If you don’t have a physician taking care of you right now and you are on Medicare? Find one ASAP. I’ve watched primary care physicians bail on Medicare since SCOTUS gave it the okay in June. Until you need care, you probably won’t think much of what is happening. Thank you POTUS for stealing from Medicare to prop up ObamaCrapCare.
To tell you that there will be change in the coming year is to put it mildly. There lies an undercurrent of deceit in government assisted healthcare. For many, they won’t know anything until they or their loved ones actually need to use Medicare. How many physicians do you know of that want to continue to work for pennies on the dollar? How Obamacare’s $716 Billion in Cuts Will Drive Doctors Out of Medicare.
Can anyone honestly believe that those that have taken an oath to heal will be comfortable in helping to indirectly ration healthcare? This physician was working for a hospital. He didn’t have overhead.
“I was a typical physician employed by a hospital,” Dr. Slatosky said. “I had all the say so of a janitor. We had no say in scheduling or work hours, and if you needed a day off you had to beg for it.”
Do the math. Physicians cannot pay their overhead by being compensated at pennies on the dollar. Nichols and dimes add up.
Claims and billing ate up the largest portion, 55 percent, of time physicians’ practices spent interacting with health insurers. For primary-care practices, it accounted for about 53 percent. Clerical staff spent the largest number of hours on claims and billing, spending an average, per week, of 27.1 hours in primary-care practices, 29.8 hours in medical specialists’ practices, and 28.7 hours in surgical specialists’ practices.
For small, one-to-two physician practices, the annual cost of dealing with health insurers was greater for primary-care physicians than medical or surgical specialists. Small primary-care practices spent an average of $72,675 interacting with health insurers. Medical specialists spent $70,788 and surgical specialists spent $61,187. The clerical staff, which accounted for the bulk of the hours spent on claims and billing, cost small primary-care practices an average of $31,666 annually, while they cost medical specialists $27,595 and surgical specialists $27,977.
Keep in mind that claims and billing is only one part of the big picture. Add malpractice premiums, insurance for the office staff, medical and office supplies, rent, advertising, etc. Are you seeing the same picture that I am?
According to the Texas Medical Association, 78 percent of Texas physicians were still accepting all new Medicare patients in 2000.33 By 2011 that had dropped to 67 percent.34
And it will continue to drop. Where is torte reform? What government forgets is that healthcare is also a business. When the business loses money, it goes under. So, are you ready for kitchen surgery?

Never forget who brought us this poser. h/t helenk
h/t foxy
August 23, 2012 at 5:23 pm
Sarah Palin was the only one with the cajones to call it: obamacare=deah panels.
August 23, 2012 at 5:29 pm
Yes, she was the only one to say it outloud.
August 23, 2012 at 6:02 pm
Well it’s criminal to take money from a system that is already on the road to bankruptcy and it isn’t moral because today’s seniors were made promises. Heck we all were made promises.
However the bulk of the article you posted talks about the hours and money involved in dealing with health insurers. Again that speaks to the need for some kind of reform in this country…….it’s just that the lobbyist Obamacare is not the right kind of reform.
Tragically, I think because of Obamacare any hope of real, meaningful reform is gone for decades to come. We shall all pay the price for Obamacare whether it is repealed or not.
As for tort reform…..I have no issue with tort reform, but trust me it’s not the magic pill so many on the right like to tout. Florida went through major tort reform years ago and it’s done jack shit. Malpractice rates are still sky high, blah, blah…….note the common theme of insurance companies….hmmm. I submit removing the anti-trust exemption first and foremost, then making some other changes or in essence reinstating some regulations that were removed a couple of decades ago. Let’s start there, plus tweak health savings accounts making them more like 401k’s and see where that gets us.
Sadly none of that is likely to happen now because of Obamacare. Rock meet hard place, that’s where we’re all headed.
August 23, 2012 at 7:06 pm
Somebody, although the article deals with the insurance practice I want you to know that ObamaCrapCare is far worse. Add to that, Medicare has more and more regulations added to it this year (which leads to the “death panels”). I am seeing this all transpire daily.
We have torte reform in Texas and it has kept the ambulance chasers at bay to some degree. There is so much work to be done. When will they ever become serious?
It’s so frustrating.
August 23, 2012 at 7:26 pm
Oh no doubt Obamacare has added to an already burdensome Medicare program as far as regulations……..hey insurance companies are loaded with them too. I assure you I’m intimately familiar with flipping insurance companies and their rules.
I’ve seen the recent articles about the hospital readmission restrictions, now that’s an eye opener. Designed to supposedly get the hospitals to tighten up. That’s not what the end result is going to be. The end result is going to be seniors dying needlessly because hospitals won’t readmit them because they won’t get paid. Seniors by their very nature of being elderly are more susceptible to many complications and hospital acquired illnesses. These things are a fact of life. Sure there are some additional measures that should be taken and I’m all for hospitals taking those measures. But even under the best of circumstances there are unforeseen complications.
The reforms here in Florida were modeled after those in Texas and yes it has kept the “ambulance chasers” away, but it hasn’t done crap for malpractice rates which was the purpose. All it has done is shift the focus of lawsuits to drug and medical device manufacturers. I’m sure it’s deterred some malpractice lawsuits, but not that many. One of my brother’s friends is a malpractice attorney and I assure you he’s doing just fine. You can get up to $250,000, which I don’t think is enough in some instances…….Let’s face it it’s certainly not enough if you’re faced with a lifetime of medical care due to honest to goodness negligence. Also, adult children can’t sue over their parents treatment……a biggie in Florida. Parents can’t sue over their adult children either. There are other limits too, again malpractice insurance has done nothing but increase despite these measures. So where’s the beef?
Our system clearly needs reform as I’ve said time and again. Tragically because of Obamacare the opportunity has been lost for another generation.
August 23, 2012 at 7:53 pm
Readmissions are nothing Somebody. Get this, now if someone has an event in the hospital (like infection) that they did not come in with, the physician will not be paid. That is a new one that is part of ObamaCare private insurance. That is one Hell of a penalty for something that the physician had no control over. How many physicians will place themselves under the bus willingly?
August 23, 2012 at 7:56 pm
Small business here has something to say.
http://www.thegatewaypundit.com/2012/08/texas-small-business-owner-we-built-this-obama-can-kiss-our-a/
August 23, 2012 at 8:11 pm
Good for the small business owner. I’m sure Barry Soetoro is not going to be holding out for Texas.
August 23, 2012 at 9:44 pm
mcnorman…..I did a quick post. It’s in UW’s draft section. Publish if you want it!