Obamacare might suck

Cunt Smasher

Caligula Jr.
Aug 26, 2005
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#1
Blog by a Dr.
http://pjmedia.com/blog/a-physicians-new-reality-patients-ask-me-to-break-the-law/

Obama won, Obamacare is the law, and, as my wife says, I will just have to learn to dance to a new song.

Now, don’t get me wrong, Obamacare is awful. Forget all the “free stuff” it provides. Children covered on their parents’ plan until 26 years of age? A scam, making young adults — excuse me, children — pay for complete, comprehensive health insurance when all they need and should pay for is major catastrophe insurance. Then there is the “annual ” or “preventative” exam, which according to Obamacare is “free.”


You gotta love this stuff. I wish I had the chutzpah of the people who wrote Obamacare. What they did not tell you, and I am, is that it covers absolutely nothing more than the bare minimum.

I have now posted a notice in my office and each exam room stating exactly what Obamacare will cover for those yearly visits. Remember Obama promised this as a free exam — no co-pay, no deductible, no charge. That’s fine and dandy if you are healthy and have no complaints. However, we are obligated by law to code specifically for the reason of the visit. An annual exam is one specific code; you can not mix this with another code, say, for rectal bleeding. This annual visit covers the exam and “discussion about the status of previously diagnosed stable conditions.” That’s the exact wording under that code — insurance will not cover any new ailment under that code.

If you are here for that annual exam, you will not be covered if you want to discuss any new ailment or unstable condition. I cannot bait and switch to another code — that’s illegal. We, the physicians, are audited all the time and can lose our license for insurance fraud.

You, the patient, will then have to make a decision.

Do you want your “free” yearly exam, or do you want to pay for a visit which is coded for a particular, new problem? You can have my “free” exam if you only discuss what Obamacare wants me to discuss.

This happened to me personally, as a patient, when I went for my physical. It is the law. If you are complaining of a new problem, then you have to reschedule, since Obamacare is very clear as to what is covered and what is not. Obamacare — intentionally — makes it as difficult to be seen and taken care of as possible.

Patients can be very tricky. I have had patients make an “annual” exam, only to want to discuss and be treated for another ailment. I can’t do it.
 

Don the Radio Guy

G-Bb-A-D
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Mar 30, 2006
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#2
I'm sure the gibs will be reasonable when he explains this to them when they come in demanding they free diabeetus medication.
 

Creasy Bear

gorgeousness and gorgeousity made flesh
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Mar 10, 2006
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#3
And you know who's going to have to hear all of the bitching about how bad Obamacare sucks? Yep.

And if you answered, "politicians"... punch yourself in the balls.
 

KRSOne

Registered User
Dec 8, 2011
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#4
I could have told you that when Nancy Pelosi said you have to pass Obamacare before you can see whats in it.
 

mills

I'll give em a state, a state of unconsciousness
Jan 30, 2005
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#6
Patients can be very tricky. I have had patients make an “annual” exam, only to want to discuss and be treated for another ailment. I can’t do it.
If that's all it takes to outsmart a doctor, we're gonna need some better doctors.
 

MayrMeninoCrash

Liberal Psycopath
Dec 9, 2004
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#7
This coding of medical procedures, is this an "Obamacare" requirement or a "insurance company" requirement? What is preventing the doctor, as a human being, from fully disclosing this information, and deciding if he is willing to perform care above and beyond the call of duty? This guy sounds like a Republican shill. If the worst part of Obamacare is that your "annual exam" doesn't cover discussing those new rectal warts that popped up last week, no problem, make sure that's clear when the appointment is being made and disclose that additional services will cost more money.
 

Cunt Smasher

Caligula Jr.
Aug 26, 2005
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#8
You're saying the Dr should give away services he should rightly be getting paid for?
 

mills

I'll give em a state, a state of unconsciousness
Jan 30, 2005
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#9
Like 90% of people in any business, he's complaining about the inevitable gravitating toward stupidity/selfishness/unreliability of the average consumer.
 

MayrMeninoCrash

Liberal Psycopath
Dec 9, 2004
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#10
You're saying the Dr should give away services he should rightly be getting paid for?
I'm saying if the doctor sees a malignant tumor on a patient's shoulder, he should worry more about getting him proper care than what insurance code he can place that advice under.
 

OccupyWackbag

Registered User
Dec 12, 2011
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#11
Like 90% of people in any business, he's complaining about the tendency toward stupidity/selfishness/unreliability of the average consumer.
Yup the idea of addressing any new medical concerns during an annual checkup is both stupid and selfish. I'm glad we have intelligent people like Mills to set us straight.
 

