CNN: ObamaCare “war room” worried about reaction when some enrollees figure out they can’t keep their doctors

posted at 6:01 pm on November 4, 2013 by Allahpundit

This is the big unexploded landmine in the ObamaCare mine field. There have been little booms about it here and there — the NYT story last week about rural counties suffering under O-Care is one, as was that U.S. News story about high-end hospitals being excluded from many plans on the exchanges — but it hasn’t fully detonated yet. That’s because most consumers are still comparison-shopping for plans, which means cost is foremost in their minds right now. Not until next year, after they’ve received their new coverage and begun making doctor appointments, will they start focusing on the shrinking size of their provider networks. It’s one thing to be told that you need to pay a higher premium and deductible because you’re getting more “comprehensive” insurance. It’s another to be told that the “comprehensiveness” you’re paying for includes a less comprehensive network than you used to have under your old, ahem, “cut-rate” plan. That was the whole point of the op-ed by Edie Sundby that everyone’s linking today, in fact. Sundby’s complaint wasn’t that the price of her insurance has skyrocketed, it was that she was essentially being forced to choose between her doctor and her hospital because she couldn’t find a plan in California whose network included both. If you like your doctor, you can’t necessarily keep him/her.

This is going to blow up. Not just yet — website woes and rate shock are of more immediate media concern — but it’s coming and the White House knows it.

Officials expressed concern that the next shoe to drop in the evolving story about the Affordable Care Act would be disappointment from consumers once they are able to get on the troubled HealthCare.gov website – disappointment because of sticker shock and limited choice, according to a new document obtained by CNN.

“Mike described a general concern of PM (Project Management): getting to the point where the website is functioning properly and individuals begin to select plans; the media attention will follow individuals to plan selection and their ultimate choices; and, in some cases, there will be fewer options than would be desired to promote consumer choice and an ideal shopping experience. Additionally, in some cases there will be relatively high cost plans,” say the notes from the Obama administration’s Obamacare ‘War Room’ from one week ago…

Other notes from the war room meeting describe specific “problem plans,” and a problem with the site that prevents certification, perhaps due to a misspelling on the website.

The NYT had a nice explainer back in late September anticipating the problem of shrinking networks. It’s a byproduct of rate shock, actually: In addition to taxpayer subsidies, one way to keep the cost of plans offered on the exchange down is to exclude more expensive providers from a plan’s network. That’s not a terrible thing for the demographic targeted by ObamaCare, i.e. “young healthies” whose premiums will be used by insurers to cover the cost of others’ preexisting conditions. If you’re healthy and don’t go to the doctor much, who cares how big your network is? Some people do care, though — e.g., people who live in rural areas where the only hospital within 30 miles might no longer accept their plan and people like Sundby, who have very good reason to prefer a particular doctor or hospital. In fact, making their provider networks nice and small might be a sly way for insurers to discourage Sundby and others with expensive preexisting conditions from enrolling in their plans. They’re required by law to allow her to enroll if she tries, but make the provider network small enough and she won’t.

The point, though, is that horror stories about people losing their doctors en masse are still to come and the White House is preparing for them. Which makes me wonder: Given all the political agony that’s in store for red-state Democrats up for reelection next year, how much longer can they afford to stand by the law? Even if the website’s fixed tomorrow, they’re staring at a parade of horribles well into 2014. Rate shock is the story now; the next story will be whether O-Care can possibly hit its enrollment targets in order to make the program sustainable. (This assumes that Healthcare.gov will begin operating smoothly soon. If it doesn’t, the next story will be all about Democratic panic and Obama’s bad options in minimizing the damage from a busted enrollment drive.) The next story after that will be people outraged at how their provider networks have shrunk. After that comes the March 31, 2014 deadline for enrollment; will the administration reach its target on that or will the deadline be extended, raising the risk of an adverse selection problem for insurers? And then, as a cherry on top, after a long summer of the GOP showcasing ObamaCare nightmare stories, insurers will release the 2015 rates next October and there’ll be a new flood of small-business employees agonizing publicly about how high the premiums are on their new exchange-bought plans. It’s nothing but sh*t sandwiches for Senate Dems until next November. How long before they lose their appetites?


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priorities

rob verdi on November 4, 2013 at 6:03 PM

What do you need to keep your Doctor for? Aren’t they all alike?

oldroy on November 4, 2013 at 6:03 PM

Just pray that you will never need a specialist the rest of your life. More likely than not, there won’t be one in your network. You will go bankrupt getting health care now more than ever.

Thanks democrats!

Murphy9 on November 4, 2013 at 6:05 PM

Federal Corrupt Crony Clue-lessness.

FlaMurph on November 4, 2013 at 6:05 PM

3rd Term!!!

Oil Can on November 4, 2013 at 6:06 PM

dang I need more popcorn…

cmsinaz on November 4, 2013 at 6:08 PM

Geee….what is socialized medicine?
Gee…what’s like to first have to go to a government bureaucrat who will decide what you will be treated for and who will do it?

albill on November 4, 2013 at 6:08 PM

The left has us living from crisis to crisis. Yeah I know never let one go to waste. The problem is this stuff is never going to end until the people rise up and end it.

bgibbs1000 on November 4, 2013 at 6:09 PM

How long before they lose their appetites?

gotta stay in it for the long haul if hillary should win…she maybe INHERITING this crapola…

cmsinaz on November 4, 2013 at 6:09 PM

This is the big unexploded landmine in the ObamaCare mine field.

