Posts Tagged ‘Medicaid’

Here’s the kind of doctor you will see under Obamacare

May 13, 2010

http://www.texastribune.org/stories/2010/may/11/foreign-physicians

http://www.texastribune.org/library/data/internationally-trained-doctors-texas/ Doctors Without Borders

by Emily Ramshaw and Matt Stiles
May 11, 2010

Enlarge graphic by: Matt Stiles, Jacob Villanueva

That’s right — they’re not from Texas. Newly licensed doctors enlisting to treat the state’s Medicaid and Medicare patients are more likely to have been trained at international medical schools, according to a review of state medical licensing data.

Of the roughly 1,500 doctors who have received fast-tracked licenses in the last three years in exchange for agreeing to treat the state’s neediest patients, nearly 40 percent were trained at international medical schools — everywhere from India and Mexico to Uzbekistan and Rwanda — while a quarter were trained at Texas medical schools. The Texas Medical Board fast-tracked more licenses for doctors trained in Pakistan than it did for those educated in Louisiana or Oklahoma. (Scroll over our interactive world map to see where these internationally trained doctors got their medical education.)

Doctors will retire or leave medicine if Obamacare passes

March 17, 2010

http://cnsnews.com/news/article/62812

So when Obamacare finally gets started in 2014, you can look forward to primary care being done by nurses, nurse practitioners, physician assistants, and foreign medical graduates one can barely understand.    And those 30 million with “new” insurance coverage will be mainly on Medicaid; half of doctors won’t accept Medicaid patients because the doctors lose money on every Medicaid patient in their practices.

It is one thing for Obama to expect physicians to earn minimum wage and be happy.   Doctors will not pay money out of their own pockets to take care of patients.

American doctors are telling you what will happen with Obamacare.   Will Congress listen?

Illegal Alien medical care has bankrupted some hospitals

October 29, 2009

If the Democrats get their way , illegal aliens will be covered under Obamacare—maybe  then hospitals will get paid a portion of what it costs  to take care of them, but every American citizen will pay a whole lot more for healthcare that will be rationed and poor quality.

http://www.youtube.com/watch?v=bLJxmJZXgNI

Mayo Clinic losing money on Medicare/Medicaid–will limit number of patients

October 15, 2009

http://www.latimes.com/news/nationworld/nation/la-na-health-mayo13-2009oct13,0,5171753.story

Doctors and hospitals will never survive on Obamacare if rates are mandated at the present Medicare level.  Mayo Clinic has instituted a $55 additional facility fee for private patients to make up for the loss every time they see a Medicare or Medicaid patient.  Obama showed his complete ignorance about government healthcare when he went around praising the Mayo and Cleveland Clinics.  A doctor or clinic has to have unbelievably low OVERHEAD expenses to make it on Medicare reimbursement, not fancy offices, EMR’s and expensive equipment.

I have seen several smug comments today that everyone should just be on Medicare, including a really naive statement by Arkansas Blue Dog Mike Ross. He’s in Congress and he does not understand there is a $37 trillion unfunded liability in Medicare NOW, without the ridiculous utopian idea that the whole country can just be on Medicare.

There will be far fewer doctors and hospitals if Obamacare passes.    And quality of healthcare will diminish greatly. Be careful what you wish for.

Anyone who votes for HR 1 should be thrown out of office

February 13, 2009

FRIDAY THE 13TH OF FEBRUARY, 2009

Bet you didn’t know Porkulus will cost $3.27 trillion?!?!?

1. Have You Seen Porkulus?

Nancy Pelosi let K-Street lobbyists look at the final language, but would not let members of Congress look. Democrats told Republicans they couldn’t see Porkulus because they were going to vote against it. And the Democrats told everyone there’s be a 48 hour viewing period, but they’ve decided to ignore their promise.

2. A Raw Deal For American Families

Porkulus provides $1.10 per day in tax relief to workers, while saddling every American family with $9,400.00 in added debt. And it is bigger than the GDP of all but 15 nations.

3. The Democrats’ Math Doesn’t Add Up

The only thing certain is that Porkulus does not create all the jobs Barack Obama said it would.

4. Democrats to Approve $12 TRILLION Debt Ceiling

Subsection (b) of section 3101 of title 31, United States Code, is amended by striking out the dollar limitation contained in such subsection and inserting ”$12,104,000,000,000”.

5. Caterpillar CEO Directly Contradicts Obama’s Claim he said Workers Would be “Rehired” if “Stimulus” Passes

The daylight brings a huge contradiction. Obama really is Captain Bull Snot.

