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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Wait until the supposed savings from that MEDICARE cut of 21% actually kicks in. Won’t need any death panels then, cause Grandma won’t find a doctor to even look at her.

Johnnyreb on March 17, 2010 at 9:34 AM

How many people will die from waiting on a list to see a doctor? If a woman finds a lump in her breast and it takes six months to see a doctor and at that point she is terminal, who is going to be responsible for that?

TXMomof3 on March 17, 2010 at 9:35 AM

I wonder what this does for my pre-med daughter. Not much, I’m thinking.

Jaibones on March 17, 2010 at 9:37 AM

Those aren’t bad numbers, are they?

/S

rightside on March 17, 2010 at 9:37 AM

TXMomof3 on March 17, 2010 at 9:35 AM

I think that’s the point..

http://www.redstate.com/snarkandboobs/2010/03/16/stupak-amendment-exposes-obamacares-dirty-little-secret-eugenics/
Stupak Amendment Exposes Obamacare’s Dirty Little Secret: Eugenics | RedState

katy on March 17, 2010 at 9:37 AM

Imagine if Obama wasn’t a centrist.

/

artist on March 17, 2010 at 9:38 AM

But Obama had 4 doctors next to him.

And they had white coats on.

artist on March 17, 2010 at 9:39 AM

What’s next if they do? Force them to work for less pay?

rightside on March 17, 2010 at 9:40 AM

Psst, Ed.

New England Journal of Medicine acronym should be NEJM, not NEMJ.

(sorry for the nitpick)

Do all the Democrats want to destroy American society? I mean, I get that Dear Liar and His cronies hate the current US system (a charter of negative liberties), but if you are talking about getting rid of nearly half of all primary doctors, then you are talking about wrecking any society. Fewer doctors will mean more early deaths.

I can understand John Edwards simply being greedy with his lawsuits and not caring/understanding that ob/gyn doctors fled parts of North Carolina, but this threat to half the primary care doctors leaving should be the death knell for ObamaCare.

Anyone who supports the bill now not merely wants to wreck our current political/economic system, they want to destroy us as a society.

rbj on March 17, 2010 at 9:40 AM

Well, what do you expect from a bunch of big guv nitwits who have no concept of free market economics? Or what little they DO understand, they reject out of hand as some sort of “unfair.”

JamesLee on March 17, 2010 at 9:40 AM

What’s next if they do? Force them to work for less pay?

rightside on March 17, 2010 at 9:40 AM

In a way. Government will simply conscript those who quit back into the profession under provisions of the Health Care Personnel Delivery System.

There is no escaping Government.

Holger on March 17, 2010 at 9:43 AM

This whole thing isn’t so much an adventure in Socialism as it is an adventure in PRIDE. You see, no one wants this POS passed. Not doctors, not Health Insurers, not the people, not healthcare workers, not the old nor the young want this thing passed. Flying in the face of all that – the 700K jobs lost and the ‘bankruptcy in 4 years’ are the idiot Democrats in Washington. They’ve put everything they have – their pride on the line and they won’t swallow that pride for anything. At this point, it’s do or die. Not one of them has the character (aside from maybe Stupak) to be a person of character and swallow their pride, admit they have a crap bill on their hands and walk away from it. Not one. So we’re all getting reamed because of PRIDE.

Thunderstorm129 on March 17, 2010 at 9:44 AM

No problem. We’ll import doctors from India and Mexico to work for $50K a year.

I’m not worried.

angryed on March 17, 2010 at 9:44 AM

D*mn, so the only doctors left are the ones that were wearing white lab coats on the stage next to Obama?
We’re screwed.

Electrongod on March 17, 2010 at 9:44 AM

Most of the primary care physicians I’ve dealt with are older. They can ditch it and retire if this idiotic bill passes and their reimbursement is cut to the point that they lose money per patient.

And yes, PAs and NPs can make up for some of this, but they’re already widely being used and they still need MD supervision.

This is a diaster and just one of the many unintended consequences that our incompetent Congress didn’t even start to consider.

This is what happens when unqualified jackasses are placed in positions in which they do not belong. Every individual in a high position in our government is an inexperienced, ignorant jackass.

NoDonkey on March 17, 2010 at 9:44 AM

But Obama had 4 doctors next to him.

And they had white coats on.

artist on March 17, 2010 at 9:39 AM

They weren’t real doctors–they just play them for press conferences.

