Government Watch / Health & Wellness

ACA ‘Savings’: Paying Doctors And Hospitals Bonuses To Deny Care To Patients

doctors-writingFrom – Forbes.com – By Robert Book

One of the stated goals of proponents of the Affordable Care Act (ACA) was to prevent patients from being denied health care so that others could increase their profits. As then-candidate Obama put it, one of his goals was “making sure that they are limited in the ability to extract profits and deny coverage” (video).

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Sharon
6 years ago

Marge is correct! Trump has repeatedly said that we the government should pay for healthcare for
Everyone. I have heard him say that medicare should be expanded to cover everyone. I have seen in California that just because people have coverage (medi-Cal), it doesn’t mean that they can get care.
Most doctors cannot afford to work for the fees paid by medi-Cal and refuse to accept those patients.
Diagnostic equipment is extremely expensive, and hospitals could not buy MRI and CT machines if they only were paid medicare fees. I say get the government out of healthcare and let doctors and their patients work it out!

Nana
6 years ago
Reply to  Sharon

And, while we are talking about “the GOVERNMENT” paying for health care for everyone, we need to remember that “the GOVERNMENT” only gets its money from we, the tax payers. We will certainly see a sharp increase in taxes–just check with the countries with free health care and free schooling. Not saying it’s right, not saying it’s wrong, but certainly something that I think many people aren’t even thinking about. Plus, when the government gets involved in health care, many of our choices are going to be curtailed. It is true, if you like your doctor, you can keep your doctor. The problem we are finding is that, many doctors no longer want to keep YOU. Because of the dismal amount of pay our free health care will give them for taking care of us. AND, you think you get irritated with the insurance company over riding decisions your doctor (with the medical degree, and who has seen you in person) has made–the government is REALLY going to make decisions about what care you can receive.

AlphaPapa
6 years ago
Reply to  Nana

What a load of horsepoop….

SuperMom
6 years ago
Reply to  Nana

You are exactly correct Nana. I have been the victim of managed care in this country and had to fight to get care. I’ve also seen socialized medicine abroad and it wasn’t pretty. I had a friend left on life support so her doctors could spend WEEKS fighting with the death panel. All she needed was a simple pacemaker. She was VERY strong and healthy in every other way. Thank God for her doctors who refused to give up. They finally won, but they had to use an interesting strategy. The board did not care if she died. She was a retiree. The doctors finally pointed out, though, that she was the primary caregiver of a severely handicapped son. If she died, they argued, the government would end up footing the bill for the total care that she was providing for free. Only then she got the pacer. It’s been fifteen years now. NO ONE in their right mind wants socialized medicine.

AlphaPapa
6 years ago
Reply to  Sharon

I am a senior on medicare.. I have NO problem finding and getting a doctor to see me..
Medical care in the US is far higher than it needs to be. I had an MRI in Mexico, which has universal healthcare btw, and my tricare will cover me there.. it cost me $425 vs the same MRI in the US cost me $2800. Both techs were trained in the US..
You really don’t know what you are talking about… Hosp make their money on diagnostic tests and when a person has medicare they are only to happy to bill add on extra test that are not always needed.. Medicare does not pay that bad and in fact Insurance companies negotiate lower fees than Medicare..
The problem with ppl like you, Sharon, is that you want to always go to the head of the line and let everyone else behind you.
I have seen how universal healthcare works first hand… the pppl that hate it the most are the ones who stand to loss the most monetarily from its implementation. The patients don’t want it because suddenly they would be required to actually take responsibility for thier health care instead of living in denial. shrug..this senior is quite happy with medicare..

Mesesmom
6 years ago
Reply to  AlphaPapa

Medicare is NOT Medi-Cal (or Medicaid).

SuperMom
6 years ago
Reply to  AlphaPapa

You got the same price I got for my MRI only I didn’t have to travel to a third world country to get it and shrink our economy some more by sending our $ out of the country. I only had to drive about 15 minutes. Great prices come from competition in the marketplace. If anyone is willing to shop a little, the good prices are here. The problem I have had with the ACA is that when we lost our insurance, I couldn’t get a doctor to see me. Didn’t matter that I had the money to pay out of pocket.

marge
6 years ago

it will never happen un less TED Cruz gets elected in november. or we ALL step up and demand it . Trumps solution is a different GOVERNMENT RUN MANDATED program.

Marilyn Galli
6 years ago
Reply to  marge

You information is not correct..Donald Trump is not for a government run mandated program. He wants competition with buying insurance, by a person being able to shop and compare from state to state. This will offer more options for everyone.

Tony
6 years ago

Obamacare MUST be repealed!! Hopefully it it will not be too late.

Joetta
6 years ago

You have to make the kitchen really clean and keep it that way to avoid the spread of germs, contamination or corruption. In watching our government over the years, good and bad ideas come up, but good and bad personalities implement them. We on the receiving, and tax paying end are doomed if a good person or a good Christian is not looking out for the people. The standards got lowered in the 60’s and kept falling until it’s every man for himself. Few in the ruling party know how to do their job and forvwhatvreason they were hired.

