s a real question about how many doctors will participate. Doctors are concerned about being left holding the bag,” said Sam Unterricht, an ophthalmologist and the president of the state medical society.
The clumsy launch of ObamaCare in New York and elsewhere — with computer glitches and sketchy information — worries the medical community, he said.
“It’s really shaky right now,” Unterricht said.
Spooked about the payments they’ll receive under ObamaCare, other doctors said they’ve stopped hiring staff for their medical practices.
“I’m apprehensive. I’m certainly not hiring anyone new,” said James Reilly, an obstetrician who has delivered 4,000 babies and heads the Richmond County Medical Society.
“We want to see the impact on the bottom line,” said Reilly, who has a 12-member staff and pays a hefty $200,000 annual medical-malpractice insurance premium.
Yes, the enthusiasm for the new system is, well, overwhelming, isn’t it? Of course they want to see the impact on the bottom line – they’re small business owners. Government is involved in price fixing and they’d like to see if they can live with the fixed price or not. If any other entity was involved in doing what the government is involved in here, they’d have been arrested.
But hey, when government decides it can make legal for itself what is illegal for you (consider the lottery, for instance) then you know you’re on the fast road to total decline. The sign posts are whipping by so fast, no one can even read them anymore.