One of the unexploded landmines but IMO not the big one.

That happens if/when Obamacare becomes functional and somebody has a dispute over their claim. With private insurance, the patient would not pay until the situation was resolved. You think the IRS is going to wait for its money?

Happy Nomad on November 4, 2013 at 6:10 PM

Hey Barry: “If you like your 0b00baCare, you can keep your 0b00baCare.”

And I say that with all the sincerity you can muster.

Akzed on November 4, 2013 at 6:10 PM

Which makes me wonder: Given all the political agony that’s in store for red-state Democrats up for reelection next year, how much longer can they afford to stand by the law?

What kind of question is this? Don’t you know? HE’S BLACK. They have to stand by it, forever. To do otherwise would be like bombing Black churches in Alabama.

ardenenoch on November 4, 2013 at 6:10 PM

It’s ACCESS *TO* physicians. And having a primary care physician (PCP_) versus seeing “any doctor” — or in recent times, any nurse — in a clinic-style walkin basis.

When a patient maintains an ongoing relationship with a PCP, there isn’t as much time lost trying to fill in the social gaps and medical record information as there is with “a new doctor” (or a nurse) with whom you have no expectation (nor do they) of any followup (that is, in the walkin clinic style of patient care).

PCP are an efficient launching pad, so to speak, for nearly all medical needs by anyone — referrals, records, familiarity, etc.

But in my experience, the current state of affairs is circling the drain of Nurse Practitioners standing in for physicians and physicians being sparsely available for just about everything except annual “check ups”. Everythijng else, they try and redirect patients to lab procedures, urgent care centers, nurses.

I don’t blame the doctors, however, I blame socialized medicine and the high cost of just about everything, including liabilities.

Lourdes on November 4, 2013 at 6:11 PM

3rd Term!!!

Oil Can on November 4, 2013 at 6:06 PM

Yeah, sequential terms in a federal detention facility without the possibility for parole.

Happy Nomad on November 4, 2013 at 6:11 PM

So. Obama must not have said “you can keep your Doctor if you like” – oh maybe several dozen times. And if he did, he misspoke several dozen times, that’s all. And besides, your Doctor was substandard.

And Bush and WMD.

oldroy on November 4, 2013 at 6:11 PM

Nurses can treat many concerns but they’re not physicians. It’s a case of “socialization” with patients versus a person with a far more overtly developed education.

Many a nurse is a great practitioner clinically but there’s no comparison with the educational differences between nurses and MDs.

Lourdes on November 4, 2013 at 6:13 PM

Geee….what is socialized medicine?
Gee…what’s like to first have to go to a government bureaucrat who will decide what you will be treated for and who will do it?

albill on November 4, 2013 at 6:08 PM

Go in for an “x”, come out with a “y”.

oldroy on November 4, 2013 at 6:13 PM

How Many Health Plans Are Classified As “Substandard” Under Obamacare? 98 Percent…

Even people with so-called “Cadillac” plans are getting cancellation notices because their coverage doesn’t meet Obamacare’s standards.

Via American Commitment:

. . . Millions of Americans are being told their plans are “lousy” or “crummy” because they are indeed, in a hyper-literal sense of the word, “substandard.”

Meaning they fail to meet the new standard for so-called Essential Health Benefits required of all plans in the individual and small-group markets when they lose grandfather status. This is the “standard,” in brief [seen above]:

This “standard” excluded nearly every plan in the individual market.

According to HealthPocket: “The data shows that there will be a near complete transformation of the individual and family health insurance market starting in 2014. Less than 2% of the existing health plans in the individual market today provide all the Essential Health Benefits required under the Affordable Care Act (ACA).”

Even the best of the best plans are being canceled in the individual market. Bob Laszewski, a top industry analyst, described his cancelation:

“I have been in this business for 40 years. I know junk health insurance when I see it and I know ‘Cadillac’ health insurance when I see it. Right now I have ‘Cadillac’ health insurance… The new plan would have a deductible $500 higher than the one I now have and a lot more if I go “out-of-network” inside the rest of the Blue Cross national network… And, wait all you people telling me rate shock does not exist, the new far more restricted plan costs 66% more than our current monthly premium.”

Resist We Much on November 4, 2013 at 6:14 PM

Gee…what’s like to first have to go to a government bureaucrat who will decide what you will be treated for and who will do it?

It is madness. We, the public, are being told (not asked) to take conditions seriously that are often the equivalent of snake oil production.

Lourdes on November 4, 2013 at 6:14 PM

This is the big unexploded landmine in the ObamaCare mine field. There have been little booms about it here and there — the NYT story last week about rural counties suffering under O-Care is one, as was that U.S. News story about high-end hospitals being excluded from many plans on the exchanges — but it hasn’t fully detonated yet. That’s because most consumers are still comparison-shopping for plans, which means cost is foremost in their minds right now. Not until next year, after they’ve received their new coverage and begun making doctor appointments, will they start focusing on the shrinking size of their provider networks.

The big? It’s one of big shoes to drop – and it goes beyond focusing on the shrinking size of their provider networks or the out-of-pocket costs associated with going outside their network.

There’s also the shortage of both primary care doctors, specialists, and RN’s that are going to impact a patients perception of the ACA.

Then beyond the shortage, there is the growing trend within the practicing doctors and specialists that because of the ACA and IPAB, to not participate in either the networks these plans are using or even on Medicaid / Medicare patients. In other words, there will be a growing number of professionals who will move to a ‘cash only’ practice.

Tied into the ACA is the push for these doctors and their practices / clinics to leverage HIT / EHR to be able to collect payments from the government. With the concerns around privacy that aren’t closed to being addressed, what’s the liability of one of these practices or clinics or hospitals in the event of a massive privacy breach?

The ACA is going to be the ‘gift’ that keeps on ‘giving’ for the next several years unless common sense takes over. (Yeah, I know…it won’t.)

Athos on November 4, 2013 at 6:15 PM

How Many Health Plans Are Classified As “Substandard” Under Obamacare? 98 Percent…

Resist We Much on November 4, 2013 at 6:14 PM

How many Doctors are substandard?

oldroy on November 4, 2013 at 6:16 PM

That happens if/when Obamacare becomes functional and somebody has a dispute over their claim. With private insurance, the patient would not pay until the situation was resolved. You think the IRS is going to wait for its money? Happy Nomad on November 4, 2013 at 6:10 PM

Actually it’s not the IRS’s claim money – it’s the insurance companies’ that were stupid enough to get into the exchanges.

But most of us will never file claims. How many people would burn through their $12k/year deductible?

Akzed on November 4, 2013 at 6:16 PM

It’s nothing but sh*t sandwiches for Senate Dems until next November. How long before they lose their appetites?

Why worry? The element missing from your list of things happening in the next year is that the GOP will be more focused on decapitating themselves via a war against conservatives.

If the GOP convinces a *significant* percentage of their base to simply stay home next November, the Dems won’t suffer much at the ballot box.

Midas on November 4, 2013 at 6:17 PM

I have a question and am looking for an answer. Knowing that to purchase insurance through the health care exchange it asks for your county. According to this CNN-Jake Tapper report there are some rural counties that only have one or two choices for carriers and for most cost more than the same plan offered in an urban county. What happens if you were to move to another county in your state? Does your insurance follow you or do you have to purchase a new plan for that county? What if you move to another state? If you have to purchase a new plan do you go back to square one on deductibles and out-of-pocket expenses?

fbcmusicman on November 4, 2013 at 6:17 PM

The Seattle Times: Canceled health insurance plans add to angst of change

In Washington, most of the 290,000 people covered by insurance plans they purchased on the individual market received letters this fall telling them that their plans are going away.

Bill Fullner has reached his breaking point.

It started with the letter from his health-insurance company informing him it was canceling his plan and offering him a new one that’s nearly twice as expensive. Then the 60-year-old retiree from Mount Vernon heard about more people like himself with canceled plans and soaring premiums. Finally, he spent hours on the phone and computer trying — and failing — to find a new option that he likes.

“This whole experience has converted a lifelong Democrat into a foot soldier for the Republican Party,” Fullner said.

He’s not alone in his frustration.

Resist We Much on November 4, 2013 at 6:18 PM

Bob Laszewski, a top industry analyst, described his cancelation:

“I have been in this business for 40 years. I know junk health insurance when I see it and I know ‘Cadillac’ health insurance when I see it. Right now I have ‘Cadillac’ health insurance… The new plan would have a deductible $500 higher than the one I now have and a lot more if I go “out-of-network” inside the rest of the Blue Cross national network… And, wait all you people telling me rate shock does not exist, the new far more restricted plan costs 66% more than our current monthly premium.”

Resist We Much on November 4, 2013 at 6:14 PM

American public really does need to seriously consider that Nancy Pelosi is deranged. She’s exceptionally well padded financially, as is Harry Reid, and lacks any incentive or influence to function in relationship with/to reality.

So she doesn’t see any problem with what’s taking place. If there’s a problem, in Pelosi’s mind, it’s that “other people” have problems in grasping the grandiosity of what Pelosi perceives and enjoys.

Lourdes on November 4, 2013 at 6:18 PM

I have a question and am looking for an answer. Knowing that to purchase insurance through the health care exchange it asks for your county. According to this CNN-Jake Tapper report there are some rural counties that only have one or two choices for carriers and for most cost more than the same plan offered in an urban county. What happens if you were to move to another county in your state? Does your insurance follow you or do you have to purchase a new plan for that county? What if you move to another state? If you have to purchase a new plan do you go back to square one on deductibles and out-of-pocket expenses?

fbcmusicman on November 4, 2013 at 6:17 PM

I was wondering the same thing because I am looking at buying a house in a neighboring county.

