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(Fox News)   Obamacare is the Costco of medicine. And soon, your small town medical practice will become nothing more than an empty store front   (foxnews.com) divider line 198
    More: Ironic, Costco, medical practices, medical industry, socialism  
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1470 clicks; posted to Politics » on 25 Sep 2013 at 6:34 PM (51 weeks ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2013-09-25 08:04:41 PM
I'm not saying Jesus would have been opposed to socialized medicine, but he was all about bootstraps and taking care of yourself, and if you couldn't afford it, then you didn't need it. Jesus was a big supporter of Ayn Rand, but i'm not trying to put words in his mouth. So in conclusion, Obamacare is the devil.
 
2013-09-25 08:07:13 PM

firefly212: BC/BS is going to be part of my health exchange here in CO, which means I'll be able to go back to my old neurologist! Hooray!


No. According to this guy all the doctors are going Galt. We have no more doctors.
 
2013-09-25 08:10:34 PM

NewportBarGuy: firefly212: BC/BS is going to be part of my health exchange here in CO, which means I'll be able to go back to my old neurologist! Hooray!

No. According to this guy all the doctors are going Galt. We have no more doctors.


That's an interesting theory, but having talked to my old neurologist (I do his contract proofreading), the payment rates through the new agreement will be about 10% less that what he gets through the other commercial insurers he deals with. We (both he and I) expect he'll have some new patients because of the ACA, but he's already got about a 9 month wait for new patients, so I figure many of them will probably just end up at a neurologist who has a lower wait time.
 
2013-09-25 08:12:25 PM
FTFA:  "patient opinions have not been properly heard or considered informed"

FTFH
 
2013-09-25 08:12:45 PM

Kittypie070: *swims happily around in Cletus' five gallon jar of mayo*


high def video with high def audio or it didnt happen...

/talk about a miracle whip
 
2013-09-25 08:17:31 PM

NewportBarGuy: firefly212: BC/BS is going to be part of my health exchange here in CO, which means I'll be able to go back to my old neurologist! Hooray!

No. According to this guy all the doctors are going Galt. We have no more doctors.


Just for giggles, I wish Obama would set up an exchange with Cuba, allowing their doctors to come here and work as part of the ACA effort.
 
2013-09-25 08:20:49 PM

firefly212: That's an interesting theory, but having talked to my old neurologist (I do his contract proofreading), the payment rates through the new agreement will be about 10% less that what he gets through the other commercial insurers he deals with. We (both he and I) expect he'll have some new patients because of the ACA, but he's already got about a 9 month wait for new patients, so I figure many of them will probably just end up at a neurologist who has a lower wait time.


I'm in the health care field. I know one thing, this means more people will have coverage. Wait times will increase, but they are already long. NP's are doing more work, and the entire industry is ready for new people.

We'd rather give people insulin and needles than pay for a foot amputation, or the like.

We're bending the cost curve and these idiots are all going to eat crow when they see the reduction in cost of health care as a percentage of GDP.

Will primary care docs get swamped? Yes. That means they will have to hire more people to manage their practice, grow, and they will actually earn more money even if their reimbursements are reduced because they will have more patients.

They will just have to work more hours. Or, more likely, you'll see a lot less single practice doctors and a lot more collective units of primary care doctors pooling resources into larger practices. It's going to be efficiency and consolidation that saves us money.
 
2013-09-25 08:22:50 PM
I don't know if it will be like Costco, but it appears it will cost about $20 more a month for some folks to get the same policy they could have gotten last year.
 
2013-09-25 08:23:19 PM
Oh really?
You Partisan hacks think your insurance companies go to Costco or Walmart.
Ha Ha.

What irrelevant idiots.
Insurance Industry wrote your precious, how you say "Obamacare".
These chumps are just the delivery boys.


/that there is a non racist "boy", yup
 
2013-09-25 08:25:09 PM

Infernalist: NewportBarGuy: firefly212: BC/BS is going to be part of my health exchange here in CO, which means I'll be able to go back to my old neurologist! Hooray!

