Hippocrates never envisioned Obamacare

Recently a woman writing to the BDN asked, “What has become of the Hippocratic oath?” What she has failed to realize is that the delivery of medical care is a business — an exchange of services for a fee. While government central planners are busy implementing the Affordable Care Act in the belief that they can control both the supply and demand for healthcare, they have apparently failed to consider one key element:

Physicians may simply opt-out. That is, doctors may refuse to take patients covered by Medicare, Medicaid or any of the many plans that will soon be available through the newly established insurance exchanges and instead populate their patient base with well-insured patients covered by private plans.

The math is simple. The American Medical Association estimates that by 2016 there will be 44,250 fewer full-time physicians practicing in the United States than are currently practicing, and 32 percent of those will be family practice/general medicine doctors. When demand is high and supply low, physicians simply have no incentive to put up with the onerous regulations, ridiculous paperwork requirements and dismal reimbursement of government plans. While the Affordable Care Act may provide coverage for everyone, it cannot compel a physician to take anyone as a new patient.

Jeffrey Piper

Caribou

Who won? Who lost?

A BDN article on Nov. 17, “Hostess collapse shows union resolve,” quotes Biddeford Mayor Alan Casavant, who said, “Philosophically, I think the union wins in the Hostess standoff.” House Majority Leader Seth Berry said, “In the corporate world, it’s a race to the bottom, it’s about maximizing profits.”

Sarah Bigney, spokeswoman for the AFL-CIO said, “ We’ve given enough, and we need to see some shared sacrifice by the corporation, too, and the striking workers have been inspirational.” Ken Rumney, a striking worker says, “This is an example to other companies not to break their unions.” Sue Tapley, the strike captain, while at the Biddeford plant, said, “You [the strikers] can fight them and shut them down.” Maine economist Michael Hillard said, “The union’s willingness to go down with the sinking ship, and in some cases take credit for sinking it, may prove that corporations are just trying to find any way to get a profit.”

The theme is the union has won a great victory, and other union companies better look out or they too will be closed down. Somehow, to me, the thought of 18,000 employees out of work is a real loss, but I am relieved to know that those people quoted, who are all still working, can claim a real win here. Now let’s get the GM unions and all the other unions together and close every company, so we can declare a final victory for all. That would be a real win. Or would it?

Ben Brown

Dixmont

Labor mural receipt?

Gov. Paul LePage is the responsible party, and he has a duty to reveal, forthwith, the whereabouts of the state labor mural — with a verifiable value of $60,000 — and the condition of the mural when removed for shipment. If the governor is unable to produce evidence — a receipt for carriage and delivery to a specific place by a common carrier or other agency — and show the condition of the goods when they were accepted by the carrier — he is liable for the $60,000 value as a minimum. I do not believe the good governor can plead ignorance of the rules for common carrier liability in view of his business experience at Marden’s.

Whether or not LePage took the appropriate actions noted above to limit liability, the responsibility for having done so remains solely his. Whether or not he is found responsible for having initiated the removal action, the carriage and delivery to a place unknown is a separate matter.

So, let’s get rid of this nonsense about the whereabouts of this important exhibit. All other factors being equal, the governor must show how and where he ordered its carriage to be completed and what the delivery and receipt at the destination shows.

No evidence found? Sorry. That is not an escape from liability.

Robert C. Dick

Castine

Simple gratitude

Gratitude is thanks: “a feeling of being thankful to somebody for doing something.” We are thankful for our brave men and women who volunteered to serve in our military, both those overseas and here at home. Their sacrifices, and their families’, cannot be forgotten. We need to be grateful for our men and women in uniform, many of whom have served in harm’s way for several deployments to both Iraq and Afghanistan. They don’t ask for our appreciation, but we need to give it and demonstrate it often and aloud.

Maybe we do not express our gratitude because we assume that public service is its own reward. Those who come forward in politics, the military and education do so on their own accord. Why should we say “thank you” for those in the employ of the greater good? Because our national character is in danger of becoming callous and indifferent to the sacrifice of others.

This nation of ours attracts millions for reasons beyond wealth or opportunity. We enjoy freedom beyond our knowledge — to speak and think and vote and assemble and print and believe (or not!).

