More ObamaCare hijinks: Escalating costs, fewer doctors

posted at 2:01 pm on June 15, 2012 by Erika Johnsen

As we await the Supreme Court’s decision on ObamaCare (I’m thinking next week, or the following Monday at the latest — eek!), here are a few more fun and exciting items to which we can look forward if SCOTUS decides that the PPACA is indeed Constitutional after all.

In January, the federal government informed us that we could reasonably estimate that health-related spending is beginning to taper off because national health expenditures in 2010 grew at only the approximately same rate as our GDP. However, the Economist now reports:

New projections, released on June 12th, explode the dream. Spending will grow modestly through 2013, say the government’s number-crunchers. But in 2014, when Barack Obama’s reform expands insurance (Supreme Court permitting…), spending will jump by 7.4%. And the government will increasingly foot the bill for ageing baby-boomers and a wider swathe of the poor. By 2021 spending on health will reach $4.8 trillion, 19.6% of GDP. The government will pay for nearly half.

“The government will pay for nearly half,” of course, meaning that you will pay for nearly half. Here’s another bleak illustration of just some the pre-2014 costs from a recent GAO audit:

The Internal Revenue Service is expected to use $881 million of taxpayers’ money to implement the first four years of Obamacare, including about $500 million that the Department of Health and Human Services (HHS) diverted to the agency, according to a federal audit.

The new Government Accountability Office (GAO) audit refers to ObamaCare – the Patient Protection and Affordable Care Act, which became law in March 2010 – as a “significant effort for IRS.”

The IRS’ “implementation costs” are expected to total $881 million from fiscal years 2010 to 2013, it says.

Here’s the best bit: The Doctor Patient Medical Association just completed a survey on doctors’ attitudes about the future of American medicine. They key findings included:

  • 90% say the medical system is on the WRONG TRACK
  • 83% say they are thinking about QUITTING
  • 61% say the system challenges their ETHICS
  • 85% say the patient-physician relationship is in a TAILSPIN
  • 65% say GOVERNMENT INVOLVEMENT is most to blame for current problems
  • 72% say individual insurance mandate will NOT result in improved access care
  • 49% say they will STOP accepting Medicaid patients
  • 74% say they will STOP ACCEPTING Medicare patients, or leave Medicare completely

And etcetera. This, to me, is one of the most infuriating things about ObamaCare — health care is not a human right. As much as I would love it if health care existed in a vacuum, it doesn’t. Health care is the product of people’s labor, and therefore nobody is entitled to it. Legislative takeovers like this interfere with incentives and transform free and willing private-sector workers into indentured bureaucrats.

Astronomical price tags, more people wanting to exit the medical profession — who could’ve seen this coming?


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Hey, where’s the applauding pony-tailed doc?

Chuckles3 on June 15, 2012 at 2:03 PM

And this, from the HotAir “Headlines”:

http://news.yahoo.com/greek-health-system-crumbles-under-weight-crisis-141916117.html

OhEssYouCowboys on June 15, 2012 at 2:05 PM

Must mean fewer home grown American doctors. Surely, we can always import more foreign doctors willing to work under such conditions as a trade-off for being granted entrance to the USA, also acting as an anchor for the entire clan of even the most distant relation to follow.

hawkeye54 on June 15, 2012 at 2:05 PM

Must mean fewer home grown American doctors. Surely, we can always import more foreign doctors willing to work under such conditions as a trade-off for being granted entrance to the USA, also acting as an anchor for the entire clan of even the most distant relation to follow.

hawkeye54 on June 15, 2012 at 2:05 PM

On Soviet helicopters, purchased by the American taxpayers, vis-a-vis Afghanistan.

See how it’s all coming together?

OhEssYouCowboys on June 15, 2012 at 2:09 PM

On Soviet helicopters, purchased by the American taxpayers, vis-a-vis Afghanistan.

See how it’s all coming together?

Yes, I do.

hawkeye54 on June 15, 2012 at 2:11 PM

My family practitioner quit and now cleans teeth for his brothers dentistry practice.

He is a damn good doctor too.

tom daschle concerned on June 15, 2012 at 2:11 PM

You mean more people demanding services and fewer docs willing to provide them at government-controlled prices leads to cost increases? Didn’t congress repeal the law of supply and demand?

MJBrutus on June 15, 2012 at 2:13 PM

…including about $500 million that the Department of Health and Human Services (HHS) diverted to the agency, according to a federal audit.

Whoa. Where did all that money come from?

forest on June 15, 2012 at 2:14 PM

As an insulin-dependent diabetic going on 46 years since diagnosis, if this monstrosity is not repealed, I believe I will be dead within 2 years. I seriously doubt I will be able to get the medications I must have to stay alive. And I’m scared for my 80 year old parents, who will basically be in the same boat.

chelie on June 15, 2012 at 2:14 PM

My family practitioner quit and now cleans teeth for his brothers dentistry practice.

He is a damn good doctor too.

tom daschle concerned on June 15, 2012 at 2:11 PM

Sometimes, when I’m walking my dog, I talk to a nurse, who works for a cardiologist. At the hospital where she is affiliated, there isn’t a single cardiology intern.

OhEssYouCowboys on June 15, 2012 at 2:16 PM

But according to the libtards – health care is a right, therefore you won’t have to show any ID to get it…..

dentarthurdent on June 15, 2012 at 2:16 PM

No where NEAR your best work. #failedshade.
 
libfreeordie on June 15, 2012 at 12:13 PM
 
(I think it means “down twinkles”.)

rogerb on June 15, 2012 at 2:17 PM

…the ad people are getting 20 million dollars to tell us how good it is!

KOOLAID2 on June 15, 2012 at 2:19 PM

Easy fix! If healthcare is a right then someone HAS to provide it. If there aren’t enough people to provide it we’ll have to get drastic. So we’ll just require certain people to become doctors, and since they need to be anywhere people are, we’ll require them to live in certain places at certain times. And as a bonus we’ll give them a great title to make them feel better, they will be called “Socially Liberated Assets “Voluntarily” Enhancing Society” or S.L.A.V.E.S.

Meric1837 on June 15, 2012 at 2:19 PM

Looking forward the the ruling, but how much has started that won’t be able to be turned back? I fear we have started down a road we can’t turn around on.

bopbottle on June 15, 2012 at 2:21 PM

Cato Institute has just released a doc illustrating the unlimited power ObamaScare gives to the newly created payment advisory board (aka Death Panel). The power to tax, the power to create laws. All without Congress’ involvement.

FruitedPlain on June 15, 2012 at 2:22 PM

who could’ve seen this coming?

Guess Nancy-poo will have to ask the Chinese for some more money.

But on the bright side, HEY! IT’S FREE!

GarandFan on June 15, 2012 at 2:22 PM

My wife finishes her residency in 2 years. +1 year for fellowship.

PLEASE GOD have this leviathan slain before that happens.

Defenestratus on June 15, 2012 at 2:23 PM

bopbottle on June 15, 2012 at 2:21 PM

And it all began with a majority of voters who would rather be dependent on the State, and with politicians who would rather rule over the People.

OhEssYouCowboys on June 15, 2012 at 2:24 PM

It’s #bakedinthecake

BacaDog on June 15, 2012 at 2:26 PM

As an insulin-dependent diabetic going on 46 years since diagnosis, if this monstrosity is not repealed, I believe I will be dead within 2 years. I seriously doubt I will be able to get the medications I must have to stay alive. And I’m scared for my 80 year old parents, who will basically be in the same boat.

chelie on June 15, 2012 at 2:14 PM

I’m already seeing shortages. Seems every time I go to the damned pharmacy, they don’t have the meds in stock and it is always ordered and promised to be there the “next day.” Sometimes they do, sometimes they don’t. I haven’t found much investigative reporting on the matter. Reuters did an article on it, but didn’t point to any underlying cause… go figure.

It’s like everyone knows there’s a drug shortage but too afraid to admit OCare is the culprit.

Turtle317 on June 15, 2012 at 2:26 PM

Thank God we passed it to find out what’s in it./sarc

gsherin on June 15, 2012 at 2:29 PM

If the decision about Obamacare might be made by the end of this week, that explains why Obama is evolving so rapidly in so many areas (such as on illegal amnesty and perhaps marijuana). If he starts giving out goodies directly after an unfavorable court decision, it will look like desperate pandering. If he gives these goodies out now, it will have the appearance of just ordinary pandering which will be considered more acceptable by many.

Burke on June 15, 2012 at 2:32 PM

Turtle,

Not only shortages (which, thank God, I have not experienced personally), but I fear that I will deemed unfit to receive further treatments/meds because they already are so expensive.

Hey, I’m 52 years old, old enough to be on the verge of being too old to contribute to society effectively. /sarc

chelie on June 15, 2012 at 2:33 PM

It’s #bakedinthecake

BacaDog on June 15, 2012 at 2:26 PM

Speaking of baked in the cake, read this:

http://www.nationalreview.com/blogs/print/302876

All of you should read it. Talk about unconstitutional….

BuckeyeSam on June 15, 2012 at 2:37 PM

My American friends, welcome to my nightmare.

John from Canada

Johnny 100 Pesos on June 15, 2012 at 2:41 PM

As the father of a type 1 diabetic, I am very scared for her too.

few doctors can be the difference between life and death, less medicine available too, and rationing of care means those with ‘conditions’ become the first we ‘let go’

How Americans can accept the anti-life bureaucratic drivel that spews forth like poison from Obama and his diabolical sycophants and minions is impossible for me to understand.

I had a conversation with a family member not long ago explaining to me (and several liberal friends) that the government needs to use forced sterilization to stem the tied of welfare and cut down on medical expenses. Each guy should be entitled to no more than 2 kids, he said. And if the guy didn’t have a job, he shouldn’t be allowed to have any. And if he had a genetic condition that he might pass on. … and so on… and when I said “That is evil.” he told me, “It is evil that these scum can father dozens of children and force me to pay for their behavior.” Which of course, it is, but it all stems back to the fact that government is enabling the bad behavior in the first place.

The idea that government won’t be doing stuff like this is laughable. Just look at the soda limit in NYC, a week later they’re thinking of other things to limit and ban. Other ways to ‘save lives and money’ — How can anyone think it won’t be a billion times worse with a trillion dollar program running our lives?

This is scary stuff. So far beyond scary really. It all sounds so benign, but that is just Orwellian language hiding a hitler-like sensibility. This isn’t about comparing obama to hitler, or even Liberals to fascists. It is a societal problem. Many republicans want to use the weapon of government to enforce their will upon the people. Just because their so-called solutions seem ‘smaller government’ or less intrusive is really irrelevant. At the core of things, we have a philosophy of governance and a government that is not consistent with the rights of man as bequeathed by the creator.

The concept of natural rights has been tossed aside for the notion of a divine man whose rights are self-granted and determined. Obamacare is a (less than subtle) expression of this.

This puts us all in mortal danger.

WashingtonsWake on June 15, 2012 at 2:42 PM

Meric1837 on June 15, 2012 at 2:19 PM

LOL – good one.

dentarthurdent on June 15, 2012 at 2:52 PM

WashingtonsWake: heartfelt hugs to you and your offspring.

chelie on June 15, 2012 at 3:04 PM

“The government” will not pay for 1/2. “The government” will pay for it all, in one form or another, especiallu if things all go single payer.

KMC1 on June 15, 2012 at 3:09 PM

I got a letter from my family doctor yesterday. Because of his fears that he won’t be allowed to care for his patients as he sees best and do the tests he feels necessary, he will only see patients as a concierge doctor. For $1, 650 a month per adult, we will be one of the 600 patients he will see. When I called a friend to express my shock, she informed me that many of the doctors in the group that her doctor belongs to are doing the same thing. I wonder how people who can’t pay or won’t pay that amount will even find good doctors that will accept new patients and, if they do, I imagine the wait time will be horrendous. Obamacare is a nightmare.

lukjuj on June 15, 2012 at 3:23 PM

I have nephew that is supposed to enter med school next year. Both of his grandfather’s were doctors and one of his uncles is certainly a surgeon. I can only wish him the best. But, the amount of student loans he is going to have to take out to complete medical school just astound me. He will be leaving medical school being nearly $300k in debt.

SC.Charlie on June 15, 2012 at 3:26 PM

In all this talk of shortages and doctors retiring, noone ever talks about how long it takes to get a replacement doctor. They do not grow on trees. It takes 4 years of medical school and 3 years of residency just to get a run of the mill internist/family practice/pediatrician. Additional years of training to get one who has more than the basic understanding of a particular part of the body. Of course like an earlier poster said, you might be able to get foreign trained doctors to fill in, but then you have other issues to deal with.

txmomof6 on June 15, 2012 at 3:26 PM

“It is evil that these scum can father dozens of children and force me to pay for their behavior.” Which of course, it is, but it all stems back to the fact that government is enabling the bad behavior in the first place.

WashingtonsWake on June 15, 2012 at 2:42 PM

Very scary discussion. However, I would point out that it is not “they” who are forcing your liberal friends to pay for their behavior. It is the government, elected by your liberal friends, that is making them pay for “their” behavior. They got what they wanted, why are they complaining? If they don’t like that, then they should vote to change their government to a more conservative form that won’t FORCE THEM to pay for someone else’s behavior.

dominigan on June 15, 2012 at 3:27 PM

•74% say they will STOP ACCEPTING Medicare patients, or leave Medicare completely

Good news, old timers. Be sure to thank the AARP for “advocating” so brilliantly to protect your interests during the Obamacare negotiations. AARP executives will get rich selling Medicare gap policies, while you lose your doctor and half a trillion dollars gets cut from Medicare to pay for all the new health insurance subsidies for low-income illegal aliens (whoops . . . new legal residents from Mexico).

Be sure to let AARP (and your Democratic congressman/woman) know how much you appreciate their efforts in getting Obamacare passed into law.

AZCoyote on June 15, 2012 at 4:16 PM

“The government will pay for nearly half,” of course, meaning that you will pay for nearly half.” . . .

Er . . . no. If the government will pay for “nearly” half, we will pay for greater than half.

BLOC on June 15, 2012 at 4:28 PM

Hey, where’s the applauding pony-tailed doc?

Chuckles3 on June 15, 2012 at 2:03 PM

…a haircut and a shave?…that’s not him cleaned up is it?

KOOLAID2 on June 15, 2012 at 5:04 PM

Surprise, surprise, surprise. Erika.

Bmore on June 15, 2012 at 7:28 PM

Lovely. If I were ever to be able to start a family, not only would we have more medical concerns than normal, but there’ll be less doctors available.

MelonCollie on June 15, 2012 at 8:32 PM