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(Huffington Post)   As millions of people now have access to affordable healthcare, they are actually using it. Which of course means Obamacare is a complete failure and the worst thing to happen to the Republic since the Nazis bombed Pearl Harbor   (huffingtonpost.com) divider line 91
    More: Obvious, Nazis, obamacare, American College of Emergency Physicians, emergency rooms, medical college, health cares, not equal, uninsured patient  
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2103 clicks; posted to Politics » on 21 May 2014 at 2:15 PM (13 weeks ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2014-05-21 10:43:45 AM
The Nazis bombed Pearl Harbor?
Let him go, he's on a roll.
 
2014-05-21 11:52:48 AM
Because before Obamacare ER visits were paid for by settin' a spell with a kindly old doctor who'd pat you on the knee and say "The bill? Well, I can't say I've much of a head for figures, so why don't we just call it square...that is, as long as you wouldn't mind cuttin' me a big ol' slice of that there rhubarb pie."
 
2014-05-21 12:03:07 PM
I still think we should have gone with the chicken-based economy.
 
2014-05-21 12:23:34 PM

Lando Lincoln: I still think we should have gone with the chicken-based economy.


Unfortunately, somebody, and I don't want to say who, farked the shiat out of them.
 
2014-05-21 01:43:29 PM

Angry Drunk Bureaucrat: Lando Lincoln: I still think we should have gone with the chicken-based economy.

Unfortunately, somebody, and I don't want to say who, farked the shiat out of them.


So you're saying these chickens are already tenderized and battered?
 
2014-05-21 01:53:04 PM
ER visits are up in Colorado because of marijuana legalization.
 
2014-05-21 02:07:12 PM

Walker: The Nazis bombed Pearl Harbor?
Let him go, he's on a roll.


Subby's an idiot.  It was the Germans who bombed Pearl Harbor.

We need more hospitals and clinics to develop non-urgent walk-in clinics so people with a cough can see a doctor during business hours for the price of a regular office visit.
 
2014-05-21 02:19:24 PM
It seems too early to determine anything by number of emergency room visits. The habits of Americans don't just change because you snap your fingers.
 
2014-05-21 02:20:12 PM
No unskewing of those poll numbers to adjust for ER docs being whining little biatches?
 
2014-05-21 02:21:10 PM

haemaker: We need more hospitals and clinics to develop non-urgent walk-in clinics so people with a cough can see a doctor during business hours for the price of a regular office visit.


That is happening virtually everywhere via Urgent Care centers

http://www.debt.org/medical/emergency-room-urgent-care-costs/
 
2014-05-21 02:27:01 PM
O NOES!!!!1! Teh poors have access to healthcare now in spite of their inherent lack of bootstrappiness!! Darn you, 0blammo!!!1!11
 
2014-05-21 02:30:15 PM

haemaker: Walker: The Nazis bombed Pearl Harbor?
Let him go, he's on a roll.

Subby's an idiot.  It was the Germans who bombed Pearl Harbor.

We need more hospitals and clinics to develop non-urgent walk-in clinics so people with a cough can see a doctor during business hours for the price of a regular office visit.


There are a TON of clinics that have opened up in the last few years here in Phoenix.

Almost every Fry's (Kroger) has a clinic in it so you can see a doc. The CVS's and Walgreens are starting to have clinics in them.

Fark, BlueCross offers a "Nurse on Call" service (for free) so you can call up a knowledgeable person, talk to them on the phone, and they can help you out. They can't write scrips or anything, but they probably can tell you if you should go to a Doctor, ER, or Urgent Care.

The insurance companies definitely should have an interest in keeping costs down, so part of their job is educating their members about these other services that are cheaper than an ER visit.
 
2014-05-21 02:33:58 PM

Cletus C.: It seems too early to determine anything by number of emergency room visits. The habits of Americans don't just change because you snap your fingers.


Even then, we have no idea about the actual number of emergency room visits, since this based on a poll of whether doctors think ER visits went up or down, not on actual records of ER visits. I do recall reading somewhere though that a lot of the poorer patients who haven't had health insurance before just went to ERs because they're not familiar with the process of making an appointment with a doctor.

Also, since this poll was asking about changes since the start of this year, it's possible that the extreme weather events we saw (heat in the west, winter storms in the east) might have contributed to some injuries or illness, thus increasing the number of emergency room visits.
 
2014-05-21 02:36:56 PM
How DARE the poor live a healthier life!
 
2014-05-21 02:38:02 PM

Cletus C.: It seems too early to determine anything by number of emergency room visits. The habits of Americans don't just change because you snap your fingers.


