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 HERE'S A REALITY CHECK ON OBAMA-CARE

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UrRight



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PostSubject: HERE'S A REALITY CHECK ON OBAMA-CARE   1/2/2010, 11:45 am

Omab's Health Reform isn't even out yet, and already, look at the future you can look forward to.

To think they could avoid all this medicare cut crap, medicaid, what not, just give the Americans (Americans only) the same deal they get. In fact, they are all millionaires in Congress, so I think they could have saved us billions of money they spent reading, fighting, fidgeting, by just giving us what they enjoy
At this point, all that piddling' money thrown in at overtime, etc., the whole USA could have free coverage, go to the doctor they want, and allow those pigs in the white house to get on with the war in terrorism, and get the economy rolling, by forcing companies to pay huge taxes if they have headquarters here, but ship out the labor/manufacturing
Kinda makes the white house looking like a zoo. The POTUS has played golf more in one year than Bush did in three. He has every amentie in the white house, including a pool, bowling alley, a movie theatre, and instead of staying at home, he needs an extra trip/vacation at the worst time of the year when he needs to be at his damn desk.

There should be a law forbidding anyone with younger than 15 year olds to run for POTUS. He seems to think he has to cater to his little girls and take his eye off the world. With his rate of leadership, god-forbid his children will ever have a terrorist on their plane while pining off to college.

http://www.bloomberg.com/apps/news?pid=20601087&sid=aHoYSI84VdL0Mayo Clinic in Arizona to Stop Treating Some Medicare Patients
By David Olmos


Dec. 31 (Bloomberg) -- The Mayo Clinic, praised by President Barack Obama as a national model for efficient health care, will stop accepting Medicare patients as of tomorrow at one of its primary-care clinics in Arizona, saying the U.S. government pays too little.
More than 3,000 patients eligible for Medicare, the government’s largest health-insurance program, will be forced to pay cash if they want to continue seeing their doctors at a Mayo family clinic in Glendale, northwest of Phoenix, said Michael Yardley, a Mayo spokesman. The decision, which Yardley called a two-year pilot project, won’t affect other Mayo facilities in Arizona, Florida and Minnesota.
Obama in June cited the nonprofit Rochester, Minnesota-based Mayo Clinic and the Cleveland Clinic in Ohio for offering “the highest quality care at costs well below the national norm.” Mayo’s move to drop Medicare patients may be copied by family doctors, some of whom have stopped accepting new patients from the program, said Lori Heim, president of the American Academy of Family Physicians, in a telephone interview yesterday.
“Many physicians have said, ‘I simply cannot afford to keep taking care of Medicare patients,’” said Heim, a family doctor who practices in Laurinburg, North Carolina. “If you truly know your business costs and you are losing money, it doesn’t make sense to do more of it.”
Medicare Loss
The Mayo organization had 3,700 staff physicians and scientists and treated 526,000 patients in 2008. It lost $840 million last year on Medicare, the government’s health program for the disabled and those 65 and older, Mayo spokeswoman Lynn Closway said.
Mayo’s hospital and four clinics in Arizona, including the Glendale facility, lost $120 million on Medicare patients last year, Yardley said. The program’s payments cover about 50 percent of the cost of treating elderly primary-care patients at the Glendale clinic, he said.
“We firmly believe that Medicare needs to be reformed,” Yardley said in a Dec. 23 e-mail. “It has been true for many years that Medicare payments no longer reflect the increasing cost of providing services for patients.”
Mayo will assess the financial effect of the decision in Glendale to drop Medicare patients “to see if it could have implications beyond Arizona,” he said.
Nationwide, doctors made about 20 percent less for treating Medicare patients than they did caring for privately insured patients in 2007, a payment gap that has remained stable during the last decade, according to a March report by the Medicare Payment Advisory Commission, a panel that advises Congress on Medicare issues. Congress last week postponed for two months a 21.5 percent cut in Medicare reimbursements for doctors.
National Participation
Medicare covered an estimated 45 million Americans at the end of 2008, according to the Centers for Medicare & Medicaid Services, the agency in charge of the programs. While 92 percent of U.S. family doctors participate in Medicare, only 73 percent of those are accepting new patients under the program, said Heim of the national physicians’ group, citing surveys by the Leawood, Kansas-based organization.
Greater access to primary care is a goal of the broad overhaul supported by Obama that would provide health insurance to about 31 million more Americans. More family doctors are needed to help reduce medical costs by encouraging prevention and early treatment, Obama said in a June 15 speech to the American Medical Association meeting in Chicago.
Reid Cherlin, a White House spokesman for health care, declined comment on Mayo’s decision to drop Medicare primary care patients at its Glendale clinic.
Medicare Costs
Mayo’s Medicare losses in Arizona may be worse than typical for doctors across the U.S., Heim said. Physician costs vary depending on business expenses such as office rent and payroll. “It is very common that we hear that Medicare is below costs or barely covering costs,” Heim said.
Mayo will continue to accept Medicare as payment for laboratory services and specialist care such as cardiology and neurology, Yardley said.
Robert Berenson, a fellow at the Urban Institute’s Health Policy Center in Washington, D.C., said physicians’ claims of inadequate reimbursement are overstated. Rather, the program faces a lack of medical providers because not enough new doctors are becoming family doctors, internists and pediatricians who oversee patients’ primary care.
“Some primary care doctors don’t have to see Medicare patients because there is an unlimited demand for their services,” Berenson said. When patients with private insurance can be treated at 50 percent to 100 percent higher fees, “then Medicare does indeed look like a poor payer,” he said.
Annual Costs
A Medicare patient who chooses to stay at Mayo’s Glendale clinic will pay about $1,500 a year for an annual physical and three other doctor visits, according to an October letter from the facility. Each patient also will be assessed a $250 annual administrative fee, according to the letter. Medicare patients at the Glendale clinic won’t be allowed to switch to a primary care doctor at another Mayo facility.
A few hundred of the clinic’s Medicare patients have decided to pay cash to continue seeing their primary care doctors, Yardley said. Mayo is helping other patients find new physicians who will accept Medicare.
“We’ve had many patients call us and express their unhappiness,” he said. “It’s not been a pleasant experience.”
Mayo’s decision may herald similar moves by other Phoenix- area doctors who cite inadequate Medicare fees as a reason to curtail treatment of the elderly, said John Rivers, chief executive of the Phoenix-based Arizona Hospital and Healthcare Association.
“We’ve got doctors who are saying we are not going to deal with Medicare patients in the hospital” because they consider the fees too low, Rivers said. “Or they are saying we are not going to take new ones in our practice.”
To contact the reporter on this story: David Olmos in San Francisco at dolmos@bloomberg.net
Last Updated: December 31, 2009 00:01 EST
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Artie60438