No. According to this guy all the doctors are going Galt. We have no more doctors.

Just for giggles, I wish Obama would set up an exchange with Cuba, allowing their doctors to come here and work as part of the ACA effort.


Last I saw, Obama does not even set up his own beer.
You wishing what?
 
2013-09-25 08:27:11 PM

Infernalist: Just for giggles, I wish Obama would set up an exchange with Cuba, allowing their doctors to come here and work as part of the ACA effort.


They have socialized, single-payer health care in Cuba. Hate on Fidel all you want (and there are plenty of things to hate on him about), but he did make sure Cuba has a world-class healthcare system available to all of their citizens.

Too bad Cruz didn't take that lesson from his father's support of Fidel.
 
2013-09-25 08:29:23 PM

ox45tallboy: Infernalist: Just for giggles, I wish Obama would set up an exchange with Cuba, allowing their doctors to come here and work as part of the ACA effort.

They have socialized, single-payer health care in Cuba. Hate on Fidel all you want (and there are plenty of things to hate on him about), but he did make sure Cuba has a world-class healthcare system available to all of their citizens.

Too bad Cruz didn't take that lesson from his father's support of Fidel.


Oh, I know.  Cuban doctors are well-known for their top-notch skills.  Whatever else, Cuba knows how to make good doctors.  I just wanted to see GOP heads explode when they heard that Cuban doctors were bringing their sochulized medicine to Murrika.
 
2013-09-25 08:35:56 PM

snocone: Oh really?
You Partisan hacks think your insurance companies go to Costco or Walmart.
Ha Ha.

What irrelevant idiots.
Insurance Industry wrote your precious, how you say "Obamacare".
These chumps are just the delivery boys.


/that there is a non racist "boy", yup


What the hell is this.
 
2013-09-25 08:37:52 PM

notto: From the same author
[global.fncstatic.com image 156x195]

Tips to slow hair loss
http://www.foxnews.com/health/2012/07/27/tips-to-slow-hair-loss/


Dammit. Why can't I vote "funny" more than once for the same comment?
 
2013-09-25 08:43:12 PM

NewportBarGuy: BMulligan: the crusty convenience store where all the beer had dust on top of the cans and all the pages of the porno mags were stuck together.

God, I miss that place.


I actually had a particular place in mind when I wrote that. The place got bought a few years back by a guy who turned it into one of Seattle's best beer shops - 38 rotating taps, a thousand more beers in the cold cases, locally produced gourmet ice cream for the kids, and different food trucks parked outside every night.

That's single-payer.
 
2013-09-25 08:44:29 PM

snocone: Oh really?
You Partisan hacks think your insurance companies go to Costco or Walmart.
Ha Ha.

What irrelevant idiots.
Insurance Industry wrote your precious, how you say "Obamacare".
These chumps are just the delivery boys.


/that there is a non racist "boy", yup


Meth is bad kids.
 
2013-09-25 08:47:11 PM
I hope this means I can get lunch for $1.99 every time I see my doctor.
 
2013-09-25 08:47:39 PM
Aristocles: Thanks BOB!

*chug*
 
2013-09-25 08:52:05 PM
My "small town medical practice" is owned by an umbrella company that owns "small town medical practices" all over the state. The umbrella company is itself owned by a national organization. A quick spot-check of five other random "small town medical practices" finds that they're all the same. Three are owned by the same company as mine. The other two are both owned by a different company which appears to have the same structure as mine.

But, whatever. I guess I'll just pretend the next time I'm calling them that it's Ol' Doc Jessup and not some Indian guy they got on a work visa because he was willing to work cheaper to get his foot in the door than anybody who already lives around here.

Because socialism or whatever dumbfark thing Fox News is prattling on about in this particle shiatcake of an article.
 