Murphy9 on November 4, 2013 at 6:19 PM

Ahhh…damn these Republicans!!!

nextgen_repub on November 4, 2013 at 6:20 PM

Actually it’s not the IRS’s claim money – it’s the insurance companies’ that were stupid enough to get into the exchanges.

But most of us will never file claims. How many people would burn through their $12k/year deductible?

Akzed on November 4, 2013 at 6:16 PM

Good points. I was mostly remarking the fact of the matter is that all the chatter to date has been over enrollment issues and the costs of premiums. At some point, in theory, the whole system has to be operational and I don’t see the public perception getting better once they have to deal with a Soviet-style bureaucracy when dealing with claims disputes or claims for that matter.

Happy Nomad on November 4, 2013 at 6:20 PM

the media attention will follow individuals to plan selection and their ultimate choices;

The White House had no problem with citing anecdotes of the individuals who refused to purchase insurance until they got sick (a.k.a. those with “pre-existing conditions”). Why should it be seen as unfair to show the direct effect that the law will have on individual household budgets?

blammm on November 4, 2013 at 6:21 PM

Fox News mentioned today that until further notice the Obamacare website will be turned off from 1am to 5am EST for regular maintenance.

slickwillie2001 on November 4, 2013 at 6:22 PM

Details, details. Aren’t all of those foot-nabbing doctors alike?

Philly on November 4, 2013 at 6:22 PM

I wonder why the IRS procured all those shotguns three years ago?

Murphy9 on November 4, 2013 at 6:22 PM

This is going to blow up.

Not unless Hussein blows up someone else before that,
like another American or another country !
Then nobody will have time to notice people dying on the streets because of no healthcare

burrata on November 4, 2013 at 6:23 PM

To paraphrase Stalin:

One uninsured person is a tragedy; many millions of newly uninsured people is just a statistic.

That’s how these people think.

Resist We Much on November 4, 2013 at 6:23 PM

Additionally, in some cases there will be relatively high cost plans,” say the notes from the Obama administration’s Obamacare ‘War Room’ ‘MASH Unit’ from one week ago …

FIFY

ShainS on November 4, 2013 at 6:23 PM

Go in for an “x”, come out with a “y”.

oldroy on November 4, 2013 at 6:13 PM

I’m pretty sure we’re being forced to pay for gender reassignment under Obamacare.

Happy Nomad on November 4, 2013 at 6:24 PM

It’s nothing but sh*t sandwiches for Senate Dems until next November. How long before they lose their appetites?

Hopefully, not before they all choke on it.

AZCoyote on November 4, 2013 at 6:24 PM

How many people would burn through their $12k/year deductible?

Akzed on November 4, 2013 at 6:16 PM

Yup…that’s a lot of pap smears and mammograms for this guy to hit that number!

nextgen_repub on November 4, 2013 at 6:24 PM

wonder what the premium pay rates will be for exchange plans? that’s one no ones thought about. all these folks signing up for plans they thought were free. lets say SOME young invinces do sign up. they get subsidies for half the premiums, and still need to fork in 100-200 per month. how long will they do that? what will be the rate of policy cancellations for exchange policies? my assumption: dismal. which will be another component of the death spiral. “hey, we only got one tenth the young invinces we were promised. and of them, half lapsed on their premiums within 6 months”. adjust your next year premiums accordingly genius insur companies, in bed with your eventual executioner.

t8stlikchkn on November 4, 2013 at 6:25 PM

Don’t worry. Scooter has Top Men on this. Top. Men.

kingsjester on November 4, 2013 at 6:25 PM

I was wondering the same thing because I am looking at buying a house in a neighboring county.

Murphy9 on November 4, 2013 at 6:19 PM

I ask this because of the poor woman with gallbladder cancer in California.
Woman With Stage Four Gallbladder Cancer Loses Insurance Thanks to Obamacare

Countless hours searching for non-exchange plans have uncovered nothing that compares well with my existing coverage. But the greatest source of frustration is Covered California, the state’s Affordable Care Act health-insurance exchange and, by some reports, one of the best such exchanges in the country. After four weeks of researching plans on the website, talking directly to government exchange counselors, insurance companies and medical providers, my insurance broker and I are as confused as ever. Time is running out and we still don’t have a clue how to best proceed.

Before the Affordable Care Act, health-insurance policies could not be sold across state lines; now policies sold on the Affordable Care Act exchanges may not be offered across county lines.

fbcmusicman on November 4, 2013 at 6:25 PM

That’s how these people think.

Resist We Much on November 4, 2013 at 6:23 PM

Collateral damage to a greater good. Stalinesque to say the least.

Happy Nomad on November 4, 2013 at 6:25 PM

Why should it be seen as unfair to show the direct effect that the law will have on individual household budgets?

blammm on November 4, 2013 at 6:21 PM

Because there would be armed rebellion by the end of the year. They absolutely can’t let people know the premium cost and how the deductibles work. And they have to make sure many more people lose their coverage so there is no turning back.

oldroy on November 4, 2013 at 6:26 PM

“This whole experience has converted a lifelong Democrat into a foot soldier for the Republican Party,” Fullner said. Resist We Much on November 4, 2013 at 6:18 PM

Sounds like a whacko bird hatchling.

