U.S. CitiesCity-Data Forum Index
Go Back   City-Data Forum > U.S. Forums > Idaho > Idaho Falls
 [Register]
Please register to participate in our discussions with 2 million other members - it's free and quick! Some forums can only be seen by registered members. After you create your account, you'll be able to customize options and access all our 15,000 new posts/day with fewer ads.
View detailed profile (Advanced) or search
site with Google Custom Search

Search Forums  (Advanced)
Reply Start New Thread
 
Old 01-21-2013, 10:32 AM
 
Location: Denver, CO
9,154 posts, read 5,455,258 times
Reputation: 4020

Advertisements

One of our concerns as potential SE Idaho residents in about 15 months when the wife retires is health care. Although Idaho has many wonderful attributes, I found the following information that does concern me:

22. Idaho
> Debt per capita: $2,478 (16th lowest)
> Budget deficit: 3.5% (45th largest)
> Unemployment: 8.7% (20th highest)
> Median household income: $43,341 (11th lowest)
> Pct. below poverty line: 16.5% (19th highest)
An estimated 16.5% of Idaho residents did not have health insurance last year, one of the higher rates in the country. This is particularly problematic in a state with one of the nation’s highest doctor shortages. In 2010, Idaho had just 172.5 active patient care physicians per 100,000 residents, fewer than all but three states. Last year, the state made major cuts to its Medicaid program, the effect of which was compounded by the loss of matching funds from the federal government. Despite it’s problems with health care, the state appears to budget conservatively. In fiscal 2011, it had a of only 3.5%, one of the smallest in the country.


Read more: The Best and Worst Run States in America: A Survey of All 50 - 24/7 Wall St. The Best and Worst Run States in America: A Survey of All 50 - 24/7 Wall St.

You can click on the link to view all the states--Idaho being ranked in the upper middle of the pack, and apparently down that far because of median income (not a problem for retirees) and lack of health care.
My question is simple. Could there be a lack of physicians in Idaho BECAUSE they aren't getting paid for providing some of it. In addition, a high population of underinsured (medicaid) drives doctors to reject providing care which in turn puts those people in the emergeny rooms of hospitals--which means insured people soon have to pay more because that is the way our god awful system works. Insurance rates go up so that hospitals can get money to pay for the care of the uninsured.

We will both be on medicare which isn't a very high paying system either, so if we can't find a physician, then Idaho is pretty much out for us as an older couple. If Idaho already suffers from a shortage of physicians, lack of payment for them is going to increase the problem, and the few who are left may be more than willing to say, "Thanks, but no thanks" to both medicaid and medicare.

Are there problems with doctors in IF/Poky not accepting medicare? What kind of solution do Idahoans have in mind for a doctor shortage as severe as this?
Reply With Quote Quick reply to this message

 
Old 01-21-2013, 04:08 PM
 
Location: Old Mother Idaho
21,235 posts, read 14,261,055 times
Reputation: 15730
Quote:
Originally Posted by Wardendresden View Post
One of our concerns as potential SE Idaho residents in about 15 months when the wife retires is health care. Although Idaho has many wonderful attributes, I found the following information that does concern me:

22. Idaho
> Debt per capita: $2,478 (16th lowest)
> Budget deficit: 3.5% (45th largest)
> Unemployment: 8.7% (20th highest)
> Median household income: $43,341 (11th lowest)
> Pct. below poverty line: 16.5% (19th highest)
An estimated 16.5% of Idaho residents did not have health insurance last year, one of the higher rates in the country. This is particularly problematic in a state with one of the nationís highest doctor shortages. In 2010, Idaho had just 172.5 active patient care physicians per 100,000 residents, fewer than all but three states. Last year, the state made major cuts to its Medicaid program, the effect of which was compounded by the loss of matching funds from the federal government. Despite itís problems with health care, the state appears to budget conservatively. In fiscal 2011, it had a of only 3.5%, one of the smallest in the country.


Read more: The Best and Worst Run States in America: A Survey of All 50 - 24/7 Wall St. The Best and Worst Run States in America: A Survey of All 50 - 24/7 Wall St.

You can click on the link to view all the states--Idaho being ranked in the upper middle of the pack, and apparently down that far because of median income (not a problem for retirees) and lack of health care.
My question is simple. Could there be a lack of physicians in Idaho BECAUSE they aren't getting paid for providing some of it. In addition, a high population of underinsured (medicaid) drives doctors to reject providing care which in turn puts those people in the emergeny rooms of hospitals--which means insured people soon have to pay more because that is the way our god awful system works. Insurance rates go up so that hospitals can get money to pay for the care of the uninsured.

