I saw a commercial this morning in which some doctors’ group was pushing for the public healthcare insurance option. The focus of the message was about patient care, but I wondered what attraction that kind of government plan held for doctors. Which doctors favor nationalized healthcare?
Not primary care physicians, if they have any sense. How ObamaCare Will Affect Your Doctor
Expect longer waits for appointments as physicians get pinched on reimbursements.
At the heart of President Barack Obama’s health-care plan is an insurance program funded by taxpayers, administered by Washington, and open to everyone. Modeled on Medicare, this “public option” will soon become the single dominant health plan, which is its political purpose. It will restructure the practice of medicine in the process.
…Physician income declines will be accompanied by regulations that will make practicing medicine more costly, creating a double whammy of lower revenue and higher practice costs, especially for primary-care doctors who generally operate busy practices and work on thinner margins. For example, doctors will face expenses to deploy pricey electronic prescribing tools and computerized health records that are mandated under the Obama plan. For most doctors these capital costs won’t be fully covered by the subsidies provided by the plan.
Government insurance programs also shift compliance costs directly onto doctors by encumbering them with rules requiring expensive staffing and documentation. It’s a way for government health programs like Medicare to control charges. The rules are backed up with threats of arbitrary probes targeting documentation infractions. There will also be disproportionate fines, giving doctors and hospitals reason to overspend on their back offices to avoid reprisals.
The 60% of doctors who are self-employed will be hardest hit. That includes specialists, such as dermatologists and surgeons, who see a lot of private patients. But it also includes tens of thousands of primary-care doctors, the very physicians the Obama administration says need the most help.
Social Security and Medicare are fading even faster under the weight of the recession, heading for insolvency years sooner than previously expected, the government warned Tuesday. Social Security will start paying out more in benefits than it collects in taxes in 2016, a year sooner than projected last year, and the giant trust fund will be depleted by 2037, four years sooner, trustees reported.
…”Instead of getting existing public programs in order right now, some are saying we should create a new government-run health insurance plan,” Sen. Chuck Grassley, the top Republican on the Finance Committee, said in a reference to the administration’s health care proposals. “When we can’t afford the public health plan we have already, does it make sense to add more?”
No, it doesn’t.