Kulaks Tag

For months, nay years, I have been predicting that the promise of quality healthcare for the poor via rapidly expanded Medicaid enrollments was a house of cards, a fraud, a three-card monte game, a sham, a man-made disaster, a Gruberesque fake meant to deceive the "stupid" people into believing that the promise of Obamacare was real instead of styrofoam faux-Greek columns basking in the neon light of Hollywood-driven love and media sycophancy. For many reasons, but mostly because doctors would not work for peanuts, they would revolt like the kulaks and choose not to work rather than see the fruits of their labors handed out for free or close to free:

• Medicaid Fraud: Obamacare promise of free quality healthcare
• Forced collectivization of the health care kulaks via single payer is inevitable under Obamacare
• Not only can’t you keep your doctor, you may not even have a doctor

And now, for "BREAKING" news, As Medicaid Rolls Swell, Cuts in Payments to Doctors Threaten Access to Care (via Instapundit):

Just as millions of people are gaining insurance through Medicaid, the program is poised to make deep cuts in payments to many doctors, prompting some physicians and consumer advocates to warn that the reductions could make it more difficult for Medicaid patients to obtain care. The Affordable Care Act provided a big increase in Medicaid payments for primary care in 2013 and 2014. But the increase expires on Thursday — just weeks after the Obama administration told the Supreme Court that doctors and other providers had no legal right to challenge the adequacy of payments they received from Medicaid. The impact will vary by state, but a study by the Urban Institute, a nonpartisan research organization, estimates that doctors who have been receiving the enhanced payments will see their fees for primary care cut by 43 percent, on average.

Who really cares about those much-maligned kulak individual health insurance market policy holders? Hell, depending upon how you count them, they could number 15 million, or maybe as low as 6 million. You know who else didn't care about ... oh, never mind. Just because you are not one of the much-maligned, don't think you can run from Obamacare, which stalks each of us like the Grim ... oh, never mind. Second wave of health-insurance disruption affects small businesses (h/t Charles Cooke):

When millions of health-insurance plans were canceled last fall, the Obama administration tried to be reassuring, saying the terminations affected only the small minority of Americans who bought individual policies. But according to industry analysts, insurers and state regulators, the disruption will be far greater, potentially affecting millions of people who receive insurance through small employers by the end of 2014. While some cancellation notices already have gone out, insurers say the bulk of the letters will be sent in October, shortly before the next open-enrollment period begins. The timing — right before the midterm elections — could be difficult for Democrats who are already fending off Republican attacks about the Affordable Care Act and its troubled rollout. Some of the small-business cancellations are occurring because the policies don’t meet the law’s basic coverage requirements. But many are related only indirectly to the law; insurers are trying to move customers to new plans designed to offset the financial and administrative risks associated with the health-care overhaul. As part of that, they are consolidating their plan offerings to maximize profits and streamline how they manage them....

It may be the biggest Obamacare lie of all. Not that you can keep your health care plan if you like your plan. Not that you can keep your doctor if you like your doctor. Not all of the phony cost estimates and supposed efficiencies. The biggest lie of all is that 15-30 million additional people who will be enticed or shoved onto Medicaid will receive quality health care.  In reality, they will receive health care "insurance," but there will be few doctors willing to see them because the reimbursement rates are so low. I have mentioned before how, anecdotally, almost every doctor with whom I speak sings that same song, that Medicaid reimbursements are so low they either have to restrict or eliminate Medicaid patients. It's not just anecdotal.  Even The New York Times notes that the problem will become much worse under Obamacare, Medicaid Growth Could Aggravate Doctor Shortage (h/t @Drudge_Report):

The Revolt of the Kulaks Has Begun, February 22, 2009, just over a month after Obama's first inauguration:

In the end, as must all economic redistributors, Obama either will have to resort to repressive measures, or he will have to abandon his redistributive plans.

The great Obamacare reform is turning into the great thrust of tens of millions of people onto Medicaid. The problem is, fewer and fewer doctors are willing to take Medicaid patients because the reimbursements are so low. I have met numerous doctors who tell me they either refuse Medicaid patients or restrict them because the reimbursements do not cover their costs.  They also double and triple book, because so many Medicaid patients who make appointments don't show up.  As to Medicare the payments currently are bearable, but only because private insurance payments for other patients make up the shortfall. Increasingly, doctors are abandoning the government payment train wreck, and going all cash or some hybrid.  This all was foreseeable and was foreseen. The millions of new Medicaid patients will have insurance, just no doctors to see them.   That is a feature, not a glitch, to those who want single payer.  Obamacare is proceeding accordingly to plan. So this report (via @SissyWillis) is no surprise, Virginia Democrat Calls For Forcing Doctors To Accept Medicare And Medicaid Patients:

.... here is Kathleen Murphy, Democrat running for the House of Delegates against Barbara Comstock, telling a forum in Great Falls that she believes it should law to force doctors to accept Medicare and Medicaid patients. Forced by government decree, mind you. A birdie sent me this:

FYI last night at the Great Falls Grange debate, Democrat delegate candidate Kathleen Murphy said that since many doctors are not accepting medicaid and medicare patients, she advocates making it a legal requirement for those people to be accepted. She did not recognize that the payments are inadequate to cover the doctors' costs. She also did not recognize there is a shortage of over 45,000 physicians now and that it is forecast to be 90,000 in a few years.

Kerry Picket at Breitbart.com notes: