Saturday
Dec072013

Doctors keep it simple, ditch insurance

Millions of Americans are eligible for health insurance for the first time through the Affordable Care Act, but a small segment of doctors say they want out of the third-party payer system.

The practice models vary considerably, from low-overhead cash practices to direct primary care. But the reasons for parting ways with insurance companies are pretty much the same. Physicians say they are fed up with declining payments, stacks of preauthorization forms, and the hamster wheel of 8-minute patient visits.

So they’re taking a leap of faith, tearing up their insurance contracts, and in some cases, opting out of Medicare.

"I was really scared that I wouldn’t have patients," said Dr. Juliette Madrigal-Dersch of Marble Falls, Tex., who started her own cash-only practice about 11 years ago.

Dr. Juliette Madrigal-Dersch

For the first 6 years, Dr. Madrigal-Dersch’s internal medicine–pediatrics practice was cash only but accepted Medicare patients. But she soon realized she wanted out of Medicare too. That was the scary part for her. She said she worried that she wouldn’t have any patients over age 65 once she made the switch.

Her fears turned out to be unfounded. Although many of her Medicare patients did leave the practice, some stayed and then some returned. The ones who came back told her that they missed the long visits – typically 20 minutes to an hour – and felt like they couldn’t always get the care they wanted from other doctors who participated in Medicare.

Leaving Medicare

Dr. Madrigal-Dersch, who is a past president of the Association of American Physicians and Surgeons (AAPS), is part of a growing and vocal minority of physicians who are opting out of Medicare.

The AAPS, which is outspokenly critical of the Affordable Care Act (ACA), has been hosting a series of workshops providing tips to physicians on how to move to cash-only practice and how to drop Medicare. The sessions are in high demand, said Dr. Jane Orient, AAPS executive director.

Dropping insurance and going cash only is a model that works not just for primary care physicians, but for lots of specialists too, she said, including surgeons. It can be harder to do in fields like neurology where most of the patients are older and the procedures are expensive, she added.

Although the number of physicians who are opting out of Medicare is still small, the momentum is growing, Dr. Orient said. "I think some of the physicians who do it want to stay under the radar, particularly with Medicare."

Federal officials have acknowledged the trend, but said it is not impacting access to care. A recent analysis from the Health and Human Services department shows that about 650,000 physicians participate in the Medicare program nationwide. In 2012, 90.7% of physicians were accepting new Medicare patients, up 87.9% in 2005, according to the report.

Dr. Lee H. Beecher, a psychiatrist and addiction specialist in St. Louis Park, Minn., said he also maintains a cash-only practice. He stopped accepting all insurance, including Medicare, about 8 years ago.


Wednesday
Nov062013

The Selling of ObamaCare

John Goodman, PhDBy John Goodman, PhD

 It’s as though two completely separate conversations have been going on. From day one, the health policy community has correctly seen the Affordable Care Act as an attempt to completely change the health care system. This isn’t even controversial. It’s accepted by all as an undisputed fact.

However, no one has ever said this to the American people. In fact, the message of the Obama presidency — going all the way back to the 2008 campaign — was just the opposite. In that election, Barack Obama rejected Hillary Clinton’s call for an individual mandate (a proposal that would obviously affect everyone) in favor of his own proposal which appeared to mainly help those who couldn’t afford insurance. And how many people would that be?  You could be forgiven if you thought it was about 10% of the population.

Then, on the eve of the passage of the ACA, virtually every Democrat who appeared on TV to defend it had one and only one message to offer: people were being discriminated because of pre-existing conditions. And how many of those people are there? Well for the first three years under the law, anyone denied insurance because of a pre-existing condition was able to enter the new (ObamaCare) risk pools and pay the same premium a healthy person would pay. How many did that? About 107,000. That’s out of a U.S. population of approximately 314 million!

To allay concerns about ObamaCare’s individual mandate, the president repeatedly promised that “if you like your health insurance plan you can keep your health insurance plan” and “If you like your doctor you can keep your doctor.” Over and over again the message was the same: most people will be completely unaffected by the new health law.

Then over the past week or so, the general public woke up to some stunning revelations. It now appears that as many as 10 million people will lose their individual health insurance policies as of January 1. To put this number in perspective, the administration’s goal for next year is to sign up 7 million people. We could actually end 2014 with more people uninsured than there were at the end of 2013.

On top of that, The Washington Post has just awarded the president Four Pinocchios for his statements. Although it took them five years to do so, when they finally got around to it the write up was devastating. “Four Pinocchios” is a nice way of saying that the president has been lying all along. [Or, is it possible the president didn't know? More on that below.]

- See more at: http://healthblog.ncpa.org/the-selling-of-obamacare/?utm_source=newsletter&utm_medium=email&utm_campaign=HA#more-33855

Monday
Oct142013

NDTP UPDATE-House holds firm, now the Senate needs to hold firm !