2013-09-25 08:54:21 PM

snocone: Oh really?
You Partisan hacks think your insurance companies go to Costco or Walmart.
Ha Ha.

What irrelevant idiots.
Insurance Industry wrote your precious, how you say "Obamacare".
These chumps are just the delivery boys.


/that there is a non racist "boy", yup


Are you having a stroke? Do you need someone to call 911 for you?
 
2013-09-25 08:55:09 PM

NewportBarGuy:
Will primary care docs get swamped? Yes. That means they will have to hire more people to manage their practice, grow, and they will actually earn more money even if their reimbursements are reduced because they will have more patients.


I don't know if this is related to Obamacare, but I've noticed little clinics popping open in every drugstore and supermarket around here. Heck, there are now services that will write you a prescription over the phone.
 
2013-09-25 08:56:57 PM
So younger people go to Costco to pay more for a product they could buy elsewhere cheaper.   They want to pay more.

Wow.... young people are gullible.
 
2013-09-25 08:57:49 PM
This guy is a farkin' lying piece of shiat.  And this article is perfectly geared toward people that love to listen to farkin' lying pieces of shiat.  That is all.
 
2013-09-25 09:02:30 PM

NewportBarGuy: firefly212: That's an interesting theory, but having talked to my old neurologist (I do his contract proofreading), the payment rates through the new agreement will be about 10% less that what he gets through the other commercial insurers he deals with. We (both he and I) expect he'll have some new patients because of the ACA, but he's already got about a 9 month wait for new patients, so I figure many of them will probably just end up at a neurologist who has a lower wait time.

I'm in the health care field. I know one thing, this means more people will have coverage. Wait times will increase, but they are already long. NP's are doing more work, and the entire industry is ready for new people.

We'd rather give people insulin and needles than pay for a foot amputation, or the like.

We're bending the cost curve and these idiots are all going to eat crow when they see the reduction in cost of health care as a percentage of GDP.

Will primary care docs get swamped? Yes. That means they will have to hire more people to manage their practice, grow, and they will actually earn more money even if their reimbursements are reduced because they will have more patients.

They will just have to work more hours. Or, more likely, you'll see a lot less single practice doctors and a lot more collective units of primary care doctors pooling resources into larger practices. It's going to be efficiency and consolidation that saves us money.


We're talking about a 10% overall increase in the numbers of patients... but to be fair, many patients (like me) who havent been to the doctor or go very infrequently because of money issues (my MS drugs are prohibitively expensive under my current employer plan, they actually cost more than I make), it is a function of E&M stuff that could just as easily be done by a PA or nurse (as permitted by each state) in many cases as by the doctor him/herself. I'm also hoping to see a decrease in ER visits as people get stuff treated more proactively in an office setting, but we'll see how it all shakes out. In an ideal world, we'd also see some drop off as vectors (I'm thinking of retail/restaurant workers) have access to treatment that they did not have, hopefully limiting the transmission of many common diseases.
 
2013-09-25 09:02:39 PM

netcentric: I don't know if it will be like Costco, but it appears it will cost about $20 more a month for some folks to get the same policy they could have gotten last year.


This is the "I stubbed my toe" of trolls.

Come on, MAN!  Bring some dramatics to the game!  Even something tired like DEATH PANELS is better.
 
2013-09-25 09:05:26 PM

Infernalist: Oh, I know. Cuban doctors are well-known for their top-notch skills. Whatever else, Cuba knows how to make good doctors. I just wanted to see GOP heads explode when they heard that Cuban doctors were bringing their sochulized medicine to Murrika.


So WTF is Cruz's problem? Cuba and Canada are both well-known for awesome, world-class single-payer health care. You would think with his heritage and homeland he would love it.

I'm beginning to think the doctor dropped him on his head during delivery. This would explain both his obvious psychoses and his hatred of socialized medicine.
 
