ObamaCare ruined primary care medicine

[Anonymous]

Anonymous wrote:I had no idea people in DC were getting hustled into paying a $2k concierge fee for a primary care provider. That's pretty sad.

I live in DC and have no problem finding doctors who aren’t part of concierge practices.

Also just because a practice doesn’t *take* insurance doesn’t mean that insurance won’t *pay.*. Drs are just tired of the paperwork. We have a doctor than one person in our family uses but who doesn’t take insurance. They give us the right documentation and I can either mail it in or scan it and get reimbursed.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I blame the government for having too few seats at residency programs. We simply do not have enough doctors if everyone has access to healthcare. The system worked fine before, but only because so many people couldn’t afford to see doctors

Before the ACA, the system was not working fine. Go back and read the media articles describing the acute issues people faced at the time.

The ACA tried to fix problems, but as if often the case, the road to hell is paved with good intentions. ACA increased the amount of reporting, imposed onerous rules and regulations, and continues to reimburse less and less. It has now added millions of new people to the system while the number of doctors stays the same. It has blown up our entire healthcare system.

Doctors are fed up and are ditching all insurance, so now you have thousands and thousands of people paying out the a$$ for insurance they can’t even use anymore and are being asked to fork out thousands more for an exclusive membership just to keep docs on retainer. It squeezes many more people towards the remaining docs that do take insurance, which are fewer and far between. Just because you can look on your insurance website and find PCPs thst accept the insurance doesn’t mean you’ll get access. So many don’t even take new patients anymore, or it is impossible to schedule an appointment, rendering your insurance worthless. Too bad for you if you don’t have an extra $2000+ per year per person in your household to pay for a membership fee. You’re screwed.

Imagine how people without insurance felt, then, when they couldn't go to the doctor when they were sick because they had no insurance. And no, medicaid doesn't pay for such people. These people are too "rich" for medicaid, but too poor to get private insurance.

The subsidies ACA provided helped millions of people get insurance, and many who went to see a PCP for the first time in their lives.

ACA is not perfect, but without a viable alternative, it's here to stay. And like I posted earlier, even some Rs have given into ACA and want it shored up with more people signing up for it.

Great. And now no one can get healthcare, even if they have insurance because physicians are closing their doors and only want elitists paying thousands per year in cash out of pocket.

So glad we are now all in the gutter.

Two minutes on Google or your insurance company’s website would lead you to a PCP who takes your insurance. Instead you’re here. Why?

When I turned 65 and enrolled in Medicare I contacted a primary care practice in NW DC that is listed as taking Medicare and Blue Cross and was told they are now a concierge practice and no longer participate in any insurance. It is snowballing here because no primary practice wants to be left with only the patients the other practices avoid. I use Urgent Care for primary care and contact a specialist directly if I need one. The specialty practices all have some docs who take Medicare and federal insurance because that’s where their volume is.

[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.

BS. ACA gave insurance to millions. You can blame capitalism, not Obama.

Also, grow up. Read a book.

[Anonymous]

Blame the insurance industry that REPUBLICANS won't regulate.

Obama just made sure more Americans had ANY coverage.

He did not dictate how much private companies reimburse.

Health care should NOT be a for-profit industry.

It is capitalism at work OP, not socialism.

[Anonymous]

Anonymous wrote:Blame the insurance industry that REPUBLICANS won't regulate.

Obama just made sure more Americans had ANY coverage.

He did not dictate how much private companies reimburse.

Health care should NOT be a for-profit industry.

It is capitalism at work OP, not socialism.

The mistake was getting the govt involved. That instantly raised the cost of services across the board.

Obama had a good goal of expanding coverage and the way he could have done it was by implanting a caps for basic services costs - routine office visit for example and allow specialty services to continue to billed at the prevailing rates, and make insurers cover pre-existing conditions with the stipulation they could charge a certain percentage over the regular rates.