Pay no attention to the patient behind the curtain, NO ONE is getting more treatment because of 0bummercare! NO ONE I SAY!
 
2014-05-21 02:40:11 PM
That's alright, subby. Jack Kingston, David Purdue AND Phil Gingrey all told me that if they are elected to Congress then they'll repeal Obamacare.
 
2014-05-21 02:43:47 PM

Needlessly Complicated: O NOES!!!!1! Teh poors have access to healthcare now in spite of their inherent lack of bootstrappiness!! Darn you, 0blammo!!!1!11


I remember a photograph from a Tea Party rally.  One guy had a "SPEAK FOR YOURSELF OBAMA, WE ARE A CHRISTIAN NATION!" sign next to a guy with a "GET YOUR OWN DAMN HEALTHCARE!" sign.
 
2014-05-21 02:47:01 PM

Lando Lincoln: I still think we should have gone with the chicken-based economy.


ObamaWitchDoctor.com

Arise economy, arise.
 
2014-05-21 02:50:27 PM

theorellior: Cletus C.: It seems too early to determine anything by number of emergency room visits. The habits of Americans don't just change because you snap your fingers.

Pay no attention to the patient behind the curtain, NO ONE is getting more treatment because of 0bummercare! NO ONE I SAY!


You would think there are more people getting treatment. The issue at hand here is people still using emergency rooms as primary care, supposedly. And even if they still are, at least the bill is being paid far more frequently, instead of being a hospital write-off and driving up costs for others.

But getting more people to use there new insurance for preventative care should be an emphasis.
 
2014-05-21 02:50:34 PM

ArtosRC: How DARE the poor live a healthier life!

 
2014-05-21 02:53:25 PM

vernonFL: ER visits are up in Colorado because of marijuana legalization.


I haven't seen that particular statistic but I can see folks eating too many "edibles" and making themselves paranoid enough to visit the ER. The good news is that the are inexpensive and quick to treat. Give them a nice pharma-approved Valium and leave them in a dim room for a couple of hours. Or, if it's busy, they are low priority so that the symptoms are mostly gone by the time they are seen.

Either way, it sure beats ruining somebodies life over one of the least toxic substances known to man (like this guy)

/been reading these comments for over a decade and this my initial post
/always wanted to join in on the slashies
/slashies used to come in threes
 
2014-05-21 03:01:50 PM
So even more people without emergencies showing up at emergency rooms is how we will control costs?
 
2014-05-21 03:06:26 PM

cchris_39: So even more people without emergencies showing up at emergency rooms is how we will control costs?


Insurance is probably covering more of the costs than the poors were paying before.

Though we do need to change the culture of how they get medical care.  Can't blame them for not knowing the system, but they need to be educated.

And it will take a while for those who are already farked by not getting preventative care when they were young to leave the system.
 
2014-05-21 03:07:47 PM

haemaker: We need more hospitals and clinics to develop non-urgent walk-in clinics so people with a cough can see a doctor during business hours for the price of a regular office visit.


I have Kaiser insurance, and that's one of the great things they do.  I can be seen up until 9pm by a real doctor M-F, as long as I don't mind seeing someone who is not my primary care physician.  It has come in handy when I don't want to take time off at work, or when I get ill later in the day.

From talking to a couple of the doctors, the biggest problem they have is people who SHOULD go to the emergency room coming in to see the doctor instead, since the co-pay is less to see a doctor vs the Emergency Room.  Apparently the people know they should go to the emergency room at the hospital, but to save $75 (or whatever), they go to the medical offices to see a regular doctor and have to be transferred via ambulance to the hospital.
 
2014-05-21 03:12:53 PM

Angela Lansbury's Merkin: haemaker: We need more hospitals and clinics to develop non-urgent walk-in clinics so people with a cough can see a doctor during business hours for the price of a regular office visit.

I have Kaiser insurance, and that's one of the great things they do.  I can be seen up until 9pm by a real doctor M-F, as long as I don't mind seeing someone who is not my primary care physician.  It has come in handy when I don't want to take time off at work, or when I get ill later in the day.

From talking to a couple of the doctors, the biggest problem they have is people who SHOULD go to the emergency room coming in to see the doctor instead, since the co-pay is less to see a doctor vs the Emergency Room.  Apparently the people know they should go to the emergency room at the hospital, but to save $75 (or whatever), they go to the medical offices to see a regular doctor and have to be transferred via ambulance to the hospital.


I can only imagine how that goes down.

"Hi, I am here for my 3:00."
"Sir, what is in the jar?"
"Three of my fingers, had a little mishap with the band saw, so I figured a checkup was in order."
 
