Who is ready for some ACA rulin' today?

[Trim]

I don't think doctors are as money-driven as lawyers.

[john "teach me how to" dougie]

I have no doubt that the poor people will just continue to use the ER. It is very difficult to find a family practitioner that sees new patients now, and the larger patient pool this provides will make it completely impossible. Nobody is going to wait in line for hours at a walk in clinic to get preventative care.

Just wait until the mass retirement of doctors not willing to work for the mandated fees for service. Expect 6 month waits to see a nurse practitioner. It will be rare to actually see a real doctor.

It already is very hard to see a real doctor, and that has nothing to do with this legislation.

Also, I don't really buy this doctors quitting because of fees stuff. What else are they going to do that provides them the lifestyle they currently enjoy? The government forcing the doctors to provide service at a rate that's not quite as ridiculous as they are currently charging doesn't seem that ridiculous to me.

I can't say that I have ever had a to wait more than 2 weeks to see a doctor. My Canadian friend is very envious. He sometimes comes to the US and pays out of his own pocket to see a doctor.

My friend's father flys to Italy for medical care.  People are weird.

I agree that's pretty weird, unless he uses it as an excuse for a vacation in Italy, in which case it is awesome, but my point was it takes him a very long time to see a doctor in Canada, so he crosses the border into Seattle.

[Stupid Fitz]

Do you not think others who cannot currently get into med school would replace them?

They may.
However, if they can't get into med school now, do you want them taking care of you when they are able to get in simply because the most qualified people chose not to pursue the career field? Something to consider.

It couldn't be worse than what I've got now. They would still have to graduate from med school to be a doctor. Why should I care if they had a few bad grades freshman year in college?

Jfc, where do you live?  In the forest somewhere?  I called the day before, got a full physical the next day and received my lab results (no AIDS) the next day.

[Rage Against the McKee]

Do you not think others who cannot currently get into med school would replace them?

They may.
However, if they can't get into med school now, do you want them taking care of you when they are able to get in simply because the most qualified people chose not to pursue the career field? Something to consider.

It couldn't be worse than what I've got now. They would still have to graduate from med school to be a doctor. Why should I care if they had a few bad grades freshman year in college?

Jfc, where do you live?  In the forest somewhere?  I called the day before, got a full physical the next day and received my lab results (no AIDS) the next day.

Had you seen the doctor at any point before you called? Try getting an appointment with a doctor as a new patient some time. It's not easy.

It's complete bullshit, too. You call to schedule an appointment and they tell you they can get you in today. Then they find out you aren't in their system, and they either refuse to see you at all or tell you it will be 2 months. That crap should absolutely be illegal.

[slobber]

Do you not think others who cannot currently get into med school would replace them?

They may.
However, if they can't get into med school now, do you want them taking care of you when they are able to get in simply because the most qualified people chose not to pursue the career field? Something to consider.

It couldn't be worse than what I've got now. They would still have to graduate from med school to be a doctor. Why should I care if they had a few bad grades freshman year in college?

Jfc, where do you live?  In the forest somewhere?  I called the day before, got a full physical the next day and received my lab results (no AIDS) the next day.

Had you seen the doctor at any point before you called? Try getting an appointment with a doctor as a new patient some time. It's not easy.

It's complete bullshit, too. You call to schedule an appointment and they tell you they can get you in today. Then they find out you aren't in their system, and they either refuse to see you at all or tell you it will be 2 months. That crap should absolutely be illegal.

Maybe you are just a bad person. I have moved several times and I never have that problem..."Why certainly Mr. dobber, what day would you like to see the best Dr. in the State of (wherever I just moved to)?"

[Rage Against the McKee]

Do you not think others who cannot currently get into med school would replace them?

They may.
However, if they can't get into med school now, do you want them taking care of you when they are able to get in simply because the most qualified people chose not to pursue the career field? Something to consider.

It couldn't be worse than what I've got now. They would still have to graduate from med school to be a doctor. Why should I care if they had a few bad grades freshman year in college?

Jfc, where do you live?  In the forest somewhere?  I called the day before, got a full physical the next day and received my lab results (no AIDS) the next day.

Had you seen the doctor at any point before you called? Try getting an appointment with a doctor as a new patient some time. It's not easy.

It's complete bullshit, too. You call to schedule an appointment and they tell you they can get you in today. Then they find out you aren't in their system, and they either refuse to see you at all or tell you it will be 2 months. That crap should absolutely be illegal.

Maybe you are just a bad person. I have moved several times and I never have that problem..."Why certainly Mr. dobber, what day would you like to see the best Dr. in the State of (wherever I just moved to)?"

Maybe, but I'm not sure how the doctor would know that without ever even meeting me. The doctor seems like the bad person in this case, at least to me.

[Trim]

You're doing something wrong, NK.

