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(Buzzfeed)   Doctor in Kentucky needs to close his small medical practice due to the crushing requirements imposed by the brutal dictatorship known as Obamacare. That crushing requirement: Using computers   (buzzfeed.com) divider line 33
    More: Asinine, obamacare, Kentucky, electronic records, electronic health records, incentive programs, Reinvestment Act, medical practices, Centers for Medicare  
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2817 clicks; posted to Politics » on 10 Dec 2013 at 4:06 PM (46 weeks ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



Voting Results (Funniest)
View Voting Results: Smartest and Funniest

2013-12-10 04:12:19 PM  
15 votes:
Kiteck said he is approaching retirement age, and that he and his office livery stable are "computer automobile illiterate," adding that he would need special training to add electronic records horseless carriages. He said it would be a financial burden and take "thousands of man hours or woman hours to get the records on the computer figure out where to hit the cars with the buggy-whip."
2013-12-10 04:12:42 PM  
11 votes:
I had to shut down my chirurgical practice because of Obamacare, too. They won't let me offer paregoric to my youngest patients and the law demands that I abandon humorism and phrenology. Thanks, Obama.
2013-12-10 04:14:25 PM  
4 votes:
Reminds me of the doctor I had in Vegas that only let me pay him in bottle caps.  Weird guy.
2013-12-10 04:13:19 PM  
4 votes:

Serious Black: Kiteck said he is approaching retirement age, and that he and his office are "computer illiterate," adding that he would need special training to add electronic records. He said it would be a financial burden and take "thousands of man hours or woman hours to get the records on the computer."

How the hell is every single person in his office computer illiterate in 2013? Do they use abacuses to calculate people's bills?




erroraccessdenied.com
2013-12-10 05:15:39 PM  
2 votes:

mrshowrules: From wiki: "Doctors who fail to use EMRs by 2015, Medicare reimbursements will be reduced by 1%. The deduction rate increases in subsequent years by 2% in 2016, 3% in 2017, 4% in 2018 "

In other words, he has no reason to close now and very little reason to close later.  Article already indicates that he was close to retirement.  So Obama is now responsible for doctors retiring.


Obama said I could keep my doctor. Now my doctor wants to be a dancer and I need a new doctor now. Thanks Obama.
2013-12-10 04:18:49 PM  
2 votes:

machoprogrammer: There is a reason they are forcing small doctors offices to either close or to retire...

In 2009, the HITECH act was passed as part of the stimulus. Part of that is using an electronic medical record (EMR) in a "meaningful way", called "Meaningful Use". If the physician/hospital chooses not to partake, they do not get extra free money from taxpayers right now... In a few years, those tax payer dollar incentives turn into no medicare reimbursement penalties.

The problem is that EMRs are very, very expensive and the cheaper, smaller ones do not handle Meaningful Use very well. The nice ones are for bigger healthcare organizations and are tens of millions of dollars to just install (not counting support from the vendor, which is also in the millions).

The reason? Well let's just say EMR vendor CEOs know who to donate money to

It was NOT the ACA, but the HITECH Act that is causing it.


EpicFail

/pun intended
2013-12-10 04:08:04 PM  
2 votes:
I guess that woman was right when she said some doctors would take payments in live chickens.
2013-12-11 09:59:40 AM  
1 votes:

www.hollywoodrepublican.net

 if your doctor likes his antiquated and borderline dangerous means of keeping your medical records, he can keep it.

2013-12-10 11:22:17 PM  
1 votes:
www.quickmeme.com
2013-12-10 09:26:37 PM  
1 votes:

InmanRoshi: ox45tallboy: If this guy resisted learning about computers, which have been pretty ubiquitous business practice for the past 20 years, imagine what other technological advancements he has resisted learning about regarding the practice of medicine.


This.

One can romanticize the archetype of  the folksy rural doctor, but there's probably a reason why many of them plant themselves to a captive pool of patients who don't have many accessible alternatives (and far, far away from the nearest malpractice lawyer).


Actually, I'm willing to believe he's trolling and he actually has a high-speed fiber to his room in the back he uses to check WebMD.
2013-12-10 07:52:11 PM  
1 votes:

mrlewish: So how did this doctor stay informed with the latest medical literature?  Does the research people still do paper?


Listen if radioactive bath salts were a good enough treatment in 1909, they're a good enough treatment today.
2013-12-10 05:53:47 PM  
1 votes:

Jim_Callahan: Girl Sailor: natazha: I was speaking to a doctor last Sunday, who said the ACA was going to destroy her practice for exactly that reason. She doesn't use computers and her overhead is almost 70% of her gross. She's going to go to a cash practice, but that won't last very long. If most people have insurance, who's going to pay cash?

What kind of doctor was that?

