ObamaCare ruined primary care medicine

Anonymous
Nearly every PCP in this area is now switching to concierge service. No one wants to take ObamaCare any more because if it’s horrendous reimbursement rates, paperwork, productive quotas, etc. etc. Now it has ruined access to virtually all PCPs for everyone with insurance, because doctors have decided they’ll take zero insurance. Primary care is increasingly becoming a luxury for the ultra elites who can shell out additional thousands of more dollars per year to keep a PCP on retainer while the rest of us get stuck with nothing or impossible routes to overcome to get access for simple primary care. Isn’t more government intervention in healthcare great? We can all have equal healthcare when it is crap for everyone and hardly anyone can access it. Thanks ObamaCare.
Anonymous
it was already going that way. the ACA simply provided a safety net particularly for people with pre-existing conditions who were rejected or exempted coverage in the prior version of health insurance

what we need is single payer/universal- our healthcare system has been horrible since the deregulation of the Reagan era
Anonymous
Anonymous wrote:it was already going that way. the ACA simply provided a safety net particularly for people with pre-existing conditions who were rejected or exempted coverage in the prior version of health insurance

what we need is single payer/universal- our healthcare system has been horrible since the deregulation of the Reagan era


+1. The ACA is significant but it is not enough. Single payer already like every other modern developed nation.
Anonymous
Anonymous wrote:it was already going that way. the ACA simply provided a safety net particularly for people with pre-existing conditions who were rejected or exempted coverage in the prior version of health insurance

what we need is single payer/universal- our healthcare system has been horrible since the deregulation of the Reagan era



It doesn’t matter when people with pre-existing conditions have insurance, but now no doctors are out there who take insurance and want a $2000 per year membership club fee and cash payments for services. Right back to square 1 again, now access is impossible for all. Primary care in this region sucks so much a$$. Tons and tons of pcp are now concierge and charge ridiculous membership fees, or they’re impossible to access anyway even if you wanted to join because they take less patients.

ACA ruined primary care, so the solution is to double down with more govt medicine? Insane.
Anonymous
Anonymous wrote:it was already going that way. the ACA simply provided a safety net particularly for people with pre-existing conditions who were rejected or exempted coverage in the prior version of health insurance

what we need is single payer/universal- our healthcare system has been horrible since the deregulation of the Reagan era

+1
Anonymous
Anonymous wrote:
Anonymous wrote:it was already going that way. the ACA simply provided a safety net particularly for people with pre-existing conditions who were rejected or exempted coverage in the prior version of health insurance

what we need is single payer/universal- our healthcare system has been horrible since the deregulation of the Reagan era



It doesn’t matter when people with pre-existing conditions have insurance, but now no doctors are out there who take insurance and want a $2000 per year membership club fee and cash payments for services. Right back to square 1 again, now access is impossible for all. Primary care in this region sucks so much a$$. Tons and tons of pcp are now concierge and charge ridiculous membership fees, or they’re impossible to access anyway even if you wanted to join because they take less patients.

ACA ruined primary care, so the solution is to double down with more govt medicine? Insane.


What you are complaining about was already happening. The ACA didn't create nor compound it.
Anonymous
I live in the Midwest. Plenty of doctors take insurance here.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:it was already going that way. the ACA simply provided a safety net particularly for people with pre-existing conditions who were rejected or exempted coverage in the prior version of health insurance

what we need is single payer/universal- our healthcare system has been horrible since the deregulation of the Reagan era



It doesn’t matter when people with pre-existing conditions have insurance, but now no doctors are out there who take insurance and want a $2000 per year membership club fee and cash payments for services. Right back to square 1 again, now access is impossible for all. Primary care in this region sucks so much a$$. Tons and tons of pcp are now concierge and charge ridiculous membership fees, or they’re impossible to access anyway even if you wanted to join because they take less patients.

ACA ruined primary care, so the solution is to double down with more govt medicine? Insane.


What you are complaining about was already happening. The ACA didn't create nor compound it.



The hell it didn’t. ACA made everything worse with onerous levels of paperwork, requirements/rules, and sh!tty reimbursement.