Seriously, they are probably research doctors who don’t practice; instead, they work at a university where their research is underwritten by federal grants.

How much evidence do “conservative” Dems need to conclude that Obamacare is a horrible idea?

Death Panels? I think we need to start calling Obamacare the Obama Death March.

BuckeyeSam on March 17, 2010 at 9:44 AM

Well, this is what price controls do. They don’t control the price; they just shift the cost from monetary to non-monetary.

NeighborhoodCatLady on March 17, 2010 at 9:44 AM

rbj on March 17, 2010 at 9:40 AM

Ed was quoting from that imminent journal: Not Exactly Michael Jackson.

Kafir on March 17, 2010 at 9:45 AM

Oh, c’mon! This report could only be propaganda from the vast right-wing conspiracy! It/they are racists who only want to see America’s first black president (hallowed be his name!) fail!

(Please excuse me while while I run to the Porcelain Goddess for writing that…)

Liam on March 17, 2010 at 9:45 AM

Add 30,000,000 new insured and lose 46% of primary care doctors, rationing starts the minute this travesty is passed.

volsense on March 17, 2010 at 9:45 AM

But Obama had 4 doctors next to him.

And they had white coats on.

artist on March 17, 2010 at 9:39 AM

You’re right… I saw them too. (?)
/I’m so confused

Edouard on March 17, 2010 at 9:45 AM

Practicing medicine without a license. Isn’t that a crime?

bluegrass on March 17, 2010 at 9:45 AM

I don’t want to nitpick either, but I noticed it too, rbj.

*hands Ed another cup of coffee*

pookysgirl on March 17, 2010 at 9:46 AM

Who are they going to tax if they kill us all off? Sure the libs won’t have to pay SS or medicare claims or provide any of the things they ‘give’ us now but they won’t have as much coming in either, so how can they support their extravagant life styles when we’re all gone to our reward. The rich can’t get rich if they don’t have us to work for them. This is the biggest unintended consequence the govmint has ever come up with.

Kissmygrits on March 17, 2010 at 9:47 AM

Pfft! Those unfilled doctor ranks can easily be filled by folks with Third World MD degrees and government run medical schools staffed by those same Third Worlders..

a capella on March 17, 2010 at 9:47 AM

NRO reports the VA. AG is waiting to file suit.

I’m sure there will be dozens more.

artist on March 17, 2010 at 9:48 AM

Add 30,000,000 new insured and lose 46% of primary care doctors, rationing starts the minute this travesty is passed.

volsense on March 17, 2010 at 9:45 AM
- – -
it’s obvious that your not Harvard educated or a member of the union. Do yourself a favor and learn how to properly use Obama math.

bluegrass on March 17, 2010 at 9:49 AM

The best and brightest will turn away from medicine to other fields — probably the law,

This will be short term, as Obamacare will eventually bankrupt private insurance and single payer will take its place. Once that happens, you can’t sue the government for bad medical outcomes.

Puddleglum on March 17, 2010 at 9:49 AM

a capella on March 17, 2010 at 9:47 AM

They do not even have to do that. Government will simply conscript anyone who quits back into the profession.

Holger on March 17, 2010 at 9:49 AM

Pfft! Those unfilled doctor ranks can easily be filled by folks with Third World MD degrees and government run medical schools staffed by those same Third Worlders..

a capella on March 17, 2010 at 9:47 AM

You’re not too far off. Happening already.

Electrongod on March 17, 2010 at 9:49 AM

If our president actually cared about improving the healthcare system, his first step would be to incentivize graduating with a degree in medicine (ie: tax rebate equal to 1/4 of tuition expenses would work), and help wait times by allowing RNs to perform many of the duties that currently only MDs can do.

I’m sure Karl is having a major case of shoulda-coulda-wouldas for not doing something like that to pacify the left while Bush was in office.

RachDubya on March 17, 2010 at 9:49 AM

Society will become stronger when our doctors are paid the same as our street sweepers. This is about fairness, not competency.

Bishop on March 17, 2010 at 9:50 AM

“As long as the number of doctors doesn’t drop by 3000%, everything will be fine,” answered the Indonesian Imbecile, “Now let’s concentrate on the profit and earnings ratios of the health insurance companies …”

neurosculptor on March 17, 2010 at 9:50 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

There will be plenty of doctors.

Just not good ones.