OccupyWackbag

Registered User
Dec 12, 2011
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#12
I'm saying if the doctor sees a malignant tumor on a patient's shoulder, he should worry more about getting him proper care than what insurance code he can place that advice under.
He's worried about exactly what he should be worried about. Keeping his medical license.

I know you think you have it all figured out but dopes like you are really gonna see how the govt fucks shit up now. Get ready for poor medical care and doctors that are even MORE unwilling to provide the best care out of fear of losing everything over some bullshit bureaucracy.
 

Motor Head

HIGHWAY TRASH REMOVAL
Jan 23, 2006
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Land of hicks and rubes.
#13
I picture hospitals being run like the DMV. Bleeding to death? Here fill out all 20 of these forms, take a number and go sit over there by the drain in the floor.
 

mills

I'll give em a state, a state of unconsciousness
Jan 30, 2005
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#14
Yup the idea of addressing any new medical concerns during an annual checkup is both stupid and selfish. I'm glad we have intelligent people like Mills to set us straight.
If they want to fuck themselves over for a few bucks it's their own dumb fault.

I know you think you have it all figured out but dopes like you are really gonna see how the govt fucks shit up now. Get ready for poor medical care and doctors that are even MORE unwilling to provide the best care out of fear of losing everything over some bullshit bureaucracy.
Try not to break your fingers from crossing them too hard.
 
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MayrMeninoCrash

Liberal Psycopath
Dec 9, 2004
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#15
He's worried about exactly what he should be worried about. Keeping his medical license.

I know you think you have it all figured out but dopes like you are really gonna see how the govt fucks shit up now. Get ready for poor medical care and doctors that are even MORE unwilling to provide the best care out of fear of losing everything over some bullshit bureaucracy.
How does this scenario have anything to do with threatening his medical license? If anything, failing to mention obvious medical conditions because "insurance doesn't cover it" sounds like grounds for a serious malpractice lawsuit.

And remember, if you don't want to deal with the government's idea of insurance and health coverage, Blue Cross, Aetna, Kaiser, etc. are still very willing to sell you a policy to cover whatever ails you.
 

mills

I'll give em a state, a state of unconsciousness
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#16
I picture hospitals being run like the DMV. Bleeding to death? Here fill out all 20 of these forms, take a number and go sit over there by the drain in the floor.
Just curious, how many times have you had to fill out more than one form at the DMV? It's a long wait but that's no different from ERs now.
 

OccupyWackbag

Registered User
Dec 12, 2011
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#18
How does this scenario have anything to do with threatening his medical license? If anything, failing to mention obvious medical conditions because "insurance doesn't cover it" sounds like grounds for a serious malpractice lawsuit.

And remember, if you don't want to deal with the government's idea of insurance and health coverage, Blue Cross, Aetna, Kaiser, etc. are still very willing to sell you a policy to cover whatever ails you.
Why don't you read the story dummy. He isn't gonna keep his mouth shut if he finds a tumor during the check up but to not be able to... you know what fuck it. NOTHING will change your view of the messiah and all the good he is doing. How about we all just sit back and watch reality take hold.

But as for your comment about buying insurance. We'll see how much of an option that is when the govt regulations cause premiums to skyrocket. Gotta pay for all the people getting insurance long enough to cover their medical problems at the time only to drop it until they get sick or injured again.

I get it your an engineer so common sense and human nature are not things you understand but even the math concerning this bullshit seem to allude you too.

One question for you Mayr. If people are only getting insurance when they need it as allowed by Obamacare who pays for their care? Let me answer that for you since I know I'll only get bullshit from you. The regular policy holder, the person that pays into the insurance consistently. The premiums go up, people can't afford it and are forced to do the same shitty practice as the people that cause the rates to go up in the first place or they enroll in govt. insurance.

I still will never understand how people can attack industries that have to operate efficiently to survive only to praise intervention from a government that consistently waste money and resources and has zero motivation to operate efficiently and properly.

Now doctors have two choices. Schedule a new appointment for someone that has a new issue or treat the problem for free as to not risk losing their practice. Glad the govt is stepping in to make medical treatment better.
 

mills

I'll give em a state, a state of unconsciousness
Jan 30, 2005
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#19
It was a statement of literary travesty.
I got you, I think

Cop 1: Jesus Christ! What gun? He's got a fucking hero sandwich here.
Cop 2: What do you want? It's pitch black. It's tinfoil. It looked like a gun!
Cop 1: You moron! I'll be doing paperwork for two months because of you and this piece of shit, you fuckin' jerk-off.
 

