NOW They Tell Us!

In other news that, for some strange reason, never became news until after November 6th, we just learn that Obama DeathCare might just crash from a lack of doctors:

The United States will require at least 52,000 more family doctors in the year 2025 to keep up with the growing and increasingly older U.S. population, a new study found.

The predictions also reflect the passage of the Affordable Care Act — a change that will expand health insurance coverage to an additional 38 million Americans.

So? Barack Hussein Chavez OBlightBringer has assured us, as has the EneMedia right up until after the election, that this is in no way a problem, all reports of present doctors resigning or stating that they intend to resign if OgabeCare stands notwithstanding. What’s the problem, all of a sudden?

In a 2008 census by the AAMC and the American Medical Association, researchers found that the number of medical graduates choosing a career in family medicine dropped from 5,746 in 2002 to 4,210 in 2007 — a drop of nearly 27 percent.

“It’s pretty tough to convince medical students to go into primary care,” said Dr. Lee Green, chair of Family Medicine at the University of Alberta, who was not involved with the study.

Green added that he believes this is because currently primary care specialties are not well paid, well treated or respected as compared to subspecialists.

Ooooh, so that’s it? Family doctors just can’t get no respect, and this only became a relevant factor after OgabeCare because, for some reason, family doctors were wildly respected before it but its passage made people spit on them in the streets? Odd, that. Somehow that sounds like the most impressively inane non sequitur ever spewed out by the EneMedia, and that’s saying quite a lot.

But we must believe it, because the EneMedia says its so, so all of you reactionaries, you bitter clingers and Visigoth non-“pragmatists” out there might as well shut the fuck up about how it might, just might have to do with the BlightBringer’s Magnum Opus cutting half a trillion dollars in payments from Medicare, a substantial amount of which goes to, you guessed it, primary care physicians.

“If you like your doctor, you can keep him!” (As long as he isn’t too hung up on getting paid for his services, the counter-revolutionary kulak reactionary capitalist running dog lackey).

Yeah. We told you that too because, and we’re going to keep harping on it until you fucking fools puke on it, we grew up under a system that made the exact same fucking mistakes. And we kept trying to tell you fuckheaded fucknuggets retards about it, but you just didn’t fucking care, did you? What the fuck did WE know? We only grew up under it, we even fucking worked INSIDE of that system, and how does that even compare to the infinite wisdom that you learned from your socialist swine teachers and socialist swine media?

Because you, and you alone, know how to make something work that has never, ever, not one solitary ONCE worked anywhere on the planet the nine hundred and umpty-leven times it has been tried.

Because you’re so fucking smaaaaaart. Yeah, that and a few tens of thousands of dollars is going to buy some halfway competent and timely treatment in a private clinic somewhere you can’t afford to travel to.

Enjoy your self-inflicted terminal (due to lack of simple treatment if it had been provided in a timely fashion) cancers, dumbasses.

Ear Leader doesn’t give a shit. He doesn’t need you anymore, now that you’ve handed him his second term.

And I don’t give a shit either, because you could have avoided all of this if only you morons would have listened to those of us who already KNEW.

Fuck off and die and take your terminal stupidity with you.

The rest of us have work to do to clean up the fucking mess you’ve made, you spoiled, whining, arrogant, self-entitled parasites.



  1. 1
    LC HJ Caveman82952 growls and barks:

