The Fight of Our Lives: The Patient-Physician Relationship vs. The Government-Insurance Syndicate

Doctor Rebel MDOriginally posted on krisheldmd and Rebel.MD:

Constructed by progressives who seek socialized medicine and control over 1/6 of the US economy and passed against the will of the people through legislative chicanery amidst single party control of the House, Senate, and White House, ObamaCare is now the “law of the land”. The law is the manifesto for the promised “fundamental transformation” of the United States of America. Obamacare destroys the patient-physician relationship and defiles the Hippocratic Oath by inserting government bureaucrats and political operatives as voyeuristic intermediaries and callous controllers.

As a physician, I have been distraught over this travesty and have vowed to not participate in the Obamacare exchange. I am not alone. A November 2013 Jackson and Coker survey of 3000 physicians showed that 44% of physicians say they will not participate in the Obamacare exchange. There are about 800,000 practicing physicians in the US, and if almost half of us refuse to participate…

ObamaCare is nothing but a punitive tax, a false promise, and a VA-style dead-end waiting list.

OreillyIn a March 4, 2014 interview promoting his new book, Reinventing American Healthcare, with Bill O’Reilly, ObamaCare architect Ezekiel Emanuel said that doctors won’t opt out of the exchange. Excerpt from the BillOReilly Show.  “It’s not doctors who participate in the exchange, it’s insurance companies who participate in the exchange,” Emanuel curtly stated. He then revealed that the central planners think they’ve got us doctors by the orbs, crowing: “The doctors will take who’s in the exchange, because they have to.” Translation: the government-insurance company syndicate now controls the patients and the doctors. Patients and doctors have no choice in this. We are powerless.

Here is how this is playing out in the real world trenches of medical practice. Aetna and Blue Cross and Blue Shield of Texas both advertise me as a ” provider” on the federal healthcare exchange. They do this without my permission or consent nor even notice. Neither company has my permission to appropriate my name or likeness for this purpose. I have never contracted with either company or consented to see any subscriber of theirs with a policy purchased through healthcare.gov.

To meet the requirements to be deemed a “Qualified Health Plan”, an insurance company must have a certain number of contracted providers listed. To attract new customers a company must list respected, experienced, established physicians such as me. These government-colluding, patient-betraying companies are listing me as a provider for their personal financial gain against my will, in violation of my personally held beliefs, and to the detriment of the American and Texan patients they profess to serve.

I insisted they remove my name from the Federal healthcare exchange immediately. This has not been done. I am stonewalled. I am powerless, while the Aetna CEO’s salary has increased from $17M to $30M peddling the promise of my colleagues’ and my services.

Insurers need providers (physicians). Physicians are not indentured servants whose labor may be compelled.

The red line is, patients need physicians. Obamacare and its government-insurance syndicate are destroying millions of patient-physician relationships, millions of lives.

I am a physician. I am fighting to continue to see my patients with non-ACA plans. However, I will not allow my name, likeness, services, and reputation to be used in connection with the marketing of ACA plans.

I am a patient. I am fighting to see my doctors without government intrusion into the most intimate, sacred aspect of my life. My own non-ACA insurance plan does not cover out of network providers whatsoever. I am fortunate to pay out of pocket to keep my doctors so far, but what if my cancer recurs?

I trust my doctors. I trust my patients, and they trust me. I do not trust the government-insurance syndicate, Obamacare operatives, or the Obamacare enforcers, the IRS.

I am an individual American fighting for the ability to practice my profession freely, fighting to keep my patients, fighting to keep my doctors, fighting to restore trust, fighting to secure our blessings of liberty, fighting for our very lives.

Will you fight with me?

kris held

Kris Held, MD

 

Obamacare, Who’s Going to Pay for It?

BL obamacare enrollment attkissonAs of March 31, according to the Obama administration, 8 million people signed up for private insurance in the Health Insurance Marketplace, exceeding its target of 7 million. After all the lies and scandals coming from the White House who would believe that number?

In fact, the 8 million figure is overstated because it counted people who weren’t actually covered because they hadn’t paid their premiums, which Blue Cross, analysts and the government agree is in the 15 percent to 20 percent range.

The actual number of Obamacare enrollees as of March 31 was likely between 6.4 million and 6.8 million even while about 38 million uninsured are eligible for Obamacare

Estimates of how many marketplace enrollees were previously uninsured range from about one-third to more than half, depending on the survey and the methods used.

