Tag Archives: Doctor Shortage

Donald Trump would expand Obamacare into single-payer health care system

Let’s take a look at how well a policy he supports – single payer health care – is working in Canada, where it’s been the law of the land for decades.

First, let’s see Trump explain his view on single payer health care in his own words:

When government pays for all the health care provisioning, we call that a single-payer system. And Trump is for it – that clip is from September 27, 2015. In the Fox News debate in August, he said that single payer health care “works in Canada“.

So, let’s go and see what the Canadians are saying about their single payer system, by looking a wide variety of stories from last month from a wide variety of Canadian news sources, covering a wide variety of Canadian provinces.

First, let’s start on the west coast, and then work our way east.

The Vancouver Sun reports on British Columbia wait times:

Median waiting times from referral by family doctor to treatment are 22.4 weeks, or almost six months in B.C., longer than all provinces except those in Atlantic Canada, according to the 25th annual survey of 2,382 medical specialists.

And waits between the first appointment with a specialist and getting treatment are 14 weeks in B.C., the highest since the survey began. The doctors who take the survey are asked to give their best estimates of waits for care.

The government-run CBC, reporting on Manitoba health care:

Manitoba has been given a failing and a near-failing grade for prostate and breast cancer treatment wait times by Canada’s Wait Times Alliance.

The group released their annual wait time report card on Tuesday, giving Manitoba an F for wait times for radiation and curative care treatment for prostate cancer and a D for the same treatments for breast cancer.

Manitoba has received an F for prostate cancer treatment wait times for more than five years, and a D in breast cancer treatment wait times for the past four years.

The Globe and Mail reports on the city of Winnipeg:

New data shows Winnipeg hospitals still have the longest emergency room wait times in Canada.

The Canadian Institute for Health Information says Winnipeg’s six emergency rooms all came in below average on the time it takes 90 per cent of patients to see a doctor after they check into an emergency room.

The average for the Winnipeg Health Region as a whole is 5.7 hours compared to the Canadian average of 3.1 hours.

And the Montreal Gazette reports on the province of Quebec:

Quebec reported the steepest increase this year of any province in wait times for medical imaging scans in Canada — a finding that suggests the public system is being stretched to the limit, a national survey reveals.

The 25th annual survey by the Fraser Institute found that the median wait time in hospital for a magnetic resonance imaging (MRI) scan in Quebec jumped to 12 weeks this year from eight in 2014. By comparison, the median wait time for an MRI is five weeks in Ontario, unchanged from last year.

Wait times increased slightly for other medical imaging in Quebec, going up from four to five weeks for both ultrasounds and CT (computerized tomography) scans.

Investors Business Daily also wrote about this and had a helpful chart breaking down how long people are waiting for treatment:

Single-payer health care wait times in Canada
Single-payer health care wait times in Canada

Canada also has a well-known doctor shortage. Their way of controlling costs is to limit the number of people who can practice medicine, so less care can be billed to the government. Get in line, and if you die waiting for treatment, that’s great for them – less money to pay. After all, they get to keep all the taxes they took from you during your life, and now they don’t have to give you anything back since YOU’RE DEAD.

Trump says that single-payer “works in Canada”. Does this look like it is working to you? Would you be willing to have 45% of your income go to federal, provincial, municipal income and sales taxes so that you could get in line in a system like this? This is Trump’s ideal, is it your ideal?

If you want to see what Canadian health care is really like on the ground, check out this video of Steven Crowder trying to get health care in the province of Quebec:

That’s what Donald Trump thinks is working. His past statements about being “very pro-choice”, and about same-sex marriage being “the law of the land” and about single payer and amnesty make him out to be a Democrat. He has never put effort into any conservative initiative on any conservative issue since the day he was born. He has been a Democrat, has donated to Democrats, including many, many donations to the Clintons. Only a complete idiot could support a Democrat in the Republican primary, especially when there were so many conservatives who fought and suffered for conservative issues in the past, e.g. – Perry, Jindal, Walker and Cruz.

As for his experience with making money, he inherited all his money, and he is worth $10 billion less today than he would have been if he had just invested his silver spoon inheritance in index funds. He knows less about politics than you do. He has gone bankrupt more times than you have. He is less good at making money than you are. He was born wealthy. He has no idea what conservatives believe. He is not conservative now, never has been conservative, and never will be conservative. You cannot choose a candidate by listening to mere words, you have to look at evidence, you have to look at accomplishments.

Obama said Obamacare would not add to the deficit, CBO says it adds $1.35 trillion

In the video above, Obama promised the American people that his health care plan would not add one dime to the deficit. And the low-information voters who voted for him believed him. Just like they believed that they could keep their doctor, that they could keep their health care plan, that Obamacare would lower the costs of health care, that Benghazi was caused by a YouTube video, and so on.

So how much did Obamacare add to the deficit?

The UK Daily Mail has the latest numbers from the Congressional Budget Office.

Truth:

It will cost the federal government – taxpayers, that is – $50,000 for every person who gets health insurance under the Obamacare law, the Congressional Budget Office revealed on Monday.

The number comes from figures buried in a 15-page section of the nonpartisan organization’s new ten-year budget outlook.

The best-case scenario described by the CBO would result in ‘between 24 million and 27 million’ fewer Americans being uninsured in 2025, compared to the year before the Affordable Care Act took effect.

Pulling that off will cost Uncle Sam about $1.35 trillion – or $50,000 per head.

The numbers are daunting: It will take $1.993 trillion, a number that looks like $1,993,000,000,000, to provide insurance subsidies to poor and middle-class Americans, and to pay for a massive expansion of Medicaid and CHIP (Children’s Health Insurance Program) costs.

Offsetting that massive outlay will be $643 billion in new taxes, penalties and fees related to the Obamacare law.

That revenue includes quickly escalating penalties – or ‘taxes,’ as the U.S. Supreme Court described them – on people who resist Washington’s command to buy medical insurance.

It also includes income from a controversial medical device tax, which some Republicans predict will be eliminated in the next two years.

If they’re right, Obamacare’s per-person cost would be even higher.

Did Obama know that he was lying when he said that his health care plan would not add one dime to the deficit?

Well, his buddy Gruber, the architect of Obamacare, certainly did:

But we should not be surprised, either by the low intelligence levels of Democrat voters or by the lies of Democrat politicians. After all, they want single payer health care – look what Harry Reid says:

“What we’ve done with Obamacare is have a step in the right direction, but we’re far from having something that’s going to work forever,” Reid said.

When then asked by panelist Steve Sebelius whether he meant ultimately the country would have to have a health care system that abandoned insurance as the means of accessing it, Reid said: “Yes, yes. Absolutely, yes.”

And they know – from looking up North to Canada – that single-payer health care will necessarily involve massive increases in taxes.

CTV News describes a recent study on the costs of single-payer health care in Canada:

A typical Canadian family with two parents and two kids will pay up to $11,786 for public health care insurance this year, according to a new study from the conservative think tank Fraser Institute.

Using data from Statistics Canada and the Canadian Institute for Health Information, the Fraser Institute study estimated the amount of taxes Canadian families will pay for public health insurance this year.

What do you get for $11,786?

You get to be on a waiting list for a primary care physician, and you get to wait months for treatment. You can pay taxes your whole life, and then wait behind people who want sex changes – people who have never paid a dime into the system. And sometimes, you die while waiting for treatment. That’s “fairness” and “equality”. And that’s where the Democrats want to take us.

Remember when Obama said that we could keep our health care plans and our doctors?:

Democrats voters looked at this man, and they just knew – without any studies or any evidence – that he was telling the truth.

But the Congressional Budget Office says that TEN MILLION people will lose their employer health plans under Obama by 2021.

Look:

The Congressional Budget Office now says ObamaCare will push 10 million off employer-based coverage, a tenfold increase from its initial projection. The “keep your plan” lie just gets bigger and bigger.

The latest CBO report is supposed to be a big win for the Obama administration because the projected costs are 20% below what the CBO first projected in 2010.

But the CBO report also shows that ObamaCare will be far more disruptive to the employer-based insurance market, while being far less effective at cutting the ranks of the uninsured, than promised.

Thanks to ObamaCare, the CBO now expects that 10 million workers will lose their employer-based coverage by 2021.

This is in addition to the FOUR MILLION who already lost their health care plans in 2013.

Doctor shortage: how Obamacare makes it harder to find a doctor

Remember how Obama promised that if you liked your doctor, then you could keep your doctor? It turns out that there is more to making policies than just saying what you’d like to do in a scripted campaign speech. The truth is that some health care policies will make you lose your doctor, regardless of what the President reads off of a teleprompter. Is Obamacare one of these policies? Let’s see.

Avik Roy writes about it in Forbes magazine.

Excerpt:

On Saturday, the Wall Street Journal reported that, due to Obamacare’s cuts to Medicare Advantage, among other factors, UnitedHealth expects its network of physicians “to be 85 percent to 90 percent of its current size by the end of 2014.” The result? Some retirees enrolled in Medicare Advantage will need to find new doctors. And it’s a trend that could accelerate in future years.