[Cire]

I have no doubt that the poor people will just continue to use the ER. It is very difficult to find a family practitioner that sees new patients now, and the larger patient pool this provides will make it completely impossible. Nobody is going to wait in line for hours at a walk in clinic to get preventative care.

Just wait until the mass retirement of doctors not willing to work for the mandated fees for service. Expect 6 month waits to see a nurse practitioner. It will be rare to actually see a real doctor.

It already is very hard to see a real doctor, and that has nothing to do with this legislation.

Also, I don't really buy this doctors quitting because of fees stuff. What else are they going to do that provides them the lifestyle they currently enjoy? The government forcing the doctors to provide service at a rate that's not quite as ridiculous as they are currently charging doesn't seem that ridiculous to me.

They may not retire immediately, but I think the bigger problem is that the profession will not be as lucrative as it once was. The assumption is that this may be a deciding factor in young people investing the time and effort it takes to become a doctor. Factor in the additional time it will take to pay off student loans due to the lower earnings and it seems somewhat reasonable that a 22 year old will say, "eff that, I ain't going to become a doc and then work until I am 70 to pay off my student loans."

What is that 22 year old going to do instead?

Law School?

Those professions seem like they would require different skill sets. I think engineer is more likely, but being a doctor would have to become a lot less lucrative before kids want to be engineers instead of doctors.

That was just for the lawyers on here.
If the average family physician loses 33% of their income, assuming the average income is about $180k for a family physician (I know some make a hell of a lot more, but some make a hell of a lot less- I googled it and $180k seemed like a decent average and it makes the math easy), then the average income drops to $120k. Throw in the $100k in med school loans, it seems reasonable to me that some kids will gladly jump on the engineer train and start out at $70k (or whatever it is these days) and work their way up without the medical school debt. Don't forget that the engineer starts making money 8 years earlier than the physician.

You are not factoring in the gigantic ego s that doctors have, the prestige isn't going away.

[john "teach me how to" dougie]

The doctor I have now wasn't taking any more patients according to my insurance booklet, so I called him directly and explained I wanted the best doctor in the system, and he accepted me and the wife.

[Rage Against the McKee]

You're doing something wrong, NK.

I can't help but think that as well, but I'm not sure what I should be doing differently. Maybe I should just tell the receptionist that I definitely am not a new patient and that she must be confused or something?

Moving seems to be the only good solution here.

[Rage Against the McKee]

The doctor I have now wasn't taking any more patients according to my insurance booklet, so I called him directly and explained I wanted the best doctor in the system, and he accepted me and the wife.

Did you call him at his residence or did you actually get him to talk to you on the phone from his office?

[slobber]

The doctor I have now wasn't taking any more patients according to my insurance booklet, so I called him directly and explained I wanted the best doctor in the system, and he accepted me and the wife.

Did you call him at his residence or did you actually get him to talk to you on the phone from his office?

When dougie moved to town, the Dr. called him.

[john "teach me how to" dougie]

The doctor I have now wasn't taking any more patients according to my insurance booklet, so I called him directly and explained I wanted the best doctor in the system, and he accepted me and the wife.

Did you call him at his residence or did you actually get him to talk to you on the phone from his office?

The only way to get to a doctor is through their nurse. Schmooze up the nurse and see what happens.

[Rage Against the McKee]

The doctor I have now wasn't taking any more patients according to my insurance booklet, so I called him directly and explained I wanted the best doctor in the system, and he accepted me and the wife.

Did you call him at his residence or did you actually get him to talk to you on the phone from his office?

The only way to get to a doctor is through their nurse. Schmooze up the nurse and see what happens.

I might try that. I'm getting tired of being DJamer Wally'd by the doctors, though.

[star seed 7]

I can't say that I have ever had a to wait more than 2 weeks to see a doctor. My Canadian friend is very envious. He sometimes comes to the US and pays out of his own pocket to see a doctor.

i know 4 people very well that live in canada.  two in their late 20's and 2 in late 40's/early 50's.  none of them have ever had a problem seeing a doctor when they need too.  the two that have needed surgeries received them much quicker than they would have been able to in the US.  my mom, who is a director in a hospital, went up to winnipeg about 3 months ago because the guy she is involved with was having surgery, and she was amazed at how easy, simple, and fast the whole experience was.

i have asked him about this issue and he jokingly laughs and calls the 2-6 month wait to see doctors  "bullshit propaganda".

[Kat Kid]

I have no doubt that the poor people will just continue to use the ER. It is very difficult to find a family practitioner that sees new patients now, and the larger patient pool this provides will make it completely impossible. Nobody is going to wait in line for hours at a walk in clinic to get preventative care.

Just wait until the mass retirement of doctors not willing to work for the mandated fees for service. Expect 6 month waits to see a nurse practitioner. It will be rare to actually see a real doctor.

