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re: What are the economics of Affordable Care Act?
Posted on 9/27/13 at 10:28 am to Swankie
Posted on 9/27/13 at 10:28 am to Swankie
I work in healthcare admin at one of the largest hospitals in the country. I did a considerable amount of my undergrad and graduate work debating the pros and cons of nationalized healthcare.
There is a lot of misinformation and confusion about Obamacare. I notice a number of folks here blaming Obamacare for decisions their employers made. In many cases Obamacare has been a convenient excuse for employers to reduce their benefit expenditures on their employees.
The argument for nationalized healthcare is that the single payer system as it exists elsewhere is more efficient in terms of dollars spent to deliver care. This is an undeniable fact which is not up to debate. The data also suggests that people in countries with nationalized healthcare generally live longer than Americans so even quality is difficult to debate. Where the debate exists is whether or not nationalized care is as efficent in terms of timeliness and whether this will meet the expectations of America's immediate gratification oriented society.
Will Physicians and hospitals make less? The data from overseas says yes.
Will hospitals survive? We survived the DRA under Reagan and prospered and will do it again.
Will MD's bemoan Obamacare as driving MD's to quit medicine? Yes they will in spite of the fact that the 2013 graduating class of newly minted Physicians was the largest in American history and 2014 will pump out even more.
There is a lot of misinformation and confusion about Obamacare. I notice a number of folks here blaming Obamacare for decisions their employers made. In many cases Obamacare has been a convenient excuse for employers to reduce their benefit expenditures on their employees.
The argument for nationalized healthcare is that the single payer system as it exists elsewhere is more efficient in terms of dollars spent to deliver care. This is an undeniable fact which is not up to debate. The data also suggests that people in countries with nationalized healthcare generally live longer than Americans so even quality is difficult to debate. Where the debate exists is whether or not nationalized care is as efficent in terms of timeliness and whether this will meet the expectations of America's immediate gratification oriented society.
Will Physicians and hospitals make less? The data from overseas says yes.
Will hospitals survive? We survived the DRA under Reagan and prospered and will do it again.
Will MD's bemoan Obamacare as driving MD's to quit medicine? Yes they will in spite of the fact that the 2013 graduating class of newly minted Physicians was the largest in American history and 2014 will pump out even more.
This post was edited on 9/27/13 at 10:33 am
6
Posted on 9/27/13 at 10:54 am to wiltznucs
quote:You cannot definitely attribute this to healthcare. Most of the people in those countries live healthier lifestyles.
people in countries with nationalized healthcare generally live longer than Americans
quote:But none are going into family medicine. Most will be specialists which are expensive/lucrative. This will not help with the new system.
the 2013 graduating class of newly minted Physicians was the largest in American history
This post was edited on 9/27/13 at 10:55 am
Posted on 9/27/13 at 2:17 pm to wiltznucs
quote:
I work in healthcare admin at one of the largest hospitals in the country. I did a considerable amount of my undergrad and graduate work debating the pros and cons of nationalized healthcare.
There is a lot of misinformation and confusion about Obamacare. I notice a number of folks here blaming Obamacare for decisions their employers made. In many cases Obamacare has been a convenient excuse for employers to reduce their benefit expenditures on their employees.
The argument for nationalized healthcare is that the single payer system as it exists elsewhere is more efficient in terms of dollars spent to deliver care. This is an undeniable fact which is not up to debate. The data also suggests that people in countries with nationalized healthcare generally live longer than Americans so even quality is difficult to debate. Where the debate exists is whether or not nationalized care is as efficent in terms of timeliness and whether this will meet the expectations of America's immediate gratification oriented society.
Will Physicians and hospitals make less? The data from overseas says yes.
Will hospitals survive? We survived the DRA under Reagan and prospered and will do it again.
Will MD's bemoan Obamacare as driving MD's to quit medicine? Yes they will in spite of the fact that the 2013 graduating class of newly minted Physicians was the largest in American history and 2014 will pump out even more.
An educated opinion. Finally.
1. Makes sense that it will be more efficent from an economic standpoint.
That was the #1 goal of Obamacare.
