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Obamacare Will Make Doctor Shortage Even Worse

by Jenny Erikson on July 12, 2012 at 10:19 AM

stethoscopeHealth care is neither a right nor a privilege … it’s a service. Like any other service, it needs to be paid for. Doctors, nurses, technicians, pharma reps, janitors, scientists, and even the construction crews that build medical facilities all expect to be paid for their work. Crazy, I know. 

Of course people are generally decent and don’t mind taking on the occasional pro-bono case for someone that really needs care but doesn’t have any realistic way to pay for it, but overall, everyone has to bills to pay, so doctors have to charge people. After all, medical school isn’t exactly cheap. 

Now that the Supreme Court upheld Obamacare and effectively enacted the biggest tax increase on the middle class in history, some 32 million Americans will soon be forced to purchase health insurance. It’s ok though, because it’s not a mandate that violates our personal freedom of choice; it’s just a tax.

Who exactly is going to treat all these new patients? We are increasing the demand for health services at the same time that the supply of those services is dwindling. Fewer people are choosing to go into medicine these days, and really, can you blame them? Hey, you know what sounds fun? Intensive study and training for a decade or more to go into a high-pressure field where you’re not allowed to charge what your services are worth.

A funny thing happens when the government says medical practitioners can only charge certain people certain amounts, and those amounts don’t cover their costs. They have to make it up elsewhere, by raising the rates of everyone else. Then guess what happens? They have to stop accepting Medicare and Medicaid patients altogether. Not because they want to, but because they’ll go out of business if they don’t.

CNN reports:

A physician shortage in the U.S. was expected even before the Affordable Care Act was signed into law in 2010, according to the Association of American Medical Colleges. Now the group estimates that there will be a shortage of 63,000 doctors by 2015 and 130,600 by 2025.

So, yay Obamacare! Everyone has health insurance now! Reminder: Health insurance does not equal health care. Be prepared for longer waits, hasty service, and the dreaded rationing. It’s not just a Republican scare tactic -- it’s a fact.

 

Image via rosmary/Flickr

Filed Under: barack obama, health care, human rights, in the news, law, politics, taxes

Comments

43
  • the4m...
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    the4mutts

    July 12, 2012 at 10:30 AM
    Jenny- while I like you, and agree with almost everything you write, this seems a bit far-fetched to me.
    I'm going to form an opinion here, based on nothing but my own observation.
    I would personally blame the incredibly high cost of medical school.
    Look how many more FOREIGN dr.s we have here. There are only 2-3 american dr.s in my children's local Kaiser pediatricians office. Out of 15? Maybe 20? 3 americans.
    Why?
    Because its easier to become a dr in other countries, then come over here, take a year or 2 of "american med school" then practice medicine here.
    Look how high our college rates are, and how much in debt most grads are in with student loans. Sure, there's low income help for some, an there's community college for pre-requisites, but the majority of students who have the smarts, and determination to be a dotor or surgeon, SIMPLY CAN'T AFFORD IT.
    I can't blame Obama for this one. The number of doctors has been steadily declining for YEARS, and so has the standard of care.
  • Hocke...
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    HockeyMomNJ

    July 12, 2012 at 10:34 AM
    You forgot to mention the doctors that just won't accept any insurance at all anymore. My ob/gyn office takes no insurance anymore - they can't afford to and haven't in about 7 years now. More and more doctors are following suit. Or, they are becoming boutique doctors like my primary doc. I've been her patient for 18 years. Now, if I want to stay with her - I will have to pay an annual membership of $1,500.00 and she will also not take my insurance, or Medicare. This allows her to drastically cut back on the number of patients she sees, and let's her stay in business. But where are all those patients going to go??? The people who love obamacare don't get it. I'm in the health insurance industry. You cannot lower the cost of health insurance without lowering the cost of medical care.
  • the4m...
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    the4mutts