It already is very hard to see a real doctor, and that has nothing to do with this legislation.

Also, I don't really buy this doctors quitting because of fees stuff. What else are they going to do that provides them the lifestyle they currently enjoy? The government forcing the doctors to provide service at a rate that's not quite as ridiculous as they are currently charging doesn't seem that ridiculous to me.

I can't say that I have ever had a to wait more than 2 weeks to see a doctor. My Canadian friend is very envious. He sometimes comes to the US and pays out of his own pocket to see a doctor.

My friend's father flys to Italy for medical care.  People are weird.

I agree that's pretty weird, unless he uses it as an excuse for a vacation in Italy, in which case it is awesome, but my point was it takes him a very long time to see a doctor in Canada, so he crosses the border into Seattle.

Yeah I go to kstat.  Much better than family doc for most stuff.  But 99% of the "inconvenience" stuff has to do with licensing/high barriers to entry/oligopoly.  There was an article somewhere on the interwebs I read about a primary care doc that was taking clients on his iphone for home visits to be more convenient and cut overhead.  Some competing docs filed a couple complaints to the state board accusing him of prescription selling and he went back to a brick and mortar.  The volume of doctors offices even in the U.S. is high, and also relatively efficient in terms of patients/per hr. the problem is that innovation is really, really hard.

Specialists are relatively hard to see/expensive anywhere in the U.S (but still easier to see) and just hard to see in a socialized medical care scheme.

[Stevesie60]

How come more people aren't talking about the fact that Romney pretty much passed Obamacare in Massachusetts 6 years ago, and it has been very successful?

http://www.huffingtonpost.com/2012/07/03/massachusetts-health-care-law_n_1645691.html

[john "teach me how to" dougie]

I have no doubt that the poor people will just continue to use the ER. It is very difficult to find a family practitioner that sees new patients now, and the larger patient pool this provides will make it completely impossible. Nobody is going to wait in line for hours at a walk in clinic to get preventative care.

Just wait until the mass retirement of doctors not willing to work for the mandated fees for service. Expect 6 month waits to see a nurse practitioner. It will be rare to actually see a real doctor.

It already is very hard to see a real doctor, and that has nothing to do with this legislation.

Also, I don't really buy this doctors quitting because of fees stuff. What else are they going to do that provides them the lifestyle they currently enjoy? The government forcing the doctors to provide service at a rate that's not quite as ridiculous as they are currently charging doesn't seem that ridiculous to me.

I can't say that I have ever had a to wait more than 2 weeks to see a doctor. My Canadian friend is very envious. He sometimes comes to the US and pays out of his own pocket to see a doctor.

My friend's father flys to Italy for medical care.  People are weird.

I agree that's pretty weird, unless he uses it as an excuse for a vacation in Italy, in which case it is awesome, but my point was it takes him a very long time to see a doctor in Canada, so he crosses the border into Seattle.

Yeah I go to kstat.  Much better than family doc for most stuff.  But 99% of the "inconvenience" stuff has to do with licensing/high barriers to entry/oligopoly.  There was an article somewhere on the interwebs I read about a primary care doc that was taking clients on his iphone for home visits to be more convenient and cut overhead.  Some competing docs filed a couple complaints to the state board accusing him of prescription selling and he went back to a brick and mortar.  The volume of doctors offices even in the U.S. is high, and also relatively efficient in terms of patients/per hr. the problem is that innovation is really, really hard.

Specialists are relatively hard to see/expensive anywhere in the U.S (but still easier to see) and just hard to see in a socialized medical care scheme.

Canada may come out on top once Obamacare is in full swing. Many Canadian doctors, mostly specialists, come south to practice in the US for monetary reasons, and may end up going back when fees are capped. Could get really tough here.

[Stevesie60]

Uh oh, Trim.

Since the law was approved in 2006, Massachusetts residents are more likely to have a place they usually go when they are sick or need advice (up 4.7 percent), more likely to have had a preventive care visit (up 5.9 percent), more likely to have had multiple doctor visits (up 5 percent) and more likely to have had a dental visit (up 5 percent), the Blue Cross Blue Shield report found.

[Trim]

Uh oh, Trim.

Since the law was approved in 2006, Massachusetts residents are more likely to have a place they usually go when they are sick or need advice (up 4.7 percent), more likely to have had a preventive care visit (up 5.9 percent), more likely to have had multiple doctor visits (up 5 percent) and more likely to have had a dental visit (up 5 percent), the Blue Cross Blue Shield report found.

I got really upset today when I saw that Monday would've been the perfect day for you to come watch court with me in Abilene and Manhattan except that there's one particular case in Wichita I can't delegate away or continue.

[Kat Kid]

Uh oh, Trim.

