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In Massachusetts, Universal Coverage Strains Care
New York Times ^ | April 5, 2008 | KEVIN SACK

Posted on 04/05/2008 7:32:48 AM PDT by socialismisinsidious

Once they discover that she is Dr. Kate, the supplicants line up to approach at dinner parties and ballet recitals. Surely, they suggest to Dr. Katherine J. Atkinson, a family physician here, she might find a way to move them up her lengthy waiting list for new patients.

Those fortunate enough to make it soon learn they face another long wait: Dr. Atkinson’s next opening for a physical is not until early May — of 2009.



Now in Massachusetts, in an unintended consequence of universal coverage, the imbalance is being exacerbated by the state’s new law requiring residents to have health insurance.



“It’s a recipe for disaster,” Dr. Sereno said. “It’s great that people have access to health care, but now we’ve got to find a way to give them access to preventive services. The point of this legislation was not to get people episodic care.”



Here in Massachusetts, legislative leaders have proposed bills to forgive medical school debt for those willing to practice primary care in underserved areas; a similar law, worth $15.6 million, passed in New York this week. Massachusetts also recently authorized the opening of clinics in drug stores, hoping to relieve the pressure.



Dr. Atkinson, 45, said she paid herself a salary of $110,000 last year. Her insurance reimbursements often do not cover her costs, she said.

“I calculated that every time I have a Medicare patient it’s like handing them a $20 bill when they leave,” she said. “I never went into medicine to get rich, but I never expected to feel as disrespected as I feel. Where is the incentive for a practice like ours?”

(Excerpt) Read more at nytimes.com ...


TOPICS: Business/Economy; Government; News/Current Events; US: Massachusetts
KEYWORDS: bluestates; control; government; healthcare; hillarycare; meddling; romneylegacy; socialism; socializedmedicine; universal; universalhealthcare
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To: socialismisinsidious

Medicare=Government Provided Healthcare.

Note that the provider feels “disrespected” by Medicare, not just under paid.

There are lots of sensible reforms that could be made to out insurance and healthcare systems, but expansion of government systems really should not be one of them. Government systems leave everyone feeling disrespected, to say the least.


21 posted on 04/05/2008 8:29:36 AM PDT by Wiseghy ("You want to break this army? Then break your word to it.")
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To: Frobenius
People that live in that Socialist hell-hole need to vote... ...with their feet.

They may be... I saw an article the other day that said north Texas is the fastest growing region in the country. They have to be coming from somewhere.

22 posted on 04/05/2008 8:31:51 AM PDT by r-q-tek86 (If you're not taking flak, you're not over the target.)
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To: Frobenius

I saw this coming thanks to FReepers in Tenn and their experience with Hillary Care, I fled and got, see my tag line.


23 posted on 04/05/2008 8:38:19 AM PDT by Little Bill (Welcome to the Newly Socialist State of New Hampshire)
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To: Greg F
Maybe, the problem lies not so much with the law that was passed ... but rather the interpretation and implementation of it by those individuals chosen to the administer it. Don't get me wrong, most laws do have their flaws and blemishes, however how they are administered is where "the rubber mets the road."

I'm not from Massachusetts but I remember when this legislation was proposed by Governor Romney, he presented 'his' plan and then the Legislature made their changes and passed 'their' plan. The differences being slight or great I'm not sure, although Gov. Romney vetoed portions of the legislation (Line Item Veto). Then the Legislature over-rode his vetos.

The people put in place to administer a statute have far reaching effects, especially when they are appointed but also if they are elected to be sure. In this case the Board appears to be appointed by the Governor. I'm guessing these members were not the ones appointed by Romney when he was in office.

Does the Dem State Legislature have to fix it, yes ... do they want to change anything other than the deficit it created, unknown.
24 posted on 04/05/2008 8:45:03 AM PDT by K-oneTexas (I'm not a judge and there ain't enough of me to be a jury. (Zell Miller, A National Party No More))
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To: socialismisinsidious; weegee; Coleus; wagglebee; blam; SunkenCiv; neverdem; Clemenza

Hey folks—isn’t ANYONE going to mention how strange it is that the avatars of socialized medicine (The New York Times) published an article pointing out problems with the system?? Has hell frozen over??


25 posted on 04/05/2008 8:57:39 AM PDT by Pharmboy (Democrats lie because they must.)
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To: Greg F

And many people here on FR as well as on other websites are presently pushing for Mitt Romney to become McCain’s final VP choice! Here’s truly one reason to not have Mitt as McCain’s VP choice (Although it probably doesn’t really matter who McCain does pick for his final VP choice, IMHO. Too many people in general don’t like McCain for many legitimate reasons, and McCain will continue to be disliked no matter who he chooses for VP.)


26 posted on 04/05/2008 9:03:57 AM PDT by johnthebaptistmoore (Vote for conservatives AT ALL POLITICAL LEVELS! Encourage all others to do the same on November 4!)
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To: K-oneTexas
Maybe, the problem lies not so much with the law that was passed ... but rather the interpretation and implementation of it by those individuals chosen to the administer it.

I don't see how the administrator of the program can have any effect on the fact that there's a shortage of medical providers.

Your statement sounds like that old tired argument for communism...you just need the right people to make it work.

News flash - a bad idea is a bad idea...no matter who is in charge of it. Communism, universal healthcare, etc.

27 posted on 04/05/2008 9:06:31 AM PDT by vrwc1
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To: socialismisinsidious

During a stay at a recent top hospital in Boston, I harrumphed about Universal Health Care in front of a young intern. He chimed in that he was all for it. They seem to think it will bail out the hospitals that are struggling to treat all the non-insured. Apparently no one teaches basic economics in med school.


28 posted on 04/05/2008 9:14:04 AM PDT by Melinda
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To: socialismisinsidious
18 to 35 year old men tend to avoid seeing doctors. As such, many of them don't bother getting health insurance.

It looks like Massachusetts had planned for them to pay for health care but continue to avoid seeing doctors.

Why is anyone surprised that if you force someone to pay for a service, they might actually want to use it?

29 posted on 04/05/2008 9:15:31 AM PDT by Drew68
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To: FreedomPoster
Good morning.
“It just makes no sense to me whatsoever.’

Look at the black community which has been severely damaged by DemocRAT policies yet continues to vote overwhelmingly for RATs. It's mind boggling.

Michael Frazier

30 posted on 04/05/2008 9:50:32 AM PDT by brazzaville (No surrender, no retreat. Well, maybe retreat's ok)
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To: socialismisinsidious

Is Kevin Johnny’s brother?


31 posted on 04/05/2008 9:59:23 AM PDT by MIchaelTArchangel
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To: socialismisinsidious

From the anti-yuppie blog, ‘Stuff White People Like’

#94 Free Healthcare

In spite of having access to the best health insurance and fanciest hospitals, white people are passionate about the idea of socialized medicine. So much so that they have memorized statistics and examples of how for-profit medicine has destroyed the United States.

But before you can exploit this information for personal gain, it’s important that you understand why white people are so in love with free health care.

The first and most obvious reason is “they have it Europe.” White people love all things European, this especially true of things that are unavailable in the United States (Rare Beers, Absinthe, legal marijuana, prostitution, soccer). The fact that it’s available in Canada isn’t really that impressive, but it does contribute to their willingness to threaten to move there.

These desires were only heightened in 2007 when Michael Moore released “Sicko,” a documentary that contrasts the health care industry in the United States with that of Canada, France and Cuba. As a general rule of thumb, white people are always extra passionate about issues that have been the subject of a Moore documentary. As a test, ask them about 9/11, Gun Control, or Health Care and then say “where did you get that information?” You will not be surprised at the results.

But the secret reason why all white people love socialized medicine is that they all love the idea of receiving health care without having a full-time job. This would allow them to work as a freelance designer/consultant/copywriter/photographer/blogger, open their own bookstore, stay at home with their kids, or be a part of an Internet start-up without having to worry about a benefits package. Though many of them would never follow this path, they appreciate having the option.

If you need to impress a white person, merely mention how you got hurt on a recent trip Canada/England/Sweden and though you were a foreigner you received excellent and free health care. They will be very impressed and likely tell you about how powerful drug and health care lobbies are destroying everything.

Though their passion for national health care runs deep, it is important to remember that white people are most in favor of it when they are healthy. They love the idea of everyone have equal access to the resources that will keep them alive, that is until they have to wait in line for an MRI.

This is very similar to the way that white people express their support for public schools when they don’t have children.


32 posted on 04/05/2008 10:19:34 AM PDT by Leisler
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To: vrwc1
You totally misinterpret or misunderstood what I was saying.

I have spent 27 in State government (Texas Comptrollers Office) before retiring. The Legislature's give much authority to the State Agencies and Commissions they create to interpret and implement the statutes they pass. The court reviews when law suits are brought (but doesn't always over rule the State Agency). Then again the Legislature doesn't revisit what they've done all the time and straighten out State Agencies decisions, unless a big donor or sufficient constituents claims they were harmed. Many of these Agencies wield great power with little or no Legislative oversight, ongoing Legislative oversight.

You might be right that there is a shortage of providers but here in Austin I really don't see that. The Yellow Pages has dozens of pages of MD's of all stripe and kind. Many are GP's and PCP's in administered health care programs (insurance companies and State mandated) or clinics. Some sections of the country may have shortages, I would not contest that ... and law suits have caused doctors to leave the medical field. How many were GP's I do not know rather than specialists or surgeons.

Many people just don't get health insurance, for a variety of reasons. [See Five Myths of Health Care (Number (1) specifically)]. Or they go into a hospital, clinic or emergency rooms and get the government to pay for it under care for the poor and indigent. City, County and State budgets have funds for this specific purpose.

The right people would be nice to have ... but this isn't a perfect world. My point is the State have a bureaucracy to manage health care and invariably appointing those who believe in social programs, for health care, running it. Never a conservative or libertarian ... that is a problem in government at every level in this country. The State's also have and a variety of other areas in which Agencies oversee the day-to-day working of them for the State. Politicians (the bulk of them, not all of them) believe they are elected to control and to keep the job for life getting rich and well-known in the process.