Thousands die daily around the world for what we take for granted in the United States of America. Simple gratitude is needed again, from the corner market to the Supreme Court, to the throne of God. Express gratitude this year — for everything. Teach our children simple gratitude.

James Weathersby

Augusta

Heartwarming gratitude

It was absolutely heartwarming to see so many young Boy Scouts, Cub Scouts, Girl Scouts and Brownies eager to shake the hands of veterans during the parade on Veterans Day in Bangor.

The youngsters took extra care to thank as many veterans as they could. Their Scout leaders and parents should feel very proud of them. How wonderful that a new generation is being taught respect and gratitude.

Robert Arell

Bangor

Unfortunate departure of news anchor

Such a shame to see a class anchor woman and citizen leave WVII-TV in haste. Cindy Michaels was a credit to local media and journalism. One could tell she had a vision.

Michaels would make an excellent edition to the WLBZ news team as co-anchor with Chris Fachini.

J. E. Gifford

Bangor

Join the Conversation

97 Comments

  1. Jeffrey, it is expensive to be a physician.
    Not many can (continue) to afford private practice these days. There is safety in numbers.

    1. Its expensive but extremely rewarding. If you take on the expense to become a MD will you go for a government paycheck and stay in debt or go into private practice and reap the rewards. When you say not many are going into private practive I assume like most liberals you have zero facts to substantiate

        1. Any facts to substantiate that not many can afford private practice? I assume you are just making this up to support the brainwashing you received?

          1. As far as my assumed (on your part) brainwashing…. again you shouldn’t assume.

            I could assume you are a right wing nut job…. but then I know you are.

          2. Latin is a wonderful language but English is so much more expressive and easier for some to pronounce. Why did you choose such a name? Flowery in meaning? Deep thoughts. High mindedness.?

            I just started posting more often but I’ve read what you have to say enough to know that you have a need to prove your superiority. I don’t play those games of youth and small minds.

            I have found my voice and am using it. I am navigating disqus with ease now. Such assumptions as you make are based on paranoid delusions.

          3. Not sure if you are guest or lightbulb but Its all okay now. Have a cup of tea and your nerves will be soothed. So how many physicians cant afford private practice any longer? or did you lose your voice?

          4. I like a nice cup of Earl Grey after my dinner usually.
            My voice is fine in the A to middle C range. A3-A5.
            I should consider changing my name to a Latin one.

          5. “California, national shortage of primary care physicians will become more severe as national health reforms take effect”

            Published 11/20/2012

            http://www.mercurynews.com/news/ci_22030020/california-national-shortage-primary-care-physicians-will-become

            $175,000.00 student loan debt.
            $160,500.00 – Average Yearly Primary Care Physician (PCP) salary

            By the way, we have a national PCP shortage and it’s getting worse. These are the physicians needed to make the Affordable Care Act work as envisioned.

  2. Ben Brown
    Unions are nothing more than legalized extortion and a cash funnel to the Democrat party. GM should have gone bust but Nobama needed to payback his Union puppet masters for the votes that put him in the WH in 2008. God help this country.

    1. At least get the name of the party right: the Democratic Party.
      The most succesful union in the United States today is a union of millionaires, the Major League Baseball Players Association. Its biggest benficiary, Alex Rodriguez, regularly votes Republican.
      GM should have been told by its new owners (us) to get busy building buses and train cars.

      1. They are either ignorant, or rigid and unwilling to get the name of the Democratic party correct. Yes, it is Republican and Republican party….but it is also Democrat and Democratic Party, as you well know. It really isn’t that difficult, but then……

          1. You are totally incorrect. Most intelligent people know the difference. I heard something about some right wing website promoting the error though…sort of out of spite. Pathetic really.
            There is accuracy and there is inaccuracy. You promote the latter.

      2. And…..I like your thoughts/suggestions about building more buses and trains. Public transportation is only going to increase in future years and decades, which is a good thing. Bring it on!

    2. Unions are the true balance that makes capitalism work. Without unions you simply have corporate take-over of the economy and the government.

      1. Without Unions, the Democrat party would lose the majority of their funding. It is simply a way to fund Democrat campaigns. If you belong to a union, surely you receive the propaganda in the mail.

        1. Received nothing like that. Did receive stuff from the failed Nicki Farnham campaign even though we are not Republicans at this house.
          You really don’t seem to know what you are talking about.

