A  $63-per-head fee, to cushion the cost of covering people with pre-existing conditions, has just been discovered under Obamacare.  “The charge, buried in a recent regulation, works out to tens of millions of dollars for the largest companies, employers say. Most of that is likely to be passed on to workers.”  For those who think that this amount doesn’t sound like much, I agree.  The problem is that it will be just the tip of the iceberg of hidden fees or taxes.  Heck, Obamacare, per the Supreme Court, is just one big tax.  And remember, entitlements NEVER shrink.  By definition, they only expand.  In fact, here is the last line of the article:

It will phase out completely in 2017 – unless Congress, with lawmakers searching everywhere for revenue to reduce federal deficits – decides to extend it.

Phase out?  Sure  it will (tongue firmly implanted in cheek).

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  4 comments for “$63

  1. J. R. Johnson
    December 12, 2012 at 9:54 am

    If U.S. health care was a patient and you were the doctor…do you want your patient to have health insurance or do you want to provide free care?

    • Doug Farrago
      December 12, 2012 at 10:04 am

      High deductible catastrophic care only….and let them shop for best prices +/or best doctors +/or best hospitals.

    • dwa
      December 12, 2012 at 2:24 pm

      Your question requires more context than the two choices you give. If U.S. healthcare was a patient and I were the doctor, I think I would view it as a unreasonable, non compliant and possibly a “seeking” patient and limit my exposure or terminate the relationship.

      The “system” has said for years now that the SGR formula is broken and should be replaced but nothing is ever done…non compliant

      The system is not happy with the care it is receiving and it’s solution is to add 35 million more patients to the workload while taking away funding / resources from the system it’s already unhappy with. Adding to the workload whil removing resources is not a logical request of a high stress, highly technical, high risk system that is already working in 5th gear 24 hours a day 7 days a week. Pt. safety and access to care is going to suffer and be worse than what we have now…unreasonable

      The system is pushing physicians to use electronic records and e prescribing, yet that govt’s own pharmacies..(military bases in our area) won’t accept electronic prescriptions. And I have a beautiful electronic note documenting the need for home health services, yet I have to handwrite in an 8″ x 6″ square that same information to document a face to face encounter in order to achieve needed services…non compliant of it’s own rules and unreasonable

      The system demands your sevices however it makes you subject to a dysfnctional tort system that in many cases denies ACCESS to required malpractice insurance let alone reasonably affordable access to insurance….unreasonable

      The system places increasing rules and restrictions demanding more time and documentation in order to participate, giving you less time to actually participate and penalizing you when you cannot meet rule 331 of the 500 page rule book..unreasonable

      Ultimately, it is becoming quickly evidenct that, as a healthy person, a physician is having to dismember their personal life as well as that of their family and will terminate or restrict their participation. Fewer primary care and high stress specialty providers, diminished safety and quality of care will result.

      On the constructive side, a JAMA article entitled “Where are the healthcare cost savings?” (within the last year) does a beautiful job documenting that 60% of our healthcare dollars are being spent on 10% of our patients…those with heart disease and diabetes. Our increased taxes and limited resources should be focused there…not diminished by spreading it too thin. The savings achieved in those major healthcare areas can then be used to improve access to care.

  2. Pat
    December 11, 2012 at 7:08 pm

    The doctors who supported this disaster should welcome this news with the same cheap emotion and lack of foresight with which it was passed. If U.S. health care was a patient having a hypertensive stroke, we just pushed epinephrine. Hahahahahahahahahahahahahahahahahahahahahahaha…………………

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