The truth is insured people were already paying the costs for the uninsured and now we still do and with the added burden of pitching in for those who get the coverage but receive subsidies for premiums.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I blame the government for having too few seats at residency programs. We simply do not have enough doctors if everyone has access to healthcare. The system worked fine before, but only because so many people couldn’t afford to see doctors

Before the ACA, the system was not working fine. Go back and read the media articles describing the acute issues people faced at the time.

The ACA tried to fix problems, but as if often the case, the road to hell is paved with good intentions. ACA increased the amount of reporting, imposed onerous rules and regulations, and continues to reimburse less and less. It has now added millions of new people to the system while the number of doctors stays the same. It has blown up our entire healthcare system.

Doctors are fed up and are ditching all insurance, so now you have thousands and thousands of people paying out the a$$ for insurance they can’t even use anymore and are being asked to fork out thousands more for an exclusive membership just to keep docs on retainer. It squeezes many more people towards the remaining docs that do take insurance, which are fewer and far between. Just because you can look on your insurance website and find PCPs thst accept the insurance doesn’t mean you’ll get access. So many don’t even take new patients anymore, or it is impossible to schedule an appointment, rendering your insurance worthless. Too bad for you if you don’t have an extra $2000+ per year per person in your household to pay for a membership fee. You’re screwed.

Imagine how people without insurance felt, then, when they couldn't go to the doctor when they were sick because they had no insurance. And no, medicaid doesn't pay for such people. These people are too "rich" for medicaid, but too poor to get private insurance.

The subsidies ACA provided helped millions of people get insurance, and many who went to see a PCP for the first time in their lives.

ACA is not perfect, but without a viable alternative, it's here to stay. And like I posted earlier, even some Rs have given into ACA and want it shored up with more people signing up for it.

Great. And now no one can get healthcare, even if they have insurance because physicians are closing their doors and only want elitists paying thousands per year in cash out of pocket.

So glad we are now all in the gutter.

Two minutes on Google or your insurance company’s website would lead you to a PCP who takes your insurance. Instead you’re here. Why?

When I turned 65 and enrolled in Medicare I contacted a primary care practice in NW DC that is listed as taking Medicare and Blue Cross and was told they are now a concierge practice and no longer participate in any insurance. It is snowballing here because no primary practice wants to be left with only the patients the other practices avoid. I use Urgent Care for primary care and contact a specialist directly if I need one. The specialty practices all have some docs who take Medicare and federal insurance because that’s where their volume is.

Sounds like a datapoint of one? You called one doctors office. Yeah that means there’s a huge problem.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Blame the insurance industry that REPUBLICANS won't regulate.

Obama just made sure more Americans had ANY coverage.

He did not dictate how much private companies reimburse.

Health care should NOT be a for-profit industry.

It is capitalism at work OP, not socialism.

The mistake was getting the govt involved. That instantly raised the cost of services across the board.

Obama had a good goal of expanding coverage and the way he could have done it was by implanting a caps for basic services costs - routine office visit for example and allow specialty services to continue to billed at the prevailing rates, and make insurers cover pre-existing conditions with the stipulation they could charge a certain percentage over the regular rates.

The truth is insured people were already paying the costs for the uninsured and now we still do and with the added burden of pitching in for those who get the coverage but receive subsidies for premiums.

Costs were exponentially growing prior to ACA. The rate has slowed.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I am OK with single payer if every American pays the same "fee"

If every American had to pay $1,000/yr regardless if you make 10m or 50k (create a poverty buffer where it's covered under a certain $), you would get your healthcare.

However, all they will do is make it free for half the country that doesn't pay taxes then jack up my taxes to the point where I am subsidizing dozens of people.

Sorry buy my employer covers 100% of my families' premiums and our deductible is negligible. Why would I ever want to change that?

Because you might lose your job or your company goes bankrupt or changes its benefits policies or you retire and realize you need better coverage. Good for you on having an allegedly great policy. But what happens to your kids and other family members once you're gone?

