taichiliberal
Rookie
- Aug 11, 2010
- 3,517
- 239
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- Banned
- #281
Ranging from those who are starting on July 1st (like me) to those who have practiced for a few years to those that have practiced for a decade.
All anyone could talk about was ACA and it wasn't good.
The more experienced doctors were already making plans to leave medicine. I heard comments along the line of "this is the end of medicine." "The system is going to implode." "You will basically be working for peanuts in an environment that is going to be rife with litigation and no shields." "Your only hope is for Romney to win and get rid of this monstrosity, otherwise you should leave now."
Actually, I didn't hear any of this. I didn't hear anything good or bad about the ACA. Most people seemed unconcerned.
I believe they are unconcerned because no one knows what the true effect* of ACA is going to be. I had a good laugh at my local conservative talker guy trying to articulate what he thought this would do to patient care. He sounded like an idiot, because the things he was saying made absolutely no sense to someone familiar with patient care.
ACA could indeed be disastrous policy. It could also be great policy. I just don't know. And I don't think you, Rush Limbaugh, Sean Hannity, or Ed Schultz do either.
*Meaning the effect on health care delivery in this country and not the effect on individual tax payers in regard to cost.
I think you are full of shit, I don't think you are a doctor based on your assertion you haven't talked to ANY who are the least bit concerned about Obamacare -topped with the truly moronic statement that no one knows what it will do. What a stupid JOKE! OF COURSE THEY KNOW. Most doctors dread what's coming and a huge percent are planning on early retirement or a career change.
Have you bothered to read that piece of shit? I suggest you do that -every one of those 2400 pages. By the time you hit page 10 you will realize the bill is majorly INCOMPLETE -because this piece of shit includes regulations that announce are to be spelled out in detail in later publications. Which causes a huge problem for businesses, hospitals, medical centers, nursing homes, institutions etc. given those regulations affect them -but it doesn't tell them what those regulations are going to be, what it will take to comply or how they are supposed to comply. Just that there is a buttload of them coming down the pike right at 'em.
A journalist with US News reported the first set of published regulations applied to just the first SIX PAGES of the bill and that first set was 429 pages long. Do you understand that? 429 pages of REGULATIONS that apply just to the first SIX pages of this piece of shit bill. The pages of regulations are many times LONGER than this piece of shit bill! In reality this bill is more than 170,000 pages once all the massive REGULATIONS are included! By comparison, the US tax code which everyone knows is a ridiculously complicated piece of shit in need of drastic overhaul -"just" 13,000 pages long. The US Constitution is just 16 pages long. Imagine that -it only took 16 pages to set up what was at the time a completely experimental system of government -but 2400 pages to write up the myriad kickbacks and payoffs to Democrat supporters and special interests. And 170,000 to essentially destroy ...everything. Let's not pretend on this one, ok? NO Republican input whatsoever which is also part of the reason it got no Republican votes at all. NO brakes, NO self control and MASSIVE PAYOFFS to Democrat supporters in exchange for their support for this piece of shit. This bill is NOT intended to make health care affordable! It is intended to make Democrat supporters and money launderers RICH.
Did you take ANY math in school honey? You can't cover 30,000,000 more people, cover pre-existing conditions, keep adults on their parents' insurance until age 26 -and end with "affordable" anything. Now we know what it is that STUPID, lying ass skank Pelosi didn't want anyone to see until after it had been rammed down our throats against our will. 21 NEW taxes that will start kicking AFTER the election -how thoughtful of that manipulative fucking liar, huh? And 12 of them will hit the middle class right between the eyes starting Jan. 2013 -AFTER the election because Obama didn't want that to bite him in the ass before securing his re-election.
So you really want to pretend all the doctors you claim to know are just too fucking stupid to figure out they are getting the short end of the stick on this thing and lawyers ONCE AGAIN insure THEY make out like the thieves they really are? Really?
