Thousands of HealthCare.gov sign-ups didn’t make it to insurers [good enough for government work?]

Washington Post ^ | December 14, 2013 | Sarah Kliff

[grundle]

Enrollment records for close to 15,000 HealthCare.gov shoppers were not initially transmitted to the insurance plans they selected, according to a preliminary federal estimate to be released Saturday.

While these cases pose a challenge for the Obama administration, officials say they believe the situation is improving. Since early December, fewer than 1 percent of HealthCare.gov enrollments did not make their way to health insurance plans.

[grundle]

Obama said the website was fixed - I guess it's "good enough for government work."

[Drango]

Sign-ups are not “NEW” until they pay.

[spokeshave]

Sign-ups are not “NEW” until they pay.

....So how can they do that when the back end processing is not in place....inquiring minds seek to know...

[The Great RJ]

Given the total disaster of the sign up process for Obamacare imagine how it will work when your health if not your very life is on the line. I expect that after the first of next year horror stories will emerge about people not being able to continue their chemo therapy, trauma patients being denied care at designated trauma centers and hospital emergency departments being swamped with people unable to see their doctor.

By next year only the most low information voters and the sychophant media will be supporting Obamacare.

[shove_it]

“Close enough for government work” used to be a standard to be proud of during WWII.

[Izzy Dunne]

officials say they believe the situation is improving.

Whew!

I was worried there for a moment.

But if they "believe" that it's "improving", then I don't need to worry.

Right?

RIGHT?

[spokeshave]

Given the total disaster of the sign up process for Obamacare imagine how it will work when your health if not your very life is on the line

How it works in the UK National Health System:

And just wait till they start issuing orders to the doctors to match client with the care required....and prescriptions....don't forget all those complex prescription orders.

I see not just amputations on the wrong limb....but on the wrong patient.

and don't expect quick response for a broken arm:

(He was smoking and refused to stop....so they delayed his arm cast a couple of times)

And so you have an acute appendix....?

Mark Wattson, 35, from Swindon may have been the victim of botched surgery after he had to have his appendix removed twice

To his shock, surgeons from the same team told him that not only was his appendix still inside him, but it had ruptured - a potentially fatal complication.

In a second operation it was finally removed, leaving Mr Wattson fearing another organ might have been taken out during the first procedure.

The blunder has left Mr Wattson jobless, as bosses at the shop where he worked did not believe his story and sacked him.

Mr Wattson told of the moment he realised there had been a serious mistake.

'I was lying on a stretcher in terrible pain and a doctor came up to me and said that my appendix had burst,' he said.

'I couldn't believe what I was hearing. I told these people I had my appendix out just four weeks earlier but there it was on the scanner screen for all to see.

'I thought, "What the hell did they slice me open for in the first place?"

'I feel that if the surgery had been done correctly in the first place I wouldn't be in the mess I am today. I'm disgusted by the whole experience.'

Mr Wattson first went under the knife on July 7 after experiencing severe abdominal pain for several weeks. He was discharged but exactly a month later he had to dial 999 after collapsing in agony. Mr Wattson

Mr Wattson was readmitted to the Great Western Hospital in Swindon after his appendix ruptured.

Nurse will see you now

130,000 elderly patients killed every year by ‘death pathway’, claims leading UK doctor

by Thaddeus Baklinski Thu Jun 21, 2012 10:02 EST Tags: euthanasia, patrick pullicino, uk

LONDON, June 21, 2012 (LifeSiteNews.com) - An eminent British doctor told a meeting of the Royal Society of Medicine in London that every year 130,000 elderly patients that die while under the care of the National Health Service (NHS) have been effectively euthanized by being put on the controversial Liverpool Care Pathway (LCP), a protocol for care of the terminally ill that he described as a “death pathway.”

Sit back and enjoy your Obamacare.

[VerySadAmerican]

The sad thing is the republicans won’t do one damn thing to stop this guy and the machine that backs him. Apparently, there’s nothing they can do. Well, nothing they can do that wouldn’t require some guts.

[VerySadAmerican]

As far as I’m concerned everyone who still supports the democrats will be responsible for the deaths. I wonder how they’ll feel watching loved ones being lowered into the ground when they KNOW it was their obama who put them there. And they WILL know it.

[grundle]

“Close enough for government work” used to be a standard to be proud of during WWII.

I hadn't been aware of that.

Of course, we did fight World War II in its entirety in less time than it took to create a working Obamacare website.

[Gen.Blather]

“I wonder how they’ll feel watching loved ones being lowered into the ground when they KNOW it was their obama who put them there. And they WILL know it.”

Actually, no. The Democrats I know seem to live in an alternate reality. I can see them and hear them, but they can’t see or hear the reality I see. They live with cognitive dissonance so bad it’s a wonder they can function. Still, 38% of the voting public believes Obama is doing a good job. They HATE Republicans. One of them, a doctor, yet, told me he’d never vote for a republican because of the Republican stance on “reproductive health.” (Code for abortion.)

[GEC]

So they’re no longer missing but 5-10% of them are still incorrect according to insurers.

[Sacajaweau]

the only thing that can be done is.............don’t sign up....