2013-09-25 09:10:03 PM
A few interesting developments as the prices on the exchanges are published and the ACA rollout is upon us. 
1. Many checking the preliminary prices are finding that the policies on the exchanges are lower than what they pay at work. Some are saying they intend to drop the at work policy to buy one on their state exchange. 2. A number of large scale employers (i.e. IBM for retirees who are not yet Medicare eligible, Walgreens, Sears Holding Group and Darden Restaurants) are moving their employees onto the Aon Hewitt Corporate Health Exchange, a private marketplace that mimic the publicly run medical exchanges. These companies will still subsidize the premiums of their employees at the same rate they do now.  
Of 180,000 Walgreen employees eligible for healthcare insurance, 120,000 opted for coverage for themselves and 40,000 also wanted coverage for family members. Another 60,000 employees, many of them part-timers, were not eligible for health insurance.  
Aon Hewitt says the new additions raise enrollment to 33,000 from 100,000 last year and estimates enrollment will jump to 600,000 next year, a fivefold increase from 2012. 
Aon's laundry list of plans are Bronze, Silver, Gold and Platinum, in keeping with the public exchanges that will begin operating next week for individuals who don't have a group policy at work. 
According to Aon Hewitt's data, 42% of participants chose a plan that is less expensive than what their employer offered, 26% chose a plan that is more expensive and 32% remained at the level they had on their corporate plan a year earlier. 
http://www.reuters.com/article/2013/09/18/us-healthcare-exchanges-pr iv ate-idUSBRE98H03120130918
http://www.usatoday.com/story/money/personalfinance/2013/09/18/walgr ee ns-workers-buy-health-plans-state-marketplaces/2830105/

According to USA Today: These private exchanges... typically offer more insurances choices than those offered by employers. 
Which begs a question: If "Obamacare" is so bloody awful, why are corporations rushing to mimic the exchanges, which are a centerpiece of the law?  
Also... Why are employees finding they have more options? Generally at lower prices? Could it be that medical exchanges are actually a pretty good idea? 
Of course, for it to continue to work employers will still need to provide the same subsidies they do now for at work policies.  
Bottom Line: Health insurance first became tethered to work during WWII as a happenstance to attract employees during a labor shortage. Decoupling insurance from work is probably a very good thing as long as employers behave responsibly. Not all will.  
And no, this isn't strictly due to Obamacare's rollout. The trend to eliminate pensions and other benefits has been underway for quite some time. Two decades back, 80% of all companies provided health insurance to retirees; today it's down to about half. In the 1980s, employers routinely offered pensions; in 2007, 1,225 employers voluntarily ended their pension plans even with assets sufficient to cover the costs. 
Employers are getting stingier. Expecting anything but a paycheck any more is a fool's errand. You no longer matter.
 
2013-09-25 09:10:46 PM

NewportBarGuy: firefly212: That's an interesting theory, but having talked to my old neurologist (I do his contract proofreading), the payment rates through the new agreement will be about 10% less that what he gets through the other commercial insurers he deals with. We (both he and I) expect he'll have some new patients because of the ACA, but he's already got about a 9 month wait for new patients, so I figure many of them will probably just end up at a neurologist who has a lower wait time.

I'm in the health care field. I know one thing, this means more people will have coverage. Wait times will increase, but they are already long. NP's are doing more work, and the entire industry is ready for new people.

We'd rather give people insulin and needles than pay for a foot amputation, or the like.

We're bending the cost curve and these idiots are all going to eat crow when they see the reduction in cost of health care as a percentage of GDP.

Will primary care docs get swamped? Yes. That means they will have to hire more people to manage their practice, grow, and they will actually earn more money even if their reimbursements are reduced because they will have more patients.

They will just have to work more hours. Or, more likely, you'll see a lot less single practice doctors and a lot more collective units of primary care doctors pooling resources into larger practices. It's going to be efficiency and consolidation that saves us money.