[…]Over the next ten years, Obamacare was designed to spend around $1.9 trillion on expanding health coverage to the uninsured. The law pays for this new spending with $1.2 trillion in new taxes, and $716 billion in cuts to Medicare, relative to prior law.

[…]The private insurers who supply Medicare Advantage plans, like UnitedHealth and Humana, have been responding to the cuts by squeezing out inefficiencies in the way they deliver care. One obvious way to do that is to pay doctors and hospitals less—or kick out the providers who refuse to accept lower reimbursement rates. And that’s what United has done, according to the WSJ report from Melinda Beck.

“Doctors in at least 10 states have received termination letters, some citing ‘significant changes and pressures in the health-care environment,’” writes Beck.

Another one of my favorite health care policy experts is the ex-Canadian Sally C. Pipes, who knows all about the horrors of single-payer health care. It killed her mother! Here’s what she had to say about the doctors shortage in a Forbes magazine article from earlier this year.

The first problem is that we have an aging doctor population and since we do such a poor job of educating our children (public school indoctrination centers) we aren’t making any new ones:

Right now, the United States is short some 20,000 doctors, according to the Association of American Medical Colleges. The shortage could quintuple over the next decade, thanks to the aging of the American population — and the aging and consequent retirement of many physicians. Nearly half of the 800,000-plus doctors in the United States are over the age of 50.

The second problem is that adding more regulations and burdensome paperwork makes a lot of people not want to be doctors any more:

Obamacare is further thinning the doctor corps. A Physicians Foundation survey of 13,000 doctors found that 60 percent of doctors would retire today if they could, up from 45 percent before the law passed.

The third problem is that the government isn’t reimbursing doctors as much as private insurance companies do, and it makes them refuse to take government-funded patients:

They’ve long limited the number of Medicaid patients they’ll treat, thanks to the program’s low reimbursement rates. According to a study published in Health Affairs, only 69 percent of doctors accepted new Medicaid patients in 2011. In Florida, just 59 percent do so. And a survey by the Texas Medical Association of doctors in the Lone Star State found that 68 percent either limit or refuse to take new Medicaid patients.

Medicaid pays about 60 percent as much as private insurance. For many doctors, the costs of treating someone on Medicaid are higher than what the government will pay them.

These underpayments have grown worse over time, as cash-strapped states have tried to rein in spending on Medicaid. Ohio hasn’t increased payments to doctors in three years; Kentucky hasn’t raised them in two decades. Colorado, Nebraska, South Carolina, Arizona, Oregon, and Arizona all cut payments in 2011.

By throwing nine million more people into the program without fixing this fatal flaw, Obamacare will make it even harder for Medicaid patients to find doctors.

It’s not just Medicaid that’s the problem, either. It’s the government-controlled exchanges.

Healthcare providers are signaling that they may turn away patients who purchase insurance through the exchanges, too.

In California, for example, folks covered by Blue Shield’s exchange plan will have access to about a third of its physician network. The UCLA Medical Center and its doctors are available to customers of just one plan for sale through the state exchange, Covered California. And the prestigious Cedars-Sinai Medical Center is not taking anyone with exchange insurance.

Now I know what you’re thinking – why not just force doctors to work for lower wages, like a good socialist country might? Well, that actually makes the shortage worse, because people don’t like to learn hard things and then work hard for little pay. And doctors work VERY hard – it’s not an easy profession to get into. That will just make all the doctors leave the country for other countries where they can be paid fairly for the work they do.

And in fact that is exactly what happened in a 100% socialized health care system in Venezuela, according to this report from the left-leaning Associated Press.

Excerpt:

Half the public health system’s doctors quit under Chavez, and half of those moved abroad, Natera said.

Now, support staff is leaving, too, victim of a wage crunch as wages across the economy fail to keep up with inflation.

At the Caracas blood bank, Lopez said 62 nurses have quit so far this year along with half the lab staff. It now can take donations only on weekday mornings.

I recommend reading that entire article for a glimpse of where the Democrats are trying to take us. There is not a dime’s worth of difference on policy between the Democrat party and the socialist party of Venezuela, except that the socialists have been in control in Venezuela for longer, and so they are further along the road to serfdom.

In other news, the Washington D.C. insurance commissioner was fired after raising concerns about the “fix” proposed by Obama in his speech last week. That’s also something that you might expect to see in a country like Venezuela. That’s what happens in authoritarian socialist countries. Whistleblowers and critics just disappear.