BS. It’s been that way for decades. I work in healthcare and I know firsthand.

+1 I can’t believe how new some of these people are thinking ACA invented paperwork and rules and poor reimbursement. Welcome to the paper pushing of for-profit medical care.
Anonymous
My mom has Medicare and one of those supplemental plans that cost her like $200/ month. Recently retired last year. She has providers in Southern California fighting for her business - they all want to service her.

It was never like that when she regular health insurance from her Fortune 500 employer.
Anonymous
Anonymous wrote:
Anonymous wrote:it was already going that way. the ACA simply provided a safety net particularly for people with pre-existing conditions who were rejected or exempted coverage in the prior version of health insurance

what we need is single payer/universal- our healthcare system has been horrible since the deregulation of the Reagan era



It doesn’t matter when people with pre-existing conditions have insurance, but now no doctors are out there who take insurance and want a $2000 per year membership club fee and cash payments for services. Right back to square 1 again, now access is impossible for all. Primary care in this region sucks so much a$$. Tons and tons of pcp are now concierge and charge ridiculous membership fees, or they’re impossible to access anyway even if you wanted to join because they take less patients.

ACA ruined primary care, so the solution is to double down with more govt medicine? Insane.


Well maybe a collapse of the system is the kick in the butt needed to get universal coverage. Because yes it DOES matter when people with pre-existing conditions get insurance. A pox on you for saying otherwise. Hope that’s covered by your insurance.
Anonymous
OP I’m happy with my primary care. Not seeing what you’re seeing. Sorry. Maybe get a better job with different insurance. Of course it’s crazy insurance is tied to an employer but until enough people say enough let’s change the system it’s what we have.
Anonymous
ACA isn’t insurance. It just made it possible for people to purchase insurance without having an employer program. It also got rid of some of Big Insurance’s most egregious practices, like lifetime limits and pre-existing conditions.

Insurance is a complete racket and we would all be better served by a single payer option.
Anonymous
Anonymous wrote:Nearly every PCP in this area is now switching to concierge service. No one wants to take ObamaCare any more because if it’s horrendous reimbursement rates, paperwork, productive quotas, etc. etc. Now it has ruined access to virtually all PCPs for everyone with insurance, because doctors have decided they’ll take zero insurance. Primary care is increasingly becoming a luxury for the ultra elites who can shell out additional thousands of more dollars per year to keep a PCP on retainer while the rest of us get stuck with nothing or impossible routes to overcome to get access for simple primary care. Isn’t more government intervention in healthcare great? We can all have equal healthcare when it is crap for everyone and hardly anyone can access it. Thanks ObamaCare.


It has nothing to do with the Affordable Care Act. The concierge doctors are the villains here, not the victims. Anywhere there are enough affluent older people who will pay out of pocket, doctors want to treat only them and not deal with any Medicare or any insurance that will limit what they can charge. It’s not about paperwork or regulations. It’s about money.
Anonymous
For profit healthcare is a loser! Single payer is needed.
Anonymous
Anonymous wrote:
Anonymous wrote:Nearly every PCP in this area is now switching to concierge service. No one wants to take ObamaCare any more because if it’s horrendous reimbursement rates, paperwork, productive quotas, etc. etc. Now it has ruined access to virtually all PCPs for everyone with insurance, because doctors have decided they’ll take zero insurance. Primary care is increasingly becoming a luxury for the ultra elites who can shell out additional thousands of more dollars per year to keep a PCP on retainer while the rest of us get stuck with nothing or impossible routes to overcome to get access for simple primary care. Isn’t more government intervention in healthcare great? We can all have equal healthcare when it is crap for everyone and hardly anyone can access it. Thanks ObamaCare.


It has nothing to do with the Affordable Care Act. The concierge doctors are the villains here, not the victims. Anywhere there are enough affluent older people who will pay out of pocket, doctors want to treat only them and not deal with any Medicare or any insurance that will limit what they can charge. It’s not about paperwork or regulations. It’s about money.



This!!
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