6. The Politicization of the Census Bureau is Not the Change Americans are Looking For

No single word was more prominently used during the election cycle of 2008 than “change.” It was a rallying cry for both Republicans and Democrats and represented a promise to reform Washington into a more bipartisan and transparent government. That was until the wave of promised bipartisanship suddenly hit a sea wall called the U.S. Census Bureau.

7. ‘Stimulus” Has $8 Billion for Harry Reid’s Re-Election Campaign

How Much Pork Is Hidden in the Details?

8. Obama’s bailout to cost $3.27 trillion

The Heritage Foundation reports that the true cost of the so-called “stimulus” is going to be $3.27 trillion. That’s right, President Obama’s bloated bailout boondoggle is going to cost four times the already outrageously expensive $789 trillion Senator Susan Collins finds “fiscally responsible.”

9. Jesuits Accused of Catholicism

Belief Is Intolerable

————————

1. Have You Seen Porkulus?

Nancy Pelosi let K-Street lobbyists look at the final language, but would not let members of Congress look. Democrats told Republicans they couldn’t see Porkulus because they were going to vote against it. And the Democrats told everyone there’s be a 48 hour viewing period, but they’ve decided to ignore their promise.

We’re receiving E-mails from Capitol Hill staffers expressing frustration that they can’t get a copy of the stimulus bill agreed to last night at a price of $789 billion. What’s more, staffers are complaining about who does have a copy: K Street lobbyists.

E-mails one key Democratic staffer: “K Street has the bill, or chunks of it, already, and the congressional offices don’t. So, the Hill is getting calls from the press (because it’s leaking out) asking us to confirm or talk about what we know-but we can’t do that because we haven’t seen the bill. Anyway, peeps up here are sort of a combo of confused and like, ‘Is this really happening?'”

Reporters pressing for details, meanwhile, are getting different numbers from different offices, especially when seeking the details of specific programs.

SOURCE

Rep. Jack Kingston, R-Ga., complained this morning on the House floor that lawmakers were being asked to vote, sight unseen, on “the largest single bill in the history of Congress.” Some Democratic lawmakers fired back that Republicans didn’t need to see the bill anyway, since none of them voted for the stimulus when it moved through the House the first time and would probably stand in opposition.

SOURCE

Let’s pretend the conference report is to be distributed right now – 5:30pm EST – to House members (in reality, it likely won’t be until later tonight). That would leave 15 1/2 hours, or 930 minutes, for consideration of the 1,434-page conference report before floor action on the bill commences – one and a half pages a minute from now until the morning, with no stops for any reason whatsoever.

Leave aside, for a moment, the fact that the House – including Hoyer himself – unanimously voted in favor of a 48-hour review period for the porkulus before action was taken on it. Is one night really enough time to read for the first time and consider a bill that would borrow and spend an amount of money that, if it were GDP, would make it the fifteenth largest economy in the world?

SOURCE

2. A Raw Deal For American Families

Porkulus provides $1.10 per day in tax relief to workers, while saddling every American family with $9,400.00 in added debt. And it is bigger than the GDP of all but 15 nations.

Following are some very tentative quick facts on the trillion-dollar “stimulus” spending deal slated to be rushed through the House and Senate today or tomorrow by Congressional Democrats, as compiled by the Office of House Republican Leader John Boehner (R-OH). These are based on best estimates on legislative text and scoring and may be subject to revision. Keep in mind that the Democrats haven’t actually released the actual text yet.

Generational Theft. The final agreement will cost each and every household more than $9,400 in additional debt (including interest on the bill), paid for by our children and grandchildren.
Paltry Tax Relief for Working Families and Small Businesses. The “Making Work Pay” tax credit at the center of the plan amounts to $1.10 a day, not even enough to ride the bus one-way to work.
Massive Government Expansion. The final agreement is almost as much as the annual discretionary budget for the entire federal government.
A Trillion-Dollar Spending Bill. The $789.5 billion final agreement slated for a House vote either today or tomorrow will exceed more than $1 trillion when adding in the interest of approximately $300 billion between 2009-2019.
Unnecessary Spending That Won’t Create Jobs. Apparently included in the final “jobs” bill is money for plug-in vehicles, money for STD prevention, and money for ACORN (via the Neighborhood Stabilization Program and CDBG program). The final agreement also creates new programs and funds existing programs that can be used to fund earmarks and pork-barrel projects.
The bill contains enough spending – $789.5 billion – to give every man, woman and child in America $2,600. $789.5 billion is enough to give every person in Ohio more than $68,000.
Supporters of the bill say it saves or creates 3.67 million new jobs. But, the data they are circulating shows only 3.46 million – that’s 210,000 fewer than their talking points claim, 500,000 fewer than President Obama promised, and a staggering 2.74 million fewer than the 6.2 million jobs that would be created by the House GOP alternative.
The bill creates 31 new programs totaling $97 billion (31% of all appropriations) and expands 73 programs by $92 billion which are part of the regular appropriations process, not “stimulative spending.”
Almost one-third of the so called “tax relief” in the bill is spending in disguise, meaning that true tax relief makes up only 26% of the total package – a far cry from the 40 percent that President Obama had requested.
A provision tucked in the bill will further increase government involvement in health care by putting bureaucrats – not doctors – in charge of health care choices for families and seniors.
SOURCE