  3. Jeffery Piper – Obamacare is the absolute worst thing that could have happened to our health care system. It’s ultimate goal of full government controlled health care will backfire one of these days. Trouble is, it will be the consumer that will suffer.

    Ben Brown- Granted, there was once a purpose for unions. But, they’ve become increasingly greedy and political, and they no longer care about the workers that they are suppose to protect and represent. Unions need to be put out to pasture.

    James Weathersby & Robert Arell – Well said. Now if those in the Progressive party in DC would show actual appreciation for our men and women in and out of uniform by working with and for them now that the election is over.

    1. 1. Obama Care is becoming more and more popular every day and even though it should be improved it’s a good step towards a National Healthcare System.

      2. Unions are needed now more than ever to combat corporate greed and as someone who worked union for 37 years I can attest to the fact that they do take care of the workers. Who else is going to do it?

      3. As a veteran I know that Obama has increased veterans benefits each year he has been in office. Tea Party “darling” Michele Bachmann got caught trying to take away over $400 million from the V A’s funding. She stopped her effort when she was soundly chastised for it.
      4. As usual, your on the wrong side of every issue.

      1. “1. Obama Care is becoming more and more popular every day and even
        though it should be improved it’s a good step towards a National
        Healthcare System.”

        Sorry to burst you bubble but there has been ONE poll that favors not repealing the Affordable Health Care Act in the last year. It was conducted in January of this year by CBS News/NYTimes.

        The current Real Clear Politics average for “Repeal of Health Care Law: Favor/Oppose” is Favor Repeal 50.3% Oppose Repeal 44.3%

        http://www.realclearpolitics.com/epolls/other/repeal_of_health_care_law_favoroppose-1947.html

        1. You keep trying to argue against points that no one is making. Look at what you quoted — Obamacare is becoming more and more popular. That’s fact. Your citation does nothing to disprove that fact.

          1. Well Wolf I posted a link that shows the Affordable Care Act is not gaining popularity among the populace.

            It you wish to show otherwise please post a link with the depth and breadth of Real Clear Politics that shows the opposite. The ball is firmly in your court.

          2. LOL, calm down. Over the past few months, the Act has gained popularity (your link shows that) and either way, the question of repeal and the question of popularity are separate things. You do seem to be arguing for the sake of arguing, even if that means arguing a point that no one was making. Why don’t you stop taking that ball over to other and separate courts? :P

          3. No reason to calm down…I’m not in the least bit upset.

            So I take it by your response and juvenile ending that you have nothing to disprove what I posted.

            It been a pleasure wolf…as always when posters are losing the argument or have no link or source to disprove another they resort to blah, blah, blah and then a juvenile ending.

            Nite wolf..

          4. A juvenile ending? You got a bit too serious with the “firmly in your court” bit — I just used the same terminology to describe what you’re doing and that’s arguing points that no one has made. You criticize me for having a poor argument, but what have you done? You’ve pointed to the irrelevant and ignored what I’ve said.

            Your link shows that Obamacare has been gaining popularity in recent months.

            So you can keep calling the grass blue, but it doesn’t make it so.

          5. Wolf I applaud your “glass is half full” view of ACA.

            Fact is, the American people Favor Repeal of ACA and that fact has been consistent since January 22, 2011.

            If you choose to ignore facts that’s fine by me. I have provided a link that demonstrates that the American people Favor the repeal of the ACA and that support has never been below 50% in almost two years. I have asked you to provide “a link with the depth and breadth of Real Clear Politics that shows the opposite” which you haven’t done. That leads me to believe you cannot do so since you keep pointing “look….look support is gaining” but you fail to acknowledge that support has never approached 50% AND over 50% favor repeal.

            “So you can keep calling the grass blue, but it doesn’t make it so”

            Actually people do call grass blue….it’s called Kentucky Blue Grass and I understand it is of very high quality too.

          6. I think it’s ironic that you are constantly quoting yourself like I’m the one who is not reading the comments. You’re arguing against a point no one made. No one spoke about the oppose repeal/repeal rates — no one. That’s you looking for an argument. What was said was that the Act is gaining popularity and it is. You are manufacturing your own rubric for whether that is true or not by changing the time frame in which was referred to and acting like opposing repeal and popularity are the same thing.