Probably most of them?  Overhead = every expense but salary and materials, and the vast majority of private practices have no material costs whatsoever (insurance buys the customers' drugs and so on).  A lot of doctors count employee salary in the overhead, too, meaning that 70% is probably basically all of her expenses and her profit margin is on the order of 50%, which is farking excellent.

Even if she's using the term properly, the usual ratio of benefits (insurance and retirement) to salary for nurses and other medical workers is something on the order of 3:1, so an overhead that's 70% of the gross probably still leaves a healthy profit margin.


Sorry, came off as more snarky than I meant to.

Stupid internet making ME look like a psychopath and I never even touched that guy and I don't know how the gloves ended up there and...
2013-12-10 05:36:13 PM  
1 votes:

Southern100: [www.themoviescene.co.uk image 400x185]

Nurse Packer approves.

[image1.frequency.com image 354x200]

As does Mr. Tidwell.


i.imgur.com

Nurse Packer approves.

//sneaky Moviescene.
2013-12-10 05:27:08 PM  
1 votes:

NeverDrunk23: mrshowrules: From wiki: "Doctors who fail to use EMRs by 2015, Medicare reimbursements will be reduced by 1%. The deduction rate increases in subsequent years by 2% in 2016, 3% in 2017, 4% in 2018 "

In other words, he has no reason to close now and very little reason to close later.  Article already indicates that he was close to retirement.  So Obama is now responsible for doctors retiring.

Obama said I could keep my doctor. Now my doctor wants to be a dancer and I need a new doctor now. Thanks Obama.


Can I keep my barber?
2013-12-10 05:12:44 PM  
1 votes:

Doc Lee: Interesting opinions on the doc...   http://www.topix.com/forum/city/somerset-ky/TBFFTRU5EKATF3NA5


Translation:  "I ain't a gettin' one of those newfangled commie-puters!  They might be watchin' me while I'm-a doin' a exam!"
2013-12-10 05:03:39 PM  
1 votes:
What the doc may look like:

www.mannbeisstfilm.de

/obscure?
2013-12-10 04:53:50 PM  
1 votes:

QueenMamaBee: Serious Black: urbangirl: Serious Black:

How the hell is every single person in his office computer illiterate in 2013?


Somerset, KY

Yes, yes, it's a small backwoods town, but still, nobody in their office is even remotely computer literate? And there HAVE to be technically literate people in the area given that there are huge centers for SAIC and Blackboard nearby.

The whole town is 11 square miles, set in the middle of Pulaski County. I dare say that the SAIC and Blackboard people were imported or else the few technically literate people already have jobs and the rest of the town would remind me of my grandmother trying to figure out how to "download the emails."


Working at an institution that used Somerset to host Blackbaord, I would have to say from experience that I don't think the people working in the center are conventionally literate, much less computer literate.

/"we're taking the site down for the day to do an upgrade" was inevitably followed by "The site will be down indefinitely because we may have set something on fire - twice".
//Also, no one available from noon Friday to noon Monday - not even a emergency number to call.  Everything craters on the Friday before grades are due?  You just have to sit there with your thumb up your ass.
///An Amazonian rainforest dweller with advanced Parkinson's and a lobotomy running Blackboard off a Tandy and a tape deck would have been more competent
2013-12-10 04:40:06 PM  
1 votes:

A Dark Evil Omen: I had to shut down my chirurgical practice because of Obamacare, too. They won't let me offer paregoric to my youngest patients and the law demands that I abandon humorism and phrenology. Thanks, Obama.


Of course you'd say that, you've got the brain pan of a stage coach tilter!
2013-12-10 04:34:44 PM  
1 votes:

Doc Lee: Interesting opinions on the doc...   http://www.topix.com/forum/city/somerset-ky/TBFFTRU5EKATF3NA5


he tried to milk a cat!
2013-12-10 04:27:18 PM  
1 votes:

machoprogrammer: There is a reason they are forcing small doctors offices to either close or to retire...

In 2009, the HITECH act was passed as part of the stimulus. Part of that is using an electronic medical record (EMR) in a "meaningful way", called "Meaningful Use". If the physician/hospital chooses not to partake, they do not get extra free money from taxpayers right now... In a few years, those tax payer dollar incentives turn into no medicare reimbursement penalties.

The problem is that EMRs are very, very expensive and the cheaper, smaller ones do not handle Meaningful Use very well. The nice ones are for bigger healthcare organizations and are tens of millions of dollars to just install (not counting support from the vendor, which is also in the millions).

The reason? Well let's just say EMR vendor CEOs know who to donate money to

It was NOT the ACA, but the HITECH Act that is causing it.


Bolded the part that I'm replying to.

I work for a cheaper, smaller EMR company, and we're one of the leaders in our state (ny) / region (northeast) when it comes to meaningful use.