Chino Kapone

Yo, whats wrong wit da beer we got?
Jun 10, 2005
16,959
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#20
I think he is seeing it as the moment he discovers something new during the check up, he must disclose that. Once he discloses that he must then charge the patient for the visit because that visit is no longer covered under obamacare. At that point, their free visit may become an expensive visit. Also, he is going to have to explain it to every person that comes in for their free visit why they are being charged at this point.

Try explaining to the gimmedats that their free yearly visit is now going to cost them $50.
 

OccupyWackbag

Registered User
Dec 12, 2011
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#21
I think he is seeing it as the moment he discovers something new during the check up, he must disclose that. Once he discloses that he must then charge the patient for the visit because that visit is no longer covered under obamacare. At that point, their free visit may become an expensive visit. Also, he is going to have to explain it to every person that comes in for their free visit why they are being charged at this point.

Try explaining to the gimmedats that their free yearly visit is now going to cost them $50.
And the gimmedats are the fundamental problem with Obamacare. I don't get how people can't see that. Do they think that these people are all of a sudden start doing the right thing? They're not, they are going to abuse the system at the expense of contributors dragging everyone down.
 

MayrMeninoCrash

Liberal Psycopath
Dec 9, 2004
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#22
But as for your comment about buying insurance. We'll see how much of an option that is when the govt regulations cause premiums to skyrocket. Gotta pay for all the people getting insurance long enough to cover their medical problems at the time only to drop it until they get sick or injured again.

I get it your an engineer so common sense and human nature are not things you understand but even the math concerning this bullshit seem to allude you too.
The point of Obamacare is to spread the risk over a larger pool, so rates should go down. Certainly that's more logical than assuming rates will "skyrocket" for folks that buy insurance for a short period.

Let me ask you this. Do you honestly believe that there will be insurance vending machines in all the ER's? When you NEED insurance the way you're thinking, chances are you are rushing to the ER and not calling brokers and comparing premiums. Clearly your scenario is going to be rare enough that we don't need to worry about it.


One question for you Mayr. If people are only getting insurance when they need it as allowed by Obamacare who pays for their care? Let me answer that for you since I know I'll only get bullshit from you. The regular policy holder, the person that pays into the insurance consistently. The premiums go up, people can't afford it and are forced to do the same shitty practice as the people that cause the rates to go up in the first place or they enroll in govt. insurance.
As I pointed out, how prevalent a problem do you really think this will be? If you're being rushed to the ER after plowing into a semi truck on the Interstate, I seriously doubt you'll be in any condition to be buying insurance. But that's why you're paying the penalty rather than buying insurance. The governnment can step in and cover the bills to stitch your carcass back together.

And how do you know how the insurance will work? Maybe companies will require payment of a year's premium upfront. Just because you are guaranteed coverage doesn't mean you'll be able to get it on your terms.
 

MayrMeninoCrash

Liberal Psycopath
Dec 9, 2004
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#23
And the gimmedats are the fundamental problem with Obamacare. I don't get how people can't see that. Do they think that these people are all of a sudden start doing the right thing? They're not, they are going to abuse the system at the expense of contributors dragging everyone down.
Again you are taking the extreme case and trying to apply it to normal circumstances. How many people are going to be happy with the basic checkup and move on? Way more than the few who will try to get their dental problems taken care of during their annual physical.
 

OccupyWackbag

Registered User
Dec 12, 2011
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#24
Again you are taking the extreme case and trying to apply it to normal circumstances. How many people are going to be happy with the basic checkup and move on? Way more than the few who will try to get their dental problems taken care of during their annual physical.
Your right. How could I ever think that there are millions of people out there that would abuse the system causing huge cost for everyone else when they obviously would just be a very small minority... oh wait because THERE ARE MILLIONS OF PEOPLE OUT THERE THAT ABUSE THE SYSTEM CAUSING HUGE COST FOR EVERYONE ELSE.

Id love to buy into your bullshit except for one problem, reality.
 

MayrMeninoCrash

Liberal Psycopath
Dec 9, 2004
24,669
8,841
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Loveland, CO
#25
Your right. How could I ever think that there are millions of people out there that would abuse the system causing huge cost for everyone else when they obviously would just be a very small minority... oh wait because THERE ARE MILLIONS OF PEOPLE OUT THERE THAT ABUSE THE SYSTEM CAUSING HUGE COST FOR EVERYONE ELSE.

Id love to buy into your bullshit except for one problem, reality.

You're right. Let me stick with my company-provided health insurance and you pay your penalty and live by the seat of your pants and lets see who ends up bankrupt first.

If abuse is so easy and so prevalent, why isn't a smart guy like you making a mockery of those dumb n-person's feeble attempts to cash in? You could be king of the Subaru dealership.