[StacyinGA]

I have been a long-time FR lurker and registered only to respond to this comment.

What Rush and I were discussing, and what I apparently failed to adequately emphasize, is that Obamacare regulations and laws require that EVERY entity that sells health products to the public MUST be connected in REAL TIME to the individual’s insurance company in order to meet the law’s requirements regarding OOP caps. Currently that connectivity does not exist and will cost many billions of dollars to create and maintain. Every pharmacy, medical equipment store, psychiatric office, etc. MUST have real time capabilities in order to make this legislative fiasco begin to function according to law.

Your physician may bill you but your pharmacy isn’t going to allow anyone to walk out of the store with a bottle of medication worth several hundred dollars until the pharmacy (or other product provider) gets from the patient every dime the patient owes for that prescription or product.

While an individual provider’s business process may not be able to determine patient responsibility amounts today, that has nothing to do with the point-of-sale issue discussed earlier today. Your doctor is willing to bill you. I guarantee your pharmacy is NOT willing to bill you.

I don’t appreciate the suggestion that I made anything up today. I have worked in this field for many years and know in intimate detail that of which I speak. Furthermore, in the three years that I have discussed the practical impacts of Obamacare with Rush on live radio, my observations and explanations have been repeatedly demonstrated correct through both news reports and documentation shared with Rush and his staff. Rush would not give me the time of day if he had received information that showed me to be a liar or whatever.

The next time I speak with Rush I will take more care to make these complex topics more basic.

[LachlanMinnesota]

Don’t give up, Stacy. These are difficult concepts and bureaucratic rules to understand if you are not in the system.

Keep preaching and informing, as the information will be clear to some, and will gradually have an impact on the education of the population.

I appreciate your input and look forward to more of it.

It is a persistent problem to attempt to make others understand the esoteric issues that specialists work with every day.

[angcat]

Thank you for the update. I appreciate these explanations because this is all very hard to understand and I along with the rest of us will be screwed thanks to our Politicians who by the way should all rot in hell and experience some form of tragedy in their lives that I can witness and enjoy!

[Fawn]

Well, welcome to FR. Yes, it was a very confusing conversation...maybe Rush's hearing had something to do with it...but it felt like you were jumping from middle to beginning to end...and it was hard to grasp your point. So, the crux of your point is this --I think:
'Obamacare regulations and laws require that EVERY entity that sells health products to the public MUST be connected in REAL TIME to the individual’s insurance company in order to meet the law’s requirements regarding OOP caps.'
When I get a prescription, I either mail it to my insurances pharmacy or wait for it at the drug store. Both of them will not release any medication to me unless I pay my share. It's always been that way for me.... The drug store always gets complete insurance info from me, calls them and finds out what what I owe and I pay then and there. I am assuming this is in real time? Are you referring to other places besides drug stores maybe?