Forget about keeping your doctor and your plan under ObamaCare

posted at 4:50 pm on May 18, 2010 by Ed Morrissey

Barack Obama promised that people who currently have health insurance would not have any changes to their status forced onto them by ObamaCare.  “If you like your doctor, you can keep your doctor,” Obama repeatedly promised, adding that the hundreds of millions of Americans currently insured would not have to change plans, either.  Dr. Scott Gottlieb explains in a Wall Street Journal essay exactly how wrong Obama and the Democrats were in making that promise, and describes the “defensive business arrangements” that will eliminate many provider choices for consumers:

President Obama guaranteed Americans that after health reform became law they could keep their insurance plans and their doctors. It’s clear that this promise cannot be kept. Insurers and physicians are already reshaping their businesses as a result of Mr. Obama’s plan.

The health-reform law caps how much insurers can spend on expenses and take for profits. Starting next year, health plans will have a regulated “floor” on their medical-loss ratios, which is the amount of revenue they spend on medical claims. Insurers can only spend 20% of their premiums on running their plans if they offer policies directly to consumers or to small employers. The spending cap is 15% for policies sold to large employers. …

One of the few remaining ways to manage expenses is to reduce the actual cost of the products. In health care, this means pushing providers to accept lower fees and reduce their use of costly services like radiology or other diagnostic testing.

To implement this strategy, companies need to be able to exert more control over doctors. So insurers are trying to buy up medical clinics and doctor practices. Where they can’t own providers outright, they’ll maintain smaller “networks” of physicians that they will contract with so they can manage doctors more closely. That means even fewer choices for beneficiaries. Insurers hope that owning providers will enable health policies to offset the cost of the new regulations.

Doctors, meanwhile, are selling their practices to local hospitals. In 2005, doctors owned more than two-thirds of all medical practices. By next year, more than 60% of physicians will be salaried employees. About a third of those will be working for hospitals, according to the American Medical Association. A review of the open job searches held by one of the country’s largest physician-recruiting firms shows that nearly 50% are for jobs in hospitals, up from about 25% five years ago.

The end result of the consolidation that will follow ObamaCare will be increased bureaucracies and fewer choices.  The mandate burden will mean fewer independent clinics and providers, thanks to the increased start-up costs.  Doctors will look for the economies-of-scale approach and join a decreasing number of larger networks.  Insurers will affiliate themselves with fewer providers and networks as they pare down their offerings, which will already be constrained by the mandates for minimum coverage.  The so-called “Cadillac tax” will eliminate the high-end policies now offered as insurers attempt to avoid the ruinous taxes and fees imposed on those plans.

Meanwhile, insurers in Massachusetts have already felt the damage from its ObamaCare predecessor:

The state’s four biggest health insurers today posted first-quarter losses totaling more than $150 million, with three of the carriers blaming the bulk of their deficit on the Patrick administration’s decision to cap rate increases for individuals and small businesses.

Blue Cross Blue Shield of Massachusetts, the state’s largest health insurer, reported a $65.2 million net loss for the three months ending March 31. Its operating loss was even steeper, $95.5 million. The company drew $55 million from its reserve to cover the anticipated losses from the state-imposed premium cap in the second quarter, accounting for the majority of its operating loss. …

Harvard Pilgrim Health Care of Wellesley posted a quarterly net loss of $27 million and an operating loss of $28.6 million, drawing $21 million from its reserve against losses because of the state’s limits on rate hikes. In last year’s first quarter, traditionally a weak period for insurers, Harvard Pilgrim had a $3 million net loss and a $6.9 million operating loss.

Tufts Health Plan of Watertown, reported a first quarter net loss of $51.9 million and an operating loss of $59 million. That included $40 million drawn from its loss reserve. During the same period in 2009, Tufts had a $13.1 million net loss and a $16.5 million operating loss.

Megan McArdle sizes up the problem well:

The Massachusetts governor’s answer to this problem was to simply deny the Massachusetts insurers the right to raise their prices.  Then, when they refused to quote prices on the exchange at the old, controlled prices, the government essentially argued that they were a bunch of whiny liars who didn’t need all that extra money, and commanded them to list their insurance at the old prices.  As far as I know, they never did find an actuary to sign off on the mandated prices, but the insurers lost their hearing.

