What happens when millions of new insurees show up for care?

What happens when millions of new insurees show up for care?

PostBy: smokeyCityTeacher On: Sun Jan 24, 2010 8:36 pm

Lets assume that a bill passes and then, in a space of several month - millions of people who did not have coverage are enrolled in some form of the plan and now have coverage and decide to go in for that treatment they have been putting off such as a hernia, vision care, breast scan, colonoscopy, dental work, arthritis, flu, common cold or one of the many many things that people who do not have insurance will just let go because they cant pay for it.

Why is no one talking about how we will gear up to have the increased CAPACITY to provide this care to the millions that will now start trickling - and in some places pouring in to take care of things they have let go?

I have heard very little on how we will provide service to this influx of new insurees. The debate seems to be all about coverage - but not the capacity to serve it.
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Re: What happens when millions of new insurees show up for care?

PostBy: jpete On: Sun Jan 24, 2010 9:38 pm

Don't worry, I'm sure Congress will be happy to give medical licenses to the veterinarians. Close enough....:D
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Re: What happens when millions of new insurees show up for care?

PostBy: pvolcko On: Sun Jan 24, 2010 10:02 pm

No doubt Pelosi, Reid, and Obama will suddenly start depending on "the market" to take care of that little problem. :)

That way they can bad mouth it for 3-5 years while the health care industry and schools gear up to handle the increased demand, and then praise themselves for making the market "work" when it finally catches up, and then tax the piss out of it and clamp down on reimbursement payments and institute new guidelines on care when the prices have gone up 25% busting any projections made in scoring the bills before passage.

Of course the proposals on the table so far don't add anyone to the system until 4 years out or so. The way they made these proposals appear anywhere near budget neutral in the scoring projections on the first 10 years (and even failed at that) was by front loading taxation (unless you get insurance through a union) and fees and medicare reimbursement reductions (not likely to actually happen) and only letting the "benefits" kick in after 4 years. So even if they're right about the projected program deficit after the first 10 years (not likely), the second 10 will almost certainly be at least 40% worse.
pvolcko
 


Re: What happens when millions of new insurees show up for care?

PostBy: Poconoeagle On: Sun Jan 24, 2010 10:03 pm

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Re: What happens when millions of new insurees show up for care?

PostBy: tvb On: Sun Jan 24, 2010 10:13 pm

At least 50% of them will be men so you can pretty much count on them ignoring all symptoms of serious disease in favor of, "I feel fine, really, I don't need no stinking doctor". :roll:

And for anyone else, it's probably a good time to consider nursing if you are thinking about a career change.

In any case, I don't see a serious shortage of care availability (at least where I live; your experiences may differ) and I doubt everyone is going to start lining up the day after getting health care so I don't think the system will have any problem absorbing them.
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Re: What happens when millions of new insurees show up for care?

PostBy: smokeyCityTeacher On: Sun Jan 24, 2010 10:35 pm

tvb wrote:At least 50% of them will be men so you can pretty much count on them ignoring all symptoms of serious disease in favor of, "I feel fine, really, I don't need no stinking doctor". :roll:


id like to argue that point but ... I think you pegged us pretty accurately. Hopfulyl women will get screened annually instead of that "its OK every two years" thing that just came out.

tvb wrote:And for anyone else, it's probably a good time to consider nursing if you are thinking about a career change.


agreed...we're gonna need em

tvb wrote:In any case, I don't see a serious shortage of care availability (at least where I live; your experiences may differ) and I doubt everyone is going to start lining up the day after getting health care so I don't think the system will have any problem absorbing them.
[/quote]

Lets hope you are right about this one.
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Re: What happens when millions of new insurees show up for care?

PostBy: jpete On: Sun Jan 24, 2010 11:19 pm

tvb wrote:And for anyone else, it's probably a good time to consider nursing if you are thinking about a career change.


My wife is in a nursing program now. Any idea how hard it is to get classes already?

tvb wrote:In any case, I don't see a serious shortage of care availability (at least where I live; your experiences may differ) and I doubt everyone is going to start lining up the day after getting health care so I don't think the system will have any problem absorbing them.


Did you see the lines for flu shots? Yeah...it'll be something like that.
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Re: What happens when millions of new insurees show up for care?

PostBy: samhill On: Sun Jan 24, 2010 11:29 pm

I got ins. now & don`t go to see a doc. unless I really have to. Most people won`t unless they are trying to get drugs then once they find they can`t it will be right back to treir old ways.
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Re: What happens when millions of new insurees show up for care?

PostBy: Richard S. On: Sun Jan 24, 2010 11:39 pm

The other issue is if we start controlling costs especially what the doctor is compensated we'll see less of them and/or more unqualified people.
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Re: What happens when millions of new insurees show up for care?

