Unqualified medical providers cropping up under Obamacare

posted at 2:31 pm on March 23, 2013 by Jazz Shaw

Remember when we were told that there was no way that Obamacare would result in driving up costs of healthcare, and in fact would lower it? Well, that ship has already sailed. But there was another popular “myth” which many of us were accused of falling for. It was the prediction that government meddling in cost setting would drive health care professionals out of business resulting in less available services and a subsequent decline in quality of care. That was just a myth, right? Ah, good times… good times….

Unfortunately, the early projections show that precisely such a result is already kicking into gear.

The Affordable Care Act (ACA) has recently triggered a debate within the medical community about both its potential impact on medical trainees and on practicing physicians. While the president of the American Medical Student Association has publicly supported the changes in a recent official memo, a recent survey indicates that 40 percent of medical students may not even be aware of the provisions of the act.

Institutional changes can often be double-edged swords, and this series of proposed changes is no different. There are both potential benefits and downsides to what is now widely seen as almost inevitable healthcare reform.

How is this playing out in the real world? One area of medical practice which seems particularly vulnerable is eye care. A shortage of certified, fully trained ophthalmologists is tempting some states, like Kentucky, to expand the practice of optometrists to fill the gap. But there are problems with that.

Kentucky joined the company of Oklahoma last week as the second state to conflate optometrists and ophthalmologists. Only ophthalmologists are the sort of doctors who graduated from medical school, did an internship, completed a three-year residency in eye surgery, possibly a fellowship after that, and have achieved and maintained national board certification through a program of lifelong learning in their specialty.

Optometry schools (four-year programs focused on optics to prescribe glasses and contacts and the diagnosis and management of certain eye-related diseases) have a tough application process too, and many of the same students going into optometry could have chosen medicine. But nobody ever really faces a clear-cut choice of going into optometry or ophthalmology.

I’m not knocking optometrists here. I see one on an annual basis myself and they provide a very important service to those of us who wear glasses. But they’re not ophthalmologists, and the difference in skill levels and training between the two disciplines are pretty vast. When we start conflating the two in order to cut costs and make up for a lack of board certified eye doctors, problems arise.

Just two months ago, Vickie Patterson said her daughter Victoria began experiencing double vision.

“I wasn’t overly worried,” Vickie said, “because she’s far-sighted, but we went to the optometrist when it didn’t go away.”

The optometrist diagnosed Victoria, 9, with weak eye muscles.

A trip to a pediatric ophthalmologist, however, resulted in an MRI.

“On Nov. 17,” Vickie said, “she had the MRI, and on Nov. 18, we learned that she had two masses on her brain, one of them on her brain stem.”

Unfortunately, when you start talking about cutting costs in government managed health care, one of the first groups to get hit is always our veterans. And they’re apparently paying the price for it with their vision.

California veterans go blind due to bad care from optometrists “practicing beyond their scope”

A Veterans Administration probe found that eight veterans at a Northern California VA facility suffered potentially-preventable vision loss while under the care of optometrists, according to the Associated Press.

Optometrists have four years of college, and four years of graduate education. They’re cheaper to see, and more widely available, than -

Ophthalmologists, who are medical doctors and can perform surgery. These folks have four years of college, four years of medical school and four years of residency and internships relating to the diagnosis and treatment of eye diseases.

Of course, everyone who predicted just such results were a bunch of paranoid, Obama hating wingnuts. Sadly, they also appear to have been rather prescient. If the government control of the health care system makes it unprofitable for students to go into medicine or for doctors to continue in their practices, something’s got to give. I don’t know how many more parallel fields of medicine may crop up where people begin to rely on the services of less than qualified professionals, but the forecast isn’t looking good.


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The US is heading the way of Britain, which has neared Zimbabwe status. Good luck.

Schadenfreude on March 23, 2013 at 2:37 PM

I don’t know how many more parallel fields of medicine may crop up where people begin to rely on the services of less than qualified professionals, but the forecast isn’t looking good.

