For Many, ACA Will Offer Access in Name Only
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  • Steve

    Good points are made in this post, unfortunately, the misidentification of Medicare instead of Medicaid distracts from you point.

  • APR

    I think you mean Medicaid, not Medicare.
    I like your POV. Great job!

  • This is why it would have been better for health care reform not to have been comprehensive reform.

  • NCMountainGirl

    Welcome to the unicorns and glitter version of health care.

  • AnnSaltzafrazz

    You can then look ahead further: as fewer doctors choose to deal with Medicaid and Medicare, you’ll see in the demographics of doctors’ patients shift. More will focus on younger patients, who are usually healthier than the elderly. These are the people who are more in need weight loss assistance, plastic surgery, and sexual performance medications than of intense medical interventions. Those shifts are already taking place, and we should see much more of it in the future.

  • Boritz

    Once more we see a well-intended provision of the Affordable Care Act go awry -VM

    Can we make a start on improving the language used to describe this thing. How about instead of ‘well-intended’ go with ‘ill-conceived’. It’s every bit as accurate and completely deserved.

  • toothfairynw

    Poor reimbursement rates are only part of the reason that doctors “opt out” of medicaid. A large majority of these patients are more complex medically, no show appointments more frequently, and take more staff time getting approval for testing, imaging or prescriptions covered. Combine that with reimbursements that don’t even cover your basic overhead and you will start to understand that seeing medicaid patients is actually a losing proposition. Most doctors simply can’t afford to pay to see these patients. Where do you think the money comes from?

  • Jacksonian_Libertarian

    In a free market the supply and demand is balanced, shortages and oversupplies are quickly fixed by price. Obamacare is really like a bull in a china shop, to the extent that people are forced back to paying cash, the healthcare industry will get better.

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