Monthly Archives: October 2014

Finding An Obamacare Doctor Is Not As Easy As Advertised, from Human Events

Not to rub salt in still-raw wounds, but this story is a reminder that the penultimate step to completely socialized medicine has not come off as promised and advertised by its proponents.

From the Human Events website:

If the first two horsemen of the ObamaCare apocalypse were insurance cancellations and rate shock, the third is doc shock: the unpleasant discovery that your heavily subsidized ObamaCare plan doesn’t cover your old doctor, and finding a new one is tough, because some doctors don’t want ObamaCare patients. USA Today had more news on that subject Tuesday:

Now that many people finally have health insurance through the Affordable Care Act exchanges, some are running into a new problem: They can’t find a doctor who will take them as patients.
Because these exchange plans often have lower reimbursement rates, some doctors are limiting how many new patients they take with these policies, physician groups and other experts say.

“The exchanges have become very much like Medicaid,” says Andrew Kleinman, a plastic surgeon and president of the Medical Society of the State of New York. “Physicians who are in solo practices have to be careful to not take too many patients reimbursed at lower rates or they’re not going to be in business very long.”

There follows what seems like a bit of a dispute over how much ObamaCare plans reimburse doctors:

Kleinman says his members complain rates can be 50% lower than commercial plans. Cigna and Aetna, however, say they pay doctors the same whether the plan is sold on an ACA network or not. United Healthcare spokeswoman Tracey Lempner says it’s up to their physicians whether they want to be in the exchange plan networks, which have “rates that are above Medicaid.” Medicaid rates are typically below those for Medicare, which in turn are generally lower than commercial insurance plans.

To prevent discrimination against ACA policyholders, some insurance contracts require doctors to accept their exchange-plan patients along with those on commercial plans unless the doctors’ practices are so full they simply can’t treat any more people. But lower reimbursement rates make some physicians reluctant to sign on to some of these plans or accept too many of the patients once they are in the plans.

I suppose it’s possible Cigna and Aetna have more generous reimbursement policies than other providers, at least in New York, but the rest of the article makes it clear there is a real reluctance among doctors to get involved with these plans. There are also complaints that doctors are required to provide services to people during a 90-day grace period after their insurance plans are canceled, which can leave medical practices chasing patients and insurance companies around for payment, and the sudden appearance of the Second Horseman of the ObamaCare Apocalypse when consumers discover their gigantic ObamaCare out-of-pocket expenses mean they can’t afford to use the benefits from their subsidized insurance plans.

This has produced more of the unhappy campers you’re supposed to completely ignore while pretending ObamaCare is a success:

“I definitely feel like a bad person who is leeching off the system when I call the doctors’ offices,” she says.Shawn Smith of Seymour, Ind., spent about five months trying to find a primary care doctor on the network who would take her with a new, subsidized silver-level ACA insurance plan.

Last week, Smith found a practice that would accept her as a patient. Caroline Carney, chief medical officer of MDwise, Smith’s insurer, says some doctors “might be participating with us, but just not able to take on new patients. It’s at the doctor’s discretion.”

Jon Fougner, a recent Yale Law School graduate, sued Empire Blue Cross this month because he couldn’t find a primary care doctor in his new ACA exchange plan.

Fougner’s experience underscores how important it is for consumers to check out doctor and hospital networks for plans before they purchase them — and to call doctors to make sure they are accepting new patients with their policies.

Among 30 doctors he called, Fougner said, they either weren’t taking new patients, weren’t in the plan or didn’t return calls, or the contact information proved incorrect.

Continue reading

He Said That? 10/31/14

From Charlie Rangel, Representative from New York, at a campaign rally for New York Governor Andrew Cuomo:

“We have to win. We have to be able to send a national message with Andrew Cuomo. And the thing is: Everything we believe in — everything we believe in — they [Republicans] hate. They don’t disagree — they hate! They think if you didn’t come from Europe 30 years ago, you didn’t even make it. Some of them believe that slavery isn’t over and they and think they won the Civil War!” Rangel shouted.

http://www.businessinsider.com/charlie-rangel-some-republicans-believe-that-slavery-isnt-over-2014-10

Mr. Rangel may want to check the history books. It was a Republican Commander-in-Chief, Abraham Lincoln, who led the North to victory in the Civil War, so in that sense the Republicans did win the Civil War. It is a fairly well-known fact that Lincoln was against slavery and was in fact instrumental in ending it. While one faction of the Democratic Party opposed slavery in the 1860 election, a southern faction supported it. If Rangel were to dig further, he would find that the Republicans’ record on civil rights since the Civil War, while not without blemishes, is exemplary compared to the Democrats’, whose “Solid South” block stymied Civil Rights legislation and integration efforts for decades.