Akzed on November 4, 2013 at 6:27 PM

What happens if you were to move to another county in your state? Does your insurance follow you or do you have to purchase a new plan for that county?

Your plan dies and you have to buy a new one. The Democrats have always hated the way the middle class flees urban areas, so now they’ve made it financially devastating to do so.

Fabozz on November 4, 2013 at 6:28 PM

Fox News mentioned today that until further notice the Obamacare website will be turned off from 1am to 5am EST for regular maintenance.

slickwillie2001 on November 4, 2013 at 6:22 PM

Just working to make the user experience more enjoyable. In the meantime, you can apply by phone.

In other words, a government employee is willing to take the Error 404 frustration so you don’t have to. All you have to do is give them every bit of your PII along with that of your spouse and kids. At some point in the future, you may even be able to find out how much healthcare is going to cost you in the new normal but not just yet.

Happy Nomad on November 4, 2013 at 6:29 PM

How many Doctors are substandard?

oldroy on November 4, 2013 at 6:16 PM

Soon, all those who refuse to become federal/public employees/union members willing to participate in the authoritarian single-payer system sanctioned networks.

Actually, they’ll be considered criminals rather than substandard

ShainS on November 4, 2013 at 6:29 PM

the NYT story last week about rural counties suffering under O-Care is one, as was that U.S. News story about high-end hospitals being excluded from many plans on the exchanges

and they tell me that Agenda 21 is just a figment of my imagination :(

burrata on November 4, 2013 at 6:29 PM

It just gets worse and worse. We told everybody and no one believed us.

gophergirl on November 4, 2013 at 6:29 PM

Sure some eggs will need to get broken for the good of the state people but it is for the greater good.

Even the political class is forging their access to high quality care through the exchange by essentially giving up their seat to ensure citizens have access. Noblesse oblige.

R Square on November 4, 2013 at 6:30 PM

Yup…that’s a lot of pap smears and mammograms for this guy to hit that number!

nextgen_repub on November 4, 2013 at 6:24 PM

LOL. But they’re “free” now! And that’s what makes your new, hugely expensive O-Care policy so much better than that rip-off substandard policy you used to have. ;)

AZCoyote on November 4, 2013 at 6:30 PM

I ask this because of the poor woman with gallbladder cancer in California.
Woman With Stage Four Gallbladder Cancer Loses Insurance Thanks to Obamacare

Countless hours searching for non-exchange plans have uncovered nothing that compares well with my existing coverage. But the greatest source of frustration is Covered California, the state’s Affordable Care Act health-insurance exchange and, by some reports, one of the best such exchanges in the country. After four weeks of researching plans on the website, talking directly to government exchange counselors, insurance companies and medical providers, my insurance broker and I are as confused as ever. Time is running out and we still don’t have a clue how to best proceed.

Before the Affordable Care Act, health-insurance policies could not be sold across state lines; now policies sold on the Affordable Care Act exchanges may not be offered across county lines.

fbcmusicman on November 4, 2013 at 6:25 PM

Rush covered that story today. He didn’t address your original question though.

http://www.rushlimbaugh.com/daily/2013/11/04/the_obamacare_death_panels_have_arrived

Murphy9 on November 4, 2013 at 6:30 PM

King of Liars, and Queen of Death.

22044 on November 4, 2013 at 6:30 PM

and they tell me that Agenda 21 is just a figment of my imagination :(

burrata on November 4, 2013 at 6:29 PM

Since insurance is being controlled at the county level and not the state level, you may have to move to a more populous county, er, CITY, to have access to the insurance market. Voila, the progressives move people into the cities, out of their cars, and into more control.

Murphy9 on November 4, 2013 at 6:32 PM

This is bad for Doctor quality too. If you are good at your craft then you should have a larger pool of people that want to get in to see you. That’s the way it should be. If you are a crappy Doctor then it should be harder for you to attract a regular clientèle. This OCare system , like all Marxist scams, destroys honest healthy competition and lowers the quality of the product sold.

I think the will to end Ocare is not there. We’ve slipped so far into the nanny state European mentality and the only solution the public will accept is more of the same. That’s what the MconnelMcainReidChristie republicans will propose. More of the same but “better”. Less urban trashy and more wallstreet cocktail – but really just the same. Mediocre elitists running a grift while pretending to be doing “public service” – and destroying the last of what made this country great.

Most American’s are patriots and believe that America is #1 because we have the most #1 hits and most of Youtube is produced in America. Conservatives Patriots are fighting an honourable battle but like Hillary said “What D…

BoxHead1 on November 4, 2013 at 6:34 PM

If only one person……

Lib pukes: screw you.

CWchangedhisNicagain on November 4, 2013 at 6:36 PM

ObamaCare “war room” worried about reaction when some enrollees figure out they can’t keep their doctors patient dumping

burrata on November 4, 2013 at 6:36 PM

Notice the WH’s absolute and complete lack of compassion for the problems and suffering people may go through when denied their current physician.

INC on November 4, 2013 at 6:39 PM

disappointment because of sticker shock and limited choice, according to a new document obtained by CNN.

If you like your doctor, you can keep your doctor. Period.