    This is just the beginning, Sire…..I’ve known this since the bill was passed. It simple economics and the human condition. Why in the hell would any doctor drop a quarter mil or more only to be subjected to ungrateful demands of ghetto rats or absusive, self-entitled customers? Because some giddy-eyed fool says he owes it to society? Or getting paid eight bucks from medi-cal? That’s what my doctor gets, and he is about ready to dump medicare. Or retire. I don’t blame him, either.
    They can not make him practice, or practice at a loss……
    Obama can not win this, but he can destroy this economy with his actions.
    I’ve given up on the nay sayers, I won’t waste my time.
    In a sick, sadistic way I’m almost looking forward to it…….
    But not for the rest of us…….
    Oh yeah, the feelings welling up inside me, cold doesn’t begin to describe it.
    One thing surprising me, I must confess…..
    Is how fast it’s happening…..and we haven’t even started on what is coming….. budget battles…simple, cold math.
    And these fools will blame anybody but themselves, they always do.
    I expect to die poor given what I see…….
    But I’ll do it on my own dime and time.
    I’ve made my choices very clear to my family, even paid for my final arrangements in advance.
    They try to take my shit, I’ll let them die in the street. Whether or not I shoot them first depends on them……
    I owe them nothing.
    I even have relatives gloating about the results.
    And I’m the crazy one, the ant.
    Guess which door they will show up at…….but it would be on my terms. Or leave.
    Very cold, Misha, my feelings, yet not anger……..for even a cockroach serves a function…… for these…..
    It’s just beginning…if he doesn’t get us nuked off the planet first.
    Even at Stanford I didn’t find one doctor or nurse supporting death care.
    Not one…..

  2. 2
    Fa Cube Itches growls and barks:

    I spent some time in the Soviet Union as part of a student exchange. While an interesting place to study, it sucked to live there.

    One thing I noted – a distinct lack of the Americans who wanted to turn America into another “worker’s paradise”.

  3. 3
    LC Roguetek growls and barks:

    they can’t make him practice at a loss…..-yet-.

    reagan on socialized medicine…

  4. 4
    Rain growls and barks:

    This is already affecting me. I had what was my first (and probably last) appointment with a Rheumatologist on Monday. (yay for arthritis) While I was there, he informed me that he’s going concierge on 1 Jan. This means that in order to keep seeing him, I’d have to pay $1500/year to join his practice, on top of my insurance co-pays and $1500/year deductible. He has to do this in order to keep his doors open. He’s gone at least 4 pay periods without a paycheck this year, and expected one or two more before the end of the year. All of this is a direct result of O-care. He mentioned to me that in addition to the 712 B cut from medicare to pay for o-care, they’re cutting reimbursements by 30%. And this won’t just impact medicare reimbursements, because the REST of the companies follow suit. All of this is set in stone… those cuts were SUPPOSED to happen this past March, but were pushed off to after the election. (gee I wonder why) So much for keeping my Doctor(s)… :em08:

  5. 5
    LC Spare Parts growls and barks:

    Start saving for that ticket to India for that life saving Op Obamacare won’t grant You and Me for lack of a Democrat Party membership card in your wallet.

  6. 6
    LC LOBO growls and barks:

    Talking about terminal stupidity, from an e-mail I got today.

    In just a few minutes, Congressman Ron Paul will give the first part of his congressional farewell address live on C-SPAN, and I want to make sure you get to watch it. He’ll start speaking around 2 p.m. EST. You can watch at this link.

    This is sure to be a moving moment for all Ron Paul supporters, myself included. Please tune in to watch this important speech from the greatest champion of the Constitution in DC today.

    Yeah, right. He along with the rest of the scum went along with the NDAA. So, good-bye you racist, anti-semitic, pile of shit.

  7. 7
    The Irish Dragon growls and barks:

    These people don’t know history, they don’t know economics, they don’t know philosophy, they really don’t know shit, but they are the smart ones. Those of us who read the likes of Aristotle and Locke and Hayek are the uneducated morons. Damn, I fucking despise these vermin.

    I’ve come to the realization that I should apologize for calling Democrats parasites. Not to the Democrats, to the parasites. Parasites at least are smart enough not to kill the host.

    These people are a virus.

  8. 8
    LC HJ Caveman82952 growls and barks:

    You and I think alike, Irish, Dragon….I heven’t decided whether contempt or revulsion is the prominent theme within me towards these toads. Sorry, Toads, nothing personal
    My monocular night scope arrived, too bad I ordered the wrong batteries…arrrghh! I have rectified that difficulty.
    But I do know the clock is ticking, the economy is in for a rough ride. as I yesterday got my solar rechargable motion detector operational in my back yard…….works great.
    Desperate people will do desperate things…then we have the crazies.
    I just wish none of this stuff I feel in my gut would come to pass…unfortunately the feeling is stronger….