Most doctors are intelligent enough to know that nothing good happens when government inserts itself between them and their patients. Whoever foots the bill really holds the power -and government intends that power will be IT -not the patient. Even though it is taxpayers really stuck with the tab, since government has included itself as middleman, it will be government wielding control and making life and death decisions for.........us. I wouldn't allow my neighbor on the next block to make my medical decisions but let's pretend a faceless bureaucracy really gives a shit about you, huh? As a "doctor" you must be aware that the reason doctors have been abandoning private practice as unaffordable is because of GOVERNMENT, right? Forced to hire people who bring zero extra dollars into their practice -just to handle the never ending paperwork, massively increasing their overhead while government keeps cutting their reimbursements -combined with the skyrocketing malpractice insurance -also thanks to fucking lawyers. Businesses add people whose productivity brings in MORE money to the business -but not true with the medical field where doctors and hospitals are forced to hire thousands of people to just shuffle government paperwork. And that isn't even counting the fact the average Medicaid bill submitted by doctors and hospitals gets rejected five times -and many doctors just don't bother filing it at all. And now increasing numbers are refusing to accept Medicaid patients since they are guaranteed to get screwed out of payment.
This bill fully intends to result in the destruction of private insurance companies with people forced onto Medicaid rolls -which is why they tried to strong arm states to raise taxes and then order them how to spend it. Except SCOTUS got that one partially right -the federal government has no authority to insert itself into state governments and order them to function as their puppet. Maybe you really don't know this -but the federal government belongs to the states, it is supposed to be subservient to the states with the exception of the enumerated powers given to it under the Constitution. State governments do NOT belong to the federal government. There is actually a REASON we are called the United STATES of America and not the People's Republic of America. So that was a blatant attempt to be the total game changer, stripping states of their sovereignty under the Constitution and forcing all states to become subservient to federal government -which is already on a power trip intent on laying claim to any and all powers and rights it can strip from we the people and the states.
Career politicians have done more damage to this nation than ANY other group and I am a firm believer now in term limits for all elected offices, not just the Presidency. No one should be allowed to enrich themselves at the public trough the way these fuckers have. Career politicians constantly seek to expand and entrench their power, constantly write new laws and regulations to justify their outrageous salaries and benefits they voted for themselves. They become corrupt egomaniacs convinced that merely getting elected has imparted magical powers on them and THEY know how to run any industry, run any segment of the economy -far better than the experts who do it for a living. I wouldn't allow that skank Pelosi to mow my lawn much less take over MY health care decisions and anyone who would is a moron. The people Pelosi insults and calls "freeloaders" aren't freeloaders. They are typically young, healthy single adults with no children and at the age where no health insurance is actually a sound financial judgment. That's right -NOT having health insurance really can be a SOUND FINANCIAL JUDGMENT. The vast majority of people in this group don't NEED health care and are NOT "freeloaders" getting health care because they typically don't utilize the system AT ALL! The reason Pelosi and her cronies NEED these people to get insurance -is they are the ones they intend to stick with the bill. They NEED their MONEY whether young, healthy adults who don't utilize the system want it or not -and the expected bill for that will be $1200 a MONTH. Of course they are unlikely going to be able to afford it -and either pay a "tax" at the end of the year or forced onto Medicaid rolls. Once people have insurance, they tend to view health care as "free" and go to see doctors for things they wouldn't bother if they had to pay for it directly out of pocket. They glut the system and we know this is true from the experiences of other nations. And that forces people who actually NEED health care to wait longer to be seen and their medical condition typically worsens and becomes more difficult to treat and eventually mortality rates for conditions still dropping in this country -start to rise again. Just as they are in the UK for all sorts of things from stroke, breast and prostate cancer, complications of diabetes and on and on. People are now being denied curative treatment in the UK when government decides they just aren't worth the cost. INSURANCE does NOT equal "quality medical care". Government run health care forces government to DISCRIMINATE against its own citizens -and people like stupid skank Pelosi are itching to force our government to do so as well. The problem with government run systems is that it encourages people who don't NEED health care to overutilize the system. So you can see a doctor for "free" to tell you that you have a cold and it will go away by itself in 10-14 days. But you will be denied treatment when you NEED it and denied even if it means forcing you to endure a lower quality of life -when the entire point of health care is to restore the individual to as near normal as possible and to improve the quality of life if they can't. NOT under a government system though -it becomes bastardized to be a system that exists primarily for those who don't need it and denied at the time you need it the most. Obama OPENLY said he wanted to change it to just such a system -one that existed for the purpose of keeping HEALTHY people healthy. In spite of the fact preventative health care is a lying ass crock of shit that is impossible. Going to the doctor when healthy will NOT keep you healthy and is a provable waste of precious resources! Doctors are trained to recognize and treat disease based on YOUR symptoms and signs of disease. With the exception of just a couple of conditions like glaucoma, it is IMPOSSIBLE for them to know you are sick before YOU DO! So what is Obama REALLY saying when he said he wanted to fundamentally change our system to one that existed for the purpose of keeping healthy people healthy instead of treating sick people? FIGURE IT OUT!
In spite of liberal LIES, exaggerations and distortions -the US had the best medical system in the world, our poor, unlike the poor of the world -have free medical care paid for by the 50% who pay federal income taxes and who are getting ready to take it in the shorts big time very soon. Our system is responsible for 95% of all medical advancements which it then shares with the entire world. With no close second. Kiss it good-bye. It won't just be Americans who suffer for this but the rest of the world as well.
I bet you help propagate some of the easily dis-proven lies about the US medical system -you know bullshit like claims that 33 countries have lower infant mortality rates than the US. Do you REALLY believe that? Especially given the fact the US is the nation that leads the world in infant survival of extreme prematurity. Do you even know where that lying ass piece of shit statistic comes from? Because if you are a DOCTOR, you would know this one. All nations self report and how they determine what qualifies as part of their morbidity and mortality rates is up to them. There is not only no uniform counting method in place, there is no way of enforcing one even if it did exist and no verification. Unlike the US and a couple of other countries, it is their governments that provides these statistics, the least reliable source for it -because what government wants to "brag" about suck ass stats, huh? In the case of infant mortality rates, any child in the US who dies in the first 12 months following birth is counted as part of our infant mortality rate. Any child who takes even one breath after birth, regardless of gestational age, is counted as a live birth. So even though a child born at 20 weeks has nearly 0 chance of survival, if it takes a single breath before dying -it becomes part of our infant mortality rates. Most countries -especially in the southern hemisphere and former Soviet satellites -count deaths only in the first three months following birth, some count for six months and a couple of European countries count the first nine months. The US has the longest counting period of any nation. Many countries only count as a live birth a baby born after 30 weeks -because any child born earlier isn't going to survive in their country anyway. Most count as a live birth a child born at 26 or 28 weeks or later. Who do you think is going to have a "higher" infant mortality rate then? In reality ours is the most ACCURATE but it is NOT 34th lowest. If someone is going to have an extremely premature baby -are they going to want to have it HERE or do ya really think they figure their kid has the best shot in Singapore instead? If every nation used the identical counting period which they never will, the US would have the 1st or 2nd lowest infant mortality rate in the world. That we have the longest counting period in the world and still come in at 34 tells you everything you really need to know about our infant mortality rate.
Obamacare wasn't just poorly written, poorly thought out and rammed through against the will of the vast majority while the reprehensible details of this piece of shit monstrosity were deliberately kept from the public. It is the biggest piece of TRASH produced by Congress in decades. You have to be truly mentally impaired to believe it will ever do anything but wreak havoc across the nation -because it will. And DOCTORS were the first to realize that.
By the way, anytime you hear a Democrat insist the mandate isn't really a "tax" but a penalty or whatever, remember something. SCOTUS ruled it is ONLY Constitutional as a tax. They are trying to hide that fact but it's true -it is ONLY constitutional as a tax. So if Democrats are going to insist it isn't a tax -that means they are agreeing it isn't constitutional either. They do NOT get it both ways on this one.
Man you just shoveled a whole lot of BS based entirely on omissions, supposition and conjecture.
In short, small companies and business will be receiving TAX INCENTIVES to provide health insurance to their employees. The same goes for working families and individuals. Poor folk that rely on medicare would get additional help via their state gov't, who would receive federal money to help shore up medicare. Insurance companies are free to compete for your business....doctors, who seem to have had no problem with HMO's bureaucracy and red tape for the last 30 some odd years will not have any more or less paper work to deal with (and really, how many folk reading this thread no ALL the information and rules in your health insurance company's contract?).
The "penalty" that goes through your tax returns is for people who are NOT below the poverty line who REFUSE to purchase any health insurance. The penalty tax would be adjusted according to income. This is to strengthen the coffers for emergency care hospitals when these people will EVENTUALLY need health care....as well as anyone else who is poor and unemployed but needs healthcare.
What exactly is the percentage of Americans who do not need health insurance and would refuse to buy some if they could afford to? 1 to 3%? Will this "bankrupt" the country in anyway? Nope.