Shay
6 years ago

ACA was suppose enable the uninsured to be able to get insurance. It hasn’t. The individuals who couldn’t afford it still can’t and they do not have to pay the shared responsibility payment either, because most of them qualify for one of many exemptions; however, when they are sick they still go to the emergency room. On the other hand, individuals who can’t afford insurance but make over 138% of poverty level and can’t find an exemption are required to pay the shared responsibility payment, which is a percentage of household income.

Roger Handtke
6 years ago

Your analogy doesn’t work. You need to look at car INSURANCE as a comparison. You don’t wait until the time of your car accident to shop for car insurance. You SHOP for your insurance and compare prices and benefits ahead of time. Capitalism does work to bring prices and benefits received in balance. Socialist car insurance would TELL you which insurance you must buy, because the all-knowing leaders would TELL you which one to buy.

Robert Qualls
6 years ago
Reply to  Roger Handtke

You don’t want to buy all car insurance for everyone through the Auto Insurance Exchange established by every state, or the “National Dept. of insurance”? Gee! Insurance companies are all regulated by the states in which they do business because they like it that way. The McCarran-Ferguson Act, passed in 1944, was only slightly modified by ACA. If we want national free choice in insurance plans, we will wind up with national regulation of ALL INSURANCE, almost certainly. You’ll have to decide if you think that it’s worth it, and maybe it is. Undestand this, though, car insurance now isn’t exactly a “free market”. Lots of people who are horrible drivers can still get insurance because states force companies to take them as “assigned risks”. You have the few subsidized by the many right there.

G. Hilbert
6 years ago

Trash the ACA nightmare and institute free market principles.

Robert Qualls
6 years ago
Reply to  G. Hilbert

I’m tired of hearing about how just pure adherence to the free market will solve the health care crisis. When I am shopping for a purchase like a car or a boat, I research what is available, what its benefits and drawbacks are, what it costs, etc. If I’m having a heart attack or a stroke or just broke my leg, none of that is going to happen, I want someone qualified trying to save me or my limb, ASAP, not the beautiful glories of free-market, laissez-faire capitalism.

Roger Handtke
6 years ago
Reply to  Robert Qualls

My comments above were in response to Robert qualls.

Jim
6 years ago
Reply to  Robert Qualls

But you should shop for your insurance before you get hurt.

Jack
6 years ago

So what do we do about it? The Democrats think its great and the Republicans all say “get rid of Obamacare”. Trouble is, when they get elected they do nothing! (The evil party and the stupid party).

Ginny
6 years ago
Reply to  Jack

Too true, unfortunately. I feel like the guy from the Music Man, I wanna say…”whataya talk, whataya talk, whataya talk talk talk!” Lots of talking and nobody does anything.

GLS
6 years ago

The ACA is much like the movie Soylent Green. Get rid of the dregs of Society. When
you reach a certain age you are picked up and euthanize d. Only difference is we aren’t
making food of the remains.

Mesesmom
6 years ago
Reply to  GLS

Yet.

Cclayt
6 years ago
Reply to  GLS

Omg! I remember seeing that movie and I have had the same thought.
Are you sure they’re not selling us chips???

D B Stone
6 years ago

I wonder how this program fits in with the new “hospital” system now used in our local hospitals. Our family has just been through a horrifying experience which ended in the death of our elderly father. If he had been treated like anyone else, we are convinced he would have continued living a full life. Instead, we were encouraged on the basis of his age to just give him “comfort care” and let him go, despite the fact that he had been living independently until he entered the hospital. The slowness of the doctors who served as “hospitalers” to administer treatment, their denial of the facts (which led to them denying Dad food and drink), the inability to consult my father’s specialists, and the suspected underhanded efforts to supress treatment already started made for a situation we were unable to fight. We are not not only dealing with our grief over our father’s death, but with a great deal of anger for a death that we feel was orchestrated by the “hospital” and the hospital.

Ray N
6 years ago
Reply to  D B Stone

Our family experienced a similar situation with my mom, only this was back in 1990. My mom had a heart a tack and we evaluated her situation much the way your family wanted to. She lived in the country and was in the garden the day before, so she was very active at 75 years old. It was discovered she need bypass surgery or she could go home to die. We as a family said it made sense to do the bypass because, 1. she didn’t have that much heart damage and 2. she wasn’t an invalid before the heart a tack. The problem cam in when the cardiologist said she was old and had live a good long life and we should really consider letting her go. We moved her to another hospital, did the bypass surgery and she lived ten more productive years, taking care of herself all but the last 6 months. My two very young sons had the privilege of her influence for those ten years and that is invaluable.
We need to get government out of our healthcare. We need to be able to make choices like we did in 1990.
I am sorry for your loss.