The quality of house officers (interns and residents) has declined steadily. I wouldn’t let some of these characters treat my cats.

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

If you’ve lost the New England Journal of Medicine….

well, you know.

pilamaye on March 17, 2010 at 9:51 AM

Holger on March 17, 2010 at 9:43 AM

Not that the US isn’t already fundamentally changed since zero took office, but that would truly end liberty in America.

rightside on March 17, 2010 at 9:51 AM

Practicing medicine without a license. Isn’t that a crime?

bluegrass on March 17, 2010 at 9:45 AM

Licenses? We don’t need no stinkin’ licenses!

Standards and licenses are part of the racist white power structure designed to keep people of color out of power.

If a young man or woman of progressive mind says that he or she is a doctor, Obamacare will accept that.

After all, who are we to judge?

NoDonkey on March 17, 2010 at 9:52 AM

So now womyn will have to return to back alley abortions?

Oh my.

artist on March 17, 2010 at 9:52 AM

No, they won’t get to leave. This will eventually get to the point that doctors will be forced to work.

Bank on it.

They’ll call it “incentivizing service” or some other euphemism, but it will boil down to older doctors not being able to retire and newer doctors being contractually obligated to practice in “underserved areas”. Reagan’s predictions will come true.

spmat on March 17, 2010 at 9:53 AM

Here is a chart showing Canadian spending on health care over the past 35 years.

If I didn’t know any better I would say a govt run health care system leads to massive increased costs.

angryed on March 17, 2010 at 9:54 AM

Pfft! Those unfilled doctor ranks can easily be filled by folks with Third World MD degrees and government run medical schools staffed by those same Third Worlders..

a capella on March 17, 2010 at 9:47 AM

Third World? What world is the USA if not Third World?

Wade on March 17, 2010 at 9:54 AM

The democrats are trying to backdoor the public option by giving the Secretary of HHS complete control of insurance pricing.

Evil, evil, evil people who have the knife already a quarter of the way in the back of America and itching for the final push to bury it to the hilt.

darwin on March 17, 2010 at 9:54 AM

Dems could care less. The push is on.

That’s why they have resorted to Demon Pass.

fogw on March 17, 2010 at 9:55 AM

So now womyn will have to return to back alley abortions?

artist on March 17, 2010 at 9:52 AM

Almost, only now the back alley abortionist will now be in the front office.

Puddleglum on March 17, 2010 at 9:56 AM

The exodus of doctors and health care providers happened in the UK. They filled the vacuum by importing foreign doctors and granting them and their families citizenship.

darwin on March 17, 2010 at 9:56 AM

spmat on March 17, 2010 at 9:53 AM

I don’t think that will happen, they’ll just drastically lower standards.

It’s already happening. The last time my wife went to the doctor, she didn’t see an MD, she didn’t even see a PA or an NP, she saw a NP student.

So we’re already going to the third level.

It’s a shame we can’t do that for all of our legal work, but then, that stuff is important according to Democrats, because that’s where their donations come from.

NoDonkey on March 17, 2010 at 9:56 AM

Paul Hsieh says this is doctors going Galt, or about to do so.

How can we make lawyers go Galt? Oh yeah, Ed has already found a way.

WashJeff on March 17, 2010 at 9:57 AM

In a way. Government will simply conscript those who quit back into the profession under provisions of the Health Care Personnel Delivery System.

There is no escaping Government.

Holger on March 17, 2010 at 9:43 AM

-Read more of this thing at your own discretion. The next heading after the Public Health Corps is Adapting The Workforce to Evolving Health Care Needs, which I take to mean, in the double speak legal jargon of phraseology and policyspeak, that you and your job skills will adapt to the needs of the Health Care Corps, not the other way around. We are living, after all, in the era Hunter S Thompson labeled as The Age of Confusion, Ruled By The New Dumb-

http://www.americanthinker.com/blog/2010/03/obamacares_new_public_health_w.html

katy on March 17, 2010 at 9:57 AM

It seems to me that doctors would move back toward a one-doctor-one-nurse-cash-on-the-barrel-head model. Cut out the waste of resources filling out forms and then waiting for the government and/or insurance companies to send me 60 cents per my dollar cost.

ROCnPhilly on March 17, 2010 at 9:57 AM

So now womyn will have to return to back alley abortions?

Oh my.

artist on March 17, 2010 at 9:52 AM

Back alley abortions Womans Rights?