The answer is: All of them. In every field this will happen. Eventually, it will be nearly impossible to see an actual Doctor. In fact, eventually you will be more likely to see The Doctor than a Doctor.

Theophile on March 23, 2013 at 2:38 PM

Cuomo’s expansion of abortion in NY includes allowing nurse practitioners to do them, as well as doctors.

Wethal on March 23, 2013 at 2:42 PM

Of course, everyone who predicted just such results were a bunch of paranoid, Obama hating wingnuts. Sadly, they also appear to have been rather prescient.

ObamaCare didn’t create the optha/opto dilemma. This is simple ignorance on the part super-smart politicians.

And thats all.

BobMbx on March 23, 2013 at 2:44 PM

This is a self inflicted wound by the parasitic, idiot electorate . . . I hope they’re happy with this pile of goat dung they’ve puked up on the rest of us.

rplat on March 23, 2013 at 2:46 PM

Unqualified medical providers = Quacks = Snake Oil Peddlers = etc.etc.etc…..

Welcome to Obamacare!

pilamaye on March 23, 2013 at 2:55 PM

Substituting down is the explicit policy in California to paper over the access fiasco that is about to engulf us.

Mason on March 23, 2013 at 3:00 PM

Over 65 and need a new hip?

Take the blue pill.

Or go to India.

petefrt on March 23, 2013 at 3:07 PM

Remember the “plastic surgeon” who was injecting cement into women’s butts?

vityas on March 23, 2013 at 3:15 PM

Unqualified medical providers cropping up under Obamacare

From the signature, criminal, un-Constitutional legislative assault by an unqualified (and ineligible) Indonesian Imbecile Precedent … Shocker!

The medical field is going to be where the dregs of society and the affirmative action pets get their government jobs, now. Yay!

ThePrimordialOrderedPair on March 23, 2013 at 3:31 PM

Gee, you mean Teh Won can’t wave his magic fairness wand and make doctors appear out of thin air?

MelonCollie on March 23, 2013 at 3:31 PM

Yeah. Obama can do a Couric and get lasik or cataract lens replacement on live TV by an optometrist. And they can use his WH bartender for the anesthesiologist.

pat on March 23, 2013 at 3:34 PM

The US is heading the way of Britain, which has neared Zimbabwe status. Good luck.

Schadenfreude on March 23, 2013 at 2:37 PM

It’s going to be even worse because our medical industry was the one that ALL research and development was aimed at – as it was the only one that manufacturers and suppliers could make money in. The rest of the world just drafted off of us. Now, there will be no one leading for anyone to draft off of. Medical advancements will slow to a crawl, especially as so many procedures will not even be tried as the death panels and other national socialist central government boards decide that they are not cost efficient (as is the case in Britain with pre-mees and the like.

They’ve cooked the goose that laid the golden eggs. At least, it will be good eating for one meal …

ThePrimordialOrderedPair on March 23, 2013 at 3:34 PM

My own son’s Neurofibromatosis, Type 2 was detected by an ophthalmologist; even the neurologist specialists was saw later were impressed with that catch based on very subtle signs. It probably saved what hearing my son still has left.

michaelo on March 23, 2013 at 3:36 PM

Oh what is that old saying again…You get what you pay for!

Cuomo’s expansion of abortion in NY includes allowing nurse practitioners to do them, as well as doctors.

Wethal on March 23, 2013 at 2:42 PM

You have GOT to be kidding me.

2L8 on March 23, 2013 at 3:37 PM

ThePrimordialOrderedPair on March 23, 2013 at 3:34 PM

An excellent point. One of the few things we still make is new drugs and medial procedures and a freaking lot of all the medical equipment, I’d go so far as to say the majority. All but a pitiful handful of other nations are, to put it very bluntly, too poor or too stupid (or both) to make more than a fraction.

