imc indymedia

Los Angeles Indymedia : Activist News

white themeblack themered themetheme help
About Us Contact Us Calendar Publish RSS
Features
latest news
best of news
syndication
commentary


KILLRADIO

VozMob

ABCF LA

A-Infos Radio

Indymedia On Air

Dope-X-Resistance-LA List

LAAMN List




IMC Network:

Original Cities

www.indymedia.org africa: ambazonia canarias estrecho / madiaq kenya nigeria south africa canada: hamilton london, ontario maritimes montreal ontario ottawa quebec thunder bay vancouver victoria windsor winnipeg east asia: burma jakarta japan korea manila qc europe: abruzzo alacant andorra antwerpen armenia athens austria barcelona belarus belgium belgrade bristol brussels bulgaria calabria croatia cyprus emilia-romagna estrecho / madiaq euskal herria galiza germany grenoble hungary ireland istanbul italy la plana liege liguria lille linksunten lombardia london madrid malta marseille nantes napoli netherlands nice northern england norway oost-vlaanderen paris/Île-de-france patras piemonte poland portugal roma romania russia saint-petersburg scotland sverige switzerland thessaloniki torun toscana toulouse ukraine united kingdom valencia latin america: argentina bolivia chiapas chile chile sur cmi brasil colombia ecuador mexico peru puerto rico qollasuyu rosario santiago tijuana uruguay valparaiso venezuela venezuela oceania: adelaide aotearoa brisbane burma darwin jakarta manila melbourne perth qc sydney south asia: india mumbai united states: arizona arkansas asheville atlanta austin baltimore big muddy binghamton boston buffalo charlottesville chicago cleveland colorado columbus dc hawaii houston hudson mohawk kansas city la madison maine miami michigan milwaukee minneapolis/st. paul new hampshire new jersey new mexico new orleans north carolina north texas nyc oklahoma philadelphia pittsburgh portland richmond rochester rogue valley saint louis san diego san francisco san francisco bay area santa barbara santa cruz, ca sarasota seattle tampa bay tennessee urbana-champaign vermont western mass worcester west asia: armenia beirut israel palestine process: fbi/legal updates mailing lists process & imc docs tech volunteer projects: print radio satellite tv video regions: oceania united states topics: biotech

Surviving Cities

www.indymedia.org africa: canada: quebec east asia: japan europe: athens barcelona belgium bristol brussels cyprus germany grenoble ireland istanbul lille linksunten nantes netherlands norway portugal united kingdom latin america: argentina cmi brasil rosario oceania: aotearoa united states: austin big muddy binghamton boston chicago columbus la michigan nyc portland rochester saint louis san diego san francisco bay area santa cruz, ca tennessee urbana-champaign worcester west asia: palestine process: fbi/legal updates process & imc docs projects: radio satellite tv
printable version - js reader version - view hidden posts - tags and related articles

Obamacare Restricts Choice of Hospitals and Doctors

by Stephen Lendman Saturday, Nov. 23, 2013 at 11:24 PM
lendmanstephen@sbcglobal.net

Obamacare

Obamacare Restricts Choice of Hospitals and Doctors

by Stephen Lendman

Previous articles explained Obamacare deception. It's a healthcare rationing scheme. It's a scam to enrich insurers and other major providers.

Last August, the Wall Street Journal headlined "Many Health Insurers to Limit Choices of Doctors, Hospitals," saying:

"(O)nline health-insurance marketplace(s) will present some tough choices for consumers."

Indiana University Health is the state's largest provider. Consumers are in for a rude awakening. Many will find doctors they rely on excluded from new plan options. Seeing them requires paying costs out-of-pocket.

Expect much the same nationwide. Details are "emerg(ing) about the coverage available through the new consumer marketplaces created by the federal health law," said the WSJ.

Many plans "include relatively few choices of doctors and hospitals." Some have "other limits, such as requirements that patients get referrals to see specialists, or obtain insurer authorization before pricey procedures."

McKinsey & Co. analyzed 955 consumer exchange plan filings. They're in 13 states. They're among the earliest to make them public.

Nearly half were HMOs or similar type operations. "Such plans generally don't pay for care provided outside their networks."

Preferred-provider organizations (PPOs) limit hospital and doctor choices. Doing so cuts costs. Sacrificed is proper healthcare when most needed.