A better system is to have the patient and the doctor in charge, with government and lawyers out. Insurance companies must be involved, since not everyone is independently wealth and can afford to pay cash. The insurance companies must surely weigh the risks if they are to provide coverage but should not be the final arbiter (medical professionals here) on what coverage is included or excluded, especially life saving surgeries or treatments.

But we do have a problem in general because many of the lawyers involved are government lawyers ... a double whammy. Couple them with tort lawyers and they have negotiated not only your health care but your future.
33 posted on 04/05/2008 10:20:44 AM PDT by K-oneTexas (I'm not a judge and there ain't enough of me to be a jury. (Zell Miller, A National Party No More))
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To: socialismisinsidious

“but I never expected to feel as disrespected as I feel.”

I have a tough time feeling sympathy for a doctor who makes over $ 100,000 and still speaks in ebonics.


34 posted on 04/05/2008 10:24:58 AM PDT by shaft29 (Just your typical white woman.)
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To: Ol' Sparky
"And, which Massachusetts governor signed universal care into law? The same one certain conservatives were hailing as the conservative savior during the primaries"


The text translates: "Health, child protection, fighting poverty, aiding travellers, community, helping mothers: These are the tasks of the National Socialist People's Charity. Become a member!"

There is a lot of socialistic sentiments in Mormonism, so it isn't surprising that a leading Mormon would desire many of the same social outcomes.

35 posted on 04/05/2008 10:26:00 AM PDT by Leisler
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To: Melinda
Apparently no one teaches basic economics in med school

Yeah, they teach other stuff...

36 posted on 04/05/2008 10:30:48 AM PDT by Jim Noble (I've got a home in Glory Land that outshines the sun)
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To: socialismisinsidious
The scary part: the med students attending this debate were still for "one payer coverage" after hearing this!

Of course - - that's the way socialist liberal Democrats think; only those OTHER medical students will be told what their practice will be and where they shall be stationed. Remember, Democrats walk into their polling places on election day and vote for big government confiscation of more tax money - - from their neighbors.

It is difficult to imagine anything more rude and selfish than being a Democrat.

37 posted on 04/05/2008 10:38:01 AM PDT by Lancey Howard
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To: K-oneTexas
I don't think I misunderstood at all what you were saying...I think you misunderstood the main point of the article. Look at the first four sentences:

Once they discover that she is Dr. Kate, the supplicants line up to approach at dinner parties and ballet recitals. Surely, they suggest to Dr. Katherine J. Atkinson, a family physician here, she might find a way to move them up her lengthy waiting list for new patients.

Those fortunate enough to make it soon learn they face another long wait: Dr. Atkinson’s next opening for a physical is not until early May — of 2009.

Now in Massachusetts, in an unintended consequence of universal coverage, the imbalance is being exacerbated by the state’s new law requiring residents to have health insurance.

Clearly the problem is NOT that the right person isn't administering the plan, the problem is that there are too many people requesting healthcare services and not enough healthcare providers to provide those services. We're talking about Massachusetts, not Texas, so your Austin Yellow Pages statistics don't have any bearing on the situation.

Many people just don't get health insurance, for a variety of reasons.

We're talking about Massachusetts...remember? It is mandated that every resident have health insurance - they can't choose not to get it, so I really don't see what point you're trying to make. Your statement isn't relevant to the topic under discussion.

My point is the State have a bureaucracy to manage health care and invariably appointing those who believe in social programs, for health care, running it. Never a conservative or libertarian ... that is a problem in government at every level in this country.

To my original point, IT DOESN'T MATTER WHO'S IN CHARGE IN MASSACHUSETTS! If there aren't enough healthcare providers, there will be a healthcare shortage - period!

A better system is to have the patient and the doctor in charge, with government and lawyers out.

A better system? Once again, we're discussing the law in Massachusetts. Why are you talking about "a better system"? That is not relevant to the discussion.

I'll say it again, given Massachusetts healthcare laws, it doesn't matter who's in charge. It's a bad idea, and anyone with half a brain could have foreseen the shortage they are now experiencing, since it seems to happen everywhere universal coverage is tried.

38 posted on 04/05/2008 10:54:43 AM PDT by vrwc1
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To: Pharmboy
I did wonder about that. The point of the article isn't that government, top down medical management doesn't work but rather that there is a shortage of Primary Care Docs in MA (and those evil specialist get paid way too much). Maybe they are laying the ground work for (just as the lib at the debate said) top down government which not only controls medicine but ALSO what type of doctors are needed and in what regions? “You will go into Family Practice!”

To keep this horrible shortage from happening country wide they can justify forcing the new med school grad to enter a primary care residency rather than surgery or orthopedics. (hey it's for your own good!)
39 posted on 04/05/2008 11:26:25 AM PDT by socialismisinsidious ( The socialist income tax system turns US citizens into beggars or quitters!)
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To: Melinda
And apparently common sense isn't required to get into Medical School either.
40 posted on 04/05/2008 11:28:14 AM PDT by socialismisinsidious ( The socialist income tax system turns US citizens into beggars or quitters!)
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