August 11, 2013

Your costs will do down and if you like your doctor, you can keep him

Of course, then you wake up. Anyway, here's an excerpt from Powerline detailing the actual changes that Obamacare will make in your medical future. They're aren't... they're don't... they're not... good. They suck.

One of the things Obamacare is doing is forcing Medicare’s CMS to cut back on quite a lot of rehabilitation services. CMS, even though it is officially for Medicare and Medicaid, is something that governs reimbursement for all insurance. It sets prices for every single medical procedure and device, etc., etc. Hospitals’ ability to seek reimbursement for something, regardless of whether the insurance is private or not, is set by CMS. It is the Big Brother of healthcare. Even though CMS has been in place for a very long time it is the whip hand for Obamacare rationing.

One of the things that changed for “new” stroke patients was limiting reimbursable therapy visits of all kinds for stroke patients to ten total (because my stokes had happened before the change I was grandfathered in, so to speak). Ten!

I have had well north of 200 visits. At upwards of $250/visit for most therapy not many folks could sustain that for long without insurance (and remember, jobs go away when you’re in the hospital as long as I was). Had I been restricted to ten visits my best case scenario would have involved a home nurse. I wouldn’t have been able to find work. And had I been single (as many stroke patients are because they’re elderly and their spouse has passed) I would have become destitute, thus likely landing in the Medicaid system, eventually.

But hey, omelette, eggs, your death.

Update: And this is when you believe that your Divine Shit ™ does not stink at all.

Now what’s true, Ed, is that in a normal political environment, it would have been easier for me to simply call up the speaker and say, you know what? This is a tweak that doesn’t go to the essence of the law. It has to do with, for example, are we able to simplify the attestation of employers as to whether they’re already providing health insurance or not. It looks like there may be some better ways to do this. Let’s make a technical change of the law.

That would be the normal thing that I would prefer to do, but we’re not in a normal atmosphere around here when it comes to, quote- unquote, “Obamacare.”

We did have the executive authority to do so, and we did so. But this doesn’t go to the core of implementation.

It's good to be king. Or a malignantly narcissistic fuckwad. Your choice.

Posted by Physics Geek at August 11, 2013 12:19 PM | TrackBack StumbleUpon Toolbar Stumble It!
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