He Said That? 10/30/14

From former chairman of the Federal Reserve Alan Greenspan:

No.

http://online.wsj.com/articles/former-fed-chief-greenspan-worried-about-future-of-monetary-policy-1414597627

Mr. Greenspan’s answer in a Q&A at the Council on Foreign Relations, when asked if he regretted not pricking financial and housing bubbles that his easy money had caused. He said that doing so would have caused great economic harm. It also might have meant that people would stop calling him “The Maestro,” Andrea Mitchell might have left him, they’d stop putting him on the covers of magazines, nobody would name a Washington D.C. building or street after him (reportedly one of his aspirations), and the Central Bankers’ Monetary Mouseketeers would take away his ID badge and mouse ears.

He Said That? 10/29/14

From Rory Fanning, former Army Ranger:

Though I couldn’t quite say why, that Concert for Valor ad felt tired and sad, despite the images of Rihanna singing full-throated into a gold microphone and James Hetfield and Kirk Hammett of Metallica wailing away on their guitars. I had gotten my own share of “thanks” from civilians when I was still a U.S. Army Ranger. Who hadn’t? It had been the endless theme of the post-9/11 era, how thankful other Americans were that we would do… well, what exactly, for them? And here it was again. I couldn’t help wondering: Would veterans somewhere actually feel the gratitude that Starbucks and HBO hoped to convey?

I went home and cooked dinner for my wife and little girl in a semi-depressed state, thinking about that word “valor” which was to be at the heart of the event and wondering about the Hall of Fame line-up of twenty-first century liberalism that was promoting it or planning to turn out to hail it: Rolling Stone, the magazine of Hunter S. Thompson and all things rock and roll; Bruce Springsteen, the billion-dollar working-class hero; Eminem, the white rapper who has sold more records than Elvis; Metallica, the crew who sued Napster and the metal band of choice for so many longhaired, disenfranchised youth of the 1980s and 1990s. They were all going to say “thank you” — again.

Valorous Soldiers, Stupid Wars, Endless “Thank Yous” by Rory Fanning

Valorous Soldiers, Stupid Wars, Endless “Thank Yous” by Rory Fanning

“Thank You for Your Valor, Thank You for Your Service, Thank You, Thank You, Thank You…
Still on the Thank-You Tour-of-Duty Circuit, 13 Years Later,”

From Rory Fanning, former Army Ranger, via Nick Turse at tom dispatch.com:

Last week, in a quiet indie bookstore on the north side of Chicago, I saw the latest issue of Rolling Stone resting on a chrome-colored plastic table a few feet from a barista brewing a vanilla latte. A cold October rain fell outside. A friend of mine grabbed the issue and began flipping through it. Knowing that I was a veteran, he said, “Hey, did you see this?” pointing to a news story that seemed more like an ad. It read in part:

“This Veterans Day, Bruce Springsteen, Eminem, Rihanna, Dave Grohl, and Metallica will be among numerous artists who will head to the National Mall in Washington D.C. on November 11th for ‘The Concert For Valor,’ an all-star event that will pay tribute to armed services.”

“Concert For Valor? That sounds like something the North Korean government would organize,” I said as I typed Concertforvalor.com into my MacBook Pro looking for more information.

The sucking sound from the espresso maker was drowning out a 10-year-old Shins song. As I read, my heart sank, my shoulders slumped.

Special guests at the Concert for Valor were to include: Meryl Streep, Tom Hanks, and Steven Spielberg. The mission of the concert, according to a press release, was to “raise awareness” of veterans issues and “provide a national stage for ensuring that veterans and their families know that their fellow Americans’ gratitude is genuine.”

Former Secretary of Defense Robert Gates and former Chairman of the Joint Chiefs Admiral Michael Mullen were to serve in an advisory capacity, and Starbucks, HBO, and JPMorgan Chase were to pay for it all. “We are honored to play a small role to help raise awareness and support for our service men and women,” said HBO chairman Richard Plepler.

