The Medicaid Shunt

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Take a look at the ACA from a 30,000 foot level.  The administration was in cahoots with the insurers.  It is certainly not affordable.   Then look at the amount of NEW people getting Medicaid.  It looks good for the government because they pay so much less to providers for Medicaid patients and they can claim so many more people are covered.  Can anyone else see the next argument by the government?  They will come out and say, “We tried working with the insurers (yeah, right)  and they are still gouging people.  The answer is to put more on people on Medicaid.”  Think I am embellishing?  I am not the only one with these thoughts.  The Jeffery Singer, a general surgeon in Phoenix, did a piece in the WSJ called ObamaCare Shunts My Patients Into Medicaid and he basically thinks the same thing.  Here are some highlights:

  • Recently several of my patients who had been paying for their own individual health insurance informed me that they were forced off private insurance and placed into Medicaid when they signed up for health care at Healthcare.gov. 
  • A recent Boston University/Harvard Medical School study suggests that up to 80% of people participating in ObamaCare’s Medicaid expansion have been shifted off their private insurance.
  • Only 45% of doctors are now accepting new Medicaid patients, according to a recent survey by the health-care company Merritt Hawkins.
  • Fewer doctors means long waits to see primary-care providers and even longer waits to see specialists. This invariably leads to worse health outcomes for those patients; that’s why numerous studies have shown Medicaid patients have significantly worse outcomes than those with private insurance.
  • Thanks to ObamaCare, they have been shunted into a second-class health-care system.
  • ObamaCare has shifted—and will continue to shift—people into substandard and often-delayed care, all in the name of increasing health-care “coverage.” 

To summarize, the government wants more and more people on Medicaid.   The result is that less and less doctors will take this payment.  How to fix that?  The next step is for the government to force doctors to take Medicaid patients by holding their licenses hostage.   As the AMA and AAFP sit on their thumbs there are attempts by politicians to do just that.   We are doomed unless we walk from government pay and hope to get grandfathered in from these new laws.

60540cookie-checkThe Medicaid Shunt