2014-05-21 03:16:40 PM

cchris_39: So even more people without emergencies showing up at emergency rooms is how we will control costs?


If you've been uninsured and your habit is to go to the ER when you have a medical problem, the act of getting insured doesn't magically teach you where to go when you have a medical problem. They'll learn that there are convenient care clinics for simple problems, family/primary care doctors for things that don't involve immediate danger to life, urgent care clinics for non-life-threatening issues that crop up after-hours, and ERs for true emergencies like chest pain.
 
2014-05-21 03:17:41 PM

cchris_39: So even more people without emergencies showing up at emergency rooms is how we will control costs?


1) who the fark wants to go to an emergency room for nothing
2) people get to go to actual doctors/clinics now instead of congesting emergency rooms
3) more people seeing health care providers more often will actually bring down costs overall as learned by every other industrialized country in the world.
 
2014-05-21 03:19:22 PM

12349876: Insurance is probably covering more of the costs than the poors were paying before.

Though we do need to change the culture of how they get medical care.  Can't blame them for not knowing the system, but they need to be educated.

And it will take a while for those who are already farked by not getting preventative care when they were young to leave the system.


Came to say this. I grew up extremely poor myself, and on the rare occasion that we saw a doctor, it was always at the ER. It took me going to college and climbing into the lower middle class to realize that seeing a doctor at his/her office first was how it was actually supposed to work, unless something was broken, bleeding or otherwise life-threatening. People aren't going to figure that out overnight--we should be getting ahead of this and sending out mailers to everyone who made less than $30,000 last year. Sure, some of them might already know. But many of them have never had regular healthcare before, and thus they have no clue how our system is supposed to work.

Give it time for people to be educated about that before we start freaking out. Plus, the volume is gonna be a lot higher at first. We have people who've never seen a non-ER doctor, and who probably have plenty of undiscovered medical conditions that need to be treated for the first time. Nobody said this process was going to be easy or painless...but it's definitely necessary. I'm still in awe of the fact that all of my impoverished extended relations suddenly have health insurance at prices that they can afford--and not shiatty bronze plans either, but decent BCBS silver ones, for about $10 a month (plus their subsidy, of course). My sister actually choked up upon receiving her enrollment package and initial invoice from Highmark BCBS. It means a lot to people at the bottom...
 
2014-05-21 03:27:16 PM

Angry Drunk Bureaucrat: Lando Lincoln: I still think we should have gone with the chicken-based economy.

Unfortunately, somebody, and I don't want to say who, farked the shiat out of them.


You can't blame anyone for wanting to ride the chicken lightning...
 
2014-05-21 03:30:08 PM
Wait, isn't the Affordable Care Act meant to REDUCE those costly ER visits?
 
2014-05-21 03:31:06 PM

Arkanaut: Cletus C.: It seems too early to determine anything by number of emergency room visits. The habits of Americans don't just change because you snap your fingers.

Even then, we have no idea about the actual number of emergency room visits, since this based on a poll of whether doctors think ER visits went up or down, not on actual records of ER visits. I do recall reading somewhere though that a lot of the poorer patients who haven't had health insurance before just went to ERs because they're not familiar with the process of making an appointment with a doctor.

Also, since this poll was asking about changes since the start of this year, it's possible that the extreme weather events we saw (heat in the west, winter storms in the east) might have contributed to some injuries or illness, thus increasing the number of emergency room visits.


ER Docs are the same people who think that a full moon causes more ER Vista and the Super bowl causes battered women(Neither does any of that)  Expectation = Perception
 
2014-05-21 03:37:02 PM

haknudsen: ER Docs are the same people who think that a full moon causes more ER Vista and the Super bowl causes battered women(Neither does any of that) Expectation = Perception


Tell me about it, I didn't upgrade from ER XP until ER 7 came out.
 
2014-05-21 03:37:07 PM

SisterMaryElephant: Wait, isn't the Affordable Care Act meant to REDUCE those costly ER visits?


No?
 
2014-05-21 03:44:35 PM

haemaker: We need more hospitals and clinics to develop non-urgent walk-in clinics so people with a cough can see a doctor during business hours for the price of a regular office visit.


We need more doctors overall here in the US. According to worldbank.org, we have 2.8 per 1,000 people. While that is on the lower part of average for 1st world countries, our overall worse health, lower life expectancy and diet requires more than that.
 
2014-05-21 03:51:50 PM
ERs will slowly become de facto mental wards
 
2014-05-21 03:53:07 PM

RoxtarRyan: haemaker: We need more hospitals and clinics to develop non-urgent walk-in clinics so people with a cough can see a doctor during business hours for the price of a regular office visit.