Then I will buy my own policy. It will still be cheaper than getting whacked with higher taxes at my income. The system is rigged as it is.

I could retire at 60 and live more or less tax free for years by living off my cash and ST bonds. My taxable income would make it appear like we are poor which means uncle sam will be massively subsidizing my health care.

We are worth over $10M.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I blame the government for having too few seats at residency programs. We simply do not have enough doctors if everyone has access to healthcare. The system worked fine before, but only because so many people couldn’t afford to see doctors

Before the ACA, the system was not working fine. Go back and read the media articles describing the acute issues people faced at the time.

The ACA tried to fix problems, but as if often the case, the road to hell is paved with good intentions. ACA increased the amount of reporting, imposed onerous rules and regulations, and continues to reimburse less and less. It has now added millions of new people to the system while the number of doctors stays the same. It has blown up our entire healthcare system.

Doctors are fed up and are ditching all insurance, so now you have thousands and thousands of people paying out the a$$ for insurance they can’t even use anymore and are being asked to fork out thousands more for an exclusive membership just to keep docs on retainer. It squeezes many more people towards the remaining docs that do take insurance, which are fewer and far between. Just because you can look on your insurance website and find PCPs thst accept the insurance doesn’t mean you’ll get access. So many don’t even take new patients anymore, or it is impossible to schedule an appointment, rendering your insurance worthless. Too bad for you if you don’t have an extra $2000+ per year per person in your household to pay for a membership fee. You’re screwed.

Imagine how people without insurance felt, then, when they couldn't go to the doctor when they were sick because they had no insurance. And no, medicaid doesn't pay for such people. These people are too "rich" for medicaid, but too poor to get private insurance.

The subsidies ACA provided helped millions of people get insurance, and many who went to see a PCP for the first time in their lives.

ACA is not perfect, but without a viable alternative, it's here to stay. And like I posted earlier, even some Rs have given into ACA and want it shored up with more people signing up for it.

Great. And now no one can get healthcare, even if they have insurance because physicians are closing their doors and only want elitists paying thousands per year in cash out of pocket.

So glad we are now all in the gutter.

Two minutes on Google or your insurance company’s website would lead you to a PCP who takes your insurance. Instead you’re here. Why?

Democrats want sensible coverage for everyone. Ever heard of Medicare for all? The GOP allowed garbage policies to proliferate (which had been restricted under the original ACA). You think you have cheap insurance but you really don't. It's not worth the paper it's written on. But I guess that what happens when folks pay and vote for what they get.

But what good is universal HC and/or coverage for all of there just aren’t enough doctors? Already outrageous wait times will get much worse. Providing access doesn’t solve critical supply problems.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I had no idea people in DC were getting hustled into paying a $2k concierge fee for a primary care provider. That's pretty sad.

I live in DC and have no problem finding doctors who aren’t part of concierge practices.

Also just because a practice doesn’t *take* insurance doesn’t mean that insurance won’t *pay.*. Drs are just tired of the paperwork. We have a doctor than one person in our family uses but who doesn’t take insurance. They give us the right documentation and I can either mail it in or scan it and get reimbursed.

I’m a new transplant to the area.

Trying to find a PCP that actually takes new patients is hellacious. It is all concierge. Or you are funneled into seeing a nurse practitioner. Sorry, no offense, but I want to see a doctor, not a nurse practitioner. Your insurance website can list all the PCPs they want that supposedly hake your insurance, but have you actually tried to be a new patient recently? They never call you back. Or they’re full and no longer take new patients. Or the only ones left have horrible reviews.

You are being herded like cattle more and more to concierge docs, because they’re the only real MD PCPs left who are decent and still take patients. You just gotta be a wealthy elitist now for access.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I blame the government for having too few seats at residency programs. We simply do not have enough doctors if everyone has access to healthcare. The system worked fine before, but only because so many people couldn’t afford to see doctors

Before the ACA, the system was not working fine. Go back and read the media articles describing the acute issues people faced at the time.