    July 12, 2012 at 10:35 AM
    Oh, and 1 more thing, our requirements are ridiculious. Based on casual reading I've done on the topic, Americans spend much more tim doing residency in ERs, the courses take longer *thank you pre-requisites* and people want a FAMILY. We don't want to spend 10 years of med school, night classes, years on the night shift in an ER. We want to buy a house, have a family, and actually see them once in a while.
    I'm not saying the higher standards are a BAD thing, but becoming a dr has a mile of senseless red tape, sprinkled with hoops to jump through.
    Make it cheaper to be a dr, easier to get IN to med school, and we won't have such a shortage.
    Oh, and cut all the major pharmaceutical sales bullshit. That's a whole seperate topic.
  • Rhond...
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    RhondaVeggie

    July 12, 2012 at 10:36 AM
    If there was a doctor shortage we would have to wait to see doctors yet every time I've made an appointment with a doctor in the US it has been the same day. Twice I've had to haul ass to make it on time including yesterday when I made an appointment just before lunch and they asked if I could get there in twenty minutes or if I'd prefer to wait a couple of hours. When I was in hospital last year I had eight different doctors from four different groups (primary care, two specialist types, and a surgeon) popping in and out of my room so often that I didn't have time to get bored. If that says shortage to you then what would be enough? One doctor per patient?
  • bills...
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    billsfan1104

    July 12, 2012 at 10:38 AM
    Health insurance was and should be for catastrophic instances, like cancer and so forth. Just think about it like car insurance. Your car insurance doesnt pay for car matinance, only if you are in an accident, but people will gladly pay for matinance things for their car. Health insurance should be the same way. Its not a matinance policy.
  • the4m...
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    the4mutts

    July 12, 2012 at 10:49 AM
    Rhonda- that is just silly. So because ONE person *you* has nooo problem getting into an apt, means that there's no problem? Ever consider that it might have been the KIND of dr, or certain hospital you got into, like a county, or teaching hospital? Ever consider it might have been just good luck?
    Or, since you specify getting a dr in the US, maybe you're not from here, and have universal healthcare? Our drs can bill the SHIT out of the universal healthcare system! Our hospitals love billing foreign insurance.
  • Hocke...
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    HockeyMomNJ

    July 12, 2012 at 10:50 AM
    Rhonda, not everyone has felt the impact of the doctor shortage - or obviously it would be a national crisis. But its coming.......when the major medicare cuts start to force hospitals to close its doors, there will be fewer facilities. Many facilities cannot handle the cuts, and things like hcahps that drastcally reduce medicare reimbursement to providers and hospitals. So this may have not affected your area...YET.
  • Nicky
    -- Nonmember comment from

    Nicky

    July 12, 2012 at 10:54 AM
    Just like you don't want to get into a car accident with someone who doesn't have insurance, you also don't want people without insurance getting heart attacks, and subsequently heart operations that cost them 100's of thousands of dollars. What is scaring doctors away is the LACK of insurance. Because they have to help these people and then they don't get paid.
    I have Tricare. It comes right out of my paycheck. It's the closest thing to socialized health care we got, and I love it. I don't have any co-pays. I see the doctor on the same day. Whatever I've requested, I've gotten, even expensive MRI's. The system works.
    And med school is just as hard in other countries. But students start much earlier and they don't have the massive debt like you do here. That's why there's an abundance of foreign doctors.
  • LoveM...
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    LoveMyViolet

    July 12, 2012 at 10:56 AM

    4mutts - using your same logic and responding to hockeymomnj, I have never ever heard of  anyone paying an annual membership to a dr office/clinic. So just because you are one person and it has apparently happened to you that doesn't mean it's a problem. 

    Billsfan - your logic would work if it didn't cost thousands upon thousands of $$ to to fix things when even simple issues with our bodies happen. 

    The bottom line is this:
    The object of capitalized medicine is wealthy corporations.
    The object of socialized medicine is healthy people. 


  • the4m...
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    the4mutts

    July 12, 2012 at 11:06 AM
    Yah I've only heard of that for incredibly up-scale, wealthy, and I mean millionare wealthy, people who want their own personal dr who limits themselves to like 30 patients a year.
    Wealthy people want a dr at their beck-and-call, so they pay out the ass for it.
1-10 of 43 comments

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