We will both be on medicare which isn't a very high paying system either, so if we can't find a physician, then Idaho is pretty much out for us as an older couple. If Idaho already suffers from a shortage of physicians, lack of payment for them is going to increase the problem, and the few who are left may be more than willing to say, "Thanks, but no thanks" to both medicaid and medicare.

Are there problems with doctors in IF/Poky not accepting medicare? What kind of solution do Idahoans have in mind for a doctor shortage as severe as this?
Hi, Warden...
I don't know if there are any doctors here that are not accepting Medicare. The only time I've ever used my Medicare was just a couple of months ago, and the emergency clinic I went to sent my name in without my card; apparently, they had no problems, because I've never received a bill yet, and should have by now if there had been a problem.

As far as the overall lack of doctors in Idaho, as it is everywhere in the Intermountain West, location is everything. If you were planning on moving to Downey in S. Idaho, or Colburn in N. Idaho, or Grandview in W. Idaho, you would probably be out of luck in finding a local physician or dentist. The closest doctor would depend on how close a person was to a city of 20,000 people or more.

The more uncommon or serious the medical condition, the farther the travel distance.

Idaho Falls is pretty unique for a town of it's size, as it's a major service center for a very large area. By itself, I.F. is a more steadily prosperous town than most Idaho cities except for Boise, but part of it's service area includes the extremely wealthy small town of Jackson Hole, Wyoming, which has no large medical facilities. I.F. is also so centrally located that serious medical necessities that can't be handled here can be stabilized or preliminarily treated, then the patient can be swiftly moved to Salt Lake City, which has some of the largest and finest medicine in the west.

It is very unusual for a town of 47,000 to have the medical ability to do sophisticated brain surgery, heart surgery, and bone surgery, but we have it all here, and much more mundane medicine as well. Our emergency services are second to none. They have to be, as they are a major contributor to all the medicine practiced here.

The reasons why all this exists is, obviously, there is enough money to be made for specialists here to do well. We certainly do have our indigent medicine problems; those costs are a burden on our county budget. But we have many more folks who are able to meet their medical costs one way or another, and we have not lost any of our specialties so far.
Reply With Quote Quick reply to this message
 
Old 02-17-2013, 03:38 PM
 
8,440 posts, read 11,117,663 times
Reputation: 6212
Quote:
Originally Posted by Wardendresden View Post
One of our concerns as potential SE Idaho residents in about 15 months when the wife retires is health care. Although Idaho has many wonderful attributes, I found the following information that does concern me:

22. Idaho
> Debt per capita: $2,478 (16th lowest)
> Budget deficit: 3.5% (45th largest)
> Unemployment: 8.7% (20th highest)
> Median household income: $43,341 (11th lowest)
> Pct. below poverty line: 16.5% (19th highest)
An estimated 16.5% of Idaho residents did not have health insurance last year, one of the higher rates in the country. This is particularly problematic in a state with one of the nationís highest doctor shortages. In 2010, Idaho had just 172.5 active patient care physicians per 100,000 residents, fewer than all but three states. Last year, the state made major cuts to its Medicaid program, the effect of which was compounded by the loss of matching funds from the federal government. Despite itís problems with health care, the state appears to budget conservatively. In fiscal 2011, it had a of only 3.5%, one of the smallest in the country.


Read more: The Best and Worst Run States in America: A Survey of All 50 - 24/7 Wall St. The Best and Worst Run States in America: A Survey of All 50 - 24/7 Wall St.

You can click on the link to view all the states--Idaho being ranked in the upper middle of the pack, and apparently down that far because of median income (not a problem for retirees) and lack of health care.
My question is simple. Could there be a lack of physicians in Idaho BECAUSE they aren't getting paid for providing some of it. In addition, a high population of underinsured (medicaid) drives doctors to reject providing care which in turn puts those people in the emergeny rooms of hospitals--which means insured people soon have to pay more because that is the way our god awful system works. Insurance rates go up so that hospitals can get money to pay for the care of the uninsured.

We will both be on medicare which isn't a very high paying system either, so if we can't find a physician, then Idaho is pretty much out for us as an older couple. If Idaho already suffers from a shortage of physicians, lack of payment for them is going to increase the problem, and the few who are left may be more than willing to say, "Thanks, but no thanks" to both medicaid and medicare.

Are there problems with doctors in IF/Poky not accepting medicare? What kind of solution do Idahoans have in mind for a doctor shortage as severe as this?
Nice research! Now you're getting down to the better questions to ask.

