This is a difficult time for Obamacare. The Supreme Court is looking at it again and may wipe out the subsidies most people get, which will destroy the law if it happens. But even if the law survives that, it remains deeply unpopular and has become an albatross around Democratic necks. Indeed, it has been blamed by several Democrats (including now Harry Reid) as the reason they got blown out in the midterms, and many are trying to position themselves as critics of the law they passed. What makes it so unpopular? Well, here's an example I've run across personally.
When I went to the hospital ER, they gave me a referral to a wound clinic. Ok, I thought, I don't know what they will do for me, but I'll go. So, imagine my surprise to discover that the wound clinic could not take a referral from the ER. When I inquired why they couldn't take the referral, I was told that Obamacare forbids this and, thus, they now require patients to go back to their GPs to get referrals. What if I don't have a GP, I asked, or if my insurance doesn't require me to use a GP as a gatekeeper? It doesn't matter... Obamacare prohibits this.
So I had to see my lousy doc and blow another $80 in insurance money and a $24 co-pay just to get a referral that I had already been given. What a waste!
When I got to the wound clinic, I was shocked to discover that this group of nurses are fantastic. They are MUCH, MUCH more knowledgeable at treating wounds than any of the doctors I've seen. And in one week, I already saw more improvement than my doctors had managed in six months. In two weeks, things were going so well that I can visibly see healing and I've even had a couple days where I didn't need pain pills. Wow! Fantastic.
Anyways, I started chatting with them, as I tend to do. I learned some amazing things:
(1) They lost 20% of their patients when Obamacare kicked in, because many insurance companies dropped wound care as a cost savings measure to compensate for other things the law forced them to cover. The nurses are furious about this because they said these were most often the people who needed the care the most, and now they are basically on their own. And I can attest to the fact that you can't duplicate this at home... no way, and GPs aren't trained to do this either.
(2) They lost another 10% of their patients because their clinic, which had been associated with the hospital but not part of it, was forced into the hospital structure to comply with Obamacare. I have heard similar things from cardiology groups, a vascular group and a bariatric group, i.e. that the law made it impossible for them to remain independent and, thus, they had no choice but to join the hospital. The result is that the wound clinic must now charge a $100 per visit hospital facilities charge, even though nothing has changed in the way they practice or even the location where they are located. The result of this was to drive away the people without insurance, who couldn't afford the extra $400 to $800 a month.
(3) The referral thing is costing new patients an extra trip to their GP every so often. Again, this is wasteful.
(4) Some of the treatments they provided in the past had to be dropped because of price pressure.
So the result here is that around 1/3 of people who saw these expert nurses no longer see them. Those that do see them are paying a good deal more to do so, and some services have been cut. Wasn't Obamacare supposed to be about getting more people treatment? Apparently, that's not the point. Apparently, the point is to strip people of anything beyond basic treatment.
In fact, Paul "I'm An Idiot But I'm Smug" Krugman scratched out an article recently in which he praised Obamacare for cutting the rate at which Americans were spending on healthcare. He based this on a huge drop in Medicare spending. What he missed was that the drop wasn't because people were getting the treatment more efficiently... they just weren't getting it because Medicare stopped paying for it.
Oh, and while the leftist media continues to try to scream that this program has been a success (something the public clearly doesn't accept), keep in mind that the plan called to insure 46 million people. But so far, only 8 million signed up, and only 6 million bothered to pay. That's a 12% success rate. Was that worth disrupting our entire healthcare economy and the policies of 270 million people? Was it worth stripping 30% of wound care patients of needed treatment? Hardly.
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