Posts Tagged ‘medicaid’

Your doctor will see you … in a couple of months.

August 2, 2012

Fairly balanced piece in the NY Times last Sunday re: the impacts of ObamaCare

Punch line: In 2015 the country will have 62,900 fewer doctors than needed … that number will more than double by 2025, as the expansion of insurance coverage and the aging of baby boomers drive up demand for care.

The problem, in a nutshell …

  • There is a shortage of every kind of doctor, except for plastic surgeons and dermatologists
  • Primary care doctors make about $200,000 a year. Specialists often make twice as much.
  • ObamaCare adds about 30,000 people to insurance rolls … the majority via Medicaid
  • Fewer than half of primary care clinicians are accepting new Medicaid patients
  • Medicare will surge to 73.2 million in 2025, up 44 percent from 50.7 million this year.
  • “Older Americans require significantly more health care,”
  • And about a third of the country’s doctors are 55 or older, and nearing retirement.
  • Younger doctors are on average working fewer hours than their predecessors.
  • It typically takes a decade to train a doctor.
  • Medical schools are at capacity and Federal training subsidies have been cut.

 

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While ObamaCare mandates broader insurance coverage, it does little to fundamentally restructure the healthcare delivery … save for government administered rationing.

Part of real answer: more doctors (new and retained), more walk-in clinics (public & private), and more authority to RNs and PAs.

Note: the Times failed to mention that the CBO’s current estimate for ObamaCare’s costs has tripled since the law was passed. 

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Tipping point: half of households getting gov’t checks … half paying income taxes.

May 29, 2012

Frequently reported is the stat that only about half of the adults in the U.S. pay any Federal income taxes.

That’s the “revenue” side”.

Now, the WSJ reports that according to recent Census Bureau data, nearly half of the people in the U.S. live in a household that receives at least one government benefit, and many likely received more than one.

The 49.1% of the population in a household that gets benefits is up from 30% in the early 1980s and 44.4% as recently as the third quarter of 2008.

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First, there are the senior citizens who anted into the pot during their working years:

  • 16% of the population lives in a household where at least one member receives Social Security
  • 15% receive or live with someone who gets Medicare.

Then, there are the poor:

  • 26% had someone enrolled in Medicaid
  • 15% of people lived in a household that received food stamps,
  • 2% had a member receiving unemployment benefits.

Most interesting to me is the low percentage getting unemployment benefits … only about 25% of the unemployed.

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