Oh, and Porkulus is, at its base total larger than the Gross Domestic Product of all but 15 countries and, at the Congressional Budget Office estimate, is larger than the GDP of all but 4 countries.

SOURCE

3. The Democrats’ Math Doesn’t Add Up

The only thing certain is that Porkulus does not create all the jobs Barack Obama said it would.

Congressman Eric Cantor has prepared a chart that shows just how screwed up the White House’s numbers are. The White House attributes the error to a rounding error. That doesn’t quite add up though.

Small states have significant deviations from totals by the state versus total by the congressional district. And states with just one state wide congressional district have +20% swings.

SOURCE

According to their own documentation, the bill will create 500,000 fewer jobs than Barack Obama promised. That’s right – a half million less.

The Democrats say Porkulus will save or create 3.67 million new jobs, but their data shows only 3.46 million new jobs. Both are short of Obama’s 4 million new jobs (maybe he is including the 51st through 57th states in his data).

For perspective: the House GOP’s alternative to Porkulus would create 6.2 million new jobs.

Likewise, there’s something else screwy with the Democrats’ numbers. According to their data, Wyoming will get 8,000 new jobs. But broken down by Congressional District, Wyoming’s single Congressional District will get only 6,100 new jobs.

SOURCE

4. Democrats to Approve $12 TRILLION Debt Ceiling

Subsection (b) of section 3101 of title 31, United States Code, is amended by striking out the dollar limitation contained in such subsection and inserting ”$12,104,000,000,000”.

In October, this Democratic Congress raised the debt ceiling to $11.3 trillion. Four months later, they will raise it to $12.1 trillion. And at the rate Obama and the Democrats are going, they’ll need to boost it by another trillion in a year or so.

SOURCE

5. Caterpillar CEO Directly Contradicts Obama’s Claim he said Workers Would be “Rehired” if “Stimulus” Passes

The daylight brings a huge contradiction. Obama really is Captain Bull Snot.

President Obama today repeated the claim we asked about yesterday at the press briefing that Jim Owens, the CEO of Caterpillar, Inc., “said that if Congress passes our plan, this company will be able to rehire some of the folks who were just laid off.” …

But after the president left the event, Owens said the exact opposite.

Asked if the stimulus package would be able to stop the 22,000 layoffs or not, Owens said, “I think realistically no. The truth is we’re going to have more layoffs before we start hiring again”

“It is going to take some time before that stimulus bill” means re-hiring, he said.

SOURCE

6. The Politicization of the Census Bureau is Not the Change Americans are Looking For

No single word was more prominently used during the election cycle of 2008 than “change.” It was a rallying cry for both Republicans and Democrats and represented a promise to reform Washington into a more bipartisan and transparent government. That was until the wave of promised bipartisanship suddenly hit a sea wall called the U.S. Census Bureau.

The White House quietly announced that the Director of the non-partisan Census Bureau would no longer report to the Secretary of Commerce as it always has, but would now report directly to the President’s Chief of Staff, and former head of the Democratic Congressional Campaign Committee, Rahm Emmanuel.

This sudden and seismic shift may on the surface seem to be nothing more than a procedural change, until one realizes the importance of the 2010 Census and the political power that it will have to shape the future.

The data collected in the Census will affect how more than $300 billion in federal and state funding is allocated each year to communities for neighborhood improvement, public health, transportation, and much more. The statistics will also be used to apportion seats in the U.S. House of Representatives and to redistrict state legislatures. It will also affect school district assignment areas and other important functional areas of government.

That’s why the seizure of the non-political Census Bureau by the political structure in the White House signals a troubling willingness to insert politics into the process that it says it wants to de-politicize. This is nothing more than a bait-and-switch.

SOURCE

7. ‘Stimulus” Has $8 Billion for Harry Reid’s Re-Election Campaign

How Much Pork Is Hidden in the Details?

