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    Forced collectivization of the health care kulaks via single payer is inevitable under Obamacare

    Forced collectivization of the health care kulaks via single payer is inevitable under Obamacare

    The Revolt of the Kulaks Has Begun, February 22, 2009, just over a month after Obama’s first inauguration:

    In the end, as must all economic redistributors, Obama either will have to resort to repressive measures, or he will have to abandon his redistributive plans.

    The great Obamacare reform is turning into the great thrust of tens of millions of people onto Medicaid.

    The problem is, fewer and fewer doctors are willing to take Medicaid patients because the reimbursements are so low.

    I have met numerous doctors who tell me they either refuse Medicaid patients or restrict them because the reimbursements do not cover their costs.  They also double and triple book, because so many Medicaid patients who make appointments don’t show up.  As to Medicare the payments currently are bearable, but only because private insurance payments for other patients make up the shortfall.

    Increasingly, doctors are abandoning the government payment train wreck, and going all cash or some hybrid.  This all was foreseeable and was foreseen.

    The millions of new Medicaid patients will have insurance, just no doctors to see them.   That is a feature, not a glitch, to those who want single payer.  Obamacare is proceeding accordingly to plan.

    So this report (via @SissyWillis) is no surprise, Virginia Democrat Calls For Forcing Doctors To Accept Medicare And Medicaid Patients:

    …. here is Kathleen Murphy, Democrat running for the House of Delegates against Barbara Comstock, telling a forum in Great Falls that she believes it should law to force doctors to accept Medicare and Medicaid patients. Forced by government decree, mind you. A birdie sent me this:

    FYI last night at the Great Falls Grange debate, Democrat delegate candidate Kathleen Murphy said that since many doctors are not accepting medicaid and medicare patients, she advocates making it a legal requirement for those people to be accepted.

    She did not recognize that the payments are inadequate to cover the doctors’ costs. She also did not recognize there is a shortage of over 45,000 physicians now and that it is forecast to be 90,000 in a few years.

    Kerry Picket at notes:

    … according to the National Center for Policy Analysis, there are simply not enough doctors in Virginia to accommodate such an expansion under Obamacare:

    Effect of the ACA on Virginia’s Physician Supply.

    As in other states, Virginia’s physician supply is relatively “inelastic,” meaning the number of physicians cannot increase quickly to accommodate the rising demand for medical services an influx of newly insured Medicaid enrollees would create. Virginia physicians have little if any capacity to expand the number of patients they treat. Currently, there are about 29,472 physicians in Virginia, of whom an estimated 22,215 are actively involved in patient care.12 About 85 percent of Virginia’s active doctors work full time – so there is little excess capacity.

    According to the Virginia Department of Health Professions Healthcare Workforce Data Center, two-thirds of Virginia’s active physicians are more than 44 years of age, while 20.1 percent are 60 or older.13 Thus, many of these physicians will retire in the next few years. A number of economic studies indicate the newly insured will nearly double their consumption of medical care.14 Yet the demand for health care will continue to rise. Furthermore, an aging population will require more medical care. Across the U.S. 78 million baby boomers are either retired or headed that way in the next decade.

    There really is only one way out of this mess for the government.

    If there is only one payer, physicians must submit or quit.

    (Full feature image available here.)


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    Henry Hawkins | November 4, 2013 at 12:12 pm

    I have a niece who entered med school before Obamacare was passed, finds herself looking at a playing field enduring earthquakes and tremors. She is consulting with a two-doctor GP practice that went cash-only four years ago and is doing fine. No insurance paperwork opens up a lot of space in the appt book, all of it cash-only. Office labor smaller, cheaper. No weeks or months long waits for payments from, priv insurers, federal, or state plans. She’s seriously considering it.

    Watching Dr. Emanuel interviewed by Chris Wallace gave me the creeps. This guy is a Provost at a medical school, no less. Holy crap.

    More Mengele than Osler if you ask me. Which is especially bizarre considering his ethnic heritage. But he’s been in the Ivory Tower ever since finishing his training in medicine so I suspect he has little if any understanding of the real world informing his ‘research’ in ‘bioethics’. Hard for me to comprehend how a Jew could embrace a medical philosophy placing the ‘good of the state’ above the needs of the individual.

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