The ACA tried to fix problems, but as if often the case, the road to hell is paved with good intentions. ACA increased the amount of reporting, imposed onerous rules and regulations, and continues to reimburse less and less. It has now added millions of new people to the system while the number of doctors stays the same. It has blown up our entire healthcare system.

Doctors are fed up and are ditching all insurance, so now you have thousands and thousands of people paying out the a$$ for insurance they can’t even use anymore and are being asked to fork out thousands more for an exclusive membership just to keep docs on retainer. It squeezes many more people towards the remaining docs that do take insurance, which are fewer and far between. Just because you can look on your insurance website and find PCPs thst accept the insurance doesn’t mean you’ll get access. So many don’t even take new patients anymore, or it is impossible to schedule an appointment, rendering your insurance worthless. Too bad for you if you don’t have an extra $2000+ per year per person in your household to pay for a membership fee. You’re screwed.

Imagine how people without insurance felt, then, when they couldn't go to the doctor when they were sick because they had no insurance. And no, medicaid doesn't pay for such people. These people are too "rich" for medicaid, but too poor to get private insurance.

The subsidies ACA provided helped millions of people get insurance, and many who went to see a PCP for the first time in their lives.

ACA is not perfect, but without a viable alternative, it's here to stay. And like I posted earlier, even some Rs have given into ACA and want it shored up with more people signing up for it.

Great. And now no one can get healthcare, even if they have insurance because physicians are closing their doors and only want elitists paying thousands per year in cash out of pocket.

So glad we are now all in the gutter.

Two minutes on Google or your insurance company’s website would lead you to a PCP who takes your insurance. Instead you’re here. Why?

Democrats want sensible coverage for everyone. Ever heard of Medicare for all? The GOP allowed garbage policies to proliferate (which had been restricted under the original ACA). You think you have cheap insurance but you really don't. It's not worth the paper it's written on. But I guess that what happens when folks pay and vote for what they get.

But what good is universal HC and/or coverage for all of there just aren’t enough doctors? Already outrageous wait times will get much worse. Providing access doesn’t solve critical supply problems.

I suspect that if we had universal health care, doctors would be relieved of substantial paperwork and navigating insurance coverage. This would free them up to spend more time with patients.

It would also make the practice of medicine more enjoyable and reduce unhappiness that many doctors feel. So fewer would leave the profession and more would join.

So a virtuous circle.

There would still be tough questions about what kinds of medical care should be covered.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I had no idea people in DC were getting hustled into paying a $2k concierge fee for a primary care provider. That's pretty sad.

I live in DC and have no problem finding doctors who aren’t part of concierge practices.

Also just because a practice doesn’t *take* insurance doesn’t mean that insurance won’t *pay.*. Drs are just tired of the paperwork. We have a doctor than one person in our family uses but who doesn’t take insurance. They give us the right documentation and I can either mail it in or scan it and get reimbursed.

I’m a new transplant to the area.

Trying to find a PCP that actually takes new patients is hellacious. It is all concierge. Or you are funneled into seeing a nurse practitioner. Sorry, no offense, but I want to see a doctor, not a nurse practitioner. Your insurance website can list all the PCPs they want that supposedly hake your insurance, but have you actually tried to be a new patient recently? They never call you back. Or they’re full and no longer take new patients. Or the only ones left have horrible reviews.

You are being herded like cattle more and more to concierge docs, because they’re the only real MD PCPs left who are decent and still take patients. You just gotta be a wealthy elitist now for access.

Ok so now you’re changing your story. You can find a PCP but you can’t have whatever PCP you want. That has never been an option, I’m sorry that’s news to you.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I blame the government for having too few seats at residency programs. We simply do not have enough doctors if everyone has access to healthcare. The system worked fine before, but only because so many people couldn’t afford to see doctors

Before the ACA, the system was not working fine. Go back and read the media articles describing the acute issues people faced at the time.

