NEMJ poll: 46% of family practitioners will feel forced out of medicine if ObamaCare passes

posted at 9:30 am on March 17, 2010 by Ed Morrissey

Update: The NEMJ has edited the page at the link.  They note that the survey was taken in December by The Mediscus Firm and now refer readers to their site.  Originally, the data below was listed on the NEMJ site with a date of March/April 2010.

Original post follows …

===========

And you thought wait times were long now.  The New England Journal of Medicine, hardly a bastion of conservative thought, polled health-care providers to determine their reaction to ObamaCare, and discovered that it has many doctors looking for the exits.  Almost half of all general-practice doctors would feel compelled to leave medicine altogether if it passes:

  • 46.3% of primary care physicians (family medicine and internal medicine) feel that the passing of health reform will either force them out of medicine or make them want to leave medicine.
  • 36% of physicians would not recommend medicine as a career, regardless of health reform.  27% would recommend medicine as a career but not if health reform passes.
  • 62.7% of physicians feel that health reform is needed but should be implemented in a more targeted, gradual way, as opposed to the sweeping overhaul that is in legislation.

Oddly, NEMJ polled heavily on the public option, which has been out of the ObamaCare proposal since mid-December when the Senate finally killed it.  The public option is deeply unpopular among physicians, with only 29% in favor of it.  Forty-five percent would either retire or quit if it passed, and 71% believe their income would fall with a public option — probably from experience with Medicare and Medicaid.

If we want to maintain access to the health-care system, we need to maintain and increase the provider supply. Policy makers should note the pricing signals being sent by ObamaCare.  If it discourages almost half of all current primary-care physicians now, what will that supply look like in ten years?  It won’t be growing, especially with the industry’s eminences grises taking a pass on mentoring new talent into the field.  The best and brightest will turn away from medicine to other fields — probably the law, which will get a huge boost from ObamaCare — leaving future positions to be filled by others.

Paul Hsieh says this is doctors going Galt, or about to do so.  If not quite that dramatic, it’s a big indicator that there will be fewer of them to see patients in the not-so-distant future, which means long wait times and less care for more patients in the system.


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And Kucinich will vote in favor of it.

rbj on March 17, 2010 at 10:15 AM

Another man with strong principles in Washington DC. Why isn’t this turd in the women’s meeting with Nancy man?

Wade on March 17, 2010 at 10:18 AM

I spoke to one doctor who said he will leave the profession in two years if this bill is passed. He already has a contingency plan.

jbh45 on March 17, 2010 at 10:18 AM

It looks like he bought off Kucinich. Big whoop.

kingsjester on March 17, 2010 at 10:12 AM

kingsjester:Well Dennis had a choice,a night with Pelosi
in the Lincoln bedroom,or a spin around the
block,er State in AF/1!!:)(sarc)

canopfor on March 17, 2010 at 10:19 AM

Anyone remember the movie Brazil?

I can see good doctors intercepting health calls as subversive health engineers. “Paging Dr. Tuttle…”

ROCnPhilly on March 17, 2010 at 10:16 AM

I was thinking of that movie this morning as well.

rbj on March 17, 2010 at 10:19 AM

Ride on Air Force One, cheap date that Kucinich…

PatriotRider on March 17, 2010 at 10:19 AM

Haha!

Foxnews had AC/DC Dirty Deeds Done Dirt Cheap as pre-commercial music after Kucinich’s ‘speech’.

Subliminal.

Holger on March 17, 2010 at 10:20 AM

…his wife is going to support him on her income as a nutritionist!

Del Dolemonte on March 17, 2010 at 10:14 AM

Until government regulates that, too, as part of this bill that can and will only cover more and more ground.

Liam on March 17, 2010 at 10:20 AM

Another man with strong principles in Washington DC. Why isn’t this turd in the women’s meeting with Nancy man?

Wade on March 17, 2010 at 10:18 AM

Wade:)
=========================

Obama’s womanly leadership

http://www.imao.us/index.php/2010/03/obamas-womanly-leadership/

canopfor on March 17, 2010 at 10:22 AM

Ride on Air Force One, cheap date that Kucinich…

PatriotRider on March 17, 2010 at 10:19 AM

But now he can say he’s a member of the “Mile High Club”.