Wade on March 17, 2010 at 9:57 AM

Practicing medicine without a license. Isn’t that a crime?

bluegrass on March 17, 2010 at 9:45 AM

No. Nor is undocumented aliens.

Wade on March 17, 2010 at 10:00 AM

ACTION ALERT!

Fax these articles to all congress critters.

Let’s see what they do then.
Quality and availability of care:
http://www.nejmjobs.org/rpt/physician-survey-health-reform-impact.aspx

Cost:
http://www.google.com/hostednews/ap/article/ALeqM5iVn9wrhB-3SF-Svo9kZyXd4bHRLAD9EG84VO0

bloggless on March 17, 2010 at 10:01 AM

Just start conscripting doctors, then they won’t be permited to quit.

MarkTheGreat on March 17, 2010 at 10:01 AM

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

You may have found a loophole; maybe aspiring doctors can ‘practice’ as vets but just happen to take human patients in the back door. Not joking.

Anyone know if Team Osbama has put any “you can’t retire!” bills into action yet? I can’t imagine they’ll let a third to a half of the doctor and nurse population ‘go Galt’ without some kind of attempt to (il)legally keep them from retiring?

Dark-Star on March 17, 2010 at 10:01 AM

We can just import Paki docs to take their places like England does!

Kermit on March 17, 2010 at 10:02 AM

The exodus of doctors and health care providers happened in the UK. They filled the vacuum by importing foreign doctors and granting them and their families citizenship.

darwin on March 17, 2010 at 9:56 AM

And the doc who tried to blow up a Scottish airline terminal with his SUV was one of them.

Nichevo on March 17, 2010 at 10:02 AM

The exodus of doctors and health care providers happened in the UK. They filled the vacuum by importing foreign doctors and granting them and their families citizenship.
darwin on March 17, 2010 at 9:56 AM

So? You don’t trust med school graduates from The University of Karachi or the Brazzaville College of Medicine?

Bishop on March 17, 2010 at 10:02 AM

law, which will get a huge boost from ObamaCare — leaving future positions to be filled by others.

Uh… How does a lawyer profit from this? As soon as the insurance companies are crushed out of business by regulation and price controls, Uncle Sugar will force us all into single-payer. Who is a lawyer going to sue, then?

ROCnPhilly on March 17, 2010 at 10:02 AM

You may have found a loophole; maybe aspiring doctors can ‘practice’ as vets but just happen to take human patients in the back door. Not joking.

Dark-Star on March 17, 2010 at 10:01 AM

Black market medicine thrived in the Soviet Union.

darwin on March 17, 2010 at 10:02 AM

This news does not help the poor woman who was wearing her dead sister’s dentures, does it ?

Don’t worry,after Obama is done being President, he will go around the nation performing …. ahem “miracles”..

Who needs stinking doctors when you have “the Messiah” on your side ?

nagee76 on March 17, 2010 at 10:03 AM

But… The President said I could keep my doctor. If I like him then I can keep him. (?)

/still confused

Edouard on March 17, 2010 at 10:03 AM

No problem. We’ll import doctors from India and Mexico to work for $50K a year.

I’m not worried.

angryed on March 17, 2010 at 9:44 AM

England already got all of them.

MarkTheGreat on March 17, 2010 at 10:03 AM

Paul Hsieh says this is doctors going Galt, or about to do so.

It’s not going Galt – it’s the realistic and grim assessment that under ObamaCare they can’t make a living as a doctor.

gwelf on March 17, 2010 at 10:04 AM

The exodus of doctors and health care providers happened in the UK. They filled the vacuum by importing foreign doctors and granting them and their families citizenship.

darwin on March 17, 2010 at 9:56 AM

Which means the people in those countries don’t have access to the best doctors those countries can provide. If it happens here, then that means Dear Liar hates foreigners. He wants them to die.

rbj on March 17, 2010 at 10:05 AM

Who is a lawyer going to sue, then?

ROCnPhilly on March 17, 2010 at 10:02 AM

They will start to sue Private Citizens for unhealthy life-styles such as smoking or eating meat but not promiscuous sexuality.

They will also sue soft drinks, restaurants and the like.

Lawyers are like rats, they will always survive.

Holger on March 17, 2010 at 10:05 AM

So? You don’t trust med school graduates from The University of Karachi or the Brazzaville College of Medicine?