Seriously, who will pick up the slack? China? LOL. Europe. Double LOL! Some African nation maybe? ROTFLOL!!!

MelonCollie on March 23, 2013 at 3:39 PM

Cuomo’s expansion of abortion in NY includes allowing nurse practitioners to do them, as well as doctors.

Wethal on March 23, 2013 at 2:42 PM

So now the left is FOR back-alley abortions by unqualified people (with hangers, no doubt, when they run short of more expensive equipment).

Yep. It would be funny if it weren’t so sick.

ThePrimordialOrderedPair on March 23, 2013 at 3:41 PM

All but a pitiful handful of other nations are, to put it very bluntly, too poor or too stupid (or both) to make more than a fraction.

Years ago I had this discussion with a guy who worked for Teva, in Israel. He was telling me how the Europeans are totally ticked off at their own pharma and medical companies because those firms will only do R+D for things that have a target market of America. They won’t do any R+D targeted at Europe because the European systems don’t pay jack.

Seriously, who will pick up the slack? China? LOL. Europe. Double LOL! Some African nation maybe? ROTFLOL!!!

MelonCollie on March 23, 2013 at 3:39 PM

I hear Cuba is a medical research powerhouse!!

ThePrimordialOrderedPair on March 23, 2013 at 3:44 PM

I hear Cuba is a medical research powerhouse!!

ThePrimordialOrderedPair on March 23, 2013 at 3:44 PM

Ayeah, someone needs to take the bumb ditch with three comments on the linked site to hospitals where regular Cubans have to go. They are real-life houses of horror.

Not to mention educate her on just who makes all that medical equipment or trains the staff; I assure you that wreck of a Communist puppet-nation doesn’t.

MelonCollie on March 23, 2013 at 3:47 PM

I know quite a few doctors and they tell me the following:

1) If they could do it over again they wouldn’t have gone to medical school due to Obamacare.
2) The older doctors are retiring early due to Obamacare.
3) Their practices are now being FORCED to take Medicare and Medicaid patients.
4) Their malpractice insurance premiums have skyrocketed.
5) The majority of Medicaid patients (70%) they see are just in to seek narcotic pain killers either because they are addicted or want to sell them on the street. Since they can’t refuse to see Medicaid patients, this limits the patients with legit problems they can see.

nazo311 on March 23, 2013 at 3:57 PM

Since the Unaffordable Healthcare Act was slammed through by hook and by crook, my monthly premium has more than doubled from $590 to $1210. this is a family, $7000 deductible HSA plan (the deductible 3 years ago was $5k) Part of this is due to the idiocy piled on by CA but at least 80% is Obama’s doing.

Instead of a primary care doctor, I now have a NP (who is quite good and apparently competent) so my price has more than doubled and I don’t have my doc anymore (he does see a few clients through a concierge service and I think I will get in line with his small group of highly competent physicians who have decided that slavery is not for them.)

Younger docs have shied away from GP segment for years and older ones will exit much more quickly than desirable for the healthcare system. Those in the middle are opting to become hourly/salaried employees of the likes of Kaiser. Right now, the Kaiser conglomerates are favored by the tyrants but there is no money and their share will be cut off gradually (but it is a great fund rasing device for politicians when ever they have life and death power over an industry.)

The biggest flaw of this disaster was that the non practicing doctors, drug dealers, AARPsters, teachers, researchers and hospital administrators (like Michelle Obama, the $300,000+ part time hospital wonderworker of Chicago) These fans of socialized medicine seem to love the ACT in proportion to their distance from treating live human being (the further away, the more they want to force it on everybody else)

faxforsen on March 23, 2013 at 3:58 PM

Why, next, you’ll be telling me those death panels are real!

/sarc

Robert_Paulson on March 23, 2013 at 4:05 PM

I knew this would happen. It’s happened everywhere socialized medicine has been practiced. Both my ophthalmologist and neurologist are giving up their practices because of new ObamaCare restrictions and rules. My eye doctor is just retiring and moving to warmer climates. My neurologist who has been treating me for multiple sclerosis for years is closing up shop and moving back to Hydrabad, India for pretty much the same reason. Federal mandates and interference on how he runs his practice. He told me he won’t make as much money back in his native country, but can live like a king and not be subjected to big government rules that punish successful people, and allow him to treat patients based on their medical condition, not some federal insurance panel’s arbitrary diagnosis.

Zimbabwe here we come.

simkeith on March 23, 2013 at 4:08 PM

Yeah. Obama can do a Couric and get lasik or cataract lens replacement on live TV by an optometrist. And they can use his WH bartender coke connection for the anesthesiologist.

pat on March 23, 2013 at 3:34 PM

Fixed it.

platypus on March 23, 2013 at 4:11 PM

The screws are going to fall out of this rickety jalopy very quickly. The revolt will start with those who get free stuff fairly easily and have to wait for or can’t get services. Or they have to pony up monthly insurance payments because this system is underfunded by multibillions of dollars, not counting the folks who will skip it and pay the tax penalty.

And since we’re already seeing Obamacare layoffs and hour-slashing that will worsen as the months go on, that sector of the population will be larger than 47 percent.

Then it’s drone strike time.

Philly on March 23, 2013 at 4:12 PM

As someone dealing with treatment for a very complicated retinal tear and detachment, I can absolutely tell you that there is a world of difference between optometrists and ophthalmologists. I like my optometrist, but there is no way in the world I would want him poking around inside my eyeballs.

AZfederalist on March 23, 2013 at 4:48 PM

I hear Cuba is a medical research powerhouse!!

ThePrimordialOrderedPair on March 23, 2013 at 3:44 PM

…they saved Hugo Chavez!…cured his cancer they did!

KOOLAID2 on March 23, 2013 at 4:50 PM

Cuomo’s expansion of abortion in NY includes allowing nurse practitioners to do them, as well as doctors.

Wethal on March 23, 2013 at 2:42 PM

Oh, well, that is because having a abortion is just like getting rid of a headache. One pill and you are all better.

cptacek on March 23, 2013 at 4:54 PM

Optometrists have four years of college

Which is totally useless for a doctor of any level.

My prediction: within a year we will see lawsuits by employees bumped down to part time so the company could avoid the ACA. Those employers will be demonized.

The destruction will continue apace until, like you say, the free stuff folks try to make an appointment with their new free doctor.

PattyJ on March 23, 2013 at 4:54 PM

Not to worry. I’m sure this administration will import plenty of new, foreign M.D.’s to fill the void. They’ll barely speak or understand English and they’ll have medical degrees from the finest schools in Guadalajara, Islamabad, and various Caribbean island nations, and they’ll make that “doctor” who was injecting patients’ butts with liquid cement look like a friggin’ genius.

AZCoyote on March 23, 2013 at 5:01 PM

Not to worry. I’m sure this administration will import plenty of new, foreign M.D.’s to fill the void. They’ll barely speak or understand English and they’ll have medical degrees from the finest schools in Guadalajara, Islamabad, and various Caribbean island nations, and they’ll make that “doctor” who was injecting patients’ butts with liquid cement look like a friggin’ genius.

AZCoyote on March 23, 2013 at 5:01 PM

I think you are being too optimistic. The Caribbean and Guadalajara schools graduates will be the upper tier of the foreign medical graduates.

Aviator on March 23, 2013 at 5:15 PM

Now all we have to do is sit tight and not sell our houses. Trade with someone in another city if you need to move for your job. If congress won’t defund this beast, we’ll have to do it anyway we can. We’ve got to figure out all the hidden little taxes in Ocare and boycott whatever it takes to get outta paying the tax.

Kissmygrits on March 23, 2013 at 5:25 PM

The top ophthalmologist in New Hampshire just retired at the ripe age of 52. He warned me 2 years ago that he wasn’t going to put up with this BS called Obamacare. Liberals deserve what’s coming to them, the problem is the rest of us do not.

SuperBunny on March 23, 2013 at 5:42 PM

Unqualified medical providers cropping up under Obamacare

Two things I see here:

1. If government money becomes freely available, folks will come out of the woodwork to get theirs. One example would be speculators and contractors when a big war starts, and as we saw with the Civil War, the Federal government got hoodwinked more than once.

People will set up their “medical clinics” with “doctors” in droves…they’re already out there, but we ain’t seen nothing yet.

2. Folks aren’t going to take the time, the effort and the money to become a trained professional in a field that does not compensate them according to what they feel they’re worth. Doesn’t matter if it’s the military, education, engineering, health services, whatever.

Now, if folks just want “a job” and they’re all that’s around, and they have very little training and time invested, then it works out OK for them.

This is purely market forces at work. But, unfortunately, in this case the government is driving down quality. In fact, I’d say government anymore always manages to drive down quality.

Dr. ZhivBlago on March 23, 2013 at 5:47 PM

Maybe when Obama’s 4 years are up, he can open a tent and use his magnificent ability to talk to cure disease.

GarandFan on March 23, 2013 at 6:10 PM

GarandFan on March 23, 2013 at 6:10 PM

His leaving office will cure a cancer on the republic.

Aviator on March 23, 2013 at 6:13 PM

Hey, it’s the Affordable Care Act. That’s where we afford healthcare for everyone by letting anyone practice medicine! Don’t tell me you don’t see the genius of this. Why we’ll all be fit as fiddles in no time. And with the added benefit of having none of those out-of-control student loans for overpriced education. Get with it, Comrades!

ghostwalker1 on March 23, 2013 at 6:17 PM

Unqualified medical providers cropping up under Obamacare

:: I told everyone so, I wrote about it years ago as a certainty to happen should Obamacare ever happen and wrote about it again when it did happen and I told everyone that this would transpire if Obamacare was passed…

I wrote about it at length and often.

EVERY thing I wrote about almost certainly happening should Obamacare pass has, indeed, begun if not already taken place.

I can’t stand reading about these ongoing destructions to a once-great medical industry in this nation. I keep shaking my head with each bit of news: I said it would happen and it has.

Lourdes on March 23, 2013 at 6:18 PM

People in the US need to stop and think about this: the living conditions seen today in parts of Asia and Africa — in MOST parts of both — are what happen when populations continue to pursue the insistence on “sameness”.

You eventually get a lowered standard of what is average and you eradicate most excellence, if not drive it underground, out of the way, somewhere else and especially behind closed doors.

Lourdes on March 23, 2013 at 6:19 PM

Hey, it’s the Affordable Care Act. That’s where we afford healthcare for everyone by letting anyone practice medicine! Don’t tell me you don’t see the genius of this. Why we’ll all be fit as fiddles in no time. And with the added benefit of having none of those out-of-control student loans for overpriced education. Get with it, Comrades!

ghostwalker1 on March 23, 2013 at 6:17 PM

Yes. And Obama’s Big Lie (well, one of them):

“healthcare” accepted to mean “medical care.”

They’re not the same things, they’re not the same industries, they’re not at all the same resources.

Lourdes on March 23, 2013 at 6:21 PM

Unqualified medical providers cropping up under Obamacare

Two things I see here:

1. If government money becomes freely available, folks will come out of the woodwork to get theirs. One example would be speculators and contractors when a big war starts, and as we saw with the Civil War, the Federal government got hoodwinked more than once.

People will set up their “medical clinics” with “doctors” in droves…they’re already out there, but we ain’t seen nothing yet.

(…)

Dr. ZhivBlago on March 23, 2013 at 5:47 PM

Obamacare: the new Tijuana-Haiti-Cuban model of “healthcare”.

Lourdes on March 23, 2013 at 6:23 PM

I’m sure this administration will import plenty of new, foreign M.D.’s to fill the void. They’ll barely speak or understand English and they’ll have medical degrees from the finest schools in Guadalajara, Islamabad, and various Caribbean island nations, and they’ll make that “doctor” who was injecting patients’ butts with liquid cement look like a friggin’ genius.

AZCoyote on March 23, 2013 at 5:01 PM

Years ago, I wrote at length about that likely happening if Obamacare was passed, and look, it’s now taking place.

Already I am being urged to see “Nurse Practitioners” instead of physicians, many of whom are planning a near-future retirement to avoid having to practice “medicine” as a substandard method.

And “Nurse Practitioner” availability is approaching something special, what with the two-year educational level LVNs being more available.

Lourdes on March 23, 2013 at 6:27 PM

RELATED:

Heeeerrreee it commmmmeesss:

http://cdn.rollcall.com/news/immigration_vote_splits_gang_of_8-223395-1.html?popular=true&pg=1&cdn_load=true&zkPrintable=1&nopagination=1

Immigration Vote Splits Gang of 8

By Humberto Sanchez
Roll Call Staff
March 23, 2013, 10:15 a.m.

The Senate’s bipartisan immigration working group split along party lines during a contentious budget vote to prevent illegal immigrants who receive legal status from receiving federal health benefits.

The Senate early Saturday morning defeated the amendment to the budget resolution which would have put the Senate on record as opposing access to health care under Medicaid or the Affordable Care Act for undocumented immigrants who get a green card…

Lourdes on March 23, 2013 at 6:29 PM

Direct-payment practices are gaining traction. They may provide a way to get around some of Obamacare’s deadly obstacles.

http://www.weeklystandard.com/articles/cash-doctors_707687.html?utm_source=twitterfeed&utm_medium=twitter

lynncgb on March 23, 2013 at 6:35 PM

On top of it, NY just passed a law that others than medical doctors can now perform abortions. You know–for that unalienable right to kill babies.

I see a lot of dead women here, along with all those murdered innocents. and no penalty at all to their killers.

Liam on March 23, 2013 at 6:35 PM

RumblinDurango on March 23, 2013 at 3:18 PM

Reading that article, I don’t know whether to laugh or cry.

Before I was able to flee Kalifornia, I had the pleasure of attending the practices of a world class endocrinologist and a highly competent internist. I’m a Type I diabetic with other endocrine complications, and also a medical professional. With the education I got from the endocrinologist I was able to keep my internist up on the most cutting edge therapies and studies concerning Type I diabetes.

I couldn’t even imagine getting the level of care from my internist as I got from my endocrinologist, much less from a nurse practitioner. In fact, I can confidently say that if I had been relegated to a nurse practitioner 10 years ago, I would be dead by now.

NOMOBO on March 23, 2013 at 6:36 PM

What — no trolls?

Liam on March 23, 2013 at 6:43 PM

Military medical uses contractor opthamologists part time that tell patients to go to their other office for Lasik. Other medical issues of the eyes don’t get an referral for an MRI. :(

DarrelsJoy on March 23, 2013 at 6:46 PM

Yeah. Obama can do a Couric and get lasik or cataract lens replacement on live TV by an optometrist. And they can use his WH bartender for the anesthesiologist.

pat on March 23, 2013 at 3:34 PM

Yep. When you think about it, your average well-equipped plumber has all that’s needed to do a colonoscopy.

slickwillie2001 on March 23, 2013 at 6:57 PM

NEWS FLASH:

Liberal politics result in a mass of unqualified voters, voting for unqualified Politicians, imposing unqualified medical “professionals” on the masses.
.
(did I say that right?)

listens2glenn on March 23, 2013 at 7:47 PM

(did I say that right?)

listens2glenn on March 23, 2013 at 7:47 PM

I don’t think you need to capitalize the word *politicians*… other than that, you said it rather well.

lynncgb on March 23, 2013 at 8:00 PM

Cuomo’s expansion of abortion in NY includes allowing nurse practitioners to do them, as well as doctors.

Wethal on March 23, 2013 at 2:42 PM

Let me see, now.

Where did I put that coat-hanger?

Solaratov on March 23, 2013 at 8:08 PM

I hear Cuba is a medical research powerhouse!!

ThePrimordialOrderedPair on March 23, 2013 at 3:44 PM

Well, they do have a cure for cancer.

Hugo Chavez went there and he…oh, wait…maybe that’s not the best example.

//

Solaratov on March 23, 2013 at 8:11 PM

I don’t think you need to capitalize the word *politicians*…

lynncgb on March 23, 2013 at 8:00 PM

Correct. Politicians are improper nouns.

viking01 on March 23, 2013 at 8:29 PM

Nurse Practitioners are popping up with practices, staffs, a retired doctor who never sees a patient ad the ability to order tests and write script everywhere. A analyst at a major insurer where I have worked as a business model consultant tells me they write scripts for pain killers and anti-depressants like Halloween candy.

zdpl0a on March 23, 2013 at 8:32 PM

What is needed is a Rosa Parks quiet rebellion by millions upon millions…….

Flat refusal to sign up by small business, private Indiv ……

I can see the revival of town to town Snake OIl salesman as portrayed in old Western movies if this is taken to completion

sbark on March 23, 2013 at 8:32 PM

I can’t wait to see what my opthalmologist says about this when I go for my appointment in May. Both he and his wife are board-certified opthalmologists and their office is top-notch. And in particular, I can’t wait to talk to their technician, who seven years ago when our vision plan (among others in our area) decided to dump all the independent labs for a single one-size-fits-all concern, had scathing criticism for that.

PatriotGal2257 on March 23, 2013 at 8:36 PM

What is needed is a Rosa Parks quiet rebellion by millions upon millions…….

Flat refusal to sign up by small business, private Indiv ……

sbark on March 23, 2013 at 8:32 PM

Yep. We Will Not Comply.

PatriotGal2257 on March 23, 2013 at 8:38 PM

I can see the revival of town to town Snake OIl salesman as portrayed in old Western movies if this is taken to completion

sbark on March 23, 2013 at 8:32 PM

They’ll have to be careful. The Feddies will NOT take kindly to competition.

MelonCollie on March 23, 2013 at 9:16 PM

Hey, I’m a dentist, maybe I can be a proctologist too, it’s a cavity.

Drill and Fill on March 23, 2013 at 10:07 PM

PS, Dems pass Obamacare for illegals.

Drill and Fill on March 23, 2013 at 10:12 PM

Not to worry. I’m sure this administration will import plenty of new, foreign M.D.’s to fill the void. They’ll barely speak or understand English and they’ll have medical degrees from the finest schools in Guadalajara, Islamabad, and various Caribbean island nations, and they’ll make that “doctor” who was injecting patients’ butts with liquid cement look like a friggin’ genius….

Nope. Licenses are issued by states and I seriously doubt that state medical boards are going to start importing a bunch of yahoos. As for medicine? Well, you can kiss “family practice” goodbye. You’ll be seeing an RN or Nurse Practitioner from here on out. I suspect that more than a few physician assistants will be filling the breach as well.

DocinPA on March 23, 2013 at 10:24 PM

BOcare and 1, 2 at the most generations and it will not matter anymore. Those born into the system will know no other and will not be able to imagine any other. I use to opening walk through town with my .22 and not a word was said. Today young kids are disciplined and schools locked down for drawings of a gun. Those kids cannot imagine a world where they could walk unmolested down the street with a firearm. They can’t even imagine even using one without massive supervision.

The only people that BOcare will really affect are us oldsters who knew what the country was like before the commie hippies took over. The hippies are getting their dream utopia and our only consolation is that none of them will live long enough to really partake of its glory.

The downside is that none of us will live long enough to make it right. The country we knew is lost and there is pretty much nothing that can ever get it back because pretty soon there will be no one left that knew it as it was.

Right now kids are being popped out of university seeing a country in which tolerance is hate (see negative tolerance), gay is normal and desired, abortion equals birth control and moral, being pro-life is immoral, firearms are evil, illegal aliens are citizens with a different status, single parents are the norm, religion, especially Christian based ones are immoral, big government is the only way, working hard for things is immoral, there are a plethora of “rights” from SSM to not being offended and the US is an evil country. I could go on but, I’m sure everyone here knows of which I speak.

None of this is good but, no civilization lasts without destroying itself from within and our First World collapse has been hastened by technology. The old world civilizations lasted thousands of years but if they had the technology we have had for the last 100 years they would have seen their demise as quickly as we are seeing ours.

Dr. Frank Enstine on March 24, 2013 at 4:43 AM

The movement by optometrists to expand the scope of their practice has been going on for years. Optometrists, due to the fact that their are only two major insurance companies provide eye care insurance, one of which is Luxottica, an Italian manufacturer of eye glasses and frames, who is also the largest manufacturer and seller of glasses and frames in the world, and has been accused of running a monopoly. If you have ever purchased glasses you have more than likely dealt with Luxottica. For example it operates Sears Optical, Target Optical Pearle Vision, Lenscrafters etc.. http://en.wikipedia.org/wiki/Luxottica As a result optometrists are limited in what they can charge for these services. They therefore want to expand the scope of services they can provide so that they can bill medical insurance companies for their services.

This has nothing to do with obamacare. The following is a link to a 2001 article from the American College of Surgeons detailing efforts of Optometrists to expand their scope of practice. http://www.facs.org/ahp/pubs/roberts0801.pdf

Once again this is about Optometrists being able to charge Ins. co. for their services and has nothing to do with Obamacare. This has been going on since the late 90′s.

smokin hot politics on March 24, 2013 at 6:45 AM

There is one truism of legislatures:

The function of any given act is usually the opposite of the title of the legislation.

i.e. The Affordable health Care Act will be un-affordable and will not result in more or better healthcare.

Dasher on March 24, 2013 at 11:29 AM

smokin hot politics on March 24, 2013 at 6:45 AM

Well, that’s good to know. I guess that means there are already a bunch of hacks throughout the country going around calling themselves optometrists, then. I happened to have an experience with one in the late 80s who misdiagnosed me. Since I’m the skeptical type, and not given to swallowing whole whatever comes out of a doctor’s mouth, I made another appointment the next day with my current opthalmologist, who laughed out loud when I told him what the optometrist said.

Whatever contingency plans I have to make to keep seeing my opthalmologist — if he goes to a concierge practice, for example — I’ll do it.

PatriotGal2257 on March 24, 2013 at 3:24 PM

A shortage of certified, fully trained ophthalmologists is tempting some states, like Kentucky, to expand the practice of optometrists to fill the gap

Having recently undergone laser surgery on one of my eyes for a retinal tear, I’d hate to have my optomistrist work on my eye with a laser. Don’t get me wrong, my optomitrist is great. She spotted the tear in the back of my eye that several others had missed. Nonetheless, she knew she couldn’t correct the problem and sent me to a specilalist that couldd. That is what the open market medical system does. And it will be coming to a dismal end under Obamacare.

georgeofthedesert on March 25, 2013 at 12:29 PM

There is one truism of legislatures:

The function of any given act is usually the opposite of the title of the legislation.

i.e. The Affordable health Care Act will be un-affordable and will not result in more or better healthcare.

Dasher on March 24, 2013 at 11:29 AM

.
With politicians, cynicism is 50% (or more) dead-nuts right-on. : )

listens2glenn on March 25, 2013 at 1:14 PM