We cater to small practices. we do not deal with hospitals. I've been here for 10 years, and in that time, we've grown from 100 employees to nearly 300, mostly due to the ARRA and Meaningful Use.

The other thing that I want to clarify for the threadshiatters that will be here shortly because the title of the thread has "Obamacare" in it, the ARRA and the ACA (0bummercare) have nothing to do with each other.

/making money right now to be on fark, thanks a lot, Obama!
2013-12-10 04:26:07 PM  
1 votes:
If his office has no computers, how does he accept insurance? Do insurance companies allow everything to be done via snail mail?

/double-plus fun that the requirement had nothing to do with the ACA
2013-12-10 04:23:59 PM  
1 votes:

Angry Drunk Bureaucrat: Serious Black: natazha: I was speaking to a doctor last Sunday, who said the ACA was going to destroy her practice for exactly that reason. She doesn't use computers and her overhead is almost 70% of her gross. She's going to go to a cash practice, but that won't last very long. If most people have insurance, who's going to pay cash?

Jesus titty-farking Christ. That's a ton of money.

That was nearly my response too. Although, I said "Christ on a Bicycle" instead.


I like JTFC personally. There's no way Jesus wasn't a horny dude, and I think there's just something poetic about him blessing Mary Magdalene with a pearl necklace.
2013-12-10 04:22:43 PM  
1 votes:
Do they even have electricity in Kentucky?

/it's a JOKE
//and just barely, at that
2013-12-10 04:20:13 PM  
1 votes:

In other news, ancient, obstinate coot, forced to put up or shut up, shuts up.

2013-12-10 04:20:05 PM  
1 votes:

Serious Black: Kiteck said he is approaching retirement age, and that he and his office are "computer illiterate," adding that he would need special training to add electronic records. He said it would be a financial burden and take "thousands of man hours or woman hours to get the records on the computer."

How the hell is every single person in his office computer illiterate in 2013? Do they use abacuses to calculate people's bills?


Cool Story time. I work for a Medical Practice as the IT Manager, and we're a very computer savvy and literate bunch, from top to bottom, and use technology in every facet of our practice. We just bought a practice that has no computers period, and for the last thirty years has done everything with paper and pen. The transition for their staff to our way of doing things has been very, very difficult. They had prided themselves on being grognards and staying away from technology, but that strategy seems to have backfired since their boss, i.e. the managing partner of their practice, decided to sell to us so that when he retires in a year or so his patients have someone good to care for them. I expect that it's going to be a very, very painful transition for his staff. He of course, gets a pass as he is a physician and will be retiriing. His staff, not so much, and they are none too happy with the situation.
2013-12-10 04:19:48 PM  
1 votes:
if this guy has a facebook page ima laugh.
2013-12-10 04:16:11 PM  
1 votes:
There is a reason they are forcing small doctors offices to either close or to retire...

In 2009, the HITECH act was passed as part of the stimulus. Part of that is using an electronic medical record (EMR) in a "meaningful way", called "Meaningful Use". If the physician/hospital chooses not to partake, they do not get extra free money from taxpayers right now... In a few years, those tax payer dollar incentives turn into no medicare reimbursement penalties.

The problem is that EMRs are very, very expensive and the cheaper, smaller ones do not handle Meaningful Use very well. The nice ones are for bigger healthcare organizations and are tens of millions of dollars to just install (not counting support from the vendor, which is also in the millions).

The reason? Well let's just say EMR vendor CEOs know who to donate money to

It was NOT the ACA, but the HITECH Act that is causing it.
2013-12-10 04:10:49 PM  
1 votes:
I was speaking to a doctor last Sunday, who said the ACA was going to destroy her practice for exactly that reason. She doesn't use computers and her overhead is almost 70% of her gross. She's going to go to a cash practice, but that won't last very long. If most people have insurance, who's going to pay cash?
2013-12-10 04:10:34 PM  
1 votes:
Serious Black:

How the hell is every single person in his office computer illiterate in 2013?


Somerset, KY
2013-12-10 04:08:47 PM  
1 votes:
Kiteck said he is approaching retirement age, and that he and his office are "computer illiterate," adding that he would need special training to add electronic records. He said it would be a financial burden and take "thousands of man hours or woman hours to get the records on the computer."

How the hell is every single person in his office computer illiterate in 2013? Do they use abacuses to calculate people's bills?
2013-12-10 04:08:45 PM  
1 votes:
*shakes tiny fist of impotent rage*
2013-12-10 04:08:26 PM  
1 votes:
could have saved the ad cost and sent an email instead... oh, right.
2013-12-10 04:08:05 PM  
1 votes:
I wonder if he was still taking chickens as payment...
 
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