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Old 10-10-2013, 09:53 PM
 
2,771 posts, read 4,529,877 times
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Just a few thoughts on Obamacare:

1)Where are you going to fit 10-20 +/- million more people into our healthcare system? You wait 1-2 hours now when your at the doctors. However, with these very high deductibles, that may keep people going to the ER with a cold.

2)Those who never had insurance & use the ER as their primary care, will never buy it. Cheaper to pay the fine.

3)If they are covering pre-existing cond., when you get VERY ILL, then sign up! Your covered!

Just my opinion on the above.
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Old 10-11-2013, 01:32 AM
 
11,635 posts, read 12,698,340 times
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Quote:
Originally Posted by kayfouroh View Post
Did you say anything?



I have had plenty of incompetent MDs and plenty of completely competent PAs. I don't see what the issue is unless you have a specialty issue that would point you to a specialist.

That's the key issue. I have no problem with a PA working in family practice or in a pediatrician's office giving vaccinations and camp/school exams. The problem is that they are popping up in specialists' offices and acting as the MD's surrogate. A friend of mine with extremely serious issues usually ends up seeing the PA at the gastrointerologist's office if she can't wait the 3 months needed to get an appointment with the MD. Last March, I saw a nurse practioner who really messed up badly. I was pretty sure she was wrong and 2 days later in agony, I got to see the MD. The MD even apologized to me, admitting this was a medical problem not likely to be picked up by the NP. What she needs is another MD partner, not a nurse practioner.

What is even more frustrating is for some "quirky" problems, some of the specialists will not accept any insurance at all. I am finding this out the hard way and it is very frustrating. Having the advantage of living in a huge metropolitan area where the few doctors in the US who have the expertise to treat or help manage an ongoing problem have their practice/office right here, but not being able to see them because they will not accept any type of insurance plan.

Last point and this is a purely ancedotal observation, I do agree that most American and Russian-American doctors do seem to be advising their own children not to bother with medical school because of what others on this forum have mentioned. Being an MD no longer guarantees financial comfort and it's getting harder and taking longer to pay off the med school debt. The exception (ancedotally) seems to be Indian doctors who did practice medicine in India before coming here. They seem to be pushing their own children to go into medicine, but they have a different yardstick used for comparison than American-born.
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Old 10-11-2013, 05:22 AM
 
Location: Little Babylon
5,072 posts, read 9,143,652 times
Reputation: 2612
Quote:
Originally Posted by I_Love_LI_but View Post
I see you're familiar with the Creature from Jekyll Island too ...
Learned about it as a student at SUNY Farmingdale back in the 80's. Had a crazy prof that had worked for Nixon and he would go off on a lot of the back story of government agencies and policies.

Quote:
1)Where are you going to fit 10-20 +/- million more people into our healthcare system? You wait 1-2 hours now when your at the doctors. However, with these very high deductibles, that may keep people going to the ER with a cold.
Spanky, If you have money you'll probably sign up with a concierge medical practice. These look to be growing and you may even have some regular family practices turning into CMPs.
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Old 10-11-2013, 05:33 AM
 
510 posts, read 900,850 times
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Quote:
Originally Posted by Spanky25 View Post
Just a few thoughts on Obamacare:

1)Where are you going to fit 10-20 +/- million more people into our healthcare system? You wait 1-2 hours now when your at the doctors. However, with these very high deductibles, that may keep people going to the ER with a cold.

2)Those who never had insurance & use the ER as their primary care, will never buy it. Cheaper to pay the fine.

3)If they are covering pre-existing cond., when you get VERY ILL, then sign up! Your covered!

Just my opinion on the above.

the fine is cheaper right now, but it is going to significantly go up over the next few years and catch up to the cost of the premium.
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Old 10-11-2013, 05:33 AM
 
Location: Not where I want to be
4,829 posts, read 8,726,707 times
Reputation: 7760
Quote:
Originally Posted by I_Love_LI_but View Post
Seems like you have to be REALLY destitute to qualify for Medicaid. Like a single parent with one kid being on unemployment insurance is too much money to qualify. Even if you live in a high cost area like LI. Whoever makes the rules as to what qualifies never thinks about living expenses.

Go to their site and look at the income limits. It's INSANE....says a single person cannot earn more than $950 per month. How can ANYONE survive on $950 per month?!?!?!?!
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Old 10-11-2013, 06:55 AM
 
3,939 posts, read 8,972,243 times
Reputation: 1516
Quote:
Originally Posted by Spanky25 View Post
Just a few thoughts on Obamacare:

1)Where are you going to fit 10-20 +/- million more people into our healthcare system? You wait 1-2 hours now when your at the doctors. However, with these very high deductibles, that may keep people going to the ER with a cold.

2)Those who never had insurance & use the ER as their primary care, will never buy it. Cheaper to pay the fine.

3)If they are covering pre-existing cond., when you get VERY ILL, then sign up! Your covered!

Just my opinion on the above.
1) What doctor are you going to where you will sit and wait 60 to 120 minutes to see them? I only did this once (and never went back to that dr again) because it was a sort-of emergency.

2) How do you know other people's finances?

3) Do you not understand how open enrollment works? 2014 enrollment is only open until March 2014.
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Old 10-11-2013, 07:33 AM
 
Location: Little Babylon
5,072 posts, read 9,143,652 times
Reputation: 2612
Quote:
Originally Posted by Amisi View Post
Go to their site and look at the income limits. It's INSANE....says a single person cannot earn more than $950 per month. How can ANYONE survive on $950 per month?!?!?!?!
Easily, entitlements.
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Old 10-11-2013, 07:37 AM
 
244 posts, read 540,299 times
Reputation: 132
Regarding PA's, the ones I've been seen by know their stuff. And usually have better bedside manners.

PA: NYS Physician Assistant:License Requirements

Compared to:

Physician: NYS Medicine:License Requirements

To see examples of what a PA has to go through, here's the link to NYCOM, now known as NYITCOM - New York Institute of Technology College of Medicine.

Physician Assistant Studies | NYIT

Before you can even APPLY, you need a Bachelor's w/science and math, and then it's another 3 years of study for the PA.

I remember reading that a consortium of PAs is trying to get the term "Physician's Assistant" changed to something a little closer to what they REALLY are. "Assistant" is doing them a disservice.

--

As for the Affordable Health Care Act, it's about time.

I know some VERY small business owners (less than 10 employees) who can pay their workers extra to get their own health care policy and SAVE money compared to putting them on a company policy. And these are young people, you know, the ones who we NEED to buy health insurance so they can pay into the system.
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Old 10-11-2013, 09:04 AM
 
155 posts, read 457,982 times
Reputation: 91
The end result here is that Obama care will bring down the quality of health care for those who have insurance. I just visited a hospital that I was in a few years back and it was like a third world county. It was filthy, patience in the halls with curtains around them and the staff following a protocol in accordance with the new procedure in place in preparation for Obama care. It was a horrifying site since I have been to this private Hospital a few years back and it’s night and day compared to what it was like back then.
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Old 10-11-2013, 09:15 AM
 
3,939 posts, read 8,972,243 times
Reputation: 1516
Quote:
Originally Posted by circa62 View Post
The end result here is that Obama care will bring down the quality of health care for those who have insurance.
Mind giving me the lotto numbers, too? And the next super bowl winner as well.

Have you tried profiting on your ability to see into the future?
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