  9. 9
    Fa Cube Itches growls and barks:

    If anyone needs surgical care – these guys are cash only, but very affordable.

  10. 10
    LC LOBO growls and barks:

    Fa Cube Itches @ #:
    From $2500 – $4500 I could have had this shit out of my ankle !! Damnit !! And I fucking lived there. Still a lot better than the $40,000+ that the hospital wanted.
    “Penile Prosthesis $ 15,425.00”
    Hey Boss, could we set up a fund so that puke drain would actually have a penis ??

  11. 11
    LC LOBO growls and barks:

    How’s that socialized healthcare deathcare working out in Canada ?? ‘It’s a crisis for Quebec women’

    MONTREAL — Surgery wait times for deadly ovarian, cervical and breast cancers in Quebec are three times longer than government benchmarks, leading some desperate patients to shop around for an operating room.

    But that’s a waste of time, doctors say, since the problem is spread across Quebec hospitals. And doctors are refusing to accept new patients quickly because they can’t treat them, health advocates say.

    A leading Montreal gynecologist said that these days, she cannot look her patients in the eye because the wait times are so shocking. Lack of resources, including nursing staff and budget compressions, are driving a backlog of surgeries while operating rooms stand empty. The latest figures from the provincial government show that over a span of nearly 11 months, 7,780 patients in the Montreal area waited six months or longer for day surgeries, while another 2,957 waited for six months or longer for operations that required hospitalization.

    The worst cases are gynecological cancers, experts say, because usually such a cancer has already spread by the time it is detected. Instead of four weeks from diagnosis to surgery, patients are waiting as long as three months to have cancerous growths removed.

    “It’s a crisis for Quebec women,” said Lucy Gilbert, director of gynecological oncology and the gynecologic cancer multi-disciplinary team at the McGill University Health Centre. Her team has had access to operating rooms only two days a week for the past year, with dozens of patients having surgeries postponed week after week.

    Look at the hell we will be facing.
    The emotions that I feel, are, just overwhelming. All the fuckers who voted for this shit here, need to be taken out and hung. Both gaddamned parties. Starting with that son of a bitch in 1600 Penn Ave.

  12. 12
    LC Ohio Right Wing Nut growls and barks:

    LC LOBO says:

    Look at the hell we will be facing.
    The emotions that I feel, are, just overwhelming. All the fuckers who voted for this shit here, need to be taken out and hung. Both gaddamned parties. Starting with that son of a bitch in 1600 Penn Ave.

    But, But, But…Dj says Canada’s free healthcare is the shiznit, he must be one of the “special” people

  13. 13
    LC LOBO growls and barks:

    LC Ohio Right Wing Nut @ #:
    I don’t give a shit what morons like Deej say.
    And this number will rise. CDC: Breast cancer death rate for black women higher than in any other group

    ATLANTA (AP) — The Centers for Disease Control and Prevention says black women are 40 percent more likely to die of breast cancer than white women are.
    Breast cancer is the second leading cause of cancer deaths among American women, but the CDC’s Ileana Arias says black women have “unacceptably high” death rates. She says they have the “highest death rates from breast cancer among all racial and ethnic groups.”
    Arias says many lives could be saved each year with proper screening and treatment, stressing the importance of educating black women to coverage provided by the new health care law, including mammograms without co-pays in many health plans.

    But, not that long ago, didn’t the CDC say that mammograms were not really needed ?? Anyway, we can look at the story I posted for what is really going to happen.

  14. 14
    LC Sir Rurik, K.o.E. growls and barks:

    Oh don’t worry. We’ll make up the shortfall of physicians by bringing in eager doctors and interns from the Turd World, from the University Medical and Barber College of Mombassa. Or Tegucigalpa Healing School. Or the Peshawer Medical School. If you’re lucky, you’ll get a doctor from Pockeystahn. Some of the specialists from Burundi wear masks and do bedside dances during ward rounds.