2. Doctors and hospitals make less. Fine, good, don't much care. They can take a haircut, most make plenty as it is and if they don't like it, go do something else. Healthcare costs are absurd as it is, even for a short 10 minute doctor visit.
3.
quote:Surprise, surprise.
2013 graduating class of newly minted Physicians was the largest in American history and 2014 will pump out even more.
Sorta reminds me of the flat tax debate. People always say, "lets have a flat tax" or "I support the flat tax". But they have no idea what they are really advocating. I did my big post graduate study (similar to a thesis) on the pro and cons of a flat tax in the U.S., then gave a presentation on it. The overwhelming conclusion of my research was that the U.S. would NEVER have a flat tax and if people fully understood all the ancillary consequences of switching from our current system to a flat tax, their would be very few actual supporters.
This post was edited on 9/27/13 at 2:19 pm
Posted on 9/27/13 at 3:35 pm to wiltznucs
quote:Agreed
The argument for nationalized healthcare is that the single payer system as it exists elsewhere is more efficient in terms of dollars spent to deliver care. This is an undeniable fact which is not up to debate.
quote:You really have to look at demographics here- people in Canada and Europe are generally less obese and seem to have better diets than Americans. I saw more obese people in the Atlanta airport (on my way to Europe) than I did in a whole month traveling through 5 European countries. Our lower class citizens are incredibly unhealthy and most of them don't give a shite.
The data also suggests that people in countries with nationalized healthcare generally live longer than Americans so even quality is difficult to debate
quote:Well can you blame someone for being upset that they have worked their arse off through college, medical school, and residency to make peanuts being a PCP. The workload is going up with salaries going down.
Will MD's bemoan Obamacare as driving MD's to quit medicine? Yes they will in spite of the fact that the 2013 graduating class of newly minted Physicians was the largest in American history and 2014 will pump out even more.
Posted on 9/28/13 at 9:49 am to wiltznucs
quote:
Where the debate exists is whether or not nationalized care is as efficent in terms of timeliness and whether this will meet the expectations of America's immediate gratification oriented society.
WE ARE UNREALISTIC IN OUR EXPECTATIONS ESPECIALLY DEALING WITH END OF LIFE ISSUES. WE ARE NOT REAL GOOD AT LOOKING AT RISK/REWARD IN HEALTHCARE.
Will Physicians and hospitals make less? The data from overseas says yes.
PROBABLY TRUE. I AM A DOCTOR. I HAVE ALREADY "GONE PART TIME". I MAKE ENOUGH TO PAY MY BILLS AND SAVE SOME, BUT WHEN I MADE MORE 50% WENT TO TAXES. I'VE QUIT THE RAT RACE AND AM LOOKING FOR A "RICHER" LIFE INSTEAD OF RICHER LIFESTYLE.
Posted on 9/29/13 at 1:31 am to wiltznucs
quote:
I notice a number of folks here blaming Obamacare for decisions their employers made. In many cases Obamacare has been a convenient excuse for employers to reduce their benefit expenditures on their employees.
I one million percent agree with this right here.
quote:
The argument for nationalized healthcare is that the single payer system as it exists elsewhere is more efficient in terms of dollars spent to deliver care. This is an undeniable fact which is not up to debate. The data also suggests that people in countries with nationalized healthcare generally live longer than Americans so even quality is difficult to debate.
Eh, 90+% of this has to do with differences in lifestyles and diet not healthcare.
Posted on 10/1/13 at 6:08 am to wiltznucs
quote:Represents a perfect example of leadership transformation as noted in the post above. Care decisions and concepts for Americans will flow from physicians who actually understand healthcare to administrators who "did considerable work debating" it.
The argument for nationalized healthcare is that the single payer system as it exists elsewhere is more efficient in terms of dollars spent to deliver care. This is an undeniable fact which is not up to debate. The data also suggests that people in countries with nationalized healthcare generally live longer than Americans so even quality is difficult to debate. Where the debate exists is whether or not nationalized care is as efficent in terms of timeliness and whether this will meet the expectations of America's immediate gratification oriented society.
This post was edited on 10/1/13 at 6:15 am
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