Well, now the whiny liars have upped the ante, claiming that they lost a bunch of money in the first three months of 2010, mostly thanks to the extra money they had to reserve against the losses they anticipate under the new rates.  It will be interesting to see whether we get another War on Accounting, where Deval Patrick accuses the state’s biggest insurers of the dastardly use of Generally Accepted Accounting Principles in order to embarrass his awesome government program. …

It’s hard to simultaneously expand demand, while lowering the incentives for supply (i.e. Medicare reimbursements), without having some pretty dramatic mismatches between the two.  There’s an old adage common in restaurants and engineering that goes “Good.  Fast. Cheap. Pick Two.”  Change that middle word to “Universal” and you’ve got a pretty good summation of the problem that Massachusetts now faces–and that the rest of us soon will.

I’m not even sure we’ve gotten one from ObamaCare.  So far, we’ve learned that it isn’t cheap, it won’t be fast (thanks to consolidation), and it’s still not universal.  Thanks to the disincentives placed on innovation, even good may be at risk in the mid to long term.

Update (AP): And the good news keeps on coming. In Texas, the implosion of Medicare has begun:

Texas doctors are opting out of Medicare at alarming rates, frustrated by reimbursement cuts they say make participation in government-funded care of seniors unaffordable.

Two years after a survey found nearly half of Texas doctors weren’t taking some new Medicare patients, new data shows 100 to 200 a year are now ending all involvement with the program. Before 2007, the number of doctors opting out averaged less than a handful a year.

“This new data shows the Medicare system is beginning to implode,” said Dr. Susan Bailey, president of the Texas Medical Association. “If Congress doesn’t fix Medicare soon, there’ll be more and more doctors dropping out and Congress’ promise to provide medical care to seniors will be broken.”…

Ending Medicare participation is just one consequence of the system’s funding problems. In a new Texas Medical Association survey, opting out was one of the least common options doctors have taken or are planning as a result of declining Medicare funding — behind increasing fees, reducing staff wages and benefits, reducing charity care and not accepting new Medicare patients.


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you may keep your doctor, but your doctor may not keep you.

libs. doomed.

ted c on May 18, 2010 at 4:52 PM

You are going to love single payer baby!

Inanemergencydial on May 18, 2010 at 4:52 PM

Dr. Scott Gottlieb explains in a Wall Street Journal essay exactly how wrong Obama and the Democrats were in making that promise, and describes the “defensive business arrangements” that will eliminate many provider choices for consumers:

Yeah, see, the problem here is that they weren’t *wrong*, it’s that they were *telling bald-faced lies*.

Midas on May 18, 2010 at 4:53 PM

So I wonder if our Obamacare proponent trolls were simply unaware of the consequences or were actively lying.

lorien1973 on May 18, 2010 at 4:53 PM

Can we sic the FTC on them for false advertising?

Abby Adams on May 18, 2010 at 4:54 PM

BUT Barry Hussein promised me….I could keep my Doctor….I saw him read it off the Teleprompter! I did!!

SDarchitect on May 18, 2010 at 4:55 PM

And then all the Drs are going to be gone from the rural clinics & I will have to drive to Bismarck for the slightest thing.
I don’t know if it’s true, but my dad, who is a Vietnam vet, says that they are closing down lots of rural vet clinics.
There was one in Dickinson & Bismarck & he says that now there will only be Fargo or Sturgis SD for him to go to.
Don’t know if this is true, but if it is, things are really going to get bad for everyone.

Badger40 on May 18, 2010 at 4:55 PM

I thought about pointing this stuff out to liberal acquaintances who supported ObamaCare, but there’s no point. Their reasons for supporting it are flexible, so if one lie (You can keep your doctor!) becomes undeniable, they’ll just drop it and focus on some other lie that hasn’t been proven yet.

What they won’t do is reconsider or reflect on the wisdom of their support in the first place.