The ACA tried to fix problems, but as if often the case, the road to hell is paved with good intentions. ACA increased the amount of reporting, imposed onerous rules and regulations, and continues to reimburse less and less. It has now added millions of new people to the system while the number of doctors stays the same. It has blown up our entire healthcare system.

Doctors are fed up and are ditching all insurance, so now you have thousands and thousands of people paying out the a$$ for insurance they can’t even use anymore and are being asked to fork out thousands more for an exclusive membership just to keep docs on retainer. It squeezes many more people towards the remaining docs that do take insurance, which are fewer and far between. Just because you can look on your insurance website and find PCPs thst accept the insurance doesn’t mean you’ll get access. So many don’t even take new patients anymore, or it is impossible to schedule an appointment, rendering your insurance worthless. Too bad for you if you don’t have an extra $2000+ per year per person in your household to pay for a membership fee. You’re screwed.

Imagine how people without insurance felt, then, when they couldn't go to the doctor when they were sick because they had no insurance. And no, medicaid doesn't pay for such people. These people are too "rich" for medicaid, but too poor to get private insurance.

The subsidies ACA provided helped millions of people get insurance, and many who went to see a PCP for the first time in their lives.

ACA is not perfect, but without a viable alternative, it's here to stay. And like I posted earlier, even some Rs have given into ACA and want it shored up with more people signing up for it.

Great. And now no one can get healthcare, even if they have insurance because physicians are closing their doors and only want elitists paying thousands per year in cash out of pocket.

So glad we are now all in the gutter.

Two minutes on Google or your insurance company’s website would lead you to a PCP who takes your insurance. Instead you’re here. Why?

Democrats want sensible coverage for everyone. Ever heard of Medicare for all? The GOP allowed garbage policies to proliferate (which had been restricted under the original ACA). You think you have cheap insurance but you really don't. It's not worth the paper it's written on. But I guess that what happens when folks pay and vote for what they get.

But what good is universal HC and/or coverage for all of there just aren’t enough doctors? Already outrageous wait times will get much worse. Providing access doesn’t solve critical supply problems.

so, what's the answer? Kick more people off of insurance, and just make healthcare for people who can afford it so you can find a PCP who will take your insurance?

You want to be able to find a PCP for yourself, but you don't want others to be able to get medical care?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I had no idea people in DC were getting hustled into paying a $2k concierge fee for a primary care provider. That's pretty sad.

I live in DC and have no problem finding doctors who aren’t part of concierge practices.

Also just because a practice doesn’t *take* insurance doesn’t mean that insurance won’t *pay.*. Drs are just tired of the paperwork. We have a doctor than one person in our family uses but who doesn’t take insurance. They give us the right documentation and I can either mail it in or scan it and get reimbursed.

I’m a new transplant to the area.

Trying to find a PCP that actually takes new patients is hellacious. It is all concierge. Or you are funneled into seeing a nurse practitioner. Sorry, no offense, but I want to see a doctor, not a nurse practitioner. Your insurance website can list all the PCPs they want that supposedly hake your insurance, but have you actually tried to be a new patient recently? They never call you back. Or they’re full and no longer take new patients. Or the only ones left have horrible reviews.

You are being herded like cattle more and more to concierge docs, because they’re the only real MD PCPs left who are decent and still take patients. You just gotta be a wealthy elitist now for access.

Ok, but imagine not having any insurance. You can say, "well find a better job", but not all employers provide insurance, and there aren't enough jobs for every single American to have a job that provides good health insurance.

Insurance shouldn't be tied to employment. That would be a great start.

[Anonymous]

Well so glad Trump came up with a better plan but it did not receive any support from the democrats!

#HillaryClinton/Obama/blackpeople/crime/laptops