I can't speak to the debt and other stats listed above.

My experience is Idaho physicians are compensated higher than some in neighboring states. Of course that doesn't matter when it comes to Medicare. Medicine doctors who don't do interventional procedures, diagnostic or treatment procedures will always earn less than those who are performing surgery or other interventional procedures.

Probably one of the easiest ways to explain a huge part of the problem is look at Idaho's growth rate the last 10-15 years. How many are fleeing other states (did I mention CA) to ID and do they have jobs with healthcare insurance when they arrive in ID (let alone debt etc. from their previous state of residence)? There are many factors that can contribute to a doctor shortage and Medicaid shortages. Rapid growth strains every system in a smaller state. Boise use to be 75K at one point.

Bypass the politics of what some value in education - can we say the Boise State Broncos football team vs. securing more medical school spots for ID residents - I'll simply ask you a question and make a suggestion.

ID has a lot of PAs and NPs. Unlike many other states, these mid-levels can practice in their own independent offices and use physician back up for more complicated patients. Consequently, when looking for care, you must determine first if you're comfortable seeing a midlevel (many reasonably healthy adults prefer midlevel care) and do either of you currently have medical conditions that need physician only care?

I believe you said your wife is currently employed. It sounds like she probably has health insurance currently. I'd recommend you use your access to her health insurance and instead of looking at your local current providers put your search in ID and see what practitioners are accepting Medicare currently.
I'm not too confident how long Medicare will be available for anyone in any state in the U.S. However, by you doing more of your own leg work like you did above, you'll get the answers you need not only for ID but other states you are considering too.

BTW, while I didn't go through your specific stats as I've read them previously, did you happen to read about Capitation? Unlike CA, NV, UT, AZ (the worst 4 states for Capitation) and NM has got major issues too, Idaho looks great to a lot of docs and patients who live in those states. If you didn't check the Cap. rate, it is also a very important pattern to learn for your future residence.

Good luck.... Banjo Mike has some good points as always. You're on your way to learning the process of how to find what you need wherever you decide to relocate.

MSR
Reply With Quote Quick reply to this message
 
Old 04-06-2013, 09:01 AM
 
Location: Denver, CO
9,154 posts, read 5,455,258 times
Reputation: 4020
Default Map shows deteriorating health care for Idaho women

I pulled the following from a post on another thread. It appears Idaho has deteriorating results for healthcare for women. No reason to assume it wouldn't be similar for men. And it's interesting to note that throughout the entire country the deteriorating or improving results by county appear to reflect the political leanings of those counties.

Mitt Romney's state of Massachusetts with the mandated healthcare he signed into law is solidly improving.

Gets curioser and curioser.

David Kindig and Erika Cheng just released a report in Health Affairs which looked at the mortality rates for 3140 counties in the United States. The focus of the report was women and children. Read some of the comments at the bottom of the link.

There is a much bigger map available at the link.

Women’s health and children’s health | The Incidental Economist

Reply With Quote Quick reply to this message
 
Old 04-07-2013, 05:42 PM
 
8,440 posts, read 11,117,663 times
Reputation: 6212
Quote:
Originally Posted by Wardendresden View Post
I pulled the following from a post on another thread. It appears Idaho has deteriorating results for healthcare for women. No reason to assume it wouldn't be similar for men. And it's interesting to note that throughout the entire country the deteriorating or improving results by county appear to reflect the political leanings of those counties.

Mitt Romney's state of Massachusetts with the mandated healthcare he signed into law is solidly improving.

Gets curioser and curioser.

David Kindig and Erika Cheng just released a report in Health Affairs which looked at the mortality rates for 3140 counties in the United States. The focus of the report was women and children. Read some of the comments at the bottom of the link.

There is a much bigger map available at the link.

Womenís health and childrenís health | The Incidental Economist
I'll check this out later this week. Thanks. I think there could be a lot of contributing factors (such as mass influx from elsewhere etc.). I need to look more closely before I can make a solid comment.

Mitt Romney use to move sprinkler pipe in the Idaho potato fields when he was a teenager. How's that for bringing your post full circle?

MSR
Reply With Quote Quick reply to this message
 
Old 04-07-2013, 07:12 PM
 
Location: Denver, CO
9,154 posts, read 5,455,258 times
Reputation: 4020
Quote:
Originally Posted by Mtn. States Resident View Post
I'll check this out later this week. Thanks. I think there could be a lot of contributing factors (such as mass influx from elsewhere etc.). I need to look more closely before I can make a solid comment.