Bishop on March 17, 2010 at 10:02 AM

Only if they have the Kathleen Sebelius HHS stamp of approval. I really trust her.

darwin on March 17, 2010 at 10:05 AM

ROCnPhilly on March 17, 2010 at 10:02 AM

The Democrats will find a way to preserve our legal lottery system as far as health care is concerned.

Lawyers are Democrat’s biggest donors. There’s no way they are going to leave them out on this.

NoDonkey on March 17, 2010 at 10:06 AM

I’m curious. Is malpractice insurance covered anywhere in this bill? Or, do doctors beholding to government have to pay out of pocket anyway? You know the government will set in price controls, so doctors will basically be told by Washington how much they can earn.

Liam on March 17, 2010 at 10:06 AM

Members of Congress, of course, will not be affected.

They are exempt from this plan, and we pay for their premium care.

I truly despise these people.

Cody1991 on March 17, 2010 at 10:07 AM

it’s the realistic and grim assessment that under ObamaCare they can’t make a living as a doctor.

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

Kucinich speaking.

Starts off by saying “Health Care is a civil right”.

I guess Elf never read the constitution. Where is that provision?

fogw on March 17, 2010 at 10:08 AM

Here’s an insider’s look for you Ed. My father is a family care physician in rural West Virginia and is a dying breed. He’s no slacker either as he is regularly invited to speak all across the country about primary care (I’m leaving his name anonymous) My sister is currently attending the West Virginia School of Osteopathic Medicine and my brother is doing his pre-med. This gives me a unique look at the medical field and how it works.

The reason insurance costs so much is because we don’t have insurance anymore, we have health care where a middle man pays for every doctor’s visit. Medicare only pays about 50% of the actual cost of your visit to the doctor. This is often times not even enough to cover their overhead, therefore doctors have to raise their costs (or fire their staff). In some areas doctors refuse to see medicaid or medicare patients (some states are making this illegal).

Most insurance companies contract with doctors to pay a percentage over medicare…that’s how they calculate what the doctor gets. For example, insurance x tells a doctor that they will only pay up to 150% of medicare (and that is way higher than the average for my dad). That means they will pay 150% of 50%…meaning that a doctor still doesn’t get the full cost of the care unless he raises his prices to make up the difference.

What Obamacare will do is force that amount so low that doctors cannot stay in business. My dad has been practicing in our little town for over 30 years. He recently had to increase his hours of work to 80 hours a week in order to maintain his standard of living. The only way doctors in small towns will be able to survives is by going Galt (which the gov’t has made illegal in most places already).

What we need is true insurance where we pay a low premium and the insurance companies only pay for large hospital bills (like major surgeries and emergency medicine). Paying doctors directly can lower your bill up to 75% sometimes. I have private coverage where I pay $130/month with a $2,500 deductible and an 80/20 copay capped at 3,000 (United Health Saver 80 plan). However nothing is covered until I pay that deductible (no office visits or check-ups, no maternity for the wife, no drug coverage, nothing).

I usually get about a 30-50% discount any time I go to the doctor and say I’ll pay direct (I pay my dentist $90 for a checkup and full teeth cleaning…he even gave me a filling on top once for only and extra $30). This actually gives him/her MORE money. I just negotiate. I also get a discount on prescription drugs through the group plan I entered which helps lower the cost of medicine (I also make sure to go generic whenever possible). You have no idea how much money I save.

Pattosensei on March 17, 2010 at 10:09 AM

Mexico’s payments to doctor’s in their govt run health care system is so low, that many Mexican doctors have already moved to the US.

MarkTheGreat on March 17, 2010 at 10:09 AM

We have a lot of foreign doctors practicing over here in the states. How many will actually go back home to their homeland if this passes?

deidre on March 17, 2010 at 10:09 AM

Members of Congress, of course, will not be affected.

They are exempt from this plan, and we pay for their premium care.

I truly despise these people.

Cody1991 on March 17, 2010 at 10:07 AM

So are government employees. When their premiums go up they don’t care because we’re paying for it.

darwin on March 17, 2010 at 10:09 AM

I have 1 nephew and 3 nieces who are currently in med school. NONE of them is planning on becoming a GP. The nephew is on track to become a urologist and one niece is considering pediatrics. The other 2 already plan on research. They say few of their fellow students see any future in family practice.