BacaDog on November 4, 2013 at 6:41 PM

If you like your doctor, you can keep your doctor. Period.

BacaDog on November 4, 2013 at 6:41 PM

You keep saying that. I don’t think it means what you think it means.

oldroy on November 4, 2013 at 6:42 PM

Nurses can treat many concerns but they’re not physicians. It’s a case of “socialization” with patients versus a person with a far more overtly developed education.

Many a nurse is a great practitioner clinically but there’s no comparison with the educational differences between nurses and MDs.

Lourdes on November 4, 2013 at 6:13 PM

No one with any semblance of a conscience should consider putting nurse practitioners on the same level as an M.D. There are many illnesses which nurse practitioners are simply unqualified to diagnose or treat.

In December 2008, my mother (who had a history of breast cancer) was treated by a nurse practitioner after complaining of a dry, hacking cough, and a growth on her back, although a previous lung X-ray and biopsy showed no evidence of bacterial infection. The nurse practitioner prescribed a strong antibiotic (Levaquin), and within two days my mother’s lungs were filling up with fluid, a side effect of the Levaquin.

She was hospitalized for two months while doctors tried to repeatedly drain the fluid from her lungs using hypodermic needles. As it turned out, the fluid in her lungs masked the true cause of the “hacking cough” she had complained of–small-cell cancer of the lungs. By the time the cancer was discovered in mid-February 2009, my mother was too weakened by the struggle to breathe to withstand chemotherapy, and she died of lung cancer on March 24, 2009.

If my mother had seen a cancer specialist directly instead of the nurse practitioner, the cancer would have been detected earlier, and she wouldn’t have had the problem with her lungs filling with fluid, which would have left her with more strength to accept chemotherapy, which might have extended her life.

Nurse practitioners should NEVER be conflated with doctors, either by insurance companies, by the government, or by patients. One of them sent my mother to a premature death.

Steve Z on November 4, 2013 at 6:44 PM

I’m pretty sure we’re being forced to pay for gender reassignment under Obamacare.

Happy Nomad on November 4, 2013 at 6:24 PM

And, certainly, for HIV-associated medical and psychiatric issues. I think these areas of medicine, including gender reassignmen, were the primary focus for OCare, referred generally, instead, as “pre-existing conditions” so as to cloud their identity from the general public as to this legislation.

Lourdes on November 4, 2013 at 6:48 PM

No one with any semblance of a conscience should consider putting nurse practitioners on the same level as an M.D. There are many illnesses which nurse practitioners are simply unqualified to diagnose or treat…

Nurse practitioners should NEVER be conflated with doctors, either by insurance companies, by the government, or by patients. One of them sent my mother to a premature death.

Steve Z on November 4, 2013 at 6:44 PM

I agree with you. But instructor’s at medical schools don’t — they’re (as I already wrote above) referring increasing numbers of patients to Nurse Practitioners to relieve patient load from doctors. I agree with you, as I already said, but, this is one of those big changes I said would happen under Socialized Medicine and now, here it is, happening.

Lourdes on November 4, 2013 at 6:51 PM

Too bad the Democrats lost the House, they could then pass a bill DRAFTING all doctors and nurses.

GarandFan on November 4, 2013 at 6:52 PM

but… but… HALLIBURTON!

dpduq on November 4, 2013 at 6:53 PM

ObamaCare “war room” …

… and the American people are the enemy.

PackerBronco on November 4, 2013 at 6:53 PM

I had an ER visit recently.

I was supposed to go to my family doctor for the followup, which require some work.

0Care killed my original policy, so my insurance changed. I was knocked out of my network. They would take me, but it was cash out of pocket for a simple procedure.

Doctors in my new network couldn’t get me in – and told me to go back to the ER.

So that’s what I did.

One of the selling points of 0Care was to relieve pressure from the ER. I’ve rarely used the ER in my life. Now, it’s becoming first option.

I can only imagine what Medicaid explosion is going to do to ER’s in the cities.

My family will go cash to the same doctors we’ve had for a decade.

We’re heading towards a crimson tide in the mid-terms.

We just need to make sure it’s the right people in the red states, and the best chance of winning the purple/blue.

budfox on November 4, 2013 at 6:53 PM

It just gets worse and worse. We told everybody and no one believed us.

gophergirl on November 4, 2013 at 6:29 PM

Yes.

And, yes.

Lourdes on November 4, 2013 at 6:54 PM

And, certainly, for HIV-associated medical and psychiatric issues. I think these areas of medicine, including gender reassignmen, were the primary focus for OCare, referred generally, instead, as “pre-existing conditions” so as to cloud their identity from the general public as to this legislation.

Lourdes on November 4, 2013 at 6:48 PM

But we are all getting “better” insurance as a result. In case you hadn’t heard.

Happy Nomad on November 4, 2013 at 6:55 PM

Too bad the Democrats lost the House, they could then pass a bill DRAFTING all doctors and nurses.

GarandFan on November 4, 2013 at 6:52 PM

What…you think our Republican party squishes wont participate in something like that when the whole system collapses? Or at least for all Doctors to take medicaid/medicare?

oldroy on November 4, 2013 at 6:56 PM

Too bad the Democrats lost the House, they could then pass a bill DRAFTING all doctors and nurses.