Kensington on May 18, 2010 at 4:56 PM

“You can keep your doctor” chained and locked in your basement, and if you’re on medicare, that’s the only way you’re gonna see him.

Obama sucks.

ROCnPhilly on May 18, 2010 at 4:58 PM

unfortunately, the Democrats did not read the unintended Consequences Law either.

WashJeff on May 18, 2010 at 4:59 PM

Gee, that’s a shocker – Fauxbowmao Lied!

Chip on May 18, 2010 at 4:59 PM

Unintended consequenses, perhaps. But certainly not unforseen by us. And frankly I doubt that as far as Obama is concerned this is either unintended or unforseen. This was his plan all along so that he an later push a fully single payer system.

dczombie on May 18, 2010 at 4:59 PM

Bill Clinton looks like honest Abe compared to this charlatan.

Inanemergencydial on May 18, 2010 at 5:01 PM

Well, that’s okay, I hated my doctor ever since he stole my tonsils and left foot for profit. Good riddance.

myrenovations on May 18, 2010 at 5:02 PM

No wonder he won’t take questions on Freedom of the Press minute.

ctmom on May 18, 2010 at 5:02 PM

Unintended consequenses, perhaps. But certainly not unforseen by us. And frankly I doubt that as far as Obama is concerned this is either unintended or unforseen. This was his plan all along so that he an later push a fully single payer system.

dczombie on May 18, 2010 at 4:59 PM

*dingding*

We have a winner.

Midas on May 18, 2010 at 5:02 PM

How long is it until 2012 again? 1,000 years?

Daggett on May 18, 2010 at 5:02 PM

The question was never whether or not Obamacare would be a fiscal disaster that would lead to single payer. The question was how long would it take? I have to confess that even someone as cynical as me didn’t think Barry could pull it off before his first(and God willing only) term is up.

Doughboy on May 18, 2010 at 5:03 PM

Dr. Scott Gottlieb explains in a Wall Street Journal essay exactly how wrong Obama and the Democrats were in making that promise

They were not wrong.

They lied.

iurockhead on May 18, 2010 at 5:04 PM

REPEAL. REPEAL. REPEAL.

Don’t let any RINO dodge this issue in the Fall campaigns. It is not about updating or tweaking, it is about the hard work of REPEALING ObamaCare no matter how many years it takes.

Edouard on May 18, 2010 at 5:05 PM

“Liberalism is lying. That’s just what it is”

visions on May 18, 2010 at 5:05 PM

“Liberalism is lying. That’s just what it is”

visions on May 18, 2010 at 5:05 PM

It’s 1/2 lying… 1/2 not EFFING reading anything.

tetriskid on May 18, 2010 at 5:07 PM

Well duh!

Sharr on May 18, 2010 at 5:08 PM

So I wonder if our Obamacare proponent trolls were simply unaware of the consequences or were actively lying.

lorien1973 on May 18, 2010 at 4:53 PM

The answer is C. All of the above

Edouard on May 18, 2010 at 5:09 PM

And of course, you just know for sure that the taxes to pay for the health benefits coming in four years will be kept, safe and sound, in the lock box. Guarded by golden horned unicorns…..

skeeter on May 18, 2010 at 5:10 PM

REPEAL!

The only acceptable answer.

Then maybe think about replacing it…

ornery_independent on May 18, 2010 at 5:10 PM

Forget about keeping your doctor and your plan under ObamaCare

Well that was certainly unexpected. /s

BitterClinger on May 18, 2010 at 5:11 PM

The worst part about this handbasket is all the wicker jabbing me in the backside.

TexasDan on May 18, 2010 at 5:12 PM

And then all the Drs are going to be gone from the rural clinics & I will have to drive to Bismarck for the slightest thing.
I don’t know if it’s true, but my dad, who is a Vietnam vet, says that they are closing down lots of rural vet clinics.
There was one in Dickinson & Bismarck & he says that now there will only be Fargo or Sturgis SD for him to go to.
Don’t know if this is true, but if it is, things are really going to get bad for everyone.