  15. 15
    Pockmark growls and barks:

    LC LOBO says:

    LC Ohio Right Wing Nut @ #:
    I don’t give a shit what morons like Deej say.

    Hopefully this won’t automatically peg me moron, but I’ve had nothing but good experiences with the Healthcare System in Canada. I don’t wanna get into any debate about this, I only have the vaguest idea how the thing works, and know less about what the United States is doing with theirs. I can only offer my personal experience.

    A few years back, I had just graduated college and decided to spend the summer touring the national fringe circuit with a show my buddy had written. I set up the context, because I think if i was doing the same thing in the US, I wouldn’t have had health insurance. Whatever I would have had as a student would have expired, and I wasn’t in a position financially to pay for my own. Plus my summer “job” had no benefits to speak of, other than the potential for catered after-show parties and loose women.

    Three days into the tour, in a city that will remain nameless, I suffered a tibial plateau fracture while in a footrace for the front seat of the car with an actor 5 years my junior in an effort to prove to him I wasn’t “old”. Joke was on him, I got to ride shotgun all the way to the emergency room.

    I’ll try not to bore anyone with details. I spent the night in the emergency room, had some x-rays, and was sent home with crutches, a leg brace and prognosis for surgery. Because it would be another 3 or 4 months before I could even attempt to put wait on my leg, I decided to prevail on the kindness of my parents and stay with them for the length of my recovery. I flew home, had the surgery (4 pins and a plate), spent 4 nights in hospital, nurse practitioner visiting me daily for two weeks following my release, had multiple visits to the specialist for evaluations and got 8 months of physical rehabilitation.

    Not counting plane ticket, this cost me around 400 dollars. 15 for the crutches, 15 for the first brace, 300 for the second brace, and another 50 in painkillers.

    I’m not sure how much all that would have cost me in the United States. 10k? 15k? more? Either way, more than I could have handled if I had to pay for it out of pocket. So in that situation, I was extremely grateful for the Healthcare system in Canada.

    I’m not posting this to refute your article or to say it’s all roses and sunshine. Even though most anecdotal evidence I could provide is pretty positive, I do know of some really bad/sad ones. I’m just posting it to offer my own experience as perspective.


  16. 16
    LC Moriarty growls and barks:

    (laughs quietly and sadly…)

    Ok, speaking as a family physician, who until very recently ran a solo practice for 12 years, let me offer my perspective.

    First, things are changing very rapidly in my profession. Five years ago about 60% of physicians owned their practices. Today it’s about 40% and shrinking rapidly. Independence and autonomy in medicine are vanishing. Individualized care and continuity of care are just about gone, along with the idea that you will have “a doctor.” A few concierge physicians will continue in practice, but for most of us, it means that seeing your family doctor will be a thing of the past.

    What’s replacing this is the the “Accountable Care Organization” (ACO), sometimes called a “Medical Home.” In this model, a few primary care physicians will supervise a number of “mid-level providers”, namely physician’s assistants and nurse practitioners. The ACO may also incorporate a social worker, pharmacist and perhaps a physical therapist under the same roof.

    The grand plan is for the patient to seek care with the ACO and be assigned a provider based on complexity, immediate need and other factors. The model is supposed to reduce costs, improve quality of care, increase efficiency and lead to better outcomes for the patient. A shortage of primary care physicians will be alleviated by the reliance on midlevels and all will be sweetness and light.

    Now… let me give you my personal experience with this model.

    First, I worked in a system functionally identical to an ACO for three years. It was called residency. You had a few attendings supervising a bunch of green physicians, dealing with the sickest and most complex patients this side of an ICU. The hierarchic nature of the model, the built-in inefficiency of constantly having to consult with the attending physicians and the general overuse of the system by entitled patients meant that everyone was perpetually overworked. Continuity of care was practically nonexistent and “your patent” might see you twice for every five or six clinic visits.

