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The idea is to require people who have cadillac coverages

Posted: Sep 14, 2013

One of the things I'm not crazy about in this interim period before costs are brought more in line is Obamacare's throwing more responsibility on us for shopping for prices.

People who belong to unions will not get a break on this--i.e., they won't still be able to just go to any hospital or doctor, no matter how overpriced, and have it all covered by insurance that costs no more than that most people have.

Right now, people are going to their $600/hour cardiac or other specialists to have their prescriptions for sleeping pills renewed--instead of their primary care providers. This is coming to a stop. More of what all this is about.

;

Disagree - Cancer Survivor

[ In Reply To ..]
I have to see all sorts of specialists related to my illness. My cardiologist is only willing to prescribe for my BP/cardiology problems, my primary will not give me an Rx for anything related to my oncology issues, not even pain meds, and so forth. It would be nice if my doctors would give treat misc problems as I could avoid some doctor visits, but they won't. There is NOTHING good about Obama care in my experience.

I meant to respond to the post just below, CS. This is a - significant factor nationally that

[ In Reply To ..]
has caused prices for medical care that are far above those in comparable countries. Only one of many, and, as in your cases, not all specialists are billing for services they shouldn't provide, but it is a significant problem. The Obama administration is addressing the critical shortage of PCPs resulting from underpay for them and overpay for specialists.

BTW, this is not my opinion or my experience. All reputable experts agree on this.

I saw my family doctor during the end of August, - Libby

[ In Reply To ..]
and a very nice medical student/resident sat in on my visit with my blessings.

I talked to her about what I'd been hearing about a major shortage of PCPs because of Obamacare, a lot of which I read on this board.

She said she's not in it for the money but to help sick people (pretty much like the teachers who teach because they simply want to HELP their fellow human beings, not the "vultures" that are portrayed on this board and in other places all over the internet.

Not only does she WANT to be a PCP, but she wants to remain in my doctor's office to practice. A person with values like hers will be my choice EVERY TIME over someone who only cares about the money.

The shortage of PCPs is because it pays much less. - Obamacare is RAISING compensation for them,

[ In Reply To ..]
lowering compensation for grossly overpaid specialties. So, PCPs are happy and hopefully more students will become PCPs in future as a result. Specialists are not happy. Oh, well.

People like your medical student show up for the lie that it is the medical profession's longstanding claim that lowering compensation would mean only inferior people would want to become doctors. I also have seen more bored uncaring physicians than anyone should and would love to see THEM discouraged from entering the field.

that has nothing to do with obamacare - nm

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Well, yes. It does. Obamacare is COMPREHENSIVE - healthcare system reform. nm

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x

the poster's complaint is not related in any way - to obamacare

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You always have to see the appropriate doctor for scripts. A cardiologist isn't going to renew someone's psychotropic meds, and the shrink isn't going to give a patient Lipitor.

Sorry, mistook the comment as being for me or - Hurts. nm

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x

The only parts of Obamacare that are in effect thus far are...sm - oldtimer

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Children staying on their parent's policies and no refusal of insurance for pre-existing conditions. So, no, nothing to do with Obamacare.

I believe there is a lot more in effect, just not all the - coverages for patients yet. nm

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x

Sign up begins in Oct for a Jan 1, 2014 start date for coverage. nm - VTMT

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.

cardiology office visits do NOT cost $600/hr - nm

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Cardiologists seldom spend half an hour with one patient. - Think about it.

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That's probably low for a well equipped practice in an urban area. The office/support costs for a cardiologist are very high, including costs for real estate, physician assistant, in-office electrocardiography equipment, and the rest of the iceberg. After all costs, the AVERAGE cardiologist takes home close to $400K. (That doesn't include extra income from such things as investment in radiology labs they send patients to part ownership of the hospital they send patients to, and so on.)

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