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In the previous years before Obamacare went into effect, I always had on average 1 report a day where the doc would dictate something to the effect "the patient did not come in because he had no insurance," or "the patient had run out of her medications and could not afford to refill," or "the patient left AMA (against medical advice) due to lack of coverage."
The first change I saw was:
Between 2013 and 2014, I noticed that there were dictations where the comment was made that patient was rescheduling surgery for spring of 2014 or electing to delay for awhile.
The most recent change I am seeing:
This last week, I had a report where one patient who had been found with colon cancer 10 years ago with a resection, had had good followup up until 7 years ago when the patient lost health insurance, was now having his first colonoscopy in 7 years.
Recently I had a report where a woman was having a breast mass removed that she had been aware of for 2 years prior.
Hopefully, soon we will not hear any more comments about delay of care.
I see a change from putting off health care to people now getting the health care services that they desparately want and need.
Way to go Obama!
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