Quite a lot. According to Bloomberg, Congressional leaders managed to squeeze in a tax break of ‘up to $10 billion’ that General Motors has been looking for:

“GM won a provision that will erase a tax liability of up to $10 billion that would have resulted from restructuring efforts, said Senator Debbie Stabenow, a Michigan Democrat.”

The bill also includes $8 billion for Harry Reid’s re-election effort a MagLev train from Southern California to Las Vegas.

The Los Angeles-to-Las Vegas maglev is competing with a privately-funded diesel/electric train – one that Reid won’t be able to take credit for, and which won’t go all the way to Hollywood. If Harry Reid is going to stand a chance of getting re-elected, he’ll need to be able to point to plenty of concrete and steel with his name on the outside and your tax dollars on the inside.

SOURCE

8. Obama’s bailout to cost $3.27 trillion

The Heritage Foundation reports that the true cost of the so-called “stimulus” is going to be $3.27 trillion. That’s right, President Obama’s bloated bailout boondoggle is going to cost four times the already outrageously expensive $789 trillion Senator Susan Collins finds “fiscally responsible.”

Here’s the skinny from Heritage:

“All of the major news outlets are reporting that the stimulus bill voted out of conference committee last night has a meager $789 billion price tag. This number is pure fantasy. No one believes that the increased funding for programs the left loves like Head Start, Medicaid, COBRA, and the Earned Income Tax Credit is in anyway temporary. No Congress under control of the left will ever cut funding for these programs.”

SOURCE

9. Jesuits Accused of Catholicism

Belief Is Intolerable

A perfect display of what liberal “tolerance” means these days: apparently it’s now “intolerant” to put a crucifix in the classroom of a Catholic college. This comment is priceless:

“But sophomore Alex LoVerde, 20, believes a crucifix ‘pushes the Catholic religion’ and does not belong in a classroom. ‘I think the Jesuit tradition is more of openness and tolerance,’ LoVerde said. ‘I think that an overt display of crucifixes is not what the Jesuits would have had in mind.'”

Boston College really is failing its core educational mission if this sort of ignorance is common among its students.

SOURCE

REDSTATE.com

Unemployed millionaires will be eligible for Medicaid

January 28, 2009

I do not understand how these Congressmen sleep at night after thinking up ridiculous ways to waste taxpayer money.   The New York Times  is reporting that the stimulus bill will allow people who have assests of up to 1 million dollars  or  had a job making up to $100,000 , who lose their “job”  , will qualify for Medicaid—and, states cannot ask financial status questions.   So how do you know someone is eligible  if you can’t ask about income or assets?   Sounds like a Catch-22 to me.

Shades of things to come in American Healthcare?

December 21, 2008

This article from   UK TimesOnline  http://www.timesonline.co.uk/tol/news/uk/health/article5375694.ece  typifies the problems that occur when government bureaucrats manage and control a country’s national healthcare system.   Adding more bureaucrats to micromanage how doctors practice medicine, in particular,  limiting the number of hours a doctor can work to 48 hours/week,  is a prescription for disaster.   Imagine you are very sick on a Friday morning and arrive at your family doctor’s office.   The door is locked with a CLOSED sign.   Alas, your doctor finished working his statute -limited work week on Thursday afternoon and you are out of luck until Monday morning.    For the few of you patients who still have  a doctor who will  “call you in an antibiotic”,   he/she  won’t be allowed to take phone calls after hours either–contrary to the opinion of insurance companies, taking phone calls is considered work (just ask an attorney).    Every primary care doctor who has been in practice more than a few years can tell you about patients who always call after hours and on the weekend who think their doctor just enjoys talking to them and is eagerly waiting for their beeper or cell phone to ring at midnight .  On the line is one of the doctor’s patients, who has had symptoms for several days, has self diagnosed a recurrent  sinus infection that responded so well to Zithromax in 2004, the last time he came in for an office visit.

When Mr. Obama is able to get his socialized healthcare passed,  changes will probably come in steps.   I expect a broad extension of S-CHIP to all children and then to an ever enlarging adult population.     Because the socialists in an Obama adminstration will preach for equality in all aspects of healthcare,  I predict a medical system like Canada’s or Great Britain’s will eventually be passed by a Democrat dominated Congress,  though a 2-tiered system will likely survive—Congress will certainly exempt themselves from socialized medicine!

In a future post,  I hope to discuss reimbursement for doctors.   While Congress gave themselves a $4100 payraise,  doctors had to fight to prevent a 5.5% Medicare reimbursement cut.   Due to decreased reimbursement over the last decade  from Medicare and private insurance, while overhead costs continued to rise, many doctors are making 20 to 30% less than 10 years ago in absolute dollars (not including effect of inflation).