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PostSubject: Re: HERE'S A REALITY CHECK ON OBAMA-CARE   1/2/2010, 1:22 pm

UrRight wrote:
Omab's Health Reform isn't even out yet, and already, look at the future you can look forward to.

None of this has anything to do with Obama.
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UrRight



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PostSubject: Re: HERE'S A REALITY CHECK ON OBAMA-CARE   1/2/2010, 5:02 pm

Artie60438 wrote:
UrRight wrote:
Omab's Health Reform isn't even out yet, and already, look at the future you can look forward to.

None of this has anything to do with Obama.

How NOT, Artie? His reform bill calls for cuts in Medicare....look what's happening before he even gets his plan out. Doctors are refusing patients, because the pay is poor.

If Obama cuts medicare as stated and intended in his REFORM bill, no doctors will want a part of it. Why should they? They're underpaid now, and the POTUS wants to cut more after the final version of his "VISION" of health reform?

If I am right, we've got death panels. What about those that can't afford outside insurance, but depend on Medicare? People paid into that all their lives while working, and he has a right to slip it away from them? What about cancer treatment? Retirees have to give up their homes for treatment? The ones who fought in WWII?

I don't trust this guy. Tell me if I am misunderstanding this whole issue.
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Artie60438

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PostSubject: Re: HERE'S A REALITY CHECK ON OBAMA-CARE   1/3/2010, 6:40 am

UrRight wrote:

If I am right, we've got death panels. What about those that can't afford outside insurance, but depend on Medicare? People paid into that all their lives while working, and he has a right to slip it away from them? What about cancer treatment? Retirees have to give up their homes for treatment? The ones who fought in WWII?

I don't trust this guy. Tell me if I am misunderstanding this whole issue.

You are. There are no "death panels". That was just a lie cooked up by Sarah "I only give interviews on Facebook" Palin.
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UrRight



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PostSubject: Re: HERE'S A REALITY CHECK ON OBAMA-CARE   1/3/2010, 7:55 am

Well, if the Mayo clinic in that particular city is only accepting patients for only certain treatments, but not treatment for cancer, aren't they saying,,,die! We're not accepting Medicare on cancer...cuz the gov't doesn't pay us enough.

So I refer to that as a death panel...am I misinterpreting that article up there? Isn't Obama planning on slashing Medicare?
Mayo’s decision may herald similar moves by other Phoenix- area doctors who cite inadequate Medicare fees as a reason to curtail treatment of the elderly, said John Rivers, chief executive of the Phoenix-based Arizona Hospital and Healthcare Association.
“We’ve got doctors who are saying we are not going to deal with Medicare patients in the hospital” because they consider the fees too low, Rivers said. “Or they are saying we are not going to take new ones in our practice.”

Although this concerns AZ, it makes you wonder if all hospitals, clinics, etc., will follow in AZ's footsteps, nationwide. Many states are already seeing medicaid bills going unpaid, and doctors refuse to accept new pts., because of lack of payment. Why didn't Obama put the stimulus he gave out, stating bills should be paid to get the state out of debt., knock out the unnecessary layers of gov't to cut down on their payroll? No one actually knows what the hell the states did with their stimulous money. That's another subject.
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KarenT



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PostSubject: Re: HERE'S A REALITY CHECK ON OBAMA-CARE   1/3/2010, 8:55 am

No matter what insurance you have, most of the time you have to pick doctors from an approved list. I hope this helps the people with too much income for Medicaid but whose jobs don't provide health care. I remember paying over $700/month for family insurance with a $2,000 deductible per person.
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UrRight



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PostSubject: Re: HERE'S A REALITY CHECK ON OBAMA-CARE   1/3/2010, 9:13 am

Is it true that Obama is going to cut out most of Medicare?

I wish I was really informed as to what his reform bill on healthcare is really about.
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Artie60438

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PostSubject: Re: HERE'S A REALITY CHECK ON OBAMA-CARE   1/3/2010, 3:11 pm

UrRight wrote:
Is it true that Obama is going to cut out most of Medicare?

NO NO NO!

I wish I was really informed as to what his reform bill on healthcare is really about.

I wish you were too,believe me.
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