PostBy: SMITTY On: Sun Jan 24, 2010 11:41 pm

I've got a laundry list of medical issues that I can't afford to treat. It will take a monumental overhaul of healthcare before any of them get addressed (read: cheap health care ... yeah, that will happen ... :roll: ) . Just the fact that I've lived this long tells me I don't need to worry too much about it. To tell you the truth, I'd rather die than pay for health care. The wife feels differently, but I'm a stubborn prick.

If I could afford insurance, I might go & see what my deal is. If it's real bad, I won't be able to afford treatment anyway, so what's the point of having insurance? My buddy has kidney failure ... and when he told me the cost of a transplant, I about died!! Is there really any good reason for a medical procedure to cost a quarter-million dollars?????? You could almost buy a house for that in MA!! He has good insurance, but he can never leave his job ... nobody would ever hire him due to his condition.
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Re: What happens when millions of new insurees show up for care?

PostBy: CapeCoaler On: Mon Jan 25, 2010 2:33 am

Story in the CC Times $2 million to cover preemie triplets..
That will buy you a house on the water...
On The Cape... :lol:
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Re: What happens when millions of new insurees show up for care?

PostBy: titleist1 On: Mon Jan 25, 2010 10:30 am

The capacity issue is a serious one in our area. I have not been able to become an "active" patient with any of the 5 or so medical practices I tried in our area because they are max'ed out. I go to a clinic (walk in) in the next state over (DE) for care when I need it without having to wait for 2 weeks (luckily only twice in the past 5 years). The practice where I was an active patient went bankrupt about 10 years ago when they were sued for malpractice over a lymes disease diagnosis/treatment (jury trial, plaintiff's hit the lottery!) My wife and child are active patients in their re-created practice, but they are not accepting new patients so I am locked out.

Just to add this is in the town that is the county seat and has the only hospital in the county and most docs have an office within walking distance of the hospital.
Last edited by titleist1 on Mon Jan 25, 2010 8:37 pm, edited 1 time in total.
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Re: What happens when millions of new insurees show up for care?

PostBy: tvb On: Mon Jan 25, 2010 10:45 am

titleist1 wrote:The capacity issue is a serious one in our area. I have not been able to become an "active" patient with any of the 5 or so medical practices in our area because they are max'ed out. I go to a clinic in the next state over for care when I need it without having to wait for 2 weeks (luckily only twice in the past 5 years). The practice where I was an active patient went bankrupt about 10 years ago when they were sued for malpractice over a lymes disease diagnosis/treatment (jury trial, plaintiff's hit the lottery!) My wife and child are active patients in their re-created practice, but they are not accepting new patients.


And here in NJ, I never have a problem getting an appointment for any type of medical care, even as a new patient. My mileage is probably better though in that I live in a town with the major county hospital so everyone has offices here and there's real competition for those health insurance dollars.
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Re: What happens when millions of new insurees show up for care?

PostBy: Dann757 On: Mon Jan 25, 2010 1:17 pm

It is the physcians responsibility to amuse the patient while nature heals the malady.
In June of '08 I tore a stomach muscle lugging my floor sander up some porch stairs. Sounded like snapping your fingers. I developed excruciating pain, and just suffered serious agony for a week until I made an appointment with the Dr. I was scared of an operation and being wiped out. I didn't know what it was. When I saw him he poked my stomach and said torn pyloris muscle. Eight weeks rest the only cure. Never been the same.
I lifted a microwave a few weeks ago and tore it again. The pain got bad enough for me to make another appointment. Two more weeks wait. By the time I went in it was feeling a lot better. I also have discolored skin on my face that has been worrying me for about a year. Many years house painting in the sun...
So I got to "The Golden Palace" on time for my appointment. I call it that due to the multimillion dollar renovation they did, complete with their own traffic light and a huge sign out front with gold-leaf lettering. In the busy reception area is a letter to the patients on the glass partition, "Due to administrative costs, we ask our patients to provide us with a self-addressed stamped envelope." Unbelievable.
The receptionist wants to take my picture "for the insurance". I tell her it's cash and I don't want my picture taken. The reception area is crowded with obnoxious people. I read an entire science magazine and fight the urge to walk out. There's an article in there on the benefits of Paxil for neurotic people with anti-social tendencies. Been there, tried that. Good description of me though.
The pretty nurse finally leads me to an examining room, where she tries to sell me a tetanus shot and a colonoscopy. I just ask her if she's gonna pay for it.
The Dr. comes in, pokes my belly and says it's a torn abdominal muscle. He looks at my face and says it's basal cell something or other. He recommends a local dermatologist, and now I'm waiting another two agonizing weeks to have my face cancer dug out. Not waiting for Maobamarx I'll tell ya that much.
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Re: What happens when millions of new insurees show up for care?

PostBy: Yanche On: Mon Jan 25, 2010 2:47 pm

Sounds like the current medical system is working great in your area. :-) Let's see, the doctors professional society, e.r. union, the AMA limits the capacity at medical schools and Congress limits the H1B visas for foreign doctors wanting to immigrate. Shortage of doctors is just what they want, maximizes profit through put. Substandard care results. A good system?
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