 
Please Forward to all your Email Contacts

National Doctors Tea Party

Dr Adam Dorin and Dr Wayne Iverson                                        http://www.DoctorsTeaParty.com
Find us on the Web, Facebook & Twitter
Sunday October 13, 2013
Find us on Facebook at " http://www.facebook.com/doctorsteaparty "
Ask your members to visit us regularly, LIKE and SHARE
Twitter: http://twitter.com/doctorsteaparty
Website: http://www.DoctorsTeaParty.com 


HOUSE REPUBLICANS HOLD FIRM
Now the Senate Republicans need to hold firm.
“It’s all good,” Rep. Raul Labrador (R-Idaho) said.
“It’s now up to the Senate Republicans to stand up.”


Focus on Senate after Obama rejects House plan

By JAKE SHERMAN , JOHN BRESNAHAN and BURGESS EVERETT | 10/12/13 9:10 AM EDT Updated: 10/12/13 2:40 PM EDT

Speaker John Boehner told House Republicans Saturday morning that his efforts to strike a deal with President Barack Obama are at a standstill.

There is no agreement, Boehner said in a room in the Capitol Saturday, and there are no negotiations between House Republicans and the White House, since Obama rejected the speaker’s effort to lift the debt ceiling for six weeks and reopen government while setting up a budget negotiating process.

With that, a familiar dynamic has resurfaced 12 days into the government shutdown and five days before Treasury says the nation runs out of borrowing authority: The pendulum has swung back to Senate Republicans, who now look more likely to cut a deal with Obama to end the first government shutdown since 1996, and avoid the first default on U.S. debt in history.

After the news that talks between Boehner and Obama have broken down, Senate Majority Leader Harry Reid (D-Nev.) emerged on the floor to emphasize that the nation’s eyes are firmly fixed on the chamber.

“I was happy to see the Republicans engaged in talks with the president, the House Republicans. That’s over with. It’s done. They’re not talking anymore,” Reid said. “I say to my friends on the Republican side of this Senate, time is running out.”

House Republicans are, for the first time, acknowledging that reality. House Majority Leader Eric Cantor (R-Va.) told the closed meeting of GOP lawmakers that, “Senate Republicans need to stand strong and fight,” according to sources in the room.

“It’s all good,” Rep. Raul Labrador (R-Idaho) said. “It’s now up to the Senate Republicans to stand up.”

House Republican leaders met with Senate Minority Leader Mitch McConnell (R-Ky.) Friday to receive a briefing on the state of play in the Senate.

Sens. Susan Collins (R-Maine) and Joe Manchin (D-W.Va.) are circulating a 23-page draft bill that would increase the nation’s borrowing limit through January and reopen government until March.

The bill would also delay Obamacare’s tax on medical devices for two years, while replacing the lost revenue by altering the way pensions are calculated. It would give increased autonomy to the heads of federal agencies under the constraints of sequester spending levels and provide funding increases for fire suppression, a key item for Sen. John McCain (R-Ariz.).

But the clock is the biggest enemy for all sides. It’s unclear if a deal brokered by the Senate could come together before Thursday, when the $16.7 trillion debt limit must be boosted, according to Treasury Secretary Jack Lew. House Republican leadership sources say their offer of a six-week debt limit increase might regain favor if a Senate-brokered deal does not come together before that deadline.

The House goes out of session Saturday and will return Monday evening.

Obama appeared open to the basic outline of the Collins-Manchin plan, though the White House has not formally endorsed it. The president told Senate Republicans Friday that the medical device tax is not central to his signature domestic achievement — the Affordable Care Act.

Meanwhile, Reid on Saturday will move forward with a procedural vote to lift the debt ceiling through 2014 with no policy add-ons. That vote is not expected to reach the key 60-vote threshold needed to proceed to debate. But the legislation may be altered later to reflect any compromise struck in the Senate.

Neither Senate proposal — the Democrats’ “clean” debt-ceiling increase or the Collins-Manchin framework — seems like it would be popular in the House, which has trouble passing its own plans.

Many House GOP conservatives see ending the device tax as going after a “shiny object” instead of focusing on truly altering the law, one conservative Republican told POLITICO. Appropriators are angry that the government would be funded until March — they would prefer a shorter-term measure, to allow lawmakers to cobble together a full 2014 spending package

“We have to see what’s in it,” House Majority Whip Kevin McCarthy (R-Calif.) said in a brief interview. “We have to see what it finally looks like if they can’t get something.”


CONTACT INFORMATION:
Wayne Iverson, MD
P.O. Box 420640, San Diego , CA 92142
Phone:
858-674-4542

Fax: 858-674-4543
Email: 
WayneIverson2012@gmail.com

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Saturday
Oct122013

Call for Action: October 11, Tell Congress to hold firm !