    (This lead to at least one very bad outcome. A child presented to a fellow resident, who had the presence of mind to dig back through the record to find out why the kid kept coming in for upper respiratory infections. The resident ordered a sweat chloride test, which was positive, meaning that the child had undiagnosed cystic fibrosis. Unfortunately, the diagnosis was not made in time and the parents had another child — also with CF. They sued. Had the original patient seen the same physician time and again, it’s doubtful that the diagnosis would have been delayed.)

    I attended a conference a while back where presenters touted the glories of the ACO and how it would transform medicine for the better. What struck me as most interesting was that every one of the ACOs discussed was grant-funded. If you had the temerity to ask exactly how the ACO was kept operable under present insurance and Medicare reimbursement schedules, you got a lot of hand-waving and muttering over the “need to realign primary care fee payments.”

    Sure. That’s going to happen.

    I know of one local practice that created an ACO. It was run by a well-respected physician with impeccable credentials. Her medical home was certified by the American Academy of Family Physicians and all was well… right up to the time that the red met the black in the books and she shut the whole thing down and went to work for the VA.

    This is a disaster of unspeakable proportions and we’re watching it being deliberately set into place. I should also mention that everything will be “guideline driven” — from what sort of tests I can order to referrals I can make or medications I can prescribe. Of course, I’m free to practice medicine as I see fit… but if I stray off the farm too far or too often and make too many exceptions to guidelines, I’ll have my reimbursements slashed across the board.

    I will have no incentive to look at you as a person. You will become a list of ICD-10 diagnosis codes to which I will apply the appropriate evidence-based diagnosis and treatment algorithms. I will supervise mid-level “providers” who will do the same. Your medical record will be open to review and interpretation by a Federal auditor who will make sure that I’m not overusing “their” resources. I will practice at their pleasure as little more than a highly-trained technician.

    No one in their right mind is going to undergo the full course of medical training to do this, but it won’t matter. Nurse practitioners and PAs will fill the void. You’ll get the highest quality of medical care available provided you don’t expect very much. Plaintiff’s attorneys will rejoice over the rich new source of income provided by ACOs and the inevitable errors that will occur from failed communication and loss of continuity. Legions of untrained bureaucrats will be hired to maintain and improve the “efficiency” of the system, while crowing about how coverage and quality is increasing while costs decline.

    Right up to the point that the whole stupid, rotten mess comes right off the rails.

    Then, but perhaps not in my lifetime, we’ll get back to practicing medicine personally, effectively and ethically, like we have for about 5000 years before Obamacare.

  17. 17
    Fa Cube Itches growls and barks:

    LC Sir Rurik, K.o.E. @ #:

    We’ll make up the shortfall of physicians by bringing in eager doctors and interns from the Turd World, from the University Medical and Barber College of Mombassa. Or Tegucigalpa Healing School. Or the Peshawer Medical School.

    Please. Universidad de Cuidad Juarez – Adult Learning Annex, Night School Program, the correspondence course.

  18. 18
    Emperor Misha I growls and barks:

    LC Moriarty @ #:

    Man, Moriarty, it’s so good to see you back, even though I wish it could have been under better circumstances. You’ve always been one of my favorite people and I don’t know how to respond to you post as a whole, other than to be quiet and sad like you, because I’m seeing exactly what screwed up health care in my native country happening right here.

    You remember how we used to talk, what seemed like ages ago, about how I should get my shit together and finish the M.D. that I’d started overseas and you were right. Of course, life happened and it got put on the back burner because, even though medicine is the one thing that has always fired me up more than anything, you have to prioritize and it’s not like I wasn’t doing well as it was, having arrived at the tail end of the American Dream and being privileged enough to learn what that was all about.