GarandFan on November 4, 2013 at 6:52 PM

They’re going for that (the Hugo Chavez and Fidel Castro ‘models’) via education.

On twitter, for keen example, one can read comments by people with MDs (who I believe do have them, not ‘sock puppet’ accounts) and they write about patients, conditions, biology, medicine…

vs. other accounts identifying as MDs who consistently push the Leftwing, Socialized Medicine “policy” practice of medicine.

It’s very clear who is who and what is what and really a sad thing to see some of these MDs functioning as mouthpieces for Obama and the Dems political goals of “Obamacare”.

The other accts, MDs, are great people, all of them, write interesting things about, surprise, medicine and practicing it.

Lourdes on November 4, 2013 at 6:58 PM

If you allowed the health industry to operate as an industry instead of a public/private venture then there would be plenty of Doctors. Once upon a time they did house calls. Imagine that luxury. I don’t need an xray every time I go see a doctor.

BoxHead1 on November 4, 2013 at 7:01 PM

So there are telling Ms Sundby and others in her situation to tape an aspirin to it.

docflash on November 4, 2013 at 7:02 PM

On twitter, for keen example, one can read comments by people with MDs (who I believe do have them, not ‘sock puppet’ accounts) and they write about patients, conditions, biology, medicine…

vs. other accounts identifying as MDs who consistently push the Leftwing, Socialized Medicine “policy” practice of medicine.

It’s very clear who is who and what is what and really a sad thing to see some of these MDs functioning as mouthpieces for Obama and the Dems political goals of “Obamacare”.

The other accts, MDs, are great people, all of them, write interesting things about, surprise, medicine and practicing it.

Lourdes on November 4, 2013 at 6:58 PM

More about that:

ALL the twitter accts identified with MDs WHO ARE FEMALE personnas *ALL* pushed Obamacare right up until implementation weeks ago. Then, whoosh, silent on just about everything. It was clear that, whether or not they actually were/are MDs, all the females (or appearance of such) accts lobbed away at the propaganda of all the great things, they allege/d, about Obamacare.

Quite disturbing. I can’t figure out if it’s a gender difference — females unable to think uniquely beyond a lecture key point — or they were/are simply sock puppet accounts on twitter to push Obamacare (certainly not unsusual given DNC’s need to push females as victims and largely all Leftwing).

Lourdes on November 4, 2013 at 7:03 PM

If you allowed the health industry to operate as an industry instead of a public/private venture then there would be plenty of Doctors. Once upon a time they did house calls. Imagine that luxury. I don’t need an xray every time I go see a doctor.

BoxHead1 on November 4, 2013 at 7:01 PM

House calls stopped by most because of legal liabilities.

EXCEPTION to that is as to wealthy patients they know well enough to have made it clear that there aren’t any liabilities and patients are willing to pay very high (usually cash) payments for the privilege of a house call.

You can still get physicians to make house calls but it depends on who you are, how well they know you, what your residential conditions are and how much you don’t mind paying for the service/s.

Lourdes on November 4, 2013 at 7:06 PM

Lourdes on November 4, 2013 at 6:48 PM

But we are all getting “better” insurance as a result. In case you hadn’t heard.

Happy Nomad on November 4, 2013 at 6:55 PM

Pelosi sounds so much like Fidel Castro. So much like him.

Lourdes on November 4, 2013 at 7:07 PM

Quite disturbing. I can’t figure out if it’s a gender difference — females unable to think uniquely beyond a lecture key point — or they were/are simply sock puppet accounts on twitter to push Obamacare (certainly not unsusual given DNC’s need to push females as victims and largely all Leftwing).

Lourdes on November 4, 2013 at 7:03 PM

I’m surprised that the administration that had millions of fake followers for His Majesty would stoop to opening fake accounts for “Doctors” in order to push their agenda.

oldroy on November 4, 2013 at 7:09 PM

How many Doctors are substandard?

oldroy on November 4, 2013 at 6:16 PM

Soon, all those who refuse to become federal/public employees/union members willing to participate in the authoritarian single-payer system sanctioned networks.

Actually, they’ll be considered criminals rather than substandard …

ShainS on November 4, 2013 at 6:29 PM

I do agree that Obama/Dems have something in the works for to penalize all physicians who “aren’t participating” in Obamacare. I would be very, very surprised if they didn’t have something in the works toward that end.

Obama’s not a nice person, to put it mildly. He’s got reprisals and blood-vengeances all over himself, if not through and through.

Lourdes on November 4, 2013 at 7:12 PM

Time for the “Obamacare, Use It Or Lose It Act.”

All provisions of the ACA shall be null and void if all provisions are not adhered to and implemented in a timely manner, as when the bill was signed by the President into law.

Tekov Yahoser on November 4, 2013 at 7:13 PM

Quite disturbing. I can’t figure out if it’s a gender difference — females unable to think uniquely beyond a lecture key point — or they were/are simply sock puppet accounts on twitter to push Obamacare (certainly not unsusual given DNC’s need to push females as victims and largely all Leftwing).

