This response is for whoever reads to Poor Citizen: The reasons Obamacare is a government takeover are several. First, it completely dissembles the nature of insurance. Companies are not allowed to issue policies based on actuarial risk, but on pre-determined principles of fairness. It isn’t “fair” that some people’s health care expenses cost more, so we won’t charge higher premiums. This may work in the comic book world you inhabit, Poor Citizen, but not in a real economy.
Second, the 600 pound gorilla here is the federal government. Private insurance companies tie their “reimbursements” to doctors based on what Medicare and Medicaid pay. As those entities lowball payments, doctors get squeezed. Contrary to what you might think, we all don’t drive BMWs and belong to country clubs. Primary care doctors in rural areas make the lowest amounts in medicine already. Obama allegedly wants numbers of primary care doctors to increase, but it’s hard to see how that will happen if they can’t afford to remain in business.
The “Public Option” is going to appear on the horizon again after smaller companies go out of business and there are longer waits for care. At that point the doors of the Trojan horse will open.
Dr Dan
2010-03-27 06:58:43





