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ColesCountyDem

(6,943 posts)
Wed Feb 25, 2015, 04:20 PM Feb 2015

Expanded Medicaid under the ACA and why it matters, according to my PCP

I just got back from an appointment with my primary-care doctor, a very nice young man and an excellent physician-- the sort of person who should become a physician. Any way ...

After my exam, etc., he recommended that I have coronary angiogram. When I remarked that I thought it was fantastic that I'm now covered by Medicaid and could have the test without bankrupting myself, he stopped, looked thoughtful and asked me, "I don't know your politics, but could I say something about expanded Medicaid, without offending you"? I said that of course it would be OK, and here's what he said (paraphrasing):

"The expansion of Medicaid coverage to adults who previously didn't qualify for it has been one of the most positive developments I've seen since I became a physician. Since the expansion last year, our clinic has seen our patient load double. We are seeing adults who have not seen a physician for routine, preventative care and treatment of undiagnosed, chronic health problems in years, some times even decades. I am able to diagnose and treat hypertension, diabetes, high cholesterol and a host of other medical issues that had previously gone undiagnosed and untreated, not only helping to extend those patients' lives, but also improving the quality of their lives. I sincerely hope that those fools in Washington and Springfield don't try to repeal it, because that would be as unconscionable as it would be foolish and counter-productive! Sermon over."

Don't believe the MSM, particularly talk radio or those idiots over at Faux Nooz, when they tell you that 'physicians oppose the ACA', because it's just not so. Oh sure, some may oppose it, but I'll wager that more physicians feel like my PCP does, rather than being opposed to it. For all of the ACA's faults, and it does have some, it's been a godsend, especially to poor people living in states that did expand Medicaid. I know, because I'm one of them.

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Hoyt

(54,770 posts)
1. I agree 100%. But, there are a lot of Republican physicians who don't want to see Medicaid patients
Wed Feb 25, 2015, 04:33 PM
Feb 2015

The red state legislators that are opposed to expanding Medicaid will use the fact that your physician's patients have almost doubled to claim that we "can't afford Medicaid expansion." They think we can afford doing nothing, or stabilizing some poor person who doesn't get any care until they are choking on their own blood or having a heart attack.

Personally, I prefer physicians who gladly accept Medicaid patients.

mopinko

(70,220 posts)
2. my doctor loves it, too.
Wed Feb 25, 2015, 04:40 PM
Feb 2015

no sermon, but just a smiling face when she offered my vaccinations and screenings that didnt used to be covered by my very good private insurance.

i dont think there is any way to back this stuff out. at all.
but rauner, yeah, he will do his best. i dont think he will succeed, tho. he has to get this past mike madigan, and i just cant see that happenin.

Ron Green

(9,823 posts)
3. Thanks; a great example. Physicians who oppose Medicaid expansion
Wed Feb 25, 2015, 04:59 PM
Feb 2015

and cannot deal with the flood of new, low-income patients are trying to preserve an expired business model. What we must have is science-based medicine, outcome-focused care, and single-payer financing.

Blanks

(4,835 posts)
4. Just like any industry though...
Wed Feb 25, 2015, 05:34 PM
Feb 2015

There will be doctors that can make money by being frugal. Young doctors can set up a practice in a small town where there might not have been an opportunity because nobody had health insurance before.

Ron Green

(9,823 posts)
8. Yes; and a rational financing system that's not for profit can
Wed Feb 25, 2015, 06:35 PM
Feb 2015

allocate resources where they're needed, so those young docs and innovative clinics can flourish - and practice real medicine.

 

Demeter

(85,373 posts)
5. Excuse me, but Medicaid didn't need Obamacare to expand. It only needed money.
Wed Feb 25, 2015, 05:54 PM
Feb 2015

And the money Obamacare contributed to Medicaid disappears this year.

Will the individual states pick up the bill? Are you nuts? Of course they won't. they can't afford to.

Bye-bye Medicaid.

ColesCountyDem

(6,943 posts)
9. This is only Year 2 of Medicaid expansion.
Wed Feb 25, 2015, 08:27 PM
Feb 2015

Medicaid expansion is paid for 100% for the first three years after a state adopts it; in the fourth and subsequent years, the feds still pick up 90% of the expansion cost.

I think your pessimism is unwarranted.

jwirr

(39,215 posts)
6. I'm pretty sure most of my doctors feel the same way. But I also see how full the waiting rooms are
Wed Feb 25, 2015, 06:03 PM
Feb 2015

and let them know I realize they are busy. We need more doctors.

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