Lourdes on November 4, 2013 at 7:03 PM

I’m surprised that the administration that had millions of fake followers for His Majesty would stoop to opening fake accounts for “Doctors” in order to push their agenda.

oldroy on November 4, 2013 at 7:09 PM

It was pathetic to see how obvious those accounts were, too. What I felt the worst about, however, was the many readers who would and surely must have thought they were genuine: “hey, here’s a nice woman doctor who says Obamacare is wonderful, so I guess it must be!”

Many gullible people among our population.

Lourdes on November 4, 2013 at 7:14 PM

Oh, sugar, the next bomb on this 0bamacare mess to blow will be all those people getting ready for their tax returns…. And realizing how much those fines-err taxes were going to be.

Sekhmet on November 4, 2013 at 7:18 PM

To me, this is probably one of the worst things the government could do to its people, and if the repubs can not be successful in turning this around, then it is absolutely pitchfork time…just think about it, it is not even a case of the government passing some kind of new tax on the people…it is our government TAKING AWAY something from SOME people, and then DICTATING to them what they MUST buy, whether they want it or not…THEY decide that what they NOW have is NOT good enough, and then they tell them they must buy something that is inferior, and oh by the way, it may cost as much as twice the amount as what they were paying. HOW IS THIS ACCEPTABLE??!! And how can these stupid repubs decide that they are going to just let the results speak for themselves? Why are they not telling everyone to IGNORE this dangerous law?

ellifint on November 4, 2013 at 7:24 PM

1800 F1UCK YOu, Democrats! Enjoy this sh!t sandwich and more!

islandman78 on November 4, 2013 at 7:30 PM

h. Steve Z on November 4, 2013 at 6:44 P

My dad went that way. I understand your point, but,, you obviously understand how aggressive that cancer is.

With my Dad, diagnosis to me holding his hand at the end, around 3-4 months. Around Christmas.

The best Doctors said quick was better. Hospice.

He was only 56.

wolly4321 on November 4, 2013 at 7:39 PM

“Is this a country that has a government —- or, a government that has a country?”I think we all know the answer, now.

tngmv on November 4, 2013 at 7:49 PM

fbcmusicman on November 4, 2013 at 6:17 PM

Good question. Hope you don’t mind if I take it and pass it along to see if I can get an answer.

Barred on November 4, 2013 at 7:52 PM

And all this doesn’t even deal with all the suffering the American people will have to endure…Dear Leader will never relent.

d1carter on November 4, 2013 at 7:52 PM

Walter Scott — ‘Oh, what a tangled web we weave…when first we practice to deceive.

The democrats and Obama have lied their asses off about their actions and Obamacare. Now they lie about the lies already told.. Then they have to lie about the lies told about the lies!!
Their credibility is circling the drain!! Fun to watch! Truth can’t oppose truth! One side is truthful and one side is lying! With nothing but lies on their side they have jumped the shark! HaHa!

Marco on November 4, 2013 at 7:59 PM

Good question. Hope you don’t mind if I take it and pass it along to see if I can get an answer.

Barred on November 4, 2013 at 7:52 PM

Thanks! I am really feeling uneasy about the ramifications of this!

fbcmusicman on November 4, 2013 at 8:34 PM

How is the cash market going to work? Do you think it is going to be possible to completely ignore the government, pay the fines, and get decent health care in the future?

I seriously see no benefit in paying all that money for nothing. I will never hit the deductibles and the monthly premium is ridiculous! Unless I get cancer.

But if I get cancer and get on the government welfare insurance, then I am limited in who I could get treatment from. So what good is that?

Is there a catastrophic insurance for the best doctors and hospitals? That is what I’m looking for now. A way to completely bypass the government.

petunia on November 4, 2013 at 8:39 PM

Notice these Dems aren’t worried about all these poor souls getting kicked off their plans. They are worried about the optics. The supposed reason for Ocare in the first place was to insure those who were uninsurable, the very people who are being harmed by this horrible law.

neyney on November 4, 2013 at 8:43 PM

“Obama’s trying to make us eat a sh!t sandwich, but we don’t like bread.” -panicked Dems

Cornhusker on November 4, 2013 at 9:44 PM

I’m moving to Mexico.

There, I will find real freedom.

JackM on November 5, 2013 at 8:07 AM

O BAM A
O BAM A
O BAM A

Good Lt on November 5, 2013 at 8:15 AM

“Honesty and transparency will be the hallmarks of my administration”

Barry Soetero..Barry Obama..Barack Obama.

Mimzey on November 5, 2013 at 8:17 AM

Keep “their” doctor? They’ll be lucky if they “have” a doctor.

Twenty million more Medicaid patients with payments of twenty cents on the dollar and insured patients that doctors have to collect cash from for the first twelve thousand of their deductible? Seriously?

Game over. Better buy the Rosetta Stone English to Pakistani version or expect care from a nurse or PA. Good luck.

NoPain on November 5, 2013 at 8:17 AM

You just KNOW the Regime will pressure insurers not to release 2015 rates until after the 2014 elections.

WannabeAnglican on November 5, 2013 at 8:23 AM

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