NoDonkey on March 17, 2010 at 10:22 AM

I spoke to one doctor who said he will leave the profession in two years if this bill is passed. He already has a contingency plan.

jbh45 on March 17, 2010 at 10:18 AM

Two of my wife’s best childhood friends are doctors, and they are actively planning to leave medicine if this goes down. Both in their late forties…

PatriotRider on March 17, 2010 at 10:22 AM

While that may be true for state and local government employees it is not true for federal employees.

katiejane on March 17, 2010 at 10:13 AM

Are you sure? I thought the Senate bill exempted federal employees from Obama DeathCare.

darwin on March 17, 2010 at 10:23 AM

Ride on Air Force One, cheap date that Kucinich…

PatriotRider on March 17, 2010 at 10:19 AM
But now he can say he’s a member of the “Mile High Club”.

NoDonkey on March 17, 2010 at 10:22 AM

+10

PatriotRider on March 17, 2010 at 10:23 AM

Leftists say we’re ‘paranoid’ about this. But, I ask, is it still paranoia if we’re right?

Liam on March 17, 2010 at 10:25 AM

PatriotRider on March 17, 2010 at 10:22 AM

The doctor I spoke to is late 30′s…just out of residency by about 3 years. He is from a former eastern block country who came here as a child. Cannot believe what is happening.

jbh45 on March 17, 2010 at 10:26 AM

To Holger and others talking about medical slavery of doctors:

Slavery is illegal and unconstitutional in this country, by amendment of the US Constitution. There is no way that this law/EO/whatever-it-is will remain on the books once it is brought to the Supreme Court.

Scott H on March 17, 2010 at 10:27 AM

Anyone remember the movie Brazil?

I can see good doctors intercepting health calls as subversive health engineers. “Paging Dr. Tuttle…”

ROCnPhilly on March 17, 2010 at 10:16 AM

ROCnPhilly: Here ya go:)
===============================
Brazil – The Ending

http://www.youtube.com/watch?v=WLynM-GI_Mk

canopfor on March 17, 2010 at 10:29 AM

Once Obama prices out all the evil overpaid white Dr’s. we can start importing our physicians from india, packistan, china, bangledesh, and every other third world hell hole on the planet. It is exactly what happened in England.

This is all by design to destroy the prosperity, influence, and leadership of the USA in the world.

Next stop? Global governance. Buy ammo.

daesleeper on March 17, 2010 at 10:29 AM

Obama has explained to us that even though they will lose money per patient due to paltry reimbursement and skyrocketing malpractice insurance rates, they can make it up on volume.

So it’s all good.

NoDonkey on March 17, 2010 at 10:08 AM

I’m glad you can still see the bright side ND. They make it up in volume, and I get a 3,000% decrease in premiums. Heck, I may just retire on all that dough.

On a related note, I want my money back on education. I clearly did not get my moneys worth on math…very confused by it all
/s

JusDreamin on March 17, 2010 at 10:29 AM

What you need in medicine is a combination of older physicians with experience and younger physicians with the latest training. If the older physicians retire early over Obamacare, you not only have the number of physicians declining, but the quality.

parteagirl on March 17, 2010 at 10:30 AM

Well one thing will come of this for sure, OBowma will be the first and last black president.

royzer on March 17, 2010 at 10:31 AM

Scott H on March 17, 2010 at 10:27 AM

Conscription is a Power explicitly given to the Federal Government and the Supreme Court has upheld that Power through out the history of the Republic.

Sorry, Government can do this and it is perfectly legal…

Holger on March 17, 2010 at 10:33 AM

Once Obama prices out all the evil overpaid white Dr’s. we can start importing our physicians from india, packistan, china, bangledesh, and every other third world hell hole on the planet. It is exactly what happened in England.

This is all by design to destroy the prosperity, influence, and leadership of the USA in the world.

Next stop? Global governance. Buy ammo.

daesleeper on March 17, 2010 at 10:29 AM

Not all Doctors as they exist now in the United States are white though they are grossly overpaid (with good reason). True, they are not many black and hispanic doctors but they are many non-whites primarily of asian descent as of now. Of course, this does not mean I believe in the crapfest bill they are passing now but they are better arguments about the Fool’s malice.

nyx on March 17, 2010 at 10:40 AM

Slavery is illegal and unconstitutional in this country, by amendment of the US Constitution.

Scott H on March 17, 2010 at 10:27 AM

Slavery is illegal. Conscription is not. Not that there is much difference.