Since the law was approved in 2006, Massachusetts residents are more likely to have a place they usually go when they are sick or need advice (up 4.7 percent), more likely to have had a preventive care visit (up 5.9 percent), more likely to have had multiple doctor visits (up 5 percent) and more likely to have had a dental visit (up 5 percent), the Blue Cross Blue Shield report found.

I got really upset today when I saw that Monday would've been the perfect day for you to come watch court with me in Abilene and Manhattan except that there's one particular case in Wichita I can't delegate away or continue.

next time you are on a northern swing let me know and I may be able to help facilitate this.

[Stevesie60]

Uh oh, Trim.

Since the law was approved in 2006, Massachusetts residents are more likely to have a place they usually go when they are sick or need advice (up 4.7 percent), more likely to have had a preventive care visit (up 5.9 percent), more likely to have had multiple doctor visits (up 5 percent) and more likely to have had a dental visit (up 5 percent), the Blue Cross Blue Shield report found.

I got really upset today when I saw that Monday would've been the perfect day for you to come watch court with me in Abilene and Manhattan except that there's one particular case in Wichita I can't delegate away or continue.

I don't doubt there are people like the people you're talking about. But those stats are pretty cool. I mean, we have this state that pretty much already implemented Obamacare, and it's working. People who didn't have health insurance before are using it. IT'S WORKING, TRIM!! IT'S EFFING WORKING!!!

That being said, I'll still go to court with you sometime.

[8manpick]

Uh oh, Trim.

Since the law was approved in 2006, Massachusetts residents are more likely to have a place they usually go when they are sick or need advice (up 4.7 percent), more likely to have had a preventive care visit (up 5.9 percent), more likely to have had multiple doctor visits (up 5 percent) and more likely to have had a dental visit (up 5 percent), the Blue Cross Blue Shield report found.

I got really upset today when I saw that Monday would've been the perfect day for you to come watch court with me in Abilene and Manhattan except that there's one particular case in Wichita I can't delegate away or continue.

I don't doubt there are people like the people you're talking about. But those stats are pretty cool. I mean, we have this state that pretty much already implemented Obamacare, and it's working. People who didn't have health insurance before are using it. IT'S WORKING, TRIM!! IT'S EFFING WORKING!!!

That being said, I'll still go to court with you sometime.

#WatchTrimLitigateInMHKPak

[john "teach me how to" dougie]

Uh oh, Trim.

Since the law was approved in 2006, Massachusetts residents are more likely to have a place they usually go when they are sick or need advice (up 4.7 percent), more likely to have had a preventive care visit (up 5.9 percent), more likely to have had multiple doctor visits (up 5 percent) and more likely to have had a dental visit (up 5 percent), the Blue Cross Blue Shield report found.

I got really upset today when I saw that Monday would've been the perfect day for you to come watch court with me in Abilene and Manhattan except that there's one particular case in Wichita I can't delegate away or continue.

I don't doubt there are people like the people you're talking about. But those stats are pretty cool. I mean, we have this state that pretty much already implemented Obamacare, and it's working. People who didn't have health insurance before are using it. IT'S WORKING, TRIM!! IT'S EFFING WORKING!!!

That being said, I'll still go to court with you sometime.

I think implementing on the state level is fantastic. They can be much more reactive to the needs of their particular residents needs. It would also add an element of competition between the states to see who had the best system (cost vs level of service) to draw business to the state. If you have a problem with your states health care, or lack there of, you can start looking at relocating. Everyone would win.

Federal programs suck. All of them.

[Stevesie60]

Uh oh, Trim.

Since the law was approved in 2006, Massachusetts residents are more likely to have a place they usually go when they are sick or need advice (up 4.7 percent), more likely to have had a preventive care visit (up 5.9 percent), more likely to have had multiple doctor visits (up 5 percent) and more likely to have had a dental visit (up 5 percent), the Blue Cross Blue Shield report found.

I got really upset today when I saw that Monday would've been the perfect day for you to come watch court with me in Abilene and Manhattan except that there's one particular case in Wichita I can't delegate away or continue.

I don't doubt there are people like the people you're talking about. But those stats are pretty cool. I mean, we have this state that pretty much already implemented Obamacare, and it's working. People who didn't have health insurance before are using it. IT'S WORKING, TRIM!! IT'S EFFING WORKING!!!

That being said, I'll still go to court with you sometime.

I think implementing on the state level is fantastic. They can be much more reactive to the needs of their particular residents needs. It would also add an element of competition between the states to see who had the best system (cost vs level of service) to draw business to the state. If you have a problem with your states health care, or lack there of, you can start looking at relocating. Everyone would win.

Federal programs suck. All of them.

I'm all for that. Tell your people to draw up a plan and give it to Romney. I'd vote for that. But right now it's Obama's plan vs. what we have now. And with those two options, I'll take Obama's plan.