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Are you having trouble finding a doctor who will see you? If not, give it another year and a half. A doctor shortage is on its way.
Most provisions of the Obama health law kick in on Jan. 1, 2014. Within the decade after that, an additional 30 million people are expected to acquire health plans—and if the economic studies are correct, they will try to double their use of the health-care system.
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Don't expand healthcare because doctors are limited.
Expand healthcare and force the system to train more doctors.
Not having the foresight to train enough doctors is not a valid reason to deny healthcare to the uninsured. You can't order medical schools to take more people. You can, however, give them a bigger market and give them the incentives to expand and create more schools.
These are inevitable growing pains.
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The Patriots have been overachievers the past two years. It doesn't have the talent to compensate for injuries, and it wins so much because it puts in 99% effort in the regular season and plays with terrific schemes to mask its deficiencies.
But in the playoffs a good team at 99% will not beat emotional, talented teams that play at 100%. It's what happened against the Giants in 2011 and the Ravens in 2012.
Last edited by DocHoliday; 08-15-2012 at 10:48 AM..
Man In Trouble:
The man says to the nurse, "Help me please"
Nurse "What seems to be the trouble"
Man "I can't breath, my chest hurts"
Nurse "Have a seat in room four please"
The next day, 10:00 AM, New Communist Barack Hospital:
A man in a wheelchair with one arm, no legs and a little sign attached around his neck that says "I am blind, I have Parkinsons Disease" comes down the hallway and stops in front of the nurses desk, he removes a breathing tube from his mouth and says, "Good morning nurse"
The nurse replies, "Good morning Doctor Shakesbad"
Dr Shakesbad asks, "do you have anything for me this "wheeze" morning"
Nurse "yes doctor, there is a gentleman in room four with chest pains"
Doctor "well, go in and tell him I'll see him next Tuesday"
Nurse "yes Doctor"
The nurse steps into room four, there is a dead man on the floor, human feces and urine are all over the walls, the nurse yells at the dead body and says, "DR SHAKESBAD WILL SEE YOU NEXT TUESDAY"
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Harry Boy (Genius)
In The Absence Of Law And Order Society Will Surely Destroy Itself
Don't expand healthcare because doctors are limited.
Expand healthcare and force the system to train more doctors.
Not having the foresight to train enough doctors is not a valid reason to deny healthcare to the uninsured. You can't order medical schools to take more people. You can, however, give them a bigger market and give them the incentives to expand and create more schools.
These are inevitable growing pains.
LOL yeah so let's reduce physician compensation, add confusing outcome and population health metrics, increase their liability costs and let their student loan debt pile up.
Brilliant! And you wonder why medical students have been trending towards specialty practice...
LOL yeah so let's reduce physician compensation, add confusing outcome and population health metrics, increase their liability costs and let their student loan debt pile up.
The Affordable Health Care Act addresses many of these concerns:
Quote:
The Obama Administration believes that strengthening and growing our primary care workforce is critical to reforming the nation’s health care system. Increasing access to primary care physicians and nurses can help prevent disease and illness and ensure all Americans – regardless of where they live – have access to high quality care. It can also reduce costs by increasing access to preventive care care The Affordable Care Act includes a comprehensive strategy to achieve these goals by investing in a new generation of primary caregivers through increased resources for training, new incentives to physicians for providing primary care to patients, and support for caregivers who choose to enter primary care in underserved areas.
Today, the Administration is announcing a key step in that strategy – the availability of $250 million in new funding provided by the Affordable Care Act to expand the primary workforce. The new funding – part of the Prevention and Public Health Fund – will help prepare the health system to meet the demand for health care workers with a new initiative that will train and support thousands of new doctors, nurses, nurse practitioners, and physician’s assistants.
Combined with the earlier investments made by the American Recovery and Reinvestment Act, the provisions of the Affordable Care Act will support the training, development, and placement of more than 16,000 new primary care providers over the next five years.
Today, the Obama Administration announced the first allocation of $500 million for the new Prevention and Public Health fund for fiscal year 2010. Half of this fund – $250 million – will be used to boost the supply of primary care providers in this country by providing new resources for:
Creating additional primary care residency slots: $168 million for training more than 500 new primary care physicians by 2015;
Supporting physician assistant training in primary care: $32 million for supporting the development of more than 600 new physician assistants, who practice medicine as members of a team with their supervising physician, and can be trained in a shorter period of time compared to physicians;
Increasing the number of nurse practitioners trained: $30 million will train an additional 600 nurse practitioners, including providing incentives for part-time students to become full-time and complete their education sooner.
Nurse practitioners provide comprehensive primary care;
Establishing new nurse practitioner-led clinics: $15 million for the operation of 10 nurse-managed health clinics which assist in the training of nurse practitioners. These clinics are staffed by nurse practitioners, which provide comprehensive primary health care services to populations living in medically underserved communities.
Encouraging States to plan for and address health professional workforce needs: $5 million for States to plan and implement innovative strategies to expand their primary care workforce by 10 to 25 percent over ten years to meet increased demand for primary care services.
There's quite a bit more detail in the link - if you're interested.
Value based purchasing is all about eliminating hospitals as centers for cost and shifting them to lower cost community providers. There's also restrictions on physician-owned hospitals -- I believe Obamacare blew most of those up.
And oh by the way Obamacare's budgeting includes cutting physician pay by 22% but refusing to continue the "doc fix". Add that on top of penalties for meaningful use and everything I said before is 100% true. You can set up training centers but who will actually be incentivized to become a physician?
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The doctor can't see you now.
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