MarkTheGreat on March 17, 2010 at 10:52 AM

Holger on March 17, 2010 at 10:33 AM

Well the Question is the legality of Compulsory Medical Service which has never had a court case to my knowledge.
But the Courts have never struck down Conscription and never have declared it Slavery.

More than likely, if Democrats undertake such a Measure, it will be upheld by the Courts.

Holger on March 17, 2010 at 10:52 AM

More than likely, if Democrats undertake such a Measure, it will be upheld by the Courts.

Holger on March 17, 2010 at 10:52 AM

And when they find that not enough students are entering medical school, they will start conscripting the best and the brightest right out of high school, and send them to college.

MarkTheGreat on March 17, 2010 at 10:55 AM

Go to an ER in any mid sized or higher Canadian city and I challenge you to find a doctor who went to medical school in Canada. If you find such a creature, take a picture because you may never see one again.

angryed on March 17, 2010 at 9:50 AM

They actually have ads at the border for fast-track citizenship for American doctors.

DrSteve on March 17, 2010 at 10:56 AM

My doctor yesterday told me he opposes this bill. He told me and my wife a developing trend is US doctors opening clinics in Monterrey Mexico, large clinics designed to lure Americans that have cash and want top medical care.

Why? Because many Dr’s have seen the future, a future where the government designates compensation. Why would a person spend 12 years in training to be paid the same as a postal worker?

It’s ironic, Americans going to Mexico for medical treatment just as we blow up our current system in part to treat Mexican immigrants.
Stupid Dems!

FireBlogger on March 17, 2010 at 11:00 AM

Good doctors will just go the “concierge doctor” route and probably stop accepting insurance, which will leave it up to the patient to file all insurance paperwork and fight for reimbursement, etc.

funky chicken on March 17, 2010 at 11:01 AM

Must be BS report day at Hot Air…

tommylotto on March 17, 2010 at 11:02 AM

Americans going to Mexico for medical treatment

I have a clinic in Juarez I can drive to.

All I need now is a bulletproof SUV and an armed guard convoy.

NoDonkey on March 17, 2010 at 11:03 AM

And when they find that not enough students are entering medical school, they will start conscripting the best and the brightest right out of high school, and send them to college.

MarkTheGreat on March 17, 2010 at 10:55 AM

I still hold out hope that if this bill passes, people leave the profession and Democrats resort to this you see High School kids burning their Obamadraft cards.

Holger on March 17, 2010 at 11:03 AM

I look forward to seeing my next doctor who will be:

A foreigner of dubious qualififications, who was brought in to fill the shortage and also brought his whole village with him, chain-migration style; and or my Affirmative Action “doctor”, straight outta da hood yo, who went through a taxpaye-funded “medical school” staffed by ACORN thugs.

Wonderful.

pseudonominus on March 17, 2010 at 11:04 AM

Good doctors will just go the “concierge doctor” route and probably stop accepting insurance, which will leave it up to the patient to file all insurance paperwork and fight for reimbursement, etc.

funky chicken on March 17, 2010 at 11:01 AM

My cardiologist did that this month; dropped out of all preferred provider plans, Medicare/Medicaid, and will not submit forms to insurance. The letter also had the announcement (which doesn’t seen necessary given the previous statement) that patients will be responsible for payment on all non-covered lab tests. I think he made a judgment that Obamacare/DemCare is going to pass, and he wanted the flexibility to structure fees without legal entanglements.

unclesmrgol on March 17, 2010 at 11:07 AM

Conscripting doctors?

That’ll work well.

Imagine going to a doc that has been forced to practice against his will.

Ooh, and especially imagine being a lawyer or politician going to a conscripted doc.

No lube for you.

justltl on March 17, 2010 at 11:07 AM

46% of family practitioners will feel forced out of medicine if ObamaCare passes

Yeah right – with today’s unemployment ??? Where will they work – at Wallmart ???? McDonalds ??

LODGE4 on March 17, 2010 at 11:11 AM

Yeah right – with today’s unemployment ??? Where will they work – at Wallmart ???? McDonalds ??

LODGE4 on March 17, 2010 at 11:11 AM

Lots of MDs are employed in something other than general practice.
I also suspect many are of an age and financial status when retirement will beckon.

a capella on March 17, 2010 at 11:16 AM

I have a clinic in Juarez I can drive to.

All I need now is a bulletproof SUV and an armed guard convoy.

NoDonkey on March 17, 2010 at 11:03 AM

No kidding. What American wants to go to Mexico for medical treatment when you literally have to risk your life to do it? The violence there is getting worse by the minute, and all our idiot government wants to do is throw more of our money at it — money which just ends up in the hands of the drug cartels anyway, since Mexico’s government agencies are so damn corrupt.

AZCoyote on March 17, 2010 at 11:18 AM

tommylotto on March 17, 2010 at 11:02 AM

Huh?

Chip on March 17, 2010 at 11:18 AM

Yeah right – with today’s unemployment ??? Where will they work – at Wallmart ???? McDonalds ??

LODGE4 on March 17, 2010 at 11:11 AM

The older ones don’t have to.
The rest will have no trouble finding jobs outside the US.

MarkTheGreat on March 17, 2010 at 11:22 AM

Yeah right – with today’s unemployment ??? Where will they work – at Wallmart ???? McDonalds ??

LODGE4 on March 17, 2010 at 11:11 AM

Since Obamacare contains no tort reform, retired medical personnel (especially those with advanced training) will be able to find work as medical consultants/expert witnesses on medical malpractice cases. It pays extremely well (depending on qualifications, an expert can command fees of hundreds to thousands of dollars an hour, plus they get all their travel expenses paid if they have to travel in connection with the case).

AZCoyote on March 17, 2010 at 11:23 AM

Lots of MDs are employed in something other than general practice.
I also suspect many are of an age and financial status when retirement will beckon.
a capella on March 17, 2010 at 11:16 AM

Exactly, if you have the brains to be an MD you can either go into another field, retire on your savings or move overseas where they still believe in freedom and Liberty.

Chip on March 17, 2010 at 11:23 AM

My doctor yesterday told me he opposes this bill. He told me and my wife a developing trend is US doctors opening clinics in Monterrey Mexico, large clinics designed to lure Americans that have cash and want top medical care.

Why? Because many Dr’s have seen the future, a future where the government designates compensation. Why would a person spend 12 years in training to be paid the same as a postal worker?

It’s ironic, Americans going to Mexico for medical treatment just as we blow up our current system in part to treat Mexican immigrants.
Stupid Dems!

FireBlogger on March 17, 2010 at 11:00 AM

This is a good sign! At least there will be a black market. I wonder if there will also be a black market insurance?

I can see a whole black market system developing… maybe in the Caymans or American Samoa? You can buy into the plan and air fare is included.

I will invest in something like this if the bill passes.

petunia on March 17, 2010 at 11:24 AM

46.3% of primary care physicians (family medicine and internal medicine) feel that the passing of health reform will either force them out of medicine or make them want to leave medicine.

If they have an alternative means of supporting themselves lined up, then I encourage them to leave post haste if this monstrosity passes.

They don’t owe anyone their services. Go Galt.

Nothing would illustrate the folly and criminality of this legislation better than for crippling medical shortages to crop up immediately.

ya2daup on March 17, 2010 at 11:25 AM

Conscripting doctors?

That’ll work well.

Imagine going to a doc that has been forced to practice against his will.

Ooh, and especially imagine being a lawyer or politician going to a conscripted doc.

No lube for you.

justltl on March 17, 2010 at 11:07 AM

Remember Dr. Zhivago?

petunia on March 17, 2010 at 11:26 AM

LODGE4 on March 17, 2010 at 11:11 AM

Perhaps many of them would be qualified to push you out of your job by offering to work for less.

ya2daup on March 17, 2010 at 11:27 AM

Good doctors will just go the “concierge doctor” route and probably stop accepting insurance, which will leave it up to the patient to file all insurance paperwork and fight for reimbursement, etc.

funky chicken on March 17, 2010 at 11:01 AM

My cardiologist did that this month; dropped out of all preferred provider plans, Medicare/Medicaid, and will not submit forms to insurance. The letter also had the announcement (which doesn’t seen necessary given the previous statement) that patients will be responsible for payment on all non-covered lab tests. I think he made a judgment that Obamacare/DemCare is going to pass, and he wanted the flexibility to structure fees without legal entanglements.

unclesmrgol on March 17, 2010 at 11:07 AM

Yep–and the doc doesn’t have to employ all those insurance and billing folks.

funky chicken on March 17, 2010 at 11:28 AM

My endocrinologist has already switched to fee for service and I file my own claim forms. My husbands best friend is a GP and his practice is talking about doing the same. Drs. are already setting up offshore clinics. If you have enough money you will still find care.