A recent Kaiser Family Foundation survey found that 43 percent of those who purchased insurance through the marketplace already had insurance.  They were shifted into the exchanges because of changes caused by Obamacare.

So fewer than 4 million newly insured shouldn’t be considered a victory for the Obama administration.

The rel victory for the Obama administration?  According to CMS estimates Medicaid will get 8.6 million new enrollees in 2014, thanks to Obamacare. Twenty-six states have expanded Medicaid, but if all did, spending by states would increase 26 percent—or $952 billion—from 2013 to 2022.  Who is going to pay for it?! true cost of obamacare

On the one hand, the CBO concluded that lower-than-expected Marketplace premiums and other recent developments will cut $104 billion from our deficit over the next 10 years.”  What they neglect to mention is that the coverage expansions in the ACA are still estimated to increase federal spending by $1.383 trillion over this same period.

While 4 million uninsured and 8.6 million new Medicaid recipients now have healthcare, the cost to taxpayers to insure them is staggering for consumers, who will pay 4 to 16% more for insurance in 2015.  In addition taxpayers will foot the 1.4 trillion dollar cost for Obamacare over the next 10 years and undoubtedly the reinsured, the millions who got booted off their policies even though they liked the policies they had for ones that they like less—that often cost more.

 

Summary of Obama’s IRS scandal

IRS cartoonObservations from an IT Expert “If the IRS’ email server is in such a state that they only have one copy of data and the server crashes and it’s gone, I’ve never heard of such a thing.”

“I don’t know of any email administrator that doesn’t have at least three ways of getting that mail back,” he added. “It’s either on the disks or it’s on a TAPE backup someplace or in an archive server. There are at least three ways the government can get those emails.”

Dan from Squirrel Hill's Blog

In May 2013, the Washington Post reported that the IRS had illegally targeted conservative groups for additional reviews. Organizations with the words “tea party” or “patriot” were singled out for harassment, such as requiring them to provide a list of donors, details about their internet postings on social networking websites, and information about their family members.

When this was first reported by the media in May 2013, Lois Lerner, who heads the IRS division that had conducted these illegal activities, claimed that only low level employees had known about it, and that no high level IRS officials had known about it. However, soon afterward, NPR reported that an Inspector General report showed that Lerner had been lying, and that she herself had actually been aware of it since June 29, 2011. Even worse, during March and April of 2012, Lerner herself had actually written such letters to fifteen different…

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Defining a Small Business

Osmar_Schindler_David_und_GoliathLet’s face it, we are a small business, under 50 FTEs.  We’re no Goliath.  We’re not an Apple, a Google or a Microsoft.  We are a David, and to a degree, a family.  We actually make a difference.  People are our rocks and our products and services are our slings.
Today when technology changes in a blink of an eye, we would maintain the Goliath’s with the heavy armor and the shield may have the heavier burden. Every day there are new challenges.  The challenges we face with regard to technology, products and customers are also interwoven with life’s challenges.
Often they relate to challenges we face at home with our families and friends.  So how we perform as a business can affect how we perform at home.  In retrospect, if we are helping each other at work, we are helping each other at home.  More so than at a Goliath, we depend on each other. Everyone who works for a small business has to become a leader in some respect. We have to take a leadership role in order to insure our own success and that of others.  Where someone may be strong others may be weak.
It’s always a hard choice to make when we have work responsibilities that take time from family and friends.  These choices are not taken lightly.  We depend on each other.  Consequently there’s little room here for failure or mediocrity.  Isn’t that the way it should be? Many small businesses believed they could successfully run a business, make a fair profit, compete with the big boys and still provide a personal touch.  What a novel idea!

Small businesses have built their business predicated on personalized service.  They have survived the white box commoditization and low margins of off the shelf products and services and transcended the call center case number, whereby if your case number was called and a problem was solved it was like winning the lottery…”

Our work affects the people we are close to or have close ties with including our customers and fellow employees in a way much more intimately than in a large corporation.  Our customers and partners take a chance doing business with a David.  Each employee has the opportunity to help a small company succeed.  We see and hear from customers every day, instances where fellow employees are stressed out and still come through with a win. This is most often a collaborative effort. To put it in the right perspective…

Our greatest achievement is the relationships we have developed over the years with our customers, employees, partners and friends, of which many are synonymous. 

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