Though I couldn’t quite say why, that Concert for Valor ad felt tired and sad, despite the images of Rihanna singing full-throated into a gold microphone and James Hetfield and Kirk Hammett of Metallica wailing away on their guitars. I had gotten my own share of “thanks” from civilians when I was still a U.S. Army Ranger. Who hadn’t? It had been the endless theme of the post-9/11 era, how thankful other Americans were that we would do… well, what exactly, for them? And here it was again. I couldn’t help wondering: Would veterans somewhere actually feel the gratitude that Starbucks and HBO hoped to convey?

I went home and cooked dinner for my wife and little girl in a semi-depressed state, thinking about that word “valor” which was to be at the heart of the event and wondering about the Hall of Fame line-up of twenty-first century liberalism that was promoting it or planning to turn out to hail it: Rolling Stone, the magazine of Hunter S. Thompson and all things rock and roll; Bruce Springsteen, the billion-dollar working-class hero; Eminem, the white rapper who has sold more records than Elvis; Metallica, the crew who sued Napster and the metal band of choice for so many longhaired, disenfranchised youth of the 1980s and 1990s. They were all going to say “thank you” — again. Continue reading

He Said That? 10/28/14

From George P. Bush, son of former Florida Governor Jeb Bush:

WASHINGTON
Former Florida Gov. Jeb Bush is “moving forward” on a potential 2016 White House run and it appears more likely he will enter the Republican field, according to his son, who’s running for office in Texas.

George P. Bush told ABC’s “This Week” that his father is “still assessing” a presidential bid, but suggested it was more likely that he would seek the White House this time. The ex-governor declined to run for president in 2012 despite encouragement from Republicans.

“I think it’s more than likely that he’s giving this a serious thought and moving — and moving forward,” said the younger Bush, who is running for Texas land commissioner.

Asked if that meant it was “more than likely that he’ll run,” George P. Bush responded: “That he’ll run. If you had asked me a few years back … I would have said it was less likely.”

Jeb Bush, the brother of former President George W. Bush and the son of former President George H.W. Bush, would stand out in what could be a crowded Republican field in 2016.

Bush has headlined fundraisers for Republican candidates and committees and helped campaigns for governor in Iowa, South Carolina and Nevada, three of the first four states to hold early presidential primaries.

Family considerations could play a factor in his decision.

In an interview with The Associated Press this month, Jeb Bush said his wife, Columba, is “supportive” of a potential presidential campaign and his mother, former first lady Barbara Bush, was now “neutral, trending in a different direction.” Barbara Bush declared last year there had been “enough Bushes” in the White House.

“But that doesn’t mean that I don’t understand the challenges that this brings,” Jeb Bush told the AP. “This is ultimately my decision with as much consideration as I can to take into account the people that I really love.”

George P. Bush, in the interview aired Sunday, said his family would be “100 percent” behind his father if he decides to run.

http://www.miamiherald.com/news/politics-government/article3386681.html

Your mother had it right last year, Jeb. Do us all a favor and spare yourself the heartburn—don’t run. There has indeed been “enough Bushes” in the White House. Daddy’s one-term presidency rounded out his résumé, but he raised taxes, presided over a recession, and plumbed new depths of asinine phraseology with: “A new world order,” and “A thousand points of light.” On brother George’s watch we got two useless—but bloody and costly—wars, a prescription drug benefit that added to our pile of unaffordable entitlements, the worse financial crisis since the Great Depression, and massive and unnecessary bailouts of crony banks and brokerages. If the last name Bush doesn’t doom your candidacy, your support for wildly unpopular Common Core and the Democratic Party’s recruitment drive known as immigration reform will—and that’s just in Republican primaries.

A Requiem For Competence In Government by Patrick J. Buchanan

From “Things Fall Apart” by Patrick J. Buchanan, 10/24/14:

When this writer was 3 years old, the Empire of Japan devastated Battleship Row of the U.S. Pacific Fleet at Pearl Harbor.

Before I was 7, Gen. MacArthur was in an office in Tokyo overlooking the Imperial Palace, dictating to a shattered Japan.

In 1956, President Eisenhower, impressed by the autobahn he had seen in Hitler’s Reich, ordered a U.S. Interstate Highway System constructed, tying America together, one of the great public works projects in all history.

Within a decade, the system was on its way to completion.

In 1961, John F. Kennedy said the United States, beaten into space by Nikita Khrushchev’s Soviet Union, would put a man on the moon and return him to earth within the decade.

In July 1969, President Nixon, on the deck of the carrier Hornet, welcomed home Armstrong, Aldrin and Collins of Apollo 11.

What ever became of that America? What ever became of that can-do nation? What has happened to us?