Unfortunately family practice will become the field of overseas trained doctors and/or nurse practioners “working under the supervision” of a doctor. You already see that at some clinics.

katiejane on March 17, 2010 at 10:10 AM

What about U.S. territories? Will doctors still be under government control, or will they be free to practice medicine as God intended?

ROCnPhilly on March 17, 2010 at 10:10 AM

What’s that Carribean island that Reagan invaded? I hear they’ve got a pretty good medical school.

MarkTheGreat on March 17, 2010 at 10:10 AM

Kucinich is eating his own feces on live TV, right now.

“As a former surgical technician” — Kucinich
LOL. That’s like trumpeting The Precedent’s status as an adjunct lecturer. Wow!

neurosculptor on March 17, 2010 at 10:11 AM

KUCINICH CAVES

fogw on March 17, 2010 at 10:12 AM

But Obama had 4 doctors next to him.

And they had white coats on.

artist on March 17, 2010 at 9:39 AM

Yeah, but he had 8 doctors with him until he started talking.

Midas on March 17, 2010 at 10:12 AM

It looks like he bought off Kucinich. Big whoop.

kingsjester on March 17, 2010 at 10:12 AM

As a former surgical technician” — Kucinich
LOL. That’s like trumpeting The Precedent’s status as an adjunct lecturer. Wow!

neurosculptor on March 17, 2010 at 10:11 AM

No kidding. Wish he would say ‘yes’ or ‘no’ and shut up.

Cody1991 on March 17, 2010 at 10:12 AM

Denis the penus blathers on and on and on and on…..

thomasaur on March 17, 2010 at 10:12 AM

So are government employees. When their premiums go up they don’t care because we’re paying for it.

darwin on March 17, 2010 at 10:09 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

Wanted to comment on the Intrade story but no place to do that. I believe the White House may be bidding up the Intrade price. They’ve clearly set out to create a sense of inevitability with all their surrogates saying how confident they were the bill would pass. Bidding up Intrade would certainly help do that. Then there was this story a few days ago about how the bets were coming out of Washington: http://www.businessinsider.com/heres-why-you-should-take-the-intrade-healthcare-betting-very-seriously-2010-3

For the volumes being traded, it would take less than $5,000 a day to keep the price up in the 65 – 75 range. Seems like a small amount of money to pay for the attention it gets and to help a desperate White House

Style Doggie on March 17, 2010 at 10:13 AM

A little addition to the above is that malpractice insurance for doctors is absolutely insane…WE MUST HAVE TORT REFORM. At the rate it’s going to end up where the only doctors who can survive are those on the government’s paycheck. Do you want the government to be your doctor?

Pattosensei on March 17, 2010 at 10:13 AM

One of my cousins is a GP with a thriving (and I do mean thriving) family practice in the Blue State of Pennsylvania. He will be among the 46%.

In his words, this is “Socialized Medicine, pure and simple.”

Luckily by now all of his kids are out of the house and thru college, and his wife is going to support him on her income as a nutritionist!

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

And Kucinich will vote in favor of it.

rbj on March 17, 2010 at 10:15 AM

Bottom line,after Liberal healthcare is fully operational,
and costs start to sky rocket,Hospital closures,staff lay
offs will be an epidemic!!

canopfor on March 17, 2010 at 10:15 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

D*mn, so the only doctors left are the ones that were wearing white lab coats on the stage next to Obama?
We’re screwed.

No, no, no. It’s all good. They spent the night at the local Holiday Inn Express.

sdd on March 17, 2010 at 10:16 AM

Practicing medicine without a license. Isn’t that a crime?

bluegrass on March 17, 2010 at 9:45 AM

Not practicing medicine with a license will be a crime soon too.

forest on March 17, 2010 at 10:16 AM

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

It’s nice having medical professionals in the family. I have a brother-in-law who is an MD and a sister who is a PA.

thomasaur on March 17, 2010 at 10:17 AM

If this POS passes, we will be looking back on the BEST YEARS of the USA!!

We will be pushed back into the 1800′s.

The only Dr’s left will be the Planned Parenthood Abortion Dr’s. Why?

FEDERALLY FUNDED!

PappaMac on March 17, 2010 at 10:18 AM

Del Dolemonte on March 17, 2010 at 10:14 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

If this crap passes your local vet will be your new family practice doctor…

PatriotRider on March 17, 2010 at 10:18 AM

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