Doc Shortage set to hit America...

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S. Lindsey
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"The United States will require at least 52,000 more family doctors in the year 2025 to keep up with the growing and increasingly older U.S. population, a new study found.
The predictions also reflect the passage of the Affordable Care Act -- a change that will expand health insurance coverage to an additional 38 million Americans."
http://gma.yahoo.com/doc-shortage-could-cause-healthcare-crash-172501425...

Many Doctors are quitting their practice or severely cutting their patient load over Medicare.
The ACA aka Obamacare drastically reduces the payments to Doctors that provide Medicare services. Insurance cost are skyrocketing at a time when Government reimbursements are dropping..add in 38 Million NEW Government insured patients and you have a crises.

Mix in a little from the IPAB who get to decide how much is paid and who gets Healthcare and you get a stew that is mostly unpalatable for most healthcare Professionals.

So when Granny needs that new Hip, well she might just have to wait for a few years. Who knows she might live long enough to actually get it.. Well until the IPAB decides that now she is just too old for it so.....

Cyclist
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Medicare and Skimmers

Interesting article in the AJC about fake Medicare providers.

http://www.ajc.com/news/news/fake-medical-providers-slip-through-medicar...

The agency responsible for oversight -Centers for Medicare and Medicaid Services (CMS) - has a staff of almost 5,000 employees and yet it appears they're unable to police the program.

What are we to expect as the scope of Obama care broadens?

PTC Observer
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Cyclist - Well

the answer to the problem is clear to the current administration, we just need 50,000 employees to police the program. Then we can increase the size and scope of the program, until it too gets out of hand, then we can increase the "policing" employees to 100,000. So it goes until it falls apart under its own weight. Oops, already there I am afraid.

Cyclist
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PTC Observer

Absolutely brilliant!!! Obama care is actually a federal jobs program. Gee, who would have thought.

stranger than f...
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PCP shortage problem

Indeed, this is a significant problem that defies easy solutions. I predict that paraprofessionals will ultimately step in to provide basic primary care with a physician as their overall supervisor. The big question: How much will patients suffer from sub-physician care?

AtHomeGym
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stf & pcp problem

yes, it will be a problem but NP & PA are schooled & usually experienced in both Emergency Medicine & PC Medicine. All depends on what that medical plan that you will soon be forced to buy says--some mandate you select a PCP--some don't. I've always been quite pleased with the NP & PA care. Plus, many PCPs will quit accepting Medicare patients--SURPRISE! Thanks to 2,000 pages of AHCA that no one read (even they were challenged to do so by Nancy Peloser!

SPQR
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guess what

Most Piedmont healthcare PCP's in Fayette have already quit taking new Medicare patients.
CORRECTION:
change that to all Piedmont PCP's In Fayette. You can still find one in Sharpsburg or Palmetto

PTC Observer
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Lindsey - I

can tell you from personal experience that this is happening and happening in a big, big way. We are in for long lines and very unhappy patients.

The workloads for doctors will increase dramatically and the older more experienced docs will just simply leave the workforce. The pipeline of new doctors won't be enough, so they will begin to grant waivers to foreign doctors. In about 10 years or less, you will likely be treated by doctors that know less about you, care less about you and absolutely dread seeing the next patient in line. That would be you.......

S. Lindsey
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What's in store for us under Obamacare...

Sick and Disabled Children put on "Death Pathways".

"Sick children and even disabled newborn babies, are reportedly being discharged from NHS hospitals in England only to die slowly at home or in hospices in an unfathomable manner. The innocent children are being put on controversial “death pathways,” once only thought to have involved elderly and terminally ill adult patients."

Now sick babies go on death pathway: Doctor's haunting testimony reveals how children are put on end-of-life plan

This is what our future looks like.. My personal Thanks to all of the Obama supporters out there.

stranger than f...
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Death Pathways and Hard Decisions

Mr. Lindsey - Your identification of the British dilemma concerning allowing life to terminate without assistance for barely viable children (or elderly as well) spawns interesting ethical vs. fiscally conservative questions. American sensibilities make it unpopular to abandon all efforts to save lives regardless of the measures required. However, many guardians of barely viable children or adults quickly expend their resources with expensive medical costs and turn to state and federal government programs to continue treatment that may have only limited effectiveness.

As a matter of policy, should taxpayers allow patients, their families, and doctors to perform heroic efforts which we must bankroll or should we use some cost/benefits analysis to determine reasonable treatment guidelines? If so, who might be the decision makers? These are hard decisions, but medical science has found so many ways to keep one alive that fiscally responsible viability is a financial as well as an ethical dilemma. However, if someone is using private funds, I see no reason to question how he/she spends his/her money.

S. Lindsey
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Ahh... there's the rub...stf

If we are all on Single Payer Government run Healthcare we won't have a choice now will we..

http://www.youtube.com/watch?v=fpAyan1fXCE

stranger than f...
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Cash will always talk

I believe in capitalism enough to trust that private cash will always open the doors to health care regardless of the government/private insurance arrangement. So the wealthy will always have a choice.

However, you raised a very legitimate point about the death pathways. Whether through private insurance or government health care, the premium payer/taxpayer ultimately foots the bill for health care benefits received by the patient. What legitimate constraints are acceptable when considering expensive treatment options for persons who are likely to die anyway or to live in a very limited capacity? Who should be empowered to make these decisions? I see these questions as central to any realistic discussion of health care costs because emotional concern for the sick often conflicts with fiscally responsible actions. We don’t have to endorse the Obama advisory board, but surely we need some regulatory group (business people, clergy, health care workers, etc.) to ensure that we don’t spend endlessly in cases with limited potential outcomes.

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