 
Please Forward to all your Email Contacts

National Doctors Tea Party


Find us on the Web, Facebook & Twitter
 Friday October 11, 2013
Find us on Facebook at " http://www.facebook.com/doctorsteaparty "
Ask your members to visit us regularly, LIKE and SHARE
 

 
MESSAGE FROM TEA PARTY PATRIOTS & NATIONAL DOCTORS TEA PARTY http://tinyurl.com/mxn4oye
Is the House About to Cave? Call Now! Keep Calling Congress!

There are various news reports about sources from last night's meeting at the White House... between the President and House Republicans that suggest a deal has been made to lift the debt ceiling and re-open the government. None of these reports even mention Obamacare!

The House Republican Conference is scheduled to meet tomorrow morning at 9am and we need to make sure they don't forget what this fight is all about! Stop spending money on Obamacare. It is causing the American people to lose work hours, lose their jobs, lose their health insurance, lose their doctors, and see rising health insurance premiums. Now is the time to stop Obamacare's harmful affects on our country!

Call these members of Congress today and tell them this fight is about Obamacare and now is not the time to back down! Also call the Capitol Switchboard to speak to your own member of Congress (202) 224-3121 or find their contact information here: http://house.gov/representatives/

State Representative Twitter Phone Number
OH John Boehner @SpeakerBoehner 202-225-6205
VA Eric Cantor @GOPLeader 202-225-2815
CA Kevin McCarthy @GOPWhip 202-225-2915
WA Cathy McMorris-Rodgers @CathyMcMorris 202-225-2006
WI Paul Ryan @RepPaulRyan 202-225-3031
TX Pete Sessions @PeteSessions 202-225-2231
TX Jeb Hensarling @RepHensarling 202-225-3484
NC Renee Ellmers @RepReneeEllmers 202-225-4531
NC Virginia Foxx @VirginiaFoxx 202-225-2071
KY Hal Rogers @RepHalRogers 202-225-4601
OR Greg Walden @RepGregWalden 202-225-6730

Thank you!
Tea Party Patriots National Support Team
National Doctors Tea Party

 

CONTACT INFORMATION:
Wayne Iverson, MD
P.O. Box 420640, San Diego , CA 92142
Phone:
858-674-4542

Fax: 858-674-4543
Email: 
WayneIverson2012@gmail.com

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Tuesday
Oct012013

Call to Action! October 1

 
sage -----
 
Please Forward to all your Email Contacts
                                            
Call for Action from the
National Doctors Tea Party

Tuesday October 1, 2013
Find us on Facebook at " http://www.facebook.com/doctorsteaparty "
Ask your members to visit us regularly, LIKE and SHARE

The time to act is now. The Senate REFUSES to COMPROMISE!
Call the House of Representatives and tell them:
NO MORE COMPROMISING!
Capitol Switchboard: (202) 224-3121
 
 
----- Original Message -----
Sent: Monday, September 30, 2013 1:21 PM
Subject: Time to Act - No More Compromise
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Will the House Stand Strong?


The time to act is now. The Senate REFUSES to COMPROMISE!

Call the House of Representatives and tell them:
NO MORE COMPROMISING!

Capitol Switchboard: (202) 224-3121

Where We're At:
Friday, 9/20/13 - The House of Representatives passed a Continuing Resolution that would fully fund the government (including things that Republicans don't like) while at the same time defunding Obamacare.
Result: House Republicans compromised on spending that we'd like to see cut in exchange for defunding Obamacare.

Friday, 9/27/13 - The Senate stripped the defunding language out of the House passed Continuing Resolution and sent it back to the House.
Result: Harry Reid and Senate Democrats refused to compromise.

Saturday, 9/28/13 - The House of Representatives added two amendments to the Senate revised Continuing Resolution to delay Obamacare for one year (far from what we were originally willing to agree to) and repeal the medical device tax.
Result: House Republicans compromised away from defunding to delaying Obamacare for one year.

Monday, 9/30/13 - The Senate stripped the two amendments from the House passed Continuing Resolution and sent it back to the House.
Result: Harry Reid and Senate Democrats refuse to compromise one inch on Obamacare.

Where We Need to Be:
NO MORE COMPROMISING! Harry Reid has taken us one step closer to a shut down. The time is now for the House Republicans to stand strong. The ruling elite in Washington, DC, and the media are claiming that we are unwilling to compromise, but the timeline of events proves that this is a lie!

Call your Representative in the House and tell them that we are finished compromising. It is time for the Senate to act - it is time for the Senate to be a part of the conversation and protect the American people from Obamacare. A one year delay isn't even good enough, but the recent vote by the Senate proves that the arrogance of the ruling elite is at an all time high.

Call Now and Demand that they Stand Strong!
Capitol Switchboard: (202) 224-3121

-Tea Party Patriots National Support Team


 
  
 

CONTACT INFORMATION:
Wayne Iverson, MD
P.O. Box 420640, San Diego , CA 92142
Phone:
858-674-4542

Fax: 858-674-4543
Email: 
WayneIverson2012@gmail.com

<<<<<<  >>>>>>