The Washington Post highlighted the issue. On November 20, it headlined "Insurers restricting choice of doctors and hospitals to keep costs down." More on it below.

Obama lied claiming otherwise. "If you like your doctor, you will be able to keep your doctor. Period," he said.

"If you like your health care plan, you will be able to keep your health care plan. Period. No one will take it away. No matter what."

He "solemnly sw(ore) (to) execute the office of president of the United States faithfully, and...to the best of (his) ability, preserve, protect, and defend the Constitution of the United States."

He broke every major promise made. He violated core Bill of Rights protections. He ignored international, constitutional and US statute laws.

He proved he can't be trusted. He's a serial law breaker. He's a moral coward. Impeaching him is a national imperative. Obamacare deception is reason enough to do it. His war on humanity agenda demands it.

October 1 began a new era of healthcare marketplace rules. They include rude awakenings. They offer a confusing array of plans.

They're privately run. Many leave consumers paying huge deductibles and co-pays. They're on top of expensive premiums.

They limit choice of providers. Many plans "exclude top-rated hospitals," said WaPo.

Obamacare prioritizes cost control. It does so at the expense of proper care. Insurers created "networks (much) smaller than what most Americans are accustomed to."

"Decisions provoked a backlash." Seattle Children's Hospital (SCH) is a closely watched case. It sued Washington's insurance commissioner. It did so "after a number of insurers kept it out of their provider networks."

SCH senior vice president Sandy Melzer called it "unprecedented (in Seattle) to have major insurance plans exclude" a hospital.

Doing so creates two-tiered healthcare. People buying exchange plans are cheated. Provider choices are restricted.

Top hospitals like Mayo Clinic, Los Angeles-based Cedars-Sinai, and highly-rated children's hospitals nationwide are excluded.

Seattle-based Premera Blue Cross (PBC) left SCH out of its provider network. It did so except in cases where care can't be gotten elsewhere.

PBC spokesman Eric Earling said:

SCH's "non-unique services were too expensive given the goal of providing affordable coverage for consumers."

Bottom line priorities come first. Authorizing the least care at the lowest cost benefits insurers.

SCH charges about ,000 for pediatric appendectomies. It's much more than another community hospital.

Melzer said it's because children it treats often are gravely ill. Even routine tonsillectomies are more complicated.

Families long reliant on SCH face a dilemma. Jeffrey Blank's daughter was diagnosed with a rare bone disorder. He can't seek SCH treatment.

Routine checkups alone aren't permitted. New doctors replace trusted ones. Imagine the angst when care is most needed.

New Hampshire-based Frisbie Memorial Hospital sued an insurer for excluding it from its marketplace.

In Missouri, "consumer advocates successfully lobbied an insurer to add a children's hospital after it unveiled a plan that lacked one," said WaPo.

Paul Ginsberg heads the Center for Studying Health System Change. He calls academic medical centers "valuable because they are the only place to get certain specific treatments."

At the same time, community hospitals offer comparable routine care much cheaper.

Providers have their own issues. The Cleveland Clinic uses Ohio exchange plans only. Reimbursement rates are higher. Plans include brand-name insurers.

Healthcare consultant Robert Laszewski said most people buying coverage on exchanges are uninsured.

Insurers "looked at (them) and thought: 'They don't care about the Mayo Clinic or the Cleveland Clinic. They will go to community providers."

Insurers usually cover out-of-network costs only in emergencies. According to Community Service Society of New York health initiatives vice president Elisabeth Benjamin:

"I can't find you a plan with all the major facilities, but if you give me a hospital I can find a plan participating in it.

Obamacare includes vague mandates. On the one hand, it requires insurers to provide enough doctors and hospitals to ensure quality care.

On the other, explicit guidance is excluded. Doing so gives insurers lots of wiggle room. They're experts at gaming the system for profit. They take full advantage. Obamacare permits it.

New Hampshire exchange users have one choice - Anthem BlueCross BlueShield. No other insurer joined the exchange.

Anthem's network includes access to only 16 of New Hampshire 26 acute-care hospitals. Doing so forces consumers to leave doctors they trust.

Jeffrey Blank faces another painful choice. He's one of millions told their coverage is cancelled effective January 1.

On November 14, Obama responded to growing anger. He said insurers can maintain current noncompliant plans through 2014. Consumers can keep them another year.

Washington's insurance commissioner said he won't permit extension. Other states may say the same thing.

Insurers may or may not tell cancelled policyholders they're reinstated. Consumers face painful options. Obamacare offers few good ones.

Universal healthcare alone delivers as promised. Profit-driven care scams consumers for profit. Fast food care substitutes for high quality.

Healthcare is a fundamental human right. Martin Luther King called healthcare injustice "the most shocking and inhumane (form) of inequality."

Obamacare is byzantine in complexity. It's rife with inequities. Cost control means exclusion from top-ranked hospitals. Out-of-network preferred doctors are shut out.

Two-tiered healthcare is the new normal. Affluent Americans can have whatever they wish. Ordinary people can only get what they can afford.

At issue is a private insurance-based system. Universal single-payer saves about 0 billion annually. It's enough to provide everyone top quality care.

It reinstates healthcare as a fundamental human right. It's double the cost of other developed countries. It's increasingly less affordable.

It leaves millions uninsured. It leaves millions more woefully underinsured. It leaves them one major illness away from personal bankruptcy.

Fast food healthcare doesn't work. It benefits providers, not people. Inability to access expensive treatments when most needed assures pain, suffering and early death.

Obamacare's dark side delivers all three. It bears repeating. It's a healthcare rationing scheme. It enriches insurers and other providers.

It prioritizes profits over vitally needed care. It denies a fundamental human right. Industry giants wrote the law. They planned it that way.

Obama is a willing co-conspirator. He's a corporate tool writ large. He's that and much more. He bears full responsibility. He denied quality affordable care to growing millions.

He places profits above human need. He made America's broken healthcare system more than ever dysfunctional. It's all downhill from here.

A Final Comment

On November 21, the Wall Street Journal headlined "Insurers Cut Doctors' Fees in New Health-Care Plans. Move Sparks Worries Plans Will Attract Fewer Doctors."

Corporate giant UnitedHealth Group (UHG) ranks 17th among Fortune's top 500 companies. It "sent some New York City physicians contract amendments," said the WSJ.

Confidential documents it got showed lower rates than doctors normally receive. Brooklyn ophthalmologist Sam Unterricht is Medical Society of the State of New York president.

"We have heard from a lot of physicians the rates (insurers) are offering them are very low, and (they're) questioning whether they are going to participate," he said.

Some UHG rates approximate what New York pays for Medicaid services. They're less than half normal doctor fees.

Dr. Steven Levine declined Wellpoint's offer. It's "not what a reasonable person would consider acceptable," he said.

By 2016, exchange plans are expected to cover about 20 million people. Many may lose trusted physicians if they opt out over fees they consider too low. According to the WSJ:

"More physicians may leave the plans as awareness of the new rates spread, doctors and experts said."

Obamacare "doesn't include any requirements limiting physicians' payments or restricting insurers' arrangements with doctors."

Expect insurers to take full advantage. "Experts worry (about) a stratified system," said the WSJ. Millions may lose access to long relied on providers.

Obamacare is the new normal. Treatment received depends on what people can afford. Thousands may die for lack of proper coverage. Expect things ahead to go from bad to worse.

Stephen Lendman lives in Chicago. He can be reached at lendmanstephen@sbcglobal.net.

His new book is titled "Banker Occupation: Waging Financial War on Humanity."

http://www.claritypress.com/LendmanII.html

Visit his blog site at sjlendman.blogspot.com.

Listen to cutting-edge discussions with distinguished guests on the Progressive Radio News Hour on the Progressive Radio Network.

It airs Fridays at 10AM US Central time and Saturdays and Sundays at noon. All programs are archived for easy listening.

http://www.progressiveradionetwork.com/the-progressive-news-hour

http://www.dailycensored.com/obamacare-restricts-choice-hospitals-doctors/

Report this post as:

