NYT: So, turns out that all of this Medicaid expansion actually might not necessarily mean more access…

posted at 3:01 pm on November 29, 2013 by Erika Johnsen

One wonders what the New York Times has been doing the past few years while conservatives were very vociferously warning about the entirely predictable, pending phenomenon:

But now, as California’s Medicaid program is preparing for a major expansion under President Obama’s health care law, Dr. Mazer says he cannot accept additional patients under the government insurance program for a simple reason: It does not pay enough.

“It’s a bad situation that is likely to be made worse,” he said.

His view is shared by many doctors around the country. Medicaid for years has struggled with a shortage of doctors willing to accept its low reimbursement rates and red tape, forcing many patients to wait for care, particularly from specialists like Dr. Mazer.

Yet in just five weeks, millions of additional Americans will be covered by the program, many of them older people with an array of health problems. …

Community clinics, which typically provide primary but not specialty care, have expanded and hired more medical staff members to meet the anticipated wave of new patients. And managed-care companies are recruiting doctors, nurse practitioners and other professionals into their networks, sometimes offering higher pay if they improve care while keeping costs down. But it is far from clear that the demand can be met, experts say.

No kidding. Read on for the many discouraging ways in which increased Medicaid rolls are likely to result in reduced access, poor-quality healthcare, and added fuel to the fire of widespread doctor shortages — and yet the Obama administration is still adamantly pushing the remaining resistant states to expand Medicaid as a miracle drug for expanding healthcare access.

Medicaid enrollment has been going much more smoothly than ObamaCare’s general rollout; the CBO has projected that a full nine million American will sign up through various states’ Medicaid expansions next year alone; and even some states not expanding Medicaid are already seeing a jump in enrollments, probably due to the increased ObamaCare-related publicity. None of this, however, means that the system is suddenly equipped to handle the onslaught or that doctors will even want to take more Medicaid patients and deal with the program’s already notoriously poor reimbursement rates (as they do still have that choice… for now). ObamaCare might mean some form of insurance for all, but that insurance might not be the automatic favor for all that the Obama administration is determined to believe it is.


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Nothing more government intervention can’t fix.

rob verdi on November 29, 2013 at 3:09 PM

Single payer! Single payer! Single payer!

tru2tx on November 29, 2013 at 3:11 PM

Two words: Robot Doctors. They’re coming.

BJ* on November 29, 2013 at 3:11 PM

No kidding.

Wait till the Catholic Hospitals shut down.

1 in 6 hospital beds in this country is in a Catholic Hospital.

workingclass artist on November 29, 2013 at 3:14 PM

Dr. Mazer says he cannot accept additional patients under the government insurance program for a simple reason: It does not pay enough.

“It’s a bad situation that is likely to be made worse,” he said.

Nice license to practice medicine you have there…be a real shame if something happened to it.

Oh, and here’s an IRS audit…

Enjoy.

BigWyo on November 29, 2013 at 3:14 PM

I forsee: blue states requiring doctors to take medicaid patients as a condition of keeping an active license.

If doctors leave a state or leave the profession, well, Obamcare has all sorts of affirmative action quotas for medical schools for “under-repressented groups.” In a decade, we’ll have a wonderfully “diverse” medical commmunity.

Wethal on November 29, 2013 at 3:14 PM

It takes a Democrat to think that forcing more people into welfare is an accomplishment of which to be proud.

whatcat on November 29, 2013 at 3:15 PM

Obama will do what the UK did … import foreign doctors.

darwin on November 29, 2013 at 3:15 PM

Here in Kentucky over 70% of the people enrolling in the KYnect program are being directed to Medicaid. We are not going to be able to afford that when the Federal extra bucks run out in 2018.

Johnnyreb on November 29, 2013 at 3:15 PM

As a nation we should be setting policy to ease us off Medicare and Medicaid, not expanding on programs with literally trillions in unfunded liabilities. It’s insane.

lowandslow on November 29, 2013 at 3:16 PM

Nothing more government intervention can’t fix.

rob verdi on November 29, 2013 at 3:09 PM

“Raise the minimum wage to $10 an hour and force all doctors to accept that wage.”

libtardanddieaslave

What could go wrong?

VegasRick on November 29, 2013 at 3:16 PM

Wethal on November 29, 2013 at 3:14 PM

HEH!

But then again…why would they stop at blue states?

BigWyo on November 29, 2013 at 3:17 PM

Two words: Robot Doctors. They’re coming.

BJ* on November 29, 2013 at 3:11 PM

Or Third World doctors who speak broken English.

Read the London Daily Mail for a few months, and see the horror stories of NHS malpractice by them, as well as ESL nurses and midwives. (An obstetrician for a delivery? Only the elites get them. Otherwise it’s midwives, who can be capable, but can’t do emergency procedures.)

Wethal on November 29, 2013 at 3:17 PM

With the King of Liars and the Queen of Death in charge, what could go wrong.

22044 on November 29, 2013 at 3:20 PM

I forsee: blue states requiring doctors to take medicaid patients as a condition of keeping an active license.

If doctors leave a state or leave the profession, well, Obamcare has all sorts of affirmative action quotas for medical schools for “under-repressented groups.” In a decade, we’ll have a wonderfully “diverse” medical commmunity.

Wethal on November 29, 2013 at 3:14 PM

All with the same high quality skills as our first affirmative action President!

Freddy on November 29, 2013 at 3:21 PM

“Charitable hospitals that treat uninsured Americans will be subjected to new levels of scrutiny of their nonprofit status and could face sizable new fines under Obamacare.

A new provision in Section 501 of the Internal Revenue Code, which takes effect under Obamacare, sets new standards of review and installs new financial penalties for tax-exempt charitable hospitals, which devote a minimum amount of their expenses to treat uninsured poor people. Approximately 60 percent of American hospitals are currently nonprofit.

Charity for the uninsured is one of the factors that could discourage enrollment in Obamacare, which requires all Americans to purchase health insurance or else face new taxes themselves from the IRS.

“It requires tax-exempt hospitals to do a community needs survey and file additional paperwork with the IRS every three years. This is to prove that the charitable hospital is still needed in their geographical area — ‘needed’ as defined by Obamacare and overseen by IRS bureaucrats,” said John Kartch, spokesman for Americans for Tax Reform.

“Failure to comply, or to prove this continuing need, could result in the loss of the hospital’s tax-exempt status. The hospital would then become a for-profit venture, paying income tax — hence the positive revenue score” for the federal government, Kartch said. “Obamacare advocates turned over every rock to find as much tax money as possible….”

Healthcare experts warn that the Obamacare’s new requirements make it almost impossible for charitable hospitals to navigate treacherous new waters.

“Nonprofit hospitals should be advised that the new PPACA requirements will play a significant role in how they operate and report, specifically when it comes to billing and collections for services provided to the uninsured. The new law leaves many gray areas and hospitals themselves will have to establish eligibility criteria for financial assistance. Following the new procedures as best they can will ensure the best chance of maintaining their tax exempt status,” wrote D. Douglas Metcalf, partner at the law firm Lewis and Roca, in a 2013 op-ed entitled “Will nonprofit hospitals disappear under Obamacare?…”

http://dailycaller.com/2013/08/08/obamacare-installs-new-scrutiny-fines-for-charitable-hospitals-that-treat-uninsured-people/?print=1

“The Obama administration’s rhetorical shift from supporting “freedom of religion” to “freedom of worship” paralleled an earlier shift in Russia, he said.

“Freedom of worship was guaranteed in the Constitution of the former Soviet Union,” Cardinal George said. “You could go to church, if you could find one. The church, however, could do nothing except conduct religious rites in places of worship—no schools, religious publications, health care institutions, organized charity, ministry for justice and the works of mercy that flow naturally from a living faith. All of these were co-opted by the government. We fought a long Cold War to defeat that vision of society.”

“The State is making itself into a church,” he stated.

He sounded a similar alarm about the mandate, condemned by every Catholic bishop, saying its “long-term effect is that the Catholic Church will be stripped of the institutions that are her instruments for public service.”

“That’s not the country I was born in,” he said.

The administration’s development and promulgation of numerous policies opposed by the Catholic Church and other faithful Christians also appeared to the cardinal to be unprecedented. In an apparent reference to the Obama administration’s appeals to liberal nominal Catholics and administration officials like Joe Biden and Kathleen Sebelius, he wrote, “This is the first time in the history of the United States that a presidential administration has purposely tried to interfere in the internal working of the Catholic Church, playing one group off against another for political gain.”

The church leader, who presides over the archdiocese where the president lives, has led the pro-life opposition to health care coverage for abortion.

Because of increasing state intrusion into Christian affairs, he forecast in 2010, “I expect to die in bed. My successor will die in prison, and his successor will die a martyr in the public square.”

http://www.lifesitenews.com/news/cardinal-george-all-catholic-hospitals-will-close-in-two-years-under-hhs-ma

workingclass artist on November 29, 2013 at 3:22 PM

Big fat lie.

2014 will bring videos with dead people, directly due to obama and obama’care’.

The web site will be looked upon as the least of all the tragedies.

Schadenfreude on November 29, 2013 at 3:24 PM

Thankfully, Drudge still links to amnesty stories. Most HA bloggers are in favor of amnesty so they avoid the subject most of the time. If Rubio’s name is mentioned then AP loves to plug his new favorite RINO in a blog post.

Wigglesworth on November 29, 2013 at 3:24 PM

workingclass artist on November 29, 2013 at 3:22 PM

Drive the Catholic hospitals out of business, so a for-profit company that will do abortions takes over the facilities.

Wethal on November 29, 2013 at 3:26 PM

Thankfully, Drudge still links to amnesty stories. Most HA bloggers are in favor of amnesty so they avoid the subject most of the time. If Rubio’s name is mentioned then AP loves to plug his new favorite RINO in a blog post.

Wigglesworth on November 29, 2013 at 3:24 PM

HUH?

avagreen on November 29, 2013 at 3:28 PM

BTW, are those two in that pic about the burst into tears?

avagreen on November 29, 2013 at 3:29 PM

Please do not feed the troll.

Johnnyreb on November 29, 2013 at 3:31 PM

BTW, are those two in that pic about the burst into tears?

avagreen on November 29, 2013 at 3:29 PM

Tears of laughter. “Look how stupid the rubes of this country are!”

VegasRick on November 29, 2013 at 3:31 PM

One wonders what the New York Times has been doing the past few years while conservatives were very vociferously warning about the entirely predictable, pending phenomenon:

Well now, I wouldn’t call that a stupid question but one so blatantly obvious it almost should be left alone. The NYT and other propaganda outlets were busy selling Obamacare as this wonderful program that the GOP was trying to scuttle because Republicans hate the poor or something. I worked in the healthcare industry during the Hillarycare debate. Not one thing that the left has attacked as hysterical partisanship has been true. Every aspect of Obamacare has been predictable from the very beginning but the left hasn’t cared since they thought they could bully Obamacare through, let it fail a while, and institute single-payer since (by that time) Obamacare would be too big to fail.

What they didn’t count on was that they themselves were so incompetent that the Healthcare.gov debacle gave the nation a chance to see behind the curtain.

Happy Nomad on November 29, 2013 at 3:31 PM

Hmmmm….

“Over the past few years, Washington state’s liberal voters have been on quite a roll. Same-sex marriage? Approved. Assisted suicide? Check. Legalized pot? That too. Strong abortion protections? Those have been in place for decades.

Now, though, the state finds itself in the middle of a trend that hardly anyone there ever saw coming: a wave of mergers and alliances between Catholic hospital chains and secular, taxpayer-supported community hospitals. By the end of this year, the ACLU estimates, nearly half of Washington’s hospital beds could be under Catholic influence or outright control.

Many of the deals have been reached in near secrecy, with minimal scrutiny by regulators. Virtually all involve providers in Western Washington, which voted heavily for same-sex marriage last November and the Death with Dignity Act [2] in 2008. The cultural divide between the region’s residents (Seattle recently edged out [3] San Francisco as the area with the largest proportion of gay couples) and the Catholic Church (whose local archbishop [4] led the effort against marriage equality and is overseeing a Vatican crackdown [5] on independent-minded American nuns) couldn’t be wider. And yet more and more hospitals there — sustained by taxpayers, funded by Medicare, Medicaid, and other government subsidies — could be bound by church restrictions on birth control, sterilization and abortion, fertility treatments, genetic testing, and assisted suicide.