Mitt Romney use to move sprinkler pipe in the Idaho potato fields when he was a teenager. How's that for bringing your post full circle?

MSR
LOL!!! with regard to Mitt!

I did look at some limited data on influx/outflow for Idaho. If this statistical sampling by the largest mover is any indication then it is a wash for Idaho.

Here is Allied Van Lines take on the inflows and outflows from states. Idaho is balanced. More detail can be found in the PDF version:

Quote:
Home > Migration Patterns

2012 Migration Patterns


Based on 73,256 Interstate and Cross-Border Household Goods Relocations
from January 1, 2012 through December 31, 2012.
(Click on individual state/province for 10-year historical data.)

View PDF Version (796 KB)
View the Moving Migration Patterns Infographic




Where is America moving?

Since January 1993, Atlas Van Lines has reviewed and released data on the origins and destinations of interstate moves throughout the previous calendar year. The 2012 Migration Patterns study results provide a snapshot of relocation patterns and this year reflect that there have been more shifts from inbound and outbound to balanced states.
Moving Migration Patterns | Atlas Van Lines
Reply With Quote Quick reply to this message
 
Old 04-07-2013, 07:29 PM
 
8,440 posts, read 11,117,663 times
Reputation: 6212
Quote:
Originally Posted by Wardendresden View Post
LOL!!! with regard to Mitt!

I did look at some limited data on influx/outflow for Idaho. If this statistical sampling by the largest mover is any indication then it is a wash for Idaho.

Here is Allied Van Lines take on the inflows and outflows from states. Idaho is balanced. More detail can be found in the PDF version:


Moving Migration Patterns | Atlas Van Lines
But, did you calculate the birth rate? Since BYU- Idaho opened, eastern ID is booming with babies and new moms, which statistically looks awful.

Check that one county in blue.

BTW - got any extra pulmonologist/critical care or another endo or two that want to come here? Docs are well paid. Not all make what certain surgeons, interventional cardiologists and interventional radiologists make. That being said, I remember when the medical imaging group in Idaho Falls bought and had installed the 20th T3 MRI in the U.S. Obviously, the first in Idaho. They were in the same month as the University of UT, but no one else closer than Seattle or Denver had one.

People work hard here and they play hard. Still, some specialties will never pay what others will, which I know you understand.

I had a thought to run by you but will have to do that when I get back to a "steady internet" access.


I'm a strong believer the states should address their healthcare issues. As you've seen pulling up the state of ID, the issues in ID are not the same as TX or MA or IL. Consequently, ID residents will not want to do what say some in IL might want to do as they need to ensure more basic needs are met.

The other thing to know is how many people live close to state lines and go across those lines for care.

They are always recruiting and that's good. There are simply more people to recruit for. I didn't check your last map to see if influx/outflux is from a pocket in ID or everywhere. IFGUY and I have another friend elsewhere who has a cool system he follows about intercounty movement. I'll try to get an update on that this week.

I also wouldn't base all facts on any moving company anything. It's called, friends, family and neighbors in ID.

MSR
Reply With Quote Quick reply to this message
 
Old 04-07-2013, 07:32 PM
 
8,440 posts, read 11,117,663 times
Reputation: 6212
I always forgot when I log in or out it shows, Boise, Idaho Falls and Downey. I don't know if those were the places researched or just some default post. But, there's no way to compare Downey even with Preston or Blackfoot. I don't know if there are 3K people in Downey.

I want to look a little more carefully at how certain information was obtained. Meanwhile, if there was something unique about Downey, PLEASE let us know.

MSR
Reply With Quote Quick reply to this message
 
Old 04-07-2013, 10:54 PM
 
Location: Denver, CO
9,154 posts, read 5,455,258 times
Reputation: 4020
Default Certainly limitations in Allied data

MSR, there is certainly limitations in Allied Moving Van data--the most prominent being that a lot, if not all, people who might make use of their lines are either financially better off or working for companies that will pay in whole or in part the cost of a move. So it may represent more affluent influx/outflow.

I'm pretty sure Idaho has a strong birthrate as it is weighted with LDS citizens and LDS folks tend to have larger families. But I'm not sure how a stronger birth rate would translate into deteriorating healthcare for women.

And, lol, I've talked to a lot of people about our desire to move to Idaho next year. About the only response I get is somebody shivering and asking, "Do you realize how cold it gets in that state?"

My wife does work with one doctor here who has a summer home in Rexburg and takes a month or so every year to go there. Not sure what his specialty is. But we are both getting our over 65 endos BEFORE we come up there. Since I've had a couple previously, I can tell you I'm really, really looking forward to it!!