Side note: In the land of proofreading for doctors, I'm already seeing tons more collective practices (which are good, you can get billing people who know what they're doing and one good office manager, and stuff can go quite smoothly) and also more urgent care clinics (a great alternative to the ER for urgent stuff that isn't necessarily a big (medically speaking) deal, like sutures and stuff. Some of the business consultancies I work with actually encourage the collective practice structure, and I'm also thrilled to see that in a few states (NY and WA in particular), housecalls seem to be making a comeback.
 
2013-09-25 09:10:57 PM
Obamacare killed my Dingo.
It set fire to my aquarium.

It shifted my kitchen fixture to five dimensional light frequencies and now I have shoggoth in my dish washer.
 
2013-09-25 09:13:54 PM

Contents Under Pressure: When I lost my job earlier this year, a number of HR professionals I talked to told me that the whole Obamacare situation was going to save my ass after Cobra ran out. I looked at the rates and that they can't refuse insurance and I just don't see a huge downside to this. If you are poor, the rates are considerably reduced. In many cases, like with Kaiser Permanente, a lot of the garden variety diagnostics are free.


In other words, if you're poor, unemployed or otherwise a leech on society, it is going to work out in your benefit.
If you actually pay for your family's healthcare, you're going to see an increase in your taxes.

FnkyTwn: I'm not saying Jesus would have been opposed to socialized medicine, but he was all about bootstraps and taking care of yourself,


No, he was about taking care of your fellow man out of the goodness of your heart, not at the point of the Roman spear.

ox45tallboy: They have socialized, single-payer health care in Cuba. Hate on Fidel all you want (and there are plenty of things to hate on him about), but he did make sure Cuba has a world-class healthcare system available to all of their citizens


No they arent.  The only world-class hospitals in Cuba are the ones that the connected class get to access (this includes the one Michael Moore went to with his boatload of sick people)  The modern, sleek, clean Cuban hospitals you see are a Potempkin village.

I'll believe that Cuba is a world-class health system when drug companies relocate their HQs there and all the best and highest-paid athletes in the world are flown there to get bone, joint and muscle remedies
 
2013-09-25 09:16:48 PM

freak7: Can anybody on Team Obama admit that some people are going to get farked over by Obamacare?


Yes, people who previously could use their money to buy quicker treatment are going to have to pay more to do the same thing.
Doctors are going to get paid marginally less for many of the new patients, but they'll also have a much lower indigent write off rate.
 
2013-09-25 09:18:31 PM

Aristocles: freak7: Can anybody on Team Obama admit that some people are going to get farked over by Obamacare?

It will never happen. These people have been carrying water for BOB and the dems for years now... they're too jaded.

It's sad, really.


Who? Bob Corker? He's a Republican last I knew.
 
2013-09-25 09:19:10 PM

freak7: Can anybody on Team Obama admit that some people are going to get farked over by Obamacare?


Who?
 
2013-09-25 09:19:53 PM
I mean, I'm definitely willing to admit that insurance companies who deny pre-existing conditions are going to get farked over, if that's what you are looking for.
 
2013-09-25 09:20:44 PM

Aristocles: I'm going to get screwed


You and your fake wife?
 
2013-09-25 09:20:52 PM

cameroncrazy1984: freak7: Can anybody on Team Obama admit that some people are going to get farked over by Obamacare?

Who?


Shareholders and executives of insurance companies who have to deal with the new reality that their company now exists to insure people, instead of to collect premiums, then give them away to said shareholders and execs while denying even routine claims for their customers.
 
2013-09-25 09:22:40 PM

firefly212: cameroncrazy1984: freak7: Can anybody on Team Obama admit that some people are going to get farked over by Obamacare?

Who?

Shareholders and executives of insurance companies who have to deal with the new reality that their company now exists to insure people, instead of to collect premiums, then give them away to said shareholders and execs while denying even routine claims for their customers.


Oh, then yeah I'm willing to admit those people will get farked over.
 