    And now I find myself thinking, watching the medical profession being brutally murdered by the current regime, that maybe G-d knew what He was doing keeping me off that path. It saved me the heartbreak of having finally done what I always felt that I was meant to do, only to see it destroyed around me immediately thereafter, the heartbreak you’re currently going through.

    You spend your entire life building a house, only to see the termites eat it all up.

    It infuriates me.

    But nothing happens without a reason. We’ll need real doctors like you and “half or quarter doctors” like me once the dust settles. We all have a role we need to play. Nobody and nothing can take away from you what you can do, who you are, and the skills that you have, and we’ll need all of that, from everybody, once we reach the point where we can dig ourselves out from the rubble.

    We’ll survive this too, but the thing that hurts me most of all is that all of this is in no way “unexpected”, it has all happened before, and it will always end up the same. Yet here we are, making the same mistakes as a nation that have been made by hundreds of nations before us.

    G-d help us.

  19. 19
    LC HJ Caveman82952 growls and barks:

    How utterly sad, LC Moriarty, and how so very true…
    For it was physicians that personally cared that made my wife’s stay less than something driving the normal person insane….to have her relegated to the status of a number…..
    For such times I know I could kill…….no doubt whatsoever.
    The anger I now feel cannot be put into words…..
    I saw a lot of what you described, and Stanford is a world class facility, also a teaching hospital, thousands of doctors and nurse practicioners there.
    She went code blue one night…….
    I spent seven hundred days there, slept there hundreds of nights………..and they never gave up, even near the end.
    But we all knew, they were waiting for me to make the final call…
    And I did……..
    I absolutely admire my personal physician here in town, a man sixty-five, big black guy, built like Charles Atlas, worked his way through medical school as a bouncer in bars…the seekers hate him, those looking for pain prescriptions. For first and foremost…he is a doctor…….and wanted to know why……
    He has worked without pay because the town needs him, as has his staff, his patients sometimes don’t pay, or stiff him part of the bill. His staff personal friends one and all. ………I even loaned the practice some money to help keep it afloat……it’s guys like that saving peoples lives when nobody else can….or will.
    His practice was going to close down…..I said no way in hell.
    Even then, I had to almost beg them to take the help.
    My wife had lost her battle for life, but I knew others still fought…..
    One of many reasons I loathe our present government.
    I quite literally intend to end my tenure on this rock, whenever that is, if I have warning, in a place of my own choosing, even if it means declining treatment. I can get strong pain killers, if needed, and am not afraid. I will never undergo chemo. Ever.
    I watched The Fury take my wife…..
    I told him never to concern himself repaying the money, even though I know he will. But it will take a while, those expenses climb ungodly fast, running a practice. He cried when given the check by his nurse……..a guy that could bust my ass in two….
    He was the guy that prescribed the oral morphine sulfate I gave my wife near the end…..
    But I will never forget, living a thousand years, I would never forget, those kind, competent souls……
    I owe them so much…..because they were allowed to be doctors…..
    People like you………………

  20. 20
    LC Moriarty growls and barks:

    It’s been too long, my friends…

    Caveman, I am so sorry to hear of your loss. Please accept my most sincere condolences.

    Times will get tough, but there will always be people willing to do the right things. Your physician is one hell of a guy, a man who who took his oath and meant it. What you said of him and why you admire him goes double for you. Medicine may be in dire straits, but as long as we have patients like you it will still be worth getting out of bed and doing what we’re trained to do.

    We’ll all get through this, one way or the other.

    Thank you for your kind words. It means a lot.

    Misha, it’s good to see you again too. Now that the practice is sold and a thing of the past, one of the compensations I intend to enjoy is a bit more spare time. I should be more in evidence in these parts.

    Strange though it may seem, I’m oddly optimistic about the future. The piper will be paid, of course, and times may become brutally tough. but it’s something we’re all going to have to pass through in order to create something worthy of our posterity. As the centralized, top-down efforts continue to fracture and crumble before our eyes, an organic, bottom-up backlash is building and self-assembling.

    If there are still enough of us who understand, what may come out of this is a return to the values of self-reliