Skip to comments.America under ObamaCare, Day 253: physicians set to retire
Posted on 12/01/2010 8:07:36 PM PST by Nachum
Modern Medicine reports:
Healthcare reform will usher in a new era of medicine in which physicians will largely cease to operate as full-time, independent, private practitioners accepting third party payments. Instead, they will work as employees, as part-timers, as administrators, in cash-only "concierge" practices, or they will walk away from medicine altogether.
These are some of the findings of a new report commissioned by The Physicians Foundation entitled "Health Reform and the Decline of Physician Private Practice". The report outlines provisions in the Patient Protection and Affordable Care Act and examines economic, demographic and other forces impacting the way doctors structure their practices and deliver care.
The report offers a road map for where medical practice is headed in the post-reform era, says Lou Goodman, PhD, president of The Physicians Foundation and chief executive officer of the Texas Medical Association.
"The private practice physician is rapidly disappearing," Goodman notes. "Both market forces and the health care reform law are forcing physicians to find new ways of running a practice. We are extremely concerned about how this will affect patient care."
(Excerpt) Read more at lauraingraham.com ...
The list, ping
Let me know if you would like to be on or off the ping list
our own Internist (pcp) whom we have had for over 17 years, said the same thing in August... dems know this and they don’t care..they will not have to come under obamanation care.
one of his associates predicts that in 5 yrs their very busy and successful practice will close...
people don't understand whats coming...we got use to have health care at our pick of the time and the place and the who......its going to end...
Our GP sent notices in March of this year that she was retiring as of April 1 due to the obamacare law.
It makes you heart sick, doesn’t it? I know it does us. Thank you for responding. Our Internist has said he is going to retire next year. :(
In such little, personal ways as this, obmanation has very much diminished the security of my life and I can hardly wait to see him out.
The doctors of America should take a cue from the SEIU and form one massive union and immediately go on strike until Obama’s commiecare is buried so deep in the earth that even Satan himself cannot find it.
Count me in, or out, as the case may be, when the time comes.
In my specialty, psychiatry, the patients roughly fall into two categories:
1. Those who are not too sick, and thus can work and therefore have insurance, or who at least have working families (who privately insure them) that they haven’t entirely alienated and burned out yet. This is the bulk of my current private practice, but they are a group whose insurance coverage, which generally pays decently, is designed to be phased out under Obamacare.
2. Those who are very sick, and who have, at best, government health care. Government funding for their care - Medicaid and Disability (non-retirement) Medicare is constantly being cut, and although medication management remains the sine qua non of their stability in society, the payment to MDs such as myself is a very small segment of the pie at public mental health clinics and hospitals, and a financially loosing proposition in a private practice such as I have now. Time allowed per patient is increasingly, ridiculously short in public settings, red tape and documentation requirements are increasingly burdensome, and then, to further save money, the number of MDs at a given institution is increasingly outweighed by nurse pratitioners (doctor wannabes) who typically don’t know squat about what they are doing (no apologies at all to anyone offended by that accurate statement).
Despite the advances in the understanding of the illnesses and the sophistication of the available medications, this latter group of psychiatric patients has been disproportionately devasted by the breakdown of society - drugs, breakdown of the family, loss of societal structure and traditions and respect for authority - that have afflicted our society overall under the liberal strategists. An argument can be made, IMO, that their lives are generally and paradoxically more desperate now than they once were in the more compassionately run institutions of the pre-Thorazine era.
To make a living in my specialty under our brave new world of ObamaCare, it may be possible for a few shrinks to cater to the wealthy who can pay out of pocket. The vast majority, however, will compete with non-MDs for low paying jobs with shitty conditions and inadequate security and resources, tending the sickest, most difficult and dangerous of patients. Most will probably simply retire early or do something else. I can’t blame them and will probably join them.
Hubby and I both have 4 more years til youngest graduates from college, then we will retire. Im not quite 50 yet, and could work another 10-15 years, but not the way things are going. Its not worth the aggravation, pay cuts, tax increases etc. Then throw in the govt micromanaging everything you do, and fining you form you miss a line on, and I can do without the hassle. It just isn’t worth it.
That's all that Medicare will pay for, and the surgeries are all that the new Obamacare pay guidelines will allow for. He was not to happy about it either. Things are getting dicey out there.