Local News

GUIDE TO REBEL CITY LOS ANGELES AVAILABLE A12 5:39PM

lausd whistle blower A10 11:58PM

Website Upgrade A10 3:02AM

Help KCET and UCLA identify 60s-70s Chicano images A04 1:02PM

UCLA Luskin: Casting Youth Justice in a Different Light A02 11:58AM

Change Links April 2018 A01 11:27AM

Nuclear Shutdown News March 2018 M31 6:57PM

Join The Protest Rally in Glendale on April 10, 2018! M29 7:00PM

Join The Protest Rally in Glendale on April 10, 2018! M29 6:38PM

Spring 2018 National Immigrant Solidarity Network News Alert! M19 2:02PM

Anti-Eviction Mapping Project Shows Shocking Eviction Trends in L.A. M16 5:40PM

Steve Mnuchin video at UCLA released M15 12:34AM

Actress and Philanthropist Tanna Frederick Hosts Project Save Our Surf Beach Clean Ups M06 12:10PM

After Being Told He's 'Full of Sh*t' at School Event, Mnuchin Demands UCLA Suppress Video M02 11:44AM

Resolution of the Rent Strike in Boyle Heights M01 6:28PM

What Big Brother Knows About You and What You Can Do About It M01 3:30PM

Step Up As LAPD Chief Charlie Beck Steps Down F14 2:44PM

Our House Grief Support Center Hosts 9th Annual Run For Hope, April 29 F13 12:51PM

Don’t let this LA County Probation Department overhaul proposal sit on the shelf F13 11:04AM

Echo Park Residents Sue LA Over Controversial Development F12 8:51AM

Former Signal Hill police officer pleads guilty in road-rage incident in Irvine F09 10:25PM

Calif. Police Accused of 'Collusion' With Neo-Nazis After Release of Court Documents F09 7:14PM

Center for the Study of Political Graphics exhibit on Police Abuse posters F07 9:50AM

City Agrees to Settle Lawsuit Claiming Pasadena Police Officer Had His Sister Falsely Arre F04 3:17PM

Professor's Study Highlights Health Risks of Urban Oil Drilling F04 12:42PM

Claims paid involving Pasadena Police Department 2014 to present F04 10:52AM

Pasadenans - get your license plate reader records from police F03 11:11PM

LA Times Homicide Report F03 1:57PM

More Local News...

Other/Breaking News

What does the Quran Say About Islamic Dress?? A21 4:15PM

Biodiversité ou la nature privatisée A20 11:22AM

The Market is a Universal Totalitarian Religion A20 7:14AM

Book Available about Hispanics and US Civil War by National Park Service A19 5:52PM

The Shortwave Report 04/20/18 Listen Globally! A19 4:01PM

The Republican 'Prolife' Party Is the Party of War, Execution, and Bear Cub Murder A19 11:48AM

Neurogenèse involutive A18 9:21AM

Paraphysique de la dictature étatique A16 10:13AM

Book Review: "The New Bonapartists" A16 3:45AM

The West Must Take the First Steps to Russia A14 12:25PM

Théorie générale de la révolution ou hommage à feu Mikhaïl Bakounine A14 3:30AM

The Shortwave Report 04/13/18 Listen Globally! A12 3:50PM

“Lost in a Dream” Singing Competition Winner to Be Chosen on April 15 for ,000 Prize! A12 3:48PM

The World Dependent on Central Banks A12 4:43AM

Ohio Governor Race: Dennis Kucinich & Richard Cordray Run Against Mike DeWine A11 9:40PM

March 2018 Honduras Coup Again Update A10 10:52PM

Apologie du zadisme insurrectionnel A10 3:33PM

ICE contract with license plate reader company A10 1:14PM

Palimpseste sisyphéen A09 11:23PM

Black Portraiture(S) IV: The Color of Silence...Cuba No...Cambridge Yes A09 5:32AM

Prohibiting Micro-Second Betting on the Exchanges A09 4:18AM

Prosecutors treat Muslims harsher than non-Muslims for the same crimes A08 10:33PM

Amy Goodman interview on cell phone safety A08 10:29PM

Mesa, Arizona police officer kills unarmed white man A08 9:50PM

Israeli leaders should be prosecuted for war crimes A08 9:48PM

Paraphysique de l'autorité A08 12:11AM

Two Podcasts on fbi corruption A06 10:13PM

Fbi assassins assault & try to kill DAVID ATKINS A06 7:29PM

More Breaking News...
© 2000-2018 Los Angeles Independent Media Center. Unless otherwise stated by the author, all content is free for non-commercial reuse, reprint, and rebroadcast, on the net and elsewhere. Opinions are those of the contributors and are not necessarily endorsed by the Los Angeles Independent Media Center. Running sf-active v0.9.4 Disclaimer | Privacy