I suppose they can dumb down healthcare just like they did education

ldbgcoleman on March 17, 2010 at 11:31 AM

Fortunately in Pennsylvania you still have to prove malpractice…they got rid of that in WV. Doctors cannot win because they essentially have to prove their innocence here…everything is settled out of court and malpractice insurances eats up most of what you make.

Pattosensei on March 17, 2010 at 10:18 AM

My cousin pays 6 figures for malpractice premiums.

Del Dolemonte on March 17, 2010 at 11:36 AM

Looks to me like the poll was taken by “The Medicus Firm” and published on the NEJM career center website. I think the results are enlightening and newsworthy, I just don’t think crediting them to the NEJM is entirely accurate.

huskerjeff on March 17, 2010 at 11:45 AM

Del Dolemonte on March 17, 2010 at 11:36 AM

Yes, but that has NOTHING to do with the high cost of health care in this country, as Obama has explained.

Even though no other country has a f’ed up legal lottery system, it plays NO PART in the cost of our system.

No part. The debate is over.

NoDonkey on March 17, 2010 at 11:47 AM

A rather misleading headline there Ed. That’s not really what the poll says and what it actually says should create enough concern that you don’t have to spin it to be worse.

Just saying.

Benaiah on March 17, 2010 at 11:51 AM

If this piece of crap bill passes and the doctors leave medicine, I hope they run for public office and rid us of all these damn lawyers we have ruining our country now.

la.rt.wngr on March 17, 2010 at 11:52 AM

Remember Dr. Zhivago?

petunia on March 17, 2010 at 11:26 AM

Somehow I missed both the book and the movie, Miss petunia.

Did it involve stale donuts, strong coffee and hot nurses?

justltl on March 17, 2010 at 12:03 PM

waiting for the government and/or insurance companies to send me 60 cents per my dollar cost.

If MediCal (California’s version of MediCaid) paid me 60 cents per my dollar cost, it would be the biggest raise in the history of my 26 years in medicine. Right now it pays 17 cents. Can you imagine how excited I am to have the government put millions more on the MediCal rolls? Right now I’m one of only 2 ophthalmologists in the region who still accept MediCal patients. If they do this, I’ll have no choice but to drop out. I can afford to give away only so much of my services and still pay my staff and bills.

EyeSurgeon on March 17, 2010 at 12:07 PM

Better check that title! Should be NEJM, not NEMJ. As a practicing physician I can vouch that this journal is truly not the bastion of conservative thought!

jdcroft2001 on March 17, 2010 at 12:13 PM

Somehow I missed both the book and the movie, Miss petunia.

Did it involve stale donuts, strong coffee and hot nurses?

justltl on March 17, 2010 at 12:03 PM

justltl: Jus tryn’n to help!:)
===============================

Doctor Zhivago Trailer 1965

http://www.youtube.com/watch?v=wAWrXTn5Www

canopfor on March 17, 2010 at 12:18 PM

Jeepers, is anyone on this place not a doctor?

Don’t y’all have patients to see?

justltl on March 17, 2010 at 12:19 PM

canopfor on March 17, 2010 at 12:18 PM

Thanks, doc.

justltl on March 17, 2010 at 12:45 PM

71% believe their income would fall with a public option — probably from experience with Medicare and Medicaid.

Not probably-this is a DIRECT response due to those govt programs.
If your reimbursements are being cut all the time, why would you want someone with that insurance as a patient?
Caring & hyppocratic oath aside: this is a business & if a bottom line is not met, it cannot continue.
Socialized medicine gives you mediocre doctors at best.
Look what the govts done for public education: masses of crappy teachers & administrators who get hired over & over bcs there is a critical shortage.
Our principal, who is absolutely worthless (along with the suptd) are here bcs NO ONE ELSE WILL APPLY.
There were only 2 applicants for my job: me & my sister in law.
We will get drs who suck at their profession & that means people will die.

Badger40 on March 17, 2010 at 1:13 PM

My cousin pays 6 figures for malpractice premiums.

Del Dolemonte on March 17, 2010 at 11:36 AM

I do not agree with No Donkey on your point.
But it is that AND Medicare & /caid ins causing these high cost of health care here.
My OB/GYN doc pays 6 figures, too. And he’s only had like 2 claims (abt 45yo).
That is crazy.
Something must be done about crazy lawsuits, too.

Badger40 on March 17, 2010 at 1:16 PM

Must be BS report day at Hot Air…

tommylotto on March 17, 2010 at 11:02 AM

Umm… yeah. The link is to an advertising firm poll, not the NEJM. What’s the deal?

j_galt on March 17, 2010 at 1:24 PM

Now that I think of it, many veterinarians seem to be better than many docs these days.

Maybe we can all go to a vet instead of a doc.

justltl on March 17, 2010 at 9:50 AM

Doggy & Kitty doctors: that’s where the $$$$ is at.
It’s caused a shortage of large animal vets across the country.
Why deal with large animals that can kick the crap out of you, go to a farmer or rancher’s place & get full of $hit by sticking your whole arm up a cow’s butt, I could really go on & on here about the challenges of large animal medicine, but I digress.
The large animal vet we have do things for us (& my husband does most everything except ultrasound) works all over E. MT, ND & SD + he’s the vet at a sale barn in SD & is there every day they have a weekly sale to PG all the cows & heifers that come in, like on some days up to 6,000.
He has said himself the only thing he’s around for is to sign off on official papers & to prescribe drugs.
The only reason he isn’t a doggy kitty dr is bcs he loves his work.

Badger40 on March 17, 2010 at 1:25 PM

No part. The debate is over.

NoDonkey on March 17, 2010 at 11:47 AM

I’m stupid-I didn’t catch on to your sarcasm.
*face palm*

Badger40 on March 17, 2010 at 1:35 PM

My son is military and my daugher-in-law pregnant with their 2nd. My daughter-in-law tells me that whenever they need to get a prescription filled, if they go thru their medical service (active military), there’s only one pharmacist on post they’re allowed to use. When the drop their prescrition, they have to get a number and are FORCED to wait on it. No dropping off to pick up later. She said the average wait is 4 hours.

They seldom use this service. Can you imagine waiting 4+ hours to have a presciption filled! If they’re able, the take it to regular pharmacist and pay out of pocket.

This is precisely what the VA hopes many will do. Make it so inconvenient that people will pay for service themselves.

This is the future, not just for prescriptions, but for all medical services.

BTW, in Louisiana, we already have free government health care – it’s called The Earl K. Long Hospital and it’s located in Baton Rouge. If you want to get a glimpse of our future, Hannity or Beck should profile EKLong Hospital.

SoldiersMom on March 17, 2010 at 1:39 PM

This is precisely what the VA hopes many will do. Make it so inconvenient that people will pay for service themselves.

SoldiersMom on March 17, 2010 at 1:39 PM

Ye gods and little fishes. Shades of the English ‘workhouses’.

Dark-Star on March 17, 2010 at 1:40 PM

Paul Hsieh says this is doctors going Galt, or about to do so. If not quite that dramatic, it’s a big indicator that there will be fewer of them to see patients in the not-so-distant future, which means long wait times and less care for more patients in the system.

It’s not so much them going Galt as them realizing they could not afford to foot the extra personnel they’d require to deal with the massive amount of new paperwork and other forms of bureaucratic hurdles. This is why so many doctors decline to accept Medicare already. Nobody can operate a business at a loss.

Blacklake on March 17, 2010 at 2:01 PM

It’s not just MD’s that will leave practice. Currently almost 20% of our RN workforce is foreigners – from everywhere but a good deal from other countries with socialized medicine, they come here for the working conditions not the money. Why stay now?

batterup on March 17, 2010 at 2:03 PM

SoldiersMom on March 17, 2010 at 1:39 PM

I was lucky to be an Army spouse 20yrs ago.
It cost me $35 to have my daughter at Ft Lewis, before the new MAMC was built.
If I would have had a choice, I wouldn’t have had her there. It was a horrible experience for me, but I have to say I never had to really wait for anything.
I’m not sure what this Tri-care is like bcs we never had it then, but dependents never did get dental service.
That I had to pay for myself. They would cover the service member, but not dependents unless it was a crazy emergency & only if there was a dentist around.

Badger40 on March 17, 2010 at 2:27 PM

Obama Says Lawyers and Union Workers Stand Ready to Fill Health Care Gap Left by Doctors Who Leave Medicine Over ObamaCare http://optoons.blogspot.com/2010/03/obama-says-lawyers-and-union-workers.html

Mervis Winter on March 17, 2010 at 2:47 PM

Conscription won’t be a problem. I was talking to my brother today and he speculated that the reason they are bundling the student loan takeover in with this bill is so they can dictate what people are going to study. You want a student loan? You have two choices: “Green” engineer or family practice physician. Don’t like your options? Tough.

NoLeftTurn on March 17, 2010 at 3:11 PM

SoldiersMom on March 17, 2010 at 1:39 PM

Ummm….Walgreens takes Tri-Care. You have a $22 co-pay for name brand and $9 co-pay for generic scripts. Tri-Care also has a mail service for scripts that are recurrent, like allergy medicine or whatever. At all the AF bases we’ve used you could drop off scripts and pick them up later, no problem. That facility must have had a real problem with folks not getting their meds later (?? why? people are weird sometimes) or with people getting free meds for other family members or friends. I’m guessing there was some kind of fraud ring busted at the clinic so they cracked down.

Wal-Mart pharmacies take Tri-Care also, but I don’t know what the co-pay would be.

funky chicken on March 17, 2010 at 3:14 PM

Badger40 on March 17, 2010 at 1:35 PM

“Let me be perfectly clear, the rigorous and open debate on health care has begun.”

(Pause for a few seconds).

“The time for debate is over.”

Wash, rinse, repeat.

NoDonkey on March 17, 2010 at 3:54 PM

funky chicken on March 17, 2010 at 3:14 PM

Active duty can’t use TRICARE (their families can) although I can’t imagine a four hour wait for a prescription.

There’s a shortage of pharmicists though, as many have been deployed so that’s probably what’s happened here. When we lose personnel to deployment, we don’t get backfilled like when they PCS.

NoDonkey on March 17, 2010 at 3:57 PM

You have no idea how much money I save.

Pattosensei on March 17, 2010 at 10:09 AM

I do too. My last eye exam cost me $44. I got the script filled at Sam’s Club for less than a hundred (of course the frames cost a fortune, but that was my choice — if it’s going to be on my face everyday, I wanna like it). I got my teeth cleaned a couple of months ago. I got a 10% discount for paying cash.

Right now I am self-employed so I have an HSA and a high-deductible plan. I plan to go back to work in the next year or two for someone else and when I do, I will probably keep it and opt out of the employer plan. That way, I’ll be taking home more in my paycheck every two weeks, AND I get to take $3000/yr right off the top of my taxes. And if I ever hit my $5000 deductible in a year, I am 100% covered up to my lifetime limit.

Why more people — esp. healthy, young(ish), single people like me — don’t take advantage of HSAs, I’ll never know. It was the best decision I’ve ever made.

NoLeftTurn on March 17, 2010 at 3:59 PM

Like teachers, let them be driven away and then only the truly dedicated doctors will continue working no matter how little the pay or poor the conditions are.

/sarc

Dr. ZhivBlago on March 17, 2010 at 4:06 PM

I am a Family Doctor and I would estimate that the 46% number is probably pretty close.

Some of us intend to leave but may be forced to stay due to our school debts (mine are right at $250K).

Others who don’t intend to leave will have to close due to ever-lower reimbursements (a la Medicare/Medicaid).

This is a nightmare. I am desperately trying to get out, but I have a family to think about. Never thought things would end up like this.

I will go Galt if at all possible. Just not worth it. Even in better times we were nothing but lawyer bait.

MOCKBADOC on March 17, 2010 at 5:32 PM

I spoke to one doctor who said he will leave the profession in two years if this bill is passed. He already has a contingency plan.

jbh45 on March 17, 2010 at 10:18 AM

What’s his plan? I’m married to a doctor and she’s pretty much screwed if this passes.

nazo311 on March 17, 2010 at 6:28 PM

Why more people — esp. healthy, young(ish), single people like me — don’t take advantage of HSAs, I’ll never know. It was the best decision I’ve ever made.

NoLeftTurn

Too bad for you that option goes away with obama’s commiecare.

xblade on March 17, 2010 at 9:11 PM

Don’t worry, I’m sure ObamaCo will demon pass a stop-loss law against doctors that try to quit without permission. The uncooperative get to go to prison and provide health care to the criminally under/uninsured.

See?

It all works out.

Virus-X on March 18, 2010 at 1:10 AM

What’s his plan? I’m married to a doctor and she’s pretty much screwed if this passes nazo311 on March 17, 2010 at 6:28 PM

Tell your wife she can take Obama’s tax credits and government monopoly health care and become a full-time artist.

Virus-X on March 18, 2010 at 1:15 AM

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