2013-09-25 09:24:35 PM
Don't know about small towns but in urban areas the number of solo practitioners has been declining for years as doctors were forming partnerships.  Now the partnerships and even solo practices are being bought up by medical conglomerates, many of which also own many hospitals as well, and the doctors are employees.  While it does put some bottom-line pressure on doctors many doctors appreciate the freedom of not having to worry about having to deal with all of the paperwork involved in the proliferation of medical insurance plans.  This has long predated Obamacare.
 
2013-09-25 09:27:47 PM

skozlaw: snocone: Oh really?
You Partisan hacks think your insurance companies go to Costco or Walmart.
Ha Ha.

What irrelevant idiots.
Insurance Industry wrote your precious, how you say "Obamacare".
These chumps are just the delivery boys.


/that there is a non racist "boy", yup

Are you having a stroke? Do you need someone to call 911 for you?


Well, somebody called me moderate the other day,,,
We can't have that.
 
2013-09-25 09:27:52 PM
Obamacare is the Costco of medicine.

You mean a well-run successful American company that is well known for taking care of its employees? Why do you hate America? Oh that's right, the Right is more of a WalMart supporter. Keep the little people on the bottom, pay them shiat, and drive all of the little companies out of business. Yeah, it's WalMart that creates all of the "empty store fronts", not Costco, you dumbass.
 
2013-09-25 09:28:49 PM
Every single time there are new regs, a whole bunch of fearmongers claim it will destroy the entire industry.  It never does.

Believe it or not, the Health and Medical Business will adjust, and continue to exist.
 
2013-09-25 09:28:54 PM

jaylectricity: DamnYankees: Isn't Costco good?

I was led to believe that Costco was way better than BJ's and Sam's Club.


NOTHING is better than a BJ.
 
2013-09-25 09:29:50 PM

Mikey1969: NOTHING is better than a BJ.


Depends on who administers it.
 
2013-09-25 09:35:03 PM

NewportBarGuy: Mikey1969: NOTHING is better than a BJ.

Depends on who administers it.


Not if they cup the balls correctly... ;-) It's a BJ, not a beauty contest.
 
2013-09-25 09:40:34 PM

freak7: Can anybody on Team Obama admit that some people are going to get farked over by Obamacare?


I think you will find that the CEO's of most health insurance companies will get partially farked over. I say partially in that they instead of making seven figure salaries and bonuses may only make in the high six figures.
 
2013-09-25 09:40:59 PM

cameroncrazy1984: firefly212: cameroncrazy1984: freak7: Can anybody on Team Obama admit that some people are going to get farked over by Obamacare?

Who?

Shareholders and executives of insurance companies who have to deal with the new reality that their company now exists to insure people, instead of to collect premiums, then give them away to said shareholders and execs while denying even routine claims for their customers.

Oh, then yeah I'm willing to admit those people will get farked over.


Insurance companies are getting millions of new healthy people paying them money every year. I'm pretty sure they're thrilled about this.
 
2013-09-25 09:41:19 PM
The Kirkland brand items are as good as the name brands.

Costco is pretty awesome actually
 
2013-09-25 09:42:32 PM
October 1: Private health care ends, socialism begins

i4.ytimg.com
 
2013-09-25 09:44:44 PM

Quasar: cameroncrazy1984: firefly212: cameroncrazy1984: freak7: Can anybody on Team Obama admit that some people are going to get farked over by Obamacare?

Who?

Shareholders and executives of insurance companies who have to deal with the new reality that their company now exists to insure people, instead of to collect premiums, then give them away to said shareholders and execs while denying even routine claims for their customers.

Oh, then yeah I'm willing to admit those people will get farked over.

Insurance companies are getting millions of new healthy people paying them money every year. I'm pretty sure they're thrilled about this.


So, follow the money still ring a bell?
 
2013-09-25 09:46:33 PM

Quasar: Insurance companies are getting millions of new healthy people paying them money every year. I'm pretty sure they're thrilled about this.


Except for the billions in premium refunds they're probably going to have to give out. They've already given out a few million.
 
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