            My point about your pettiness and love of arguing is highlighted by your Kentucky comment.

          7. I see you still have provided no link, no poll that shows the ACA is gaining in popularity.

            Have a wonderful day wolf.

          8. I see you’re lazily ignoring everything I wrote and maintaining that it’s valid to argue against points no one made. I don’t need to provide a link, your link shows that Obamacare has been gaining popularity. Ignorance is bliss though, right? That’s how conservatives won this past election, right? Just ignore the inconvenient realities and everything is peachy, right? ;)

          9. Have a good day wolf. I made my point and so did you. Time will tell if the ACA will do what the Predident says it will do or not.

          10. You don’t have a point though. You’ve just changed the subject and pretended that others are saying things they haven’t said. But yeah, you ignore reality and tell yourself whatever makes you feel good. Be sure not to look at the election results or even the up/down votes on here though as it might burst your bubble.

          11. LOL….up/down votes. Yes I LIVE for positive feedback!! Oh please people I NEED your affirmation to make it through my day. Wolf I get it…you don’t agree with me…tell yeah what. Get back to me over the next 2-3 years and tell me how ACA is working out for yeah.

          12. Yeah, laugh it up, big boy, but your diversions don’t erase reality.

            You can screech all you want and pretend that up/down is about affirmation — like I really care about affirmation, please. The reality is that no one is responding to the garbage you write and no one responded to the candidates your party presented. If Obamacare was so unpopular, the country would have voted for the candidate that vowed to repeal it. 332 to 206 up/down says otherwise though.

            But if it makes you feel good, pretend that people are arguing points they weren’t actually arguing just so you can correct them. If it makes you feel good, ignore reality! Have it. Honestly? I love that! It’s what causes you guys and your awful candidates to lose. So keep going! Xoxo

          13. Screech???? The only one screeching is you wolf.

            By the way…I am an independent (I may still be a “registered” Republican) and I vote based on who I think will do the best job and which candidate has the my values.

            Here is my ballot for 2012

            Romney
            King
            Michaud

            Question 1-Yes
            Bond Question – No, No No No

            And I am also proudly a member of the 63%…I voted for the guy that came in second.

            And save your kisses and hugs for your honey…they are wasted on me and I am not sure your squeeze would appreciate your advances on me.

          14. Nope…I provide cold hard facts. You one the other hand provide….hmmmm what do you provide. No facts. No links. Just words. But it has been fun wolf…have a good evening!

          15. Like I said before, ignoring things doesn’t make them magically disappear. You can say goodnight and good day over and over again and you can close your eyes to reality, but again, it’s not going away. You’re a complete and total modern day Republican in that regard.

          16. My eyes are wide open and my ears are very clear. I read and I learn. I see things for what they are. We will all know the affects of ACA…good and bad very shortly.

            I also visited the “health care exchange” (HealthCare.gov) and entered the info asked for. Based on 04401, my age, health status and plan I was quoted a range of $2,000.00 per MONTH to a low of $400.00 per MONTH. I cannot afford those premiums, can you?

          17. A huge chunk of the country couldn’t afford coverage as things stood. One party sought to do something about that, one fought tooth and nail against any change.

        2. It makes a difference how the poll is worded and the intent of the ones taking the poll. Republicans are good at this method of push polling they in fact developed it. If you heard X left his wife and kids, ran off with his secretary, and pays no child support would you still like X….. Of course X did not run off and leave his wife but that was not the question now was it? Yep we all know about how these types of “polls” were conducted.

          1. Before you condemn the poll as a “push poll” I would suggest that you check where the polls listed in Real Clear Politics averages came from.

          2. OMG you’re right “Rasmussen” polls overwhelmingly say that most favor repeal, problem is I did not see where these polls were conducted or the wording of the question asked. Did you?

            Just how reputable is Scott Rasmussen? Well he certainly was the one that the Republicans relied on to point to their overwhelming victor…………… oh wait that did not happen did it.
            2012
            “On the day of the presidential election, Scott Rasmussen said, “I
            have no idea who’s going to win tonight. I look at the numbers, I keep looking for them to tell me who’s going to come out on top and it’s too close to call.” The final Rasmussen Reports daily tracking poll showed Mitt Romney with 49 percent national support and President Obama with 48 percent national support.”

            And of course this.
            “Rasmussen conducted its polls in a way that excluded the majority of the population from answering.”
            The website Electoral-Vote.com offers “Rasmussen-free maps”, with a note headed “Note about Rasmussen: Rasmussen and Bias”, mainly based on Nate
            Silver’s criticisms

            http://en.wikipedia.org/wiki/Rasmussen_Reports#Criticism

          3. To answer your question about wording etc all one needs to do is click from Real Coear Politics using the name of the poll. From there you can look at the internals, wording, etc…

            Gallup also had Romney winning the election. Rasmussen and Gallup were the outliers no question about it.

          4. I looked at the wording and I still say it was biased, why did they have to include President Obama and Congress in the question at all, my theory is to get a gut reaction. Also they only polled 1,000 people “likely voters”. My question is are these the same group of likely voters that said that Mitt Robme would win, if so then how can the other polls be trusted. I mean 1,000 people is not a lot of polling, and they don’t call cell phones…….

          5. I may not like President Obama or his policies but I respect the office he holds. Why do you feel the need to corrupt Mitt Romney’s name?

          6. He holds no office and deserves no respect. I am one of the 47% that your guy’s loathe. I am an educated, taxpaying home owner, a combat veteran, who retired from a job, I held for many years, with a pension, AND collecting social security. Now you know.

          7. RCP didn’t predict the election. They conduct no independent polling on their own. They simply take the polls and averaged them.

        3. When the real effects of Obama Care kick in over the next 2 years is when many people will discover they were sold a pile of cr*p….

          There are reasons why most implementation was put off until after this election.

        4. Anti-child labor laws were real unpopular also. So, were minimum wage laws, OSHA and the clean air act. Just because a bunch of hairy troglodytes don’t like ACA doesn’t mean it’s a bad law.

      2. You are correct. Support for the Affordable Health Care Act is growing, not decreasing. There are those , however, who did not want President Obama re-elected, and seem to try and find negatives when others see positives, or at least movement in the right direction. (on healthcare reform ,etc. ) They hoped to see Romney elected and the Affordable Health Care Act gutted. Well, that is not going to happen. And….what was so great about the health insurance companies calling the shots before? It was not considered satisfactory by most.

      3. 1. For the third time, the CBO has raised the cost of Obamacare, and it is no longer deficit or debt friendly. More and more would-be doctors and nurses are opting out of school and changing career paths. The cost of healthcare continues to go up, and now Tricare is on the table for massive increases that the veteran will have to pay.

        2. Unions are one of the causes of corporate greed. Unions have caused far more companies to go out of business or send their jobs overseas. Only a handful of unions do anything at all for the people they are supposed to represent. And the latest failed strikes against Wal-Mart were all backed by the unions.

        3. Obama only cared about the troops during the election. How many time has he addressed the troops, visited the military hospitals, or worked with veteran’s groups since the election? Try none.

        4. There are two side to every issue. Open your eyes and see the truth.

        1. 1. The CBO didn’t raise the cost estimate, that’s a lie. You’re looking at numbers for different sets of years.
          2. Don’t shift the blame — it’s pathetic. Unions don’t force CEOs or anyone else to become greedy. That’s obvious nonsense.
          3. LOL. Come on, you know that’s not true.
          4. Take your own advice.

          1. That poster and others see just what they want to see. Which is one of the main reasons they lost the last election.
            As for military visits, concerns,etc. Mike Michaud has worked with veterans for years (and many veterans will tell you that), yet right wingers discounted that too. (because Michaud is not a Republican.) There seems to be a disconnect with reality.
            Michelle Obama and Jill Biden have made working with military families a priority from the start. We are not privy to all the work they do , every minute and every day, behind the scenes,etc. We don’t follow them around all day.
            A lot of wonderful work is done behind the scenes , all over this country. People go about it quietly…they don’t feel the need to have it broadcast every time.
            You have to take that poster with more than a grain of salt. He demeaned our First Lady more than once. He knows nothing. She and her brother were brought up in a 2 bedroom small home. They had to improvise to make one bedroom for both. Her father worked , in a blue collar job, with MS for years. Michelle’s parents never went to college and worked hard so their two children could. They were not even remotely brought up with a silver spoon (not even close) as that poster posted one time. I saw right up front that there is no credibility coming from his mouth.

    2. I was going to give you one out of three (the last) but I note you you continue to denigrate “porgressives” so you don’t escape.

    3. Once again, nothing more than a listing of the kind of FAKE NOISE / OxyHeadRush Limpmind talking points spewed out by the radical right wingers pathetically drowned in their self-imposed ocean of right wing lies and propaganda. Poor poor pathetic right wingers. So lost. So beaten. So brainwashed. So old, so angry, so out of date, so IRRELEVANT. PS: Want to know why you just got POUNDED TO PIECES in the election? Read your own posts.

  4. Ben Brown, of course it’s a shame that these people lost their jobs. It’s a shame that they were bargaining with people who had no intention of running a bakery as such. Their main objective was to rape the company and their employees pension funds. There comes a point in time when the people getting the shaft will finally stand up and say enough.
    Comparing Hostess to GM and Chrysler is far fetched. These auto makers are still researching and bringing out new products. Their unions have also agreed to many concessiolns.

  5. Medical schools are overwhelmed with applications and are thinking of expanding. This hyperventilating about a shortage of doctors is being perpetrated by two groups: corporations that want an oversupply to keep their costs down; and ultra conservative groups interested in bringing down ACA.

    There isn’t nor will there be a doctor shortage. It pays way too well.

      1. That’s kind of ignoring Jones’ point though. Schools have no shortage of applicants. The issue isn’t that there aren’t enough people that want to be doctors.

        1. Seems you didn’t bother to read the article. The Affordable Care Act is based on a foundation of PCP (Primary Care Physicians). There is currently a shortage of PCP’s nationwide.

          I work in healthcare and I see the shortage Nona daily basis. Where there was once 2-4 PCPs in an office there are now 1 with a mid-level provider. In some cases there may only be a mid-level provider in the office.

          Sunbury recently closed their Orono and Hampden offices. Six PCPs left EMMC Orono last year and joined St Joe’s Family Medicine in Bangor. EMMC is still working on replacing those PCPs.

          The shortage is getting worse as medical students choose high paying specialities rather than Family Medicine (PCP) positions which are the gatekeepers for the Affordable Care Act.

          1. I’m not going to bother with your link because your statements that precede it are irrelevant. You are ignoring the points of both Jones’ and the initial letter. They are talking about whether there will be a shortage of people willing to become doctors. You’re talking about something else.

          2. They talk of less doctors. Many people still want to go into the medical profession. However, medical school is long and expensive. I don’t believe the Republicans had a very helpful position on student loans and benefitting those who wished to take on that kind of student debt. So, as it usually is with that party…..circular thinking with no plausible solutions. Blame but never have a sensible workable solution. It becomes ridiculous after a while.

          3. Without physicians entering the PCP profession it really doesn’t matter how many people are entering medical school. PCPs are the gatekeeper in the ACA and without them you and I will be waiting to see a PCP fro routine preventive care.

          4. Economics 101: Serious shortages force prices to go up unless someone or something is controlling the price. Paying PCPs more will take care of the shortage. If there is a true shortage and the pay doesn’t increase, start looking for some organization manipulating payment. I’d start with the AMA.

        2. I was just talking to a med student who’s going into family practice and many of her classmates are. Paying off that debt prompt many to go into specialties though.

          1. Specializing is not prompted by a desire to pay off the med school debt sooner. It is promoted by the much higher income possible with specialization.

      2. Your article is talking about a shortage of primary care physicians, not physicians in general and specifically in CA. This shortage started in the 1980 with increasing numbers of MDs specializing and increasing charges for their services. This is not a function of the ACA nor will the ACA exacerbate this shortage. In fact, the ACA, may, through public policy, alleviate the shortage somewhat.

    1. You are spot on correct. This is another bunch of nonsense propaganda from the CORRUPT pro corporate right wing that wants to demonize the Affordable Care Act, which is actually a very MODERATE law that has many formerly REPUBLICAN provisions (before they went totally TeaRadical). The Republican right wing way is: Do whatever is good for the rich and the big corporations, and to heck with everyone else.

  6. As the population ages, it will become increasingly difficult for any MD to turn down Medicare. Medicare paperwork is infinitely easier to fill out for providers than private insurance company paperwork. Medicare is far more efficient than private insurance, as one can tell by looking at its extremely low overhead.

    1. Obviously you have missed the multitude of stories published about Medicare and MaineCare owning millions of dollars of money to healthcare providers.

      1. So just how does it feel to go through life being a spokesperson for the corporate right wing and doing all you can, as a corporate right wing toadie, to help your big rich insurance company corporate masters at the expense of everyone else? The ACA is a MODERATE law chock full of formerly Republican planks. Republicans should be thrilled to no end with it. But no, they just keep up the pro corporate propaganda because they live to help the rich get richer and to kiss the toenails of the insurance company CEO’s who OWN them. Pretty sad.

        1. “So just how does it feel to go through life being a spokesperson for the corporate right wing and doing all you can, as a corporate right wing toadie, to help your big rich insurance company corporate masters at the expense of everyone else?”

          Can you possibly squeeze in any more hyperbole? I sure you could if you try.

          It seems that you also missed the multitude of articles and stories about Medicare/MaineCare owing millions of dollars to healthcare providers, hospitals, etc… I’m sorry if you cannot accept facts for what they are without making assumptions (wrongly I might add) about people and posters.

          ~~~~~

          “The ACA is a MODERATE law chock full of formerly Republican planks. Republicans should be thrilled to no end with it. But no, they just keep up the pro corporate propaganda because they live to help the rich get richer and to kiss the toenails of the
          insurance company CEO’s who OWN them. Pretty sad.”

          Again, what I posted is factual AND it has nothing to do with how “MODERATE” the ACA is or isn’t. Medicare/MaineCare owes millions of dollars and in some cases that owned money has lead directly to the lay offs of hard working people. PenBay, Blue Hill Memorial Hospital, EMMC all have laid people off and have tied those lay offs directly to the feds and the state owing they millions of dollars in reimbursements for services provided but not paid for.

          1. You make it sound as if private insurers pay all their bills on time. They don’t. What is your point?

          2. The original post said this:

            “As the population ages, it will become increasingly difficult for any MD to turn down Medicare. Medicare paperwork is infinitely easier to fill out for providers than private insurance company paperwork. Medicare is far more efficient than private insurance, as one can tell by looking at its extremely low overhead.”

            It doesn’t matter how “infinitely easier” the paperwork is, how “efficient” it is or how “low” the overhead is if they don’t pay there bills on time.

            The company I work for has contracts with insurance companies that guarantee on time payment or we charge them interest. We cannot do that with the feds or the state and guess which third party payer is our largest payer AND is out greater than 180 days and in some cases 360? If you guessed Medicare and MaineCare you guessed correctly.

            The other organization I work for does not have contracts with insurance companies and accepts Medicare assignments which basically means they accept whatever Medicare agrees to pay and that we must bill the patient for the balance. Well guess again which third party payer is our largest payer AND is out greater than 180 day and pays approximately 60% of the bill? If you guessed Medicare you guessed correctly.

            Hope that clarifies my point.

          3. I understand what you’re saying, but most practices aren’t large enough to have that kind of leverage over private insurers.

      2. MaineCare is much further behind than Medicare in terms of prompt payment. There have been no news articles about delays in Medicare payments. Please point to any you can find.

  7. Robert Arell: do you mean ‘brain washing’ young folks? Do you actually think that killing people in the name of ‘america’is a good thing? There’s been no just war since WWII. Korea, Viet Nam, Iran, Afghanistan: all are useless loss of life and money. Teaching children to hate is reprehensible. How about teaching them to respect others?

  8. Of course unions serve a purpose — who would conservatives scapegoat and shift the blame to if there were no unions?

  9. Jeffrey Piper, is what you are saying a threat from the AMA? Where do you think that all these Dr.s are going to quit serving us regular folks who can’t afford a private insurance companies rates. The others will just get tired because there is too many patients to see for too little money. Oh well these Dr.s went to college, I’m sure that there is lots of work out there for college educated people. Truck driving, sales positions at WalMart, etc. Just think, they won’t have to fork out $250,000.00 or so a year in malpractice insurance premiums.
    This of course will create a shortage of Dr.s. Maybe we can fill that void by opening up the college admissions process to become an MD.

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