In affected communities, the news is not going over well….”

http://www.propublica.org/article/catholic-hospitals-grow-and-with-them-questions-of-care

workingclass artist on November 29, 2013 at 3:34 PM

In affected communities, the news is not going over well….”

http://www.propublica.org/article/catholic-hospitals-grow-and-with-them-questions-of-care

workingclass artist on November 29, 2013 at 3:34 PM

I’d make them Pray before they get any treatment. Exploding heads to be covered.

VegasRick on November 29, 2013 at 3:38 PM

Drive the Catholic hospitals out of business, so a for-profit company that will do abortions takes over the facilities.

Wethal on November 29, 2013 at 3:26 PM

Well they’d have to force the sale of the facility/property.

The USCCB might just let the buildings be vacant and do basic upkeep…or demolish and squat on the unused land.

workingclass artist on November 29, 2013 at 3:38 PM

Doesn’t pay enough? Ok, then here comes the foreign “doctors” to get in on the government action. Oh wait, they will not be certified to AMA standards. Aw that’s ok, obummer will grant them an exemption too.

jake49 on November 29, 2013 at 3:38 PM

I’d make them Pray before they get any treatment. Exploding heads to be covered.

VegasRick on November 29, 2013 at 3:38 PM

Another commenter pointed me to the issue in another thread.

workingclass artist on November 29, 2013 at 3:40 PM

If the doctors won’t take medicaid patients FORCE THEM TO!!

Get ready for the “Doctor Freedom and Fairness Act.”

jukin3 on November 29, 2013 at 3:41 PM

One wonders what the New York Times has been doing the past few years while conservatives were very vociferously warning about the entirely predictable, pending phenomenon:

Sticking their fingers in their ears, shouting “la la la law, we can’t hear you.”

rbj on November 29, 2013 at 3:41 PM

Libs might say that ‘health care is a RIGHT’, now let’s see them GET someone to preform that RIGHT.

GarandFan on November 29, 2013 at 3:47 PM

If you complain, ObamaCare will get you:
Cancer Patient Who Spoke Out Against O-Care – Gets Audited by IRS (Video)

albill on November 29, 2013 at 3:48 PM

One wonders what the New York Times has been doing the past few years

When you live in a bubble with like minded individuals, you only hear what you want to hear.

VibrioCocci on November 29, 2013 at 3:48 PM

If the doctors won’t take medicaid patients FORCE THEM TO!!

Get ready for the “Doctor Freedom and Fairness Act.”

jukin3 on November 29, 2013 at 3:41 PM

Doctors are worried about changes to licensing.

workingclass artist on November 29, 2013 at 3:49 PM

Medicaid is by the far the largest pure welfare program at a current cost of $ 414 billion a year (between states and Federal) and with a current enrollment of 60 millions people, and that is all before the addition of the millions on Medicaid Expansion program as part of Obamacare… The average cost per Medicaid is around $ 7,000 dollars so adding another 10 to 15 millions people on Medicaid will add a cost of 70 to 105 billions dollars a year… Medicaid is 100% welfare program because unlike Social Security and Medicare where the beneficiaries have paid taxes to benefit from these programs but in Medicaid the beneficiary do not pay any tax into and all their expenses are paid 100% by the tax payers… Medicaid is by far the largest welfare program in history of the world…

mnjg on November 29, 2013 at 3:50 PM

By the end of this year, the ACLU estimates, nearly half of Washington’s hospital beds could be under Catholic influence or outright control.

workingclass artist on November 29, 2013 at 3:34 PM

I’m not quite sure what “Catholic influence” means but it sounds a bit sinister.

What the focus on Catholic institutions misses is how much of healthcare in the South is done by Baptist-affiliated institutions. They have less theological problems with birth control but not with abortions and abortificants.

Happy Nomad on November 29, 2013 at 3:55 PM

My doctor DOES NOT ACCEPT medicaid patients. That’s one of many reasons why I keep him as MY doctor.

TeaPartyNation on November 29, 2013 at 3:59 PM

the triumphalist left figures in time they’ll nationalize the whole thing. Docs et al. on a GS type salary schedule.

the calls for Medicare of all are actually calls for Medicaid for all. Medicare has a 20 percent co-insurance…Medicaid is more in the free health care for all.

r keller on November 29, 2013 at 4:07 PM

By the end of this year, the ACLU estimates, nearly half of Washington’s hospital beds could be under Catholic influence or outright control.

workingclass artist on November 29, 2013 at 3:34 PM

I’m not quite sure what “Catholic influence” means but it sounds a bit sinister.

What the focus on Catholic institutions misses is how much of healthcare in the South is done by Baptist-affiliated institutions. They have less theological problems with birth control but not with abortions and abortificants.

Happy Nomad on November 29, 2013 at 3:55 PM

The secularists are worried about this…

“The dilemma is that Catholic hospitals — there are 630 or so [17] in the United States, representing 15 percent of all admissions every year — are not independent entities. They are bound by a 43-page document called the Ethical and Religious Directives for Catholic Health Care Services [18], which have been around in some form since 1921 [19] and were last revised by the U.S. Conference of Catholic Bishops in 2009.

The 72 directives explicitly ban abortion and sterilization. They restrict other types of care as well, including emergency contraception for rape victims (“It is not permissible… to initiate or to recommend treatments [for sexual assault] that have as their purpose or direct effect the removal, destruction, or interference with the implantation of a fertilized ovum”), in vitro fertilization and artificial insemination (“contrary to the covenant of marriage, the unity of the spouses, and the dignity proper to parents and the child”), surrogate pregnancy, and anything that remotely resembles assisted suicide (the bishops’ preferred term is “euthanasia”).

Then there’s this:

5. Catholic health care services must adopt these Directives as policy, require adherence to them within the institution as a condition for medical privileges and employment, and provide appropriate instruction regarding the Directives for administration, medical and nursing staff, and other personnel….

But usually, it’s the non-religious partner that has to give. The most high-profile example involves Swedish Health Services [23], a secular hospital system that partnered last year with Providence Health & Services [24]. Like most of the recent Washington deals, this one was a kind of workaround, crafted to protect Swedish’s autonomy, reassure its patients, and mollify its critics. “To ensure Providence remained Catholic and Swedish remained secular, the partnership was intentionally structured as an affiliation, not a merger or acquisition,” Swedish said in a statement to ProPublica, adding: “As a secular organization, Swedish is not subject” to the ERDs. Among other things, this allows it to continue providing the full range of birth control services, including tubal ligations and vasectomies.

But a few days after the partnership was announced, Swedish said it would stop doing elective abortions, which it had been offering as part of its reproductive health services for years. Instead, it gave $2 million [25] to Planned Parenthood to open a clinic adjacent to Swedish’s main Seattle hospital….”

http://www.propublica.org/article/catholic-hospitals-grow-and-with-them-questions-of-care

Now suppose…Other religious charity hospitals worked out arrangements to affiliate in certain terms with Catholic Hospitals?

Suppose the Baptists affiliated with the Catholics regionally?

workingclass artist on November 29, 2013 at 4:11 PM

Suppose the Baptists affiliated with the Catholics regionally?

workingclass artist on November 29, 2013 at 4:11 PM

Hard to see in the South but this might be enough of a reason to put aside past prejudice. When I was living in New Orleans and serving on a Habitat for Humanity board, Catholics would have nothing to do with us. They deemed Habitat a Protestant organization.

Happy Nomad on November 29, 2013 at 4:33 PM

Get ready for the “Doctor Freedom and Fairness Act.”

This is what’s coming. I guarantee it.

Unions will do for the doctors what they did for the automobile industry.

2L8 on November 29, 2013 at 4:35 PM

I forsee: blue states requiring doctors to take medicaid patients as a condition of keeping an active license.

If doctors leave a state or leave the profession, well, Obamcare has all sorts of affirmative action quotas for medical schools for “under-repressented groups.” In a decade, we’ll have a wonderfully “diverse” medical commmunity.

Wethal on November 29, 2013 at 3:14 PM

Many facilities are already staffed on the front end with surly “medical professionals” of color, holding degrees from “colleges” whose accreditation isn’t quite at the state university/ivy league level, and who routinely advertise quick “career” sheepskins in TV ads. “Healthcare Practitioners” with a stethoscope, a rubber glove, sausage-like fingers, an “urban” attitude and a tube of K-Y Jelly aren’t far behind to flesh out the doctor shortage . . .

tpitman on November 29, 2013 at 4:42 PM

If the doctors won’t take medicaid patients FORCE THEM TO!!

Get ready for the “Doctor Freedom and Fairness Act.”

jukin3 on November 29, 2013 at 3:41 PM

Up Twinkles! All thems doctors need to shtthhllup. Doctors are part of the 1%. They have no rights to complains. It’s basic economix.

BoxHead1 on November 29, 2013 at 4:44 PM

Remember when being a doctor was considered something noble? That’s so 20th century.

vityas on November 29, 2013 at 4:50 PM

Many facilities are already staffed on the front end with surly “medical professionals” of color, holding degrees from “colleges” whose accreditation isn’t quite at the state university/ivy league level, and who routinely advertise quick “career” sheepskins in TV ads. “Healthcare Practitioners” with a stethoscope, a rubber glove, sausage-like fingers, an “urban” attitude and a tube of K-Y Jelly aren’t far behind to flesh out the doctor shortage . . .

tpitman on November 29, 2013 at 4:42 PM

HEY!!! The Veterans’ Adminstration can only take so many of these folks. The rest have to go somewhere.

Happy Nomad on November 29, 2013 at 4:55 PM

Remember when being a doctor was considered something noble? That’s so 20th century.

vityas on November 29, 2013 at 4:50 PM

I’ll go you one better. Do you recall the profession of Jim Anderson in Father Knows Best? He was an insurance agent when that was a respectable profession.

Happy Nomad on November 29, 2013 at 4:58 PM

Hard to see in the South but this might be enough of a reason to put aside past prejudice. When I was living in New Orleans and serving on a Habitat for Humanity board, Catholics would have nothing to do with us. They deemed Habitat a Protestant organization.

Happy Nomad on November 29, 2013 at 4:33 PM

Times change?

http://www.habitat.org/newsroom/2012archive/08_25_2012_hfh_honored_by_catholic_charities.aspx

It might be time for some religious organizations to form alliance against oppression to achieve a common goal?

workingclass artist on November 29, 2013 at 5:03 PM

If the doctors won’t take medicaid patients FORCE THEM TO!!

Get ready for the “Doctor Freedom and Fairness Act.”

jukin3 on November 29, 2013 at 3:41 PM

Yep. I predict the 0bama administration will simply look to expand the law that requires every hospital emergency room to treat any patient that shows up regardless of their ability to pay. Now every doctor MUST accept any patient that shows up to his office, regardless of their ability to pay or the near non-existent reimbursement rate of their ‘insurance.’ 0bama won’t even make it go through Congress; he’ll just ‘decree’ it then say to himself, ‘There, problem solved.’

JenBee on November 29, 2013 at 5:13 PM

The future does not belong to those who insult the prophet of mulsim America: http://rall.com/2013/11/29/i-have-been-censored-by-daily-kos

davidk on November 29, 2013 at 5:15 PM

I tried to warn of you Idiots who voted for this Idiot. And it’s like that Idiot said during the shut down–Elections have their consequences. This is the only time this Idiot has ever told the truth.

tmgrant on November 29, 2013 at 5:36 PM

The future does not belong to those who insult the prophet of mulsim America: http://rall.com/2013/11/29/i-have-been-censored-by-daily-kos

davidk on November 29, 2013 at 5:15 PM

The comments are delicious.

VegasRick on November 29, 2013 at 5:40 PM

“You’re all goin’ on Medicaid, Bicches”

Buh-Rock gonna make you sacrifice!

/Michelle Obama

Key West Reader on November 29, 2013 at 5:45 PM

By the end of this year, the ACLU estimates, nearly half of Washington’s hospital beds could be under Catholic influence or outright control.

workingclass artist on November 29, 2013 at 3:34 PM

I know I shouldn’t feel this way but…

BOO FREAKING HOO!!! Now all those anti-Christian liberal activists can go out and spend their own money and BUILD THEIR OWN D@MN HOSPITALS!!!

Amazing how liberals want everything… as long as they don’t have spend their own money. Greedy, soulless bastards…

[sigh]

dominigan on November 29, 2013 at 5:45 PM

Amazing how liberals want everything… as long as they don’t have spend their own money. Greedy, soulless bastards…

[sigh]

dominigan on November 29, 2013 at 5:45 PM

By comparing libs to greedy, soulless bastards, you just insulted every greedy, soulless bastard on the planet. libs are much worse than that.

VegasRick on November 29, 2013 at 5:54 PM

Drive the Catholic hospitals out of business, so a for-profit company that will do abortions takes over the facilities.

Wethal on November 29, 2013 at 3:26 PM

Well they’d have to force the sale of the facility/property.

The USCCB might just let the buildings be vacant and do basic upkeep…or demolish and squat on the unused land.

workingclass artist on November 29, 2013 at 3:38 PM

They’ve stated they will close their doors and not allow the sale of the property to conduct abortions.

itsspideyman on November 29, 2013 at 6:25 PM

Don Fryer @Donfryer
Follow

Followed obama’s advice to discuss #obamacare during turkey dinner. Family consensus was obama is worst Pres in US history. @DrMartyFox
1:56 AM – 29 Nov 2013

davidk on November 29, 2013 at 6:29 PM

Upon enrolling in Medicaid the path one then follows for treatment is both simple and effective:

Enroll -> See Doctor -> Get recommended to Government Death Panel -> Become Soylent Green.

Winning!

The Chewbacca Defense on November 29, 2013 at 6:37 PM

Coming to country near you:

As we speak, Venezuelan shoppers are queuing outside seized stores trying to spend their rapidly depreciating currency, and the economy is marching steadily toward a dénouement when bolivars (Venezuela’s currency) will be useful for little more than kindling.

http://mises.org/daily/6599/Inflation-Shortages-and-Social-Democracy-in-Venezuela?

davidk on November 29, 2013 at 6:39 PM

Don Fryer @Donfryer

Followed obama’s advice to discuss #obamacare during turkey dinner. Family consensus was obama is worst Pres in US history. @DrMartyFox
1:56 AM – 29 Nov 2013

davidk on November 29, 2013 at 6:29 PM

Bet this wasn’t the result he had in mind. *backfire*

Laughing my head off.

avagreen on November 29, 2013 at 6:45 PM

How old are your children:

Between 1980 and 2013, total credit grew by an astonishing 8 percent per year, compounded. I say “astonishing” because anything growing by 8 percent per year will fully double every 9 years. So let’s run the math experiment and ask what will happen if the Fed is successful and total credit grows for the next 30 years at exactly the same rate it did over the prior 30. That’s all. This is nothing fancy, and it is simply the same rate of growth that everybody got accustomed to while they were figuring out “how the world works.”

What happens to the current $57 trillion in TCMD as it advances by 8 percent per year for 30 years? It mushrooms into a silly number: $573 trillion.

http://mises.org/daily/6597/The-Fed-Must-Inflate

davidk on November 29, 2013 at 6:47 PM

Darn!

This NYT’s article quoted in this article is the 2nd in as many weeks that I’ve tried to link to, but couldn’t as I wasn’t a paid subscriber.

avagreen on November 29, 2013 at 6:47 PM

Try dis agains:

Obama health care law
7m
Federal healthcare website down for overnight maintenance – @Reuters
read more on cnbc.com
=====================

canopfor on November 29, 2013 at 6:56 PM

One wonders what the New York Times has been doing the past few years while conservatives were very vociferously warning about the entirely predictable, pending phenomenon:

They’ve had their collective heads up Obama’s arse.

Try dis agains:

Obama health care law
7m
Federal healthcare website down for overnight maintenance – @Reuters
read more on cnbc.com
=====================

canopfor on November 29, 2013 at 6:56 PM

When it comes up again I want to see the white flag.

banzaibob on November 29, 2013 at 7:14 PM

Wait till the Catholic Hospitals shut down.

1 in 6 hospital beds in this country is in a Catholic Hospital.

workingclass artist on November 29, 2013 at 3:14 PM

JazzShaw believes that Catholic hospitals should not be allowed to close, and should be forced to stay open by das Fuhrer the government.

NotCoach on November 29, 2013 at 8:04 PM

The USCCB might just let the buildings be vacant and do basic upkeep…or demolish and squat on the unused land.

workingclass artist on November 29, 2013 at 3:38 PM

I recall something Glenn Beck said a couple years ago: form human chains around every Catholic hospital and clinic when (or if) a forced shutdown comes.

PatriotGal2257 on November 29, 2013 at 8:47 PM

This whole Medicaid fiasco and the government’s response to it, is described in ATLAS SHRUGGED.Once again, the Obumbler folks think that tome is a “how-to” manual.

tngmv on November 29, 2013 at 9:05 PM

JazzShaw believes that Catholic hospitals should not be allowed to close, and should be forced to stay open by das Fuhrer the government.

NotCoach on November 29, 2013 at 8:04 PM

If true, then Jazz and I part company. This is compliance with the barrel of a gun against your head.

itsspideyman on November 29, 2013 at 9:12 PM

Times change?

http://www.habitat.org/newsroom/2012archive/08_25_2012_hfh_honored_by_catholic_charities.aspx

It might be time for some religious organizations to form alliance against oppression to achieve a common goal?

workingclass artist on November 29, 2013 at 5:03 PM

Times change indeed. Back when I was involved with Habitat (1998-2000), the Louisiana Catholics refused to have anything to do with the organization because it was not part of the Catholic Charities.

Happy Nomad on November 29, 2013 at 9:44 PM

Times change indeed. Back when I was involved with Habitat (1998-2000), the Louisiana Catholics refused to have anything to do with the organization because it was not part of the Catholic Charities.

Happy Nomad on November 29, 2013 at 9:44 PM

Indeed.

workingclass artist on November 29, 2013 at 11:16 PM

REAL LIFE STORY:

I have a friend on Medicaid due to multiple bouts with cancer. His doctor left the practice and contacted the Medicaid Office to get a list of new possible doctors.

The list included over 50 doctors.

Not a single one was taking new patients – and this was a year ago.

So where will all these new Medicaid patients go for the slightest sniffle or sore throat? Right, the already overcrowded emergency room.

A year ago I had a blood clot in my right leg, a known very dangerous condition. I sat in the Emergency room in the middle of the night for 7 hours before being seen. Why so slow? With over 50 beds filled, this ER in a major US city had ONE doctor on staff. ONE.

Oh yeah, we have only seen the tip of the iceberg on Obamacare. When Liberalism meets reality bad things happen.

mitchellvii on November 30, 2013 at 6:44 AM

It’s funny how Liberals don’t believe in God yet they do believe in magic. Only magical thinking could have believed Obamacare would have worked.

mitchellvii on November 30, 2013 at 6:47 AM

Get ready for the “Doctor Freedom and Fairness Act.”

jukin3 on November 29, 2013 at 3:41 PM

Up Twinkles! All thems doctors need to shtthhllup. Doctors are part of the 1%. They have no rights to complains. It’s basic economix.

BoxHead1 on November 29, 2013 at 4:44 PM

Yep, commie economics. Of the “you didn’t build that” variety advocated by you-know-who. Your skills as a doctor that you worked and sacrificed years to learn are not yours; you learned them in schools partially funded by government money, and you drove to those schools over roads funded by tax dollars. Therefore, the skills you possess belong to the government, which will use you as it wishes. So STFU and dance for your master, slave!

AZCoyote on November 30, 2013 at 8:28 AM

The problem seems to be that proponents of health insurance coverage like Medicaid think that their job is mostly done when the coverage is extended. The fact that Medicaid has outrun the amount of money that the States and Feds are willing to put into the system is not appreciated or otherwise ignored.

Given the degree of Federal control, it appears that options to save money such as increasing premiums or co-pays are barred by the Feds, so the only remaining option is to cut reimbursements since dropping people from the program is not generally politically feasible.

If you had enough money to comfortably handle 10,000 clients, but ended up with 20,000 or 30,000 or more with no additional money, then the amount that gets reimbursed has to stretch to cover the additional clientele. The only way that happens is to either deny the client medical care by disallowing it or cut back on what the system will pay to providers. In the latter case, that can only go so far before physicians and health care operations say, No More and take no new patients under Medicaid.

Russ808 on December 1, 2013 at 4:51 AM