[Grampa Dave]

[Grampa Dave]

What If No Doctor Will See You?
Townhall.com ^ | December 14, 2013 | John C. Goodman

Posted on 12/14/2013 5:56:58 AM PST by Kaslin

At this point we have no idea how many people will become newly insured under ObamaCare. For the first year out, the number of people with insurance may actually go down! But the administration's goal is to insure an additional 30 million people and eventually a lot of those people will acquire health plans. When they do, the economic studies predict that they will try to double their use of the health care system.

Adding to this increased demand will be new mandated benefits. The administration never seems to tire of reminding seniors that they are entitled to a free annual checkup. Then there are new benefits for women, including free contraceptives. And all of us will be entitled to a long list of preventive services — with no deductible or copayment.

But the health care system can't possibly deliver on all these promises. The original ObamaCare bill actually had a line item for increased doctor training. But this provision was zeroed out before passage, probably to keep down the cost of health reform. The result will be increased rationing by waiting.

Take preventive care. The health reform law says that health insurance must cover the tests and procedures recommended by the U.S. Preventive Services Task Force. What would that involve? In the American Journal of Public Health, scholars at Duke University calculated that arranging for and counseling patients about all those screenings would require 1,773 hours of the average primary care physician's time each year, or 7.4 hours per working day.

And all of this time is time spent searching for problems and talking about the search. If the screenings turn up a real problem, there will have to be more testing and more counseling. Bottom line: To meet the promise of free preventive care nationwide, every family doctor in America would have to work full-time delivering it, leaving no time for all the other things they need to do.

When demand exceeds supply in a normal market, the price rises until it reaches a market-clearing level. But in this country, as in other developed nations, Americans do not primarily pay for care with their own money. They pay with time.

How long does it take you on the phone to make an appointment to see a doctor? How many days do you have to wait before she can see you? How long does it take to get to the doctor's office? Once there, how long do you have to wait before being seen? These are all non-price barriers to care, and there is substantial evidence that they are more important in deterring care than the fee the doctor charges, even for low-income patients.

For example, the average wait to see a new family doctor in this country is just under three weeks. But in Boston, with ObamaCare-type reform, the wait is about two months.

When people cannot find a primary care physician who will see them in a reasonable length of time, all too often they go to hospital emergency rooms. Yet one study found up to 20% of the patients who enter an emergency room leave without ever seeing a doctor, because they get tired of waiting. Be prepared for that situation to get worse.

When demand exceeds supply, doctors have a great deal of flexibility about who they see and when they see them. Not surprisingly, they tend to see those patients first who pay the highest fees. A New York Times survey of dermatologists in 2008, for example, found an extensive two-tiered system. For patients in need of services covered by Medicare, the typical wait to see a doctor was two or three weeks, and the appointments were made by answering machine.

However, for Botox and other treatments not covered by Medicare (and for which patients pay the market price out of pocket), appointments to see those same doctors were often available on the same day, and they were made by live receptionists.

As physicians increasingly have to allocate their time, patients in plans that pay below-market prices will likely wait longest. Those patients will be the elderly and the disabled on Medicare, low-income families on Medicaid, and (if the Massachusetts model is followed) people with subsidized insurance acquired in ObamaCare's newly created health insurance exchanges.

Their wait will only become longer as more and more Americans turn to concierge medicine for their care. Although the model differs from region to region and doctor to doctor, concierge medicine basically means that patients pay doctors to be their agents, rather than the agents of third-party payers such as insurance companies or government bureaucracies.

For a fee of roughly $1,500 to $2,000, for example, a Medicare patient can form a new relationship with a doctor. This usually includes same day or next-day appointments. It also usually means that patients can talk with their physicians by telephone and email. The physician helps the patient obtain tests, make appointments with specialists and in other ways negotiate an increasingly bureaucratic health care system.

Here is the problem. A typical primary care physician has about 2,500 patients (according to a 2009 study by the Centers for Disease Control and Prevention), but when he opens a concierge practice, he'll typically take about 500 patients with him (according to MDVIP, the largest organization of concierge doctors). That's about all he can handle, given the extra time and attention those patients are going to expect. But the 2,000 patients left behind now must find another physician. So in general, as concierge care grows, the strain on the rest of the system will become greater.

I predict that in the next several years concierge medicine will grow rapidly, and every senior who can afford one will have a concierge doctor. A lot of non-seniors will as well. We will quickly evolve into a two-tiered health care system, with those who can afford it getting more care and better care.

In the meantime, the most vulnerable populations may have less access to care than they had before ObamaCare became law.

[GeronL]

lol

[freeangel]

“By next year only the most low information voters and the sychophant media will be supporting Obamacare. “

Geez, by then , I was hoping most of theose would be dead FROM obamacare.

[shove_it]

I hadn't been aware of that.

Yes, it's just another disgusting example of America's slide into the abyss.

[catnipman]

“I expect that after the first of next year horror stories will emerge about people not being able to continue their chemo therapy, trauma patients being denied care at designated trauma centers and hospital emergency departments being swamped with people unable to see their doctor. “

That’ll start happening in January, intensify in February, and become a tsunami of death by March 2014, at which time voters will start hunting Democrats down in the streets with pitchforks and dogs.