Badger40 on May 18, 2010 at 4:55 PM

My uncle drives a couple of hundred miles from Montana to Sturgis right now. It will only get worse. Soon everyone will have to drive.

Lily on May 18, 2010 at 5:13 PM

I’m not so sure that these are “unintended consequences”.

Buy Danish on May 18, 2010 at 5:13 PM

You know what the worst thing about this is?

WE TOLD THEM THIS WOULD HAPPEN.

Red Cloud on May 18, 2010 at 5:14 PM

Please stop saying “unintended consequences”.

These are Exactly the consequences for which the bill was Designed.

Thune on May 18, 2010 at 5:15 PM

Is there anyone reading this post that didn’t know months ago what the good Dr. Scott Gottlieb has recently discovered?

dirtseller on May 18, 2010 at 5:16 PM

Is anyone yet running on repeal in the primaries??? We have got to turn this hideous ship around.

Chewy the Lab on May 18, 2010 at 5:16 PM

And then there’s this, via Trevor Loudon.

Buy Danish on May 18, 2010 at 5:17 PM

My uncle drives a couple of hundred miles from Montana to Sturgis right now. It will only get worse. Soon everyone will have to drive.

Lily on May 18, 2010 at 5:13 PM

Yikes.
Well Sturgis is a little over 200 miles.
If they close that, it’s Fargo I guess.
Unless Rapid City’s got something.

Badger40 on May 18, 2010 at 5:18 PM

You can bet the blood suckers in DC won’t lose their doctors!

inspectorudy on May 18, 2010 at 5:19 PM

And then there’s this, via Trevor Loudon.

Buy Danish on May 18, 2010 at 5:17 PM

AAAAAAAAHhhhhhhhhhhh

Everywhere you look socialism is failing big time…This is all about power and cementing the society into two classes, rulers and serfs.

Inanemergencydial on May 18, 2010 at 5:20 PM

This should be a ‘teachable moment’!

canopfor on May 18, 2010 at 5:21 PM

Another Obama lie. Are we sure his kids, are his kids? Just because he says so?

capejasmine on May 18, 2010 at 5:23 PM

If you thought you could keep your doctor and your plan, you were acting stupidly.

Dr.Cwac.Cwac on May 18, 2010 at 5:23 PM

“If Congress doesn’t fix Medicare soon, there’ll be more and more doctors dropping out and Congress’ promise to provide medical care to seniors will be broken.”…

Great. Another bailout coming soon to a country near you.

KS Rex on May 18, 2010 at 5:23 PM

The Unintended Consequences of Law

Good Lt on May 18, 2010 at 5:24 PM

Unintended consequences? More like intended consequences.

gwelf on May 18, 2010 at 5:24 PM

But then, what would you expect from a guy named Barry Soetoro?? (Google it if you haven’t heard that name yet – I’m just saying…..)….

The whole filthy story of Barry whatever his name is is a pack of lies from beginning to end. He cannot tell the truth and we MUST vote he and his ilk out of office.

highninside on May 18, 2010 at 5:27 PM

Soon coming your way – Government healthcare being the ONLY healthcare, just like in other socialist countries like Canada and the UK.

docdave on May 18, 2010 at 5:27 PM

They knew it wouldn’t work. They knew they were creating an impossible mess that would leave people wanting single payer healthcare.

This has been obvious from the get-go.

Alana on May 18, 2010 at 5:29 PM

Spend some online time learning survival medical skills. This may be the only way you can ‘keep’ your doctor. You will be amazed at what you can do yourself.

GnuBreed on May 18, 2010 at 5:29 PM

Hey liberals – you’ve got 1 of 2 choices.

(A) The liberals in charge of our country (and now healthcare) are so blindingly stupid that they couldn’t see the obvious even after it was pointed out to them repeatedly.

(B) The liberals in charge of our country (and now healthcare) are so corrupt that they lied over and over again to the people they supposedly serve in order to try and convince people to go along with their schemes.

Which is it?

gwelf on May 18, 2010 at 5:29 PM

There is absolutely no way in the world that Democrats will blame themselves or the bill they voted for without reading for this impending health care disaster. They’ll simply blame capitalism and demonize the health care industry for refusing to unchain themselves from economic reality. Then the push for single-payer outright socialist control of health care will begin. I wouldn’t be surprised if Paul Krugman has a selection of appropriate editorials already written and approved by the White House.

Sharke on May 18, 2010 at 5:32 PM

REPEAL AND IMPEACH!

Cybergeezer on May 18, 2010 at 5:32 PM

I think I recall hearing “Kill the Bill” a few thousand times on March 20th. Sounds like it was pretty good advice that went unheeded at that vote.

Levin–
Grayson–
Perriello–

et et al..

jackasses, each and every one of you. We should put you all in a cave….on an island

ted c on May 18, 2010 at 5:33 PM

Friday, May 7, 2010
OUR BIGGEST DOMESTIC ENEMY: THE DEMOCRAT PARTY.
Barrack Obama and the Democrat Party are the largest group of enemies that the United States has on this planet.
They are facilitating sedition, illegal immigration, voter fraud, media corruption, political bribery, extortion, payola, graft, fomenting racial animosity, and complete discontent with the American citizen.
Their total lack of honesty and incompetence is a greater threat to the security of the United States than Al Qaeda. Their damage is accumulating on a daily basis, and has surpassed anything that has been accomplished by terrorism on U.S. soil.
The American People should indict every last one of them and send them to prison.

Cybergeezer on May 18, 2010 at 5:34 PM

This whole system is designed to cause death among seniors.

Rather than doctors without borders, America now has Euthanasia without doctors.

Dhuka on May 18, 2010 at 5:35 PM

Foretold long ago….

But let’s also look from the other side, at the freedom the doctor loses. A doctor would be reluctant to say this. Well, like you, I am only a patient, so I can say it in his behalf. The doctor begins to lose freedoms; it’s like telling a lie, and one leads to another. First you decide that the doctor can have so many patients. They are equally divided among the various doctors by the government. But then the doctors aren’t equally divided geographically, so a doctor decides he wants to practice in one town and the government has to say to him you can’t live in that town, they already have enough doctors. You have to go some place else. And from here it is only a short step to dictating where he will go. This is a freedom that I wonder whether any of us have the right to take from any human being.

–RR, Operation Coffee Cup

Dr.Cwac.Cwac on May 18, 2010 at 5:36 PM

I can keep my doc? He is retiring.

This is just fine. Next year I will have to ride my Vespa scooter to Sturgis. How embarraSSING. Guess i need to lower my expectations a lot so Obama can meet them.

seven on May 18, 2010 at 5:36 PM

And then there’s this, via Trevor Loudon.

Buy Danish on May 18, 2010 at 5:17 PM

Buy Danish:Heres Obama on Redistribution!!:)
========================================================

2001 OBAMA QUOTE: TRAGEDY THAT ‘REDISTRIBUTION OF WEALTH’ NOT PURSUED BY SUPREME COURT—(Audio)

http://iusbvision.wordpress.com/2008/10/27/2001-obama-tragedy-that-redistribution-of-wealth-not-pursued-by-supreme-court-2/

canopfor on May 18, 2010 at 5:36 PM

Badger40 on May 18, 2010 at 5:18 PM

Sturgis has the only VA hospital. Rapid has a large regional hospital and it owns all the clinics around for hundreds of miles as part of the Rapid City Regional Healthcare System. The clinics are being shut down one by one as they become less and less cost effective. This process will accelerate rapidly. Already many medicare patients are having a hard time getting care. Just wait til we are all in the same boat.

Lily on May 18, 2010 at 5:36 PM

Repeal the Deal!!

canopfor on May 18, 2010 at 5:37 PM

This whole system is designed to cause death among seniors.

Rather than doctors without borders, America now has Euthanasia without doctors.

Dhuka on May 18, 2010 at 5:35 PM

But, we have a black Dr. Kevorkian in the White House.

Cybergeezer on May 18, 2010 at 5:37 PM

Alan Grayson had it correct……sort of. Let’s correct his infamous statement.

“The Republican Democrat health care plan: don’t get sick,” he said. But, he added,”The Republicans Democrats have a back up plan in case you do get sick … This is what the Republicans Democrats want you to do. If you get sick America, the Republican Democrat health care plan is this: Die quickly!

Dr.Cwac.Cwac on May 18, 2010 at 5:39 PM

nice job dear leader….nice job….

the video clip of him saying

“If you like your doctor, you can keep your doctor,” Obama repeatedly promised,

needs to go viral during his reelection campaign starting now until nov 2012….

cmsinaz on May 18, 2010 at 5:40 PM

Let the Party of No become the Party of Repeal, before it’s too late!

Steve Z on May 18, 2010 at 5:46 PM

Repeal the Deal!!

Yes, and start all over again armed with the information we now have on what NOT to do.

jeanie on May 18, 2010 at 5:47 PM

Death for seniors: an intended consequence.

Dhuka on May 18, 2010 at 5:50 PM

lorien1973 on May 18, 2010 at 4:53 PM

Do you even have to ask the question?

chemman on May 18, 2010 at 5:52 PM

Stupid Libs. I hope they’re ready for the denial of their colostomy bag – too expensive!

LOL when they shit on the floor in public!!!

13Girl on May 18, 2010 at 5:52 PM

The Dems have raised the concept of unintended consequences to a whole new level.

ObamaCare will be the Mother of Unintended Consequences.

SlaveDog on May 18, 2010 at 5:54 PM

After we throw this moron out of the white house (hopefully before 2012) it is going to take a long time to rebuild our healthcare infrastructure.

Vashta.Nerada on May 18, 2010 at 5:55 PM

Red Cloud on May 18, 2010 at 5:14 PM

But we just don’t have the correct pedigree. You know, an Ivy League education.

chemman on May 18, 2010 at 5:57 PM

The Texas Medicare problem is easily fixed. Obama can just forbid Doctors from opting out. That was easy. You’re welcome.

azkenreid on May 18, 2010 at 5:59 PM

If Doctors refuse to work under these conditions the law will change. Congress can pass all the ObamaCare crapola it wants, but Doctors hold all the cards in this fight.

MTF on May 18, 2010 at 6:03 PM

I can’t remember which of the two ObaMao plans we have to suffer under: The Great Leap Forward or The Five-Year Plan??

onlineanalyst on May 18, 2010 at 6:10 PM

But… but… but…

HE PROMISED!!!!!

crr6: please respond…

Khun Joe on May 18, 2010 at 6:12 PM

I can’t remember which of the two ObaMao plans we have to suffer under: The Great Leap Forward or The Five-Year Plan??

onlineanalyst on May 18, 2010 at 6:10 PM

I hope it is a hybrid of the two so that we can keep the cultural diversity theme going when the government starts liquidating the populace.

Inanemergencydial on May 18, 2010 at 6:14 PM

Good Lord . . . this bum is destroying the country and every one of us along with it.

rplat on May 18, 2010 at 6:14 PM

But, but he looked me in the eye and promised.

rjoco1 on May 18, 2010 at 6:16 PM

This law is already being challenged in the courts as Unconstitutional. So when do the trails start?

Dr Evil on May 18, 2010 at 6:18 PM

O no, say it’s not so. You saying they were just lying all along? Oh crap.

tarpon on May 18, 2010 at 6:28 PM

“This is what CHANGE looks like”
Barack Hussein Obama

“They should be saying THANK YOU”
Barack Hussein Obama

“If you like your Doctor you keep your doctor”
Barack Hussein Obama

“If you like your plan you can keep your plan”
Barack Hussein Obama

/He’s a Dirty Rat Bastige!

Key West Reader on May 18, 2010 at 6:31 PM

I honestly am embarressed that American people “bought” the lie…

ladyingray on May 18, 2010 at 6:35 PM

Back alley abortions will be considered high quality care in the near future.

tim c on May 18, 2010 at 6:37 PM

I’m embarrassed that I can’t spell “embarrassed’. ;)

ladyingray on May 18, 2010 at 6:37 PM

Well they had to pass the law in order to find out what was in it. After all, THEY DIDN’T WRITE IT!

GarandFan on May 18, 2010 at 6:44 PM

Megan McArdle sizes up the problem well:

Megan McArdle is the problem. Against all rational thought, you voted for Obama. She would have to be dumb as a rock to not know this was going to happen. Therefore, she voted for this mess. So, she should sux it up and stop whining.

Blake on May 18, 2010 at 6:55 PM

My father in law insists that he’s just not getting the whole story since all he’s heard about 0care is negative (damn, why didn’t I think of “0care” before?!?). My retort was that if there were ANY positive news it would be on every station, every hour, all day long. There’s just bad news because NOBODY READ IT. He got up and poured himself another drink.

NTWR on May 18, 2010 at 6:56 PM

The thing I hate most about the age of Obama is how liberalism is so pussified. I used to be a liberal, and I was all about social programs for the needy but I sure as hell didnt want the gov’t controlling my life. It’s sickening to see a 20 something with the attitude of gov’t know best for them.

pageram on May 18, 2010 at 7:17 PM

pageram on May 18, 2010 at 7:17 PM

The idealism of youth is why most young people are liberals. Than reality kicks in…than they are liberal no more.

docdave on May 18, 2010 at 7:29 PM

I heard Obama in an interview say this, “We knew it would be important to SAY that people could keep their doctors.”

Here’s our problem in a nutshell.

He never intends to keep any so-called promise he makes. They aren’t promises the way we have come to understand promises. They are words. Meant only to give them impression that something is or will be a certain way… right up to the time it’s not.

Get wise, folks. This is his M.O. and it ain’t changin’ any time soon.

UnderstandingisPower on May 18, 2010 at 7:30 PM

If Doctors refuse to work under these conditions the law will change. Congress can pass all the ObamaCare crapola it wants, but Doctors hold all the cards in this fight.

MTF on May 18, 2010 at 6:03 PM

You think so? The Joker and his minions will just import doctors from Third World hellholes.

SagebrushPuppet on May 18, 2010 at 7:42 PM

I agree that none of this is unintended by Democratic politicians.

alice on May 18, 2010 at 7:43 PM

So, where is crr6 to “educate” us about how great this all is because of the Commerce Clause?

SagebrushPuppet on May 18, 2010 at 7:44 PM

The current rules for doctors are:
-A doctor who receives medicare reimbursements can’t choose among medicare patients. He, or she, must take all who apply.
-A doctor who opts out cannot reup for two years. AND
-Doctors cannot communicate directly with medicare; they must a p.o. box
number. Yes really!

Medicare declared a payment moratorium in early April of May because the house bill giving them back their 20% cut has not passed the senate.

This health care scam is hardest on older doctors many of whose patients are now on medicare. They do not know what to do: whether to let go their older patients, whose medicare reimbursements don’t cover their costs, or whether to just get out of medicine.

Dhuka on May 18, 2010 at 8:17 PM

oops they must USE a po box number….

Dhuka on May 18, 2010 at 8:17 PM

and watch your CASH at the airport

johnnyU on May 18, 2010 at 8:53 PM

The idealism of youth is why most young people are liberals. Than reality kicks in…than they are liberal no more.

At least they used to rebel against authority. Now they suck up to it. I think it’s all this helicopter parenting. They’ve never been allowed to be on their own, so they went straight from Mom and Dad to Big Daddy Government.

YehuditTX on May 18, 2010 at 9:52 PM

What they won’t do is reconsider or reflect on the wisdom of their support in the first place.

Kensington on May 18, 2010 at 4:56 PM

Because to do so means the unthinkable– a Christinite conservative might be right? They’d rather die.

leftnomore on May 18, 2010 at 10:17 PM

Sorry, but at this point in the game anyone who thinks this is “unintended” is a moron.

Cylor on May 18, 2010 at 11:02 PM

“The Unintended Consequences of Law.”

Well, since it was my first thought at seeing the headline on the front page, I’ll type it, despite several people beating me to it:

Unintended, my ‘posterior‘. It was a feature, not a bug.

LegendHasIt on May 19, 2010 at 12:03 AM

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