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Sunday, November 28, 2010

Doctors: Yeah - ObamaCare really screwed seniors

As part of ObamaCare, there were three aspects that will be the doom of seniors if the whole thing isn't repealed. 1) $500 billion was pulled out of ObamaCare, 2) The 'doctor fix' that was supposed to make permanent a 20% cut in Medicare reimbursement and thus incentivize doctors to drop out of the program, and 3) two death panel boards that will decide what treatments seniors get, and more importantly, what they won't get due to cost. That latter part we call rationing. From The Washington Post via memeorandumDoctors say Medicare cuts force painful decision about elderly patients
Want an appointment with kidney specialist Adam Weinstein of Easton, Md.? If you're a senior covered by Medicare, the wait is eight weeks.

How about a checkup from geriatric specialist Michael Trahos? Expect to see him every six months: The Alexandria-based doctor has been limiting most of his Medicare patients to twice yearly rather than the quarterly checkups he considers ideal for the elderly. Still, at least he'll see you. Top-ranked primary care doctor Linda Yau is one of three physicians with the District's Foxhall Internists group who recently announced they will no longer be accepting Medicare patients.

"It's not easy. But you realize you either do this or you don't stay in business," she said.

Doctors across the country describe similar decisions, complaining that they've been forced to shift away from Medicare toward higher-paying, privately insured or self-paying patients in response to years of penny-pinching by Congress.

And that's not even taking into account a long-postponed rate-setting method that is on track to slash Medicare's payment rates to doctors by 23 percent Dec. 1. Known as the Sustainable Growth Rate and adopted by Congress in 1997, it was intended to keep Medicare spending on doctors in line with the economy's overall growth rate. But after the SGR formula led to a 4.8 percent cut in doctors' pay rates in 2002, Congress has chosen to put off the ever steeper cuts called for by the formula ever since.

This month, the Senate passed its fourth stopgap fix this year - a one-month postponement that expires Jan. 1. The House is likely to follow suit when it reconvenes next week, and physicians have already been running print ads, passing out fliers to patients and flooding Capitol Hill with phone calls to convince Congress to suspend the 25 percent rate cut that the SGR method will require next year.
Want to feel better? Here's som Obamunist propaganda for y'all:
Not mentioned is that the entire top-heavy structure will cost you dollars not seen on the whiteboard. Not good enough for you? More cowbell! (via Gateway Pundit):
Feeling better yet? More from Verum Serum and Patterico's Pontifications. I have said many times in this blog that the hardest hit by ObamaCare will end up being seniors. All government run plans have one end result - rationing. And what is rationed is that which is most expensive. And those that bear the brunt of the rationing are those that need those expensive procedures but who aren't expected to be paying much in the way of taxes - the elderly. From the bureaucrat's point of view, why care for the elderly that 1) don't pay taxes and 2) aren't going to live much longer anyway? That's liberal compassion, the same that a fetus gets at Planned Parenthood. This is the essence of comparative effectiveness that is at the heart of ObamaCare. Comparative effectiveness, as per Obama's rationing czar 'Dr.' Ezekiel Emanuel, takes only 2 things into consideration when denying or approving treatment: 1) age, 2) cost. Simple as that. It yields this ghoulish chart:This chart would be page 1 of the "how to" guide of any death panel. Old people are too expensive to be worth keeping alive because they've already paid their taxes and are thus essentially useless to a totalitarian state. The very young too are of little value since they won't be paying taxes for a while yet. The people that should be treated are healthy people that pay taxes, but don't really need it because, well - they're mostly healthy. Welcome to ObamaCare, where people that don't need treatment get it, and those that need it don't. Step 1? Healthcare plans dropping seniors via the 'doctor fix':
This is of course by design: Video: Doctors Face 23% Cut in Medicare Payments due to ObamaCare. Alzheimer's patients, mostly seniors, are all at risk because of the law. Just recently, the NYT's Paul Krugman said that death panels were needed to balance the budget (ie - kill seniors because they are too expensive). A couple of years ago, Obama adviser Robert Reich said this: Video: Obama Advisor Robert Reich To Elderly "We're Going To Let You Die!" Liberals want you to die if some bureaucrat determines that you are too expensive to treat. By definition a death panel. Democrat Gary McDowell, who lost to Dan Benishek (R) for the seat of disgraced Judas turncoat Bart Stupak in Michigan's 1st Congressional district, admitted to a crowd of supporters that people near the end of their will get kicked down the stairs to save on cost. Even the White House admits that seniors will see higher costs and less benefits, something they wouldn't do in the runup to the unconstitutional boondoggle.







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