This October saw the vaunted Center for Disease Control and Prevention fumbling over basic questions on how to protect Americans from an Ebola epidemic in three small countries of West Africa.

In September, an intruder with a knife climbed the White House fence, trotted across the North lawn, walked through the unlocked front door of the president’s house, barreled over a female officer, and ran around the East Room before being tackled by a Secret Service agent going off duty. The president had just departed.

Days earlier, an armed security guard in Atlanta with a violent criminal past was allowed by Secret Service to ride an elevator with Barack Obama.

Last summer came reports that 60,000 children and young people from Central America had walked across the border into the United States, overwhelming our Border Patrol.

Last spring, we learned that sick and suffering vets were deliberately made to wait months for appointments to see VA doctors, and dozens may have died during the wait.

Earlier, the rollout of Obamacare, years in preparation, became a national joke and a metaphor for government incompetence. Continue reading

He Said That? 10/27/14

Former congressman Ron Paul, commenting on a bad idea whose time may be coming:

Mandatory national service is not just anti-liberty, it is un-American. Whether or not they admit it, supporters of mandatory national service do not believe that individuals have “inalienable rights.” Instead, they believe that rights are gifts from the government, and, since government is the source of our rights, government can abridge or even take away those rights whenever Congress decides.

***

The very worst form of national service is, of course, the military draft, which forces young people to kill or be killed on government orders. The draft lowers the cost of an interventionist foreign policy because government need not compete with private employers for recruits. Anyone who refuses a draft notice runs the risk of being jailed, so government can provide lower pay and benefits to draftees than to volunteers.

As the burden of our hyper-interventionist foreign policy increases, it is increasingly likely that there will be serious attempts to reinstate the military draft. General Martin Dempsey, the chairman of the Joint Chiefs of Staff, continues to suggest that US troops on the ground may be needed to fight “Operation Inherent Resolve” in Iraq and Syria. A major escalation requiring a large US troop deployment will likely add pressure to consider a military draft.

The only real way the American people can protect their children from the military draft is to demand an end to the foreign policy that sees the US military as the solution to any and every problem – from ISIS to Ebola – anywhere in the world.

http://original.antiwar.com/paul/2014/10/19/national-service-is-anti-liberty-and-un-american/

Ex-CBS reporter’s book reveals how liberal media protects Obama by Kyle Smith

From Kyle Smith, at the New York Post:

Sharyl Attkisson is an unreasonable woman. Important people have told her so.

When the longtime CBS reporter asked for details about reinforcements sent to the Benghazi compound during the Sept. 11, 2012 terrorist attack, White House national security spokesman Tommy Vietor replied, “I give up, Sharyl . . . I’ll work with more reasonable folks that follow up, I guess.”

Another White House flack, Eric Schultz, didn’t like being pressed for answers about the Fast and Furious scandal in which American agents directed guns into the arms of Mexican drug lords. “Goddammit, Sharyl!” he screamed at her. “The Washington Post is reasonable, the LA Times is reasonable, The New York Times is reasonable. You’re the only one who’s not reasonable!”

Two of her former bosses, CBS Evening News executive producers Jim Murphy and Rick Kaplan, called her a “pit bull.”

That was when Sharyl was being nice.

Now that she’s no longer on the CBS payroll, this pit bull is off the leash and tearing flesh off the behinds of senior media and government officials. In her new memoir/exposé “Stonewalled: My Fight for Truth Against the Forces of Obstruction, Intimidation, and Harassment in Obama’s Washington” (Harper), Attkisson unloads on her colleagues in big-time TV news for their cowardice and cheerleading for the Obama administration while unmasking the corruption, misdirection and outright lying of today’s Washington political machine. Continue reading

He Said That? 10/26/14

From Alexis de Tocqueville, Democracy In America, Volume 1 (1835), which with Volume 2 (1840) are the best and most incisive works ever written on the American experiment:

After the general idea of virtue, I know no higher principle than that of right; or rather these two ideas are united in one. The idea of right is simply that of virtue introduced into the political world. It was the idea of right that enabled men to define anarchy and tyranny, and that taught them how to be independent without arrogance and to obey without servility. The man who submits to violence is debased by his compliance; but when he submits to that right of authority which he acknowledges in a fellow creature, he rises in some measure above the person who gives the command. There are no great men without virtue; and there are no great nations—it may almost be added, there would be no society—without respect for right; for what is a union of rational and intelligent beings who are held together only by the bond of force?

Good question.