The joke of this? I sell health insurance plans. Or, that is I sold health insurance plans. I'm not selling much now. Anthem Blue Cross pulled every plan of theirs off the market here in California except for two very expensive plans. The other carriers have not yet gone that route, but will have to follow at some point in order to follow federal guidelines. Prices have gone up terribly. Nobody is writing kids alone.
The plans cost more. The doctors get less. There are fewer plan choices.
I had one idea that it might be feasible to form partnerships of doctors who want to practice in Mexico or the Bahamas for cash. We would advertise by word of mouth. Medical vacations.
“Freedom is never more than one generation away from extinction. We didn’t pass it to our children in the bloodstream. It must be fought for, protected, and handed on for them to do the same, or one day we will spend our sunset years telling our children and our children’s children what it was once like in the United States where men were free”— Ronald Reagan
The day is coming, soon and very soon, when Americans will flee their own country in search of freedom. Perhaps we will live as illegal immigrants in Mexico. The physicians will flee this country in the next few years, and the sick and the fortunate and the wealthy and the entrepreneurial and various others will follow.
The government will not stop with an economic takeover but will press onward with religious and political persecutions. Persons of faith very well may have to flee this country if we cannot stop the march of government-sponsored dysfunction overspreading America.
Against an Obamanation, I think you’ve got a great plan. Just remember, however, that Americans must pay federal taxes on their worldwide income, so practicing medicine in Mexico does not exempt one from the terrible burden of income taxes. Under current law, a physician will need to take out Mexican citizenship, renounce American citizenship, and then wait ten full calendar years (without entering into the United States of America) before ceasing to pay American income taxes. IRS has global jurisdiction and will prosecute to the ends of the earth. Income taxes may well exceed 100% soon, especially after adding any Mexican income taxes or US state or local taxes that may apply to expatriates. The health insurance mandate is considered an income tax, so fleeing the country does not exempt an American from its reach.
Our family’s doctor has now retired because of Obamacare.
I don’t think that paying taxes is the issue as much as the rationing of care along with wage and price controls. Just as Canadians went to the US to get procedures denied under the Canadian Health Plan, Americans will want the same. Since the doctors who are in private practice will face huge limitations, this is one way for them to provide an additional source of income, even if it is taxed.
The purpose of the Ombamanation is to push working Americans into destitution. Workers will pay taxes (necessarily increased drastically to fund Congressional spending sprees) and buy health insurance for themselves and their families—as a matter of law on pain of unspeakable punishment—before paying for such necessities as food, housing, utilities (to whatever extent they may be still legal), and bicycle repair (cars banned). Under Congressional management, don’t expect those mandatory high-priced health-care plans to cover any actual health care.
Even if health care plans actually cover some medical service, doctors probably will get unreliable, much delayed reimbursement that falls short their costs (assuming that they volunteer their time) before taxes.
This state of affairs will leave working families literally starving, scavenging for food (the cultivation of which may be outlawed soon), freezing in the dark, living on the streets. Families with a working parent (or working parents) and children will suffer severely because of the high price of health care insurance (that won’t cover health care).
But you are a very intelligent fellow. So I recommend taking an alternative course: not working at all. Joining the non-working classes will enable you to receive government welfare payments far more generous than whatever pittance the government doesn’t confiscate of the fruits of your labors if you have the audacity to hold a job (let alone create jobs).
Even now, a family of four can receive more government welfare benefits from a few large, popular programs than the renumeration (after taxes and expenses) from a $60,000/year job, and most jobs don’t pay nearly that much. With a little study and some hard work, you can milk the system for far more in government welfare benefits than your current take-home pay. Under Obamacare, the effective marginal tax rate for actually getting a job—considering the cutback in subsidies for the mandatory health insurance premium alone and ignoring government welfare benefits not received—actually exceeds 100% in many brackets.
Our primary care doc is one of them. Already had 1 ortho say they are not taking new Medicare patients.
Thankfully I was able to get in with hubby’s old one...and thank GOD it was not a tear or arthritis, just old fashion tendinitis, and I didn’t react to the anti-inflammatory shot!
But he did order 4 weeks of PT...ugh I HATE PT, it never works for me you can’t condition muscles that won’t condition (fibromyalgia), and usually makes my lower back flair.