PaulE
6 years ago
Reply to  D B Stone

If you were designated as having your father’s power of a attorney and had his living will that stated his medical care wishes clearly stated ahead of time, the hospital would have been bound to provide medical care in accordance with your wishes and whatever was specifically outlined in your father’s living will. You could have also contacted the in-house representative from the state, who is in the hospital and whose job it is to oversees doctor and hospital compliance with the Patient’s Bill of Rights in your state. In any event, when the next of kin is present, the hospital cannot make unilateral decisions on a patient’s behalf without expressed consent from the next of kin. Sorry to hear about your loss. A parent’s passing, for any reason, is always painful.

Jim
6 years ago
Reply to  PaulE

The state is the problem.

ROBERT JEFFRIES
6 years ago

ALL YOU HALF TO DO IS LOOK AT CANADA. THEY HAVE HAD A NATIONAL HEALTHCARE FOR OVER 10 YEARS. THEY CANNOT GET GOOD HEALTHCARE THERE NOW. THEY ARE COMMING TO THE US TO GET HEALTHCARE. THEY HAVE OVER A 3 YEAR WAIT TO GET A CAT SCAN. THEY JUST RAISED THERE INCOME TAX TO 40%. IS THIS WHAT YOU WANT? THE DOCTORS ARE CLOSING THERE PLACES, BECAUSE THEY ARE NOT GETTING PAID ENOUGH TO MAKE A LIVING. THE ACA MUST GO!!!

Linda McChesney
6 years ago

Non provision of health care is one of the main components of ACA, because as according their assessment “Baby Boomers” are wasting expensive resources and are the culprits of high health care costs. This nonsense rhetoric will cause health care workers to easily disrespectfully snub their elders who they view as wasteful and greedy. – political correctness. There is a war against the elderly who, if not compliant will soon die off to make it easier for the educators to brainwash!! Baby boomers know too much.

PaulE
6 years ago

Well given the architects of the ACA are big proponents of eugenics and the elimination of those in society that are deemed “unessential”, “uneconomical” (old, sick or weak) or “no longer contributing more to the government than they are drawing in so-called benefits”, that is how they crafted the law to impose their views on the broader population. Ezekiel Emanuel, Rahm’s brother, and one the ACA’s chief architects was very vocal up-front before the ACA was passed about his views on the matter. He was actually quite arrogant about it and he would try to belittle anyone who spoke out against his views. He clearly stated a number of times on both TV and in various printed articles how he felt the elderly should be dealt with and when and how medical care should be withheld to reduce health care costs for the “common good”. That ideology is all incorporated into the ACA and how it is to be administered. So this article merely outlines one of the aspects of how the ACA is implementing such inhuman practices on a daily basis.

Robert Qualls
6 years ago
Reply to  PaulE

Old, sick and weak people take “resources” (read “tax revenues”) out of the system far more than they contribute to them. Therefore, when they die, a major drain on resources is eliminated. It’s not that great of a leap to the Third Reich, where “unworthy lives” (those of the disabled, the mentally challenged/retarded and the insane) were euthanized so as to not be an unnecessary drain on the Reich. From there, it’s an even shorter leap to where those whose religious practices and/or political beliefs are hopelessly out of step with the needs of the New Society are eliminated as they undermine the efficiency and hence the power of the Reich and its Furher (Leader).

PaulE
6 years ago
Reply to  Robert Qualls

Hitler, Stalin, Mao, Pol Pot and a slew of other socialists and communists have regularly controlled “excess costs” by killing millions oF their own people. It’s what they do. They all share a common playbook that ultimately brings unnecessary pain, death and destruction.

Karen
6 years ago

Did anyone expect anything less than this? The whole idea behind the ACA was unsustainable so the only option is to get rid of the biggest users of the system. This is not as Draconian as Hitler’s solution but it is a common solution in countries with national health care systems.

Robert Qualls
6 years ago
Reply to  Karen

Give them time. It’s quite a process going from the beginning of the solution to the Final Solution.

Jim
6 years ago
Reply to  Karen

Are you saying some forms of abuse are better than others?

james blevins
6 years ago

I see the cost of Meds went up again this year ,last year mine went up $40 a month so what I got in a C of L. was gone plus but this year its went up over a $100 now ,why?

Robert Qualls
6 years ago
Reply to  james blevins

Probably because your meds were being made by a company unwilling to settle for a 25% return on equity (in an era where we get 1% on our CDs) and want it to be 30-40% like some of their peer companies. This is what their consultants told them. Capitalists are sometimes their own worst enemies in the long run (and ours in the shorter run!).

Sharon
6 years ago
Reply to  james blevins

I found that when I found an online pharmacy, I get 3 months of two medications for less than one month at chain drug stores, and they are brand name,, not generics. I have also found that many independently owned pharmacies charge less than chain stores. I think that is probably because they require fewer employees and no inventory of non-pharmaceutical supplies.

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