We need more doctors overall here in the US. According to worldbank.org, we have 2.8 per 1,000 people. While that is on the lower part of average for 1st world countries, our overall worse health, lower life expectancy and diet requires more than that.


You may be looking at your problem (doctor shortages) from within the paradigm of the US health care system.  You have less doctors because of the private insurance model which weights profits more towards what can be charged to insurance instead of how many patients are cared for.

When you adopt a universal health care system, profits become driven by how many people you can care for and therefore the demand and the incentive for more people to become doctors increases more directly as opposed to doctors just improving their ability to extract money from insurance companies.
 
2014-05-21 03:54:43 PM

karnal: ERs will slowly become de facto mental wards


Just a suggestion, but try not just posting just any dumb shiat that occurs to you.
 
2014-05-21 03:56:32 PM
It was CommieNazis... and Muslims.  Sheesh.
 
2014-05-21 03:59:22 PM
I seem to recall that, ahem, certain people in Congress were touting that one of the big selling points of Obamacare was that it would reduce costs because people wouldn't be using ERs as their default care delivery system. Of course, Romneycare proved that was a lie even before this latest evidence, but never let facts get in the way of a good story when you're trying to put a high-gloss shine on a turd.
 
2014-05-21 04:02:27 PM

qorkfiend: No?


Actually, yes, that was a selling point. Reducing the number of people using the ER as a doctor's office or waiting until a problem became an emergency to address it.

It should hardly be surprising, however, that this early in the game people's habits still haven't changed. There needs to be education to help these people select primary care physicians, schedule appointments and follow up.
 
2014-05-21 04:04:41 PM
More ER visits means success? Umm there is more ER visits for high grade pot use and that is consider a failure. Are we twisting things to favor the ACA? I think so.
 
2014-05-21 04:06:24 PM
i301.photobucket.com
 
2014-05-21 04:06:34 PM

jjorsett: I seem to recall that, ahem, certain people in Congress were touting that one of the big selling points of Obamacare was that it would reduce costs because people without insurance wouldn't be using ERs as their default care delivery system. Of course, Romneycare proved that was a lie even before this latest evidence, but never let facts get in the way of a good story when you're trying to put a high-gloss shine on a turd.


Please provide a citation indicating that uninsured visits to the ER have gone up since 2006?
 
2014-05-21 04:06:59 PM

mrshowrules: karnal: ERs will slowly become de facto mental wards

Just a suggestion, but try not just posting just any dumb shiat that occurs to you.


Same suggestion goes for you.

ERs
 
2014-05-21 04:09:50 PM

cchris_39: So even more people without emergencies showing up at emergency rooms is how we will control costs?


Except for how you don't know what you're talking about, and are in fact lying, you're absolutely right.
 
2014-05-21 04:10:15 PM
According to the Association of American Medical Colleges, there will be nearly 300,000 too few primary care physicians in the United States to meet patient demand next year, and that gap will widen in the future as more people gain coverage and the population ages.

Every Republicans worst nightmare: Growth of high-paying jobs in America, because of ObamaCare.  Dun dun duuuuuuunnnnnnnnn!!!
 
2014-05-21 04:11:20 PM

Cletus C.: It seems too early to determine anything by number of emergency room visits. The habits of Americans don't just change because you snap your fingers.


But would they changed because millions of more people got health coverage? - That's a little more than "snapping fingers".
 
2014-05-21 04:11:34 PM

mrshowrules: jjorsett: I seem to recall that, ahem, certain people in Congress were touting that one of the big selling points of Obamacare was that it would reduce costs because people without insurance wouldn't be using ERs as their default care delivery system. Of course, Romneycare proved that was a lie even before this latest evidence, but never let facts get in the way of a good story when you're trying to put a high-gloss shine on a turd.

Please provide a citation indicating that uninsured visits to the ER have gone up since 2006?


Liars don't need facts. Whatever their gut tells them is real.
 
2014-05-21 04:13:04 PM

Cletus C.: But getting more people to use there new insurance for preventative care should be an emphasis.


Which it is. That's why ACA reduces costs for preventive care and makes a lot of it free - LIKE CONTRACEPTION!

Seems like you are starting to actually find out what is in the actual law after years of derp.
 
2014-05-21 04:14:37 PM
So last week the Republicans said "Obamacare is a failure - No one signed up!!"

is this week the week for  "Obamacare is a failure - Too many people signed up!!"

It's the GOP you can believe both things that are contradictory as long as it attacks Obama!!
 
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