I'm doing everything I can to have as good a picture of Idaho economically, healthcare wise, housing, even scenery, before we come up there in September. I'll have to make another trip about March of 2014 to select a final place to rent. We do not wish to buy prior to living awhile there.

I'm thinking from a scenery standpoint we would probably prefer Poky (we like views of the mountains), but from everything you and Banjomike have written, it appears IF may make more sense for numerous small reasons. Don't know. If mama ain't happy, ain't nobody happy, so we'll see.

When I post some of these items I'm neither looking for verification or dismissal, but trying to assess how the information impacts some of you locals. If someone lashes out at it too defensively or agrees with the assessment too quickly I always suspect they are more comfortable with their opinion rather than discomforted enough to do some thinking. The thinkers, you, for example, will always try to find out something additional that may paint the picture with some new colors.

Thanks for your thoughts.
Reply With Quote Quick reply to this message
 
Old 04-08-2013, 11:32 PM
 
8,440 posts, read 11,117,663 times
Reputation: 6212
Quote:
Originally Posted by Wardendresden View Post
MSR, there is certainly limitations in Allied Moving Van data--the most prominent being that a lot, if not all, people who might make use of their lines are either financially better off or working for companies that will pay in whole or in part the cost of a move. So it may represent more affluent influx/outflow.

I'm pretty sure Idaho has a strong birthrate as it is weighted with LDS citizens and LDS folks tend to have larger families. But I'm not sure how a stronger birth rate would translate into deteriorating healthcare for women.

And, lol, I've talked to a lot of people about our desire to move to Idaho next year. About the only response I get is somebody shivering and asking, "Do you realize how cold it gets in that state?"

My wife does work with one doctor here who has a summer home in Rexburg and takes a month or so every year to go there. Not sure what his specialty is. But we are both getting our over 65 endos BEFORE we come up there. Since I've had a couple previously, I can tell you I'm really, really looking forward to it!!

I'm doing everything I can to have as good a picture of Idaho economically, healthcare wise, housing, even scenery, before we come up there in September. I'll have to make another trip about March of 2014 to select a final place to rent. We do not wish to buy prior to living awhile there.

I'm thinking from a scenery standpoint we would probably prefer Poky (we like views of the mountains), but from everything you and Banjomike have written, it appears IF may make more sense for numerous small reasons. Don't know. If mama ain't happy, ain't nobody happy, so we'll see.

When I post some of these items I'm neither looking for verification or dismissal, but trying to assess how the information impacts some of you locals. If someone lashes out at it too defensively or agrees with the assessment too quickly I always suspect they are more comfortable with their opinion rather than discomforted enough to do some thinking. The thinkers, you, for example, will always try to find out something additional that may paint the picture with some new colors.

Thanks for your thoughts.
You'll live where it feels like home to you. You'll find what you need in your own special area.

I'll tell you a couple of facts to check. Each time you check weather in Idaho Falls or Pocatello, check Salt Lake City too. Use 83404 for I.F., 83201 for Poky (there are weather cams on KPVI) and use something like 84108 for SLC. That is close to downtown but not the airport. You may be surprised how often Idaho is coming in warmer this last year. Then check Denver. YIKES!

Endo - endocrinology and rheumatology. Two of the hardest specialties to recruit, as I know you know. They have patients who get worse with disabling diseases and will NEVER make the money other medical or surgical specialties do. (same for I.D. too).

I'll try to check this out tomorrow night. I drove by the sign to exit for Downey today and had I had more time I would have taken a picture of it for you. I'll have to see what is meant by worsening health care, along with when Idaho data was collected etc. Data can be very misleading, which is why I want to read the study methods, dates and criteria. I'm looking forward to it....

MSR
Reply With Quote Quick reply to this message
Please register to post and access all features of our very popular forum. It is free and quick. Over $68,000 in prizes has already been given out to active posters on our forum. Additional giveaways are planned.

Detailed information about all U.S. cities, counties, and zip codes on our site: City-data.com.


Reply
Please update this thread with any new information or opinions. This open thread is still read by thousands of people, so we encourage all additional points of view.

Quick Reply
Message:




Over $104,000 in prizes was already given out to active posters on our forum and additional giveaways are planned!

Go Back   City-Data Forum > U.S. Forums > Idaho > Idaho Falls
Follow City-Data.com founder on our Forum or

All times are GMT -6.

© 2005-2019, Advameg, Inc. · Please obey Forum Rules · Terms of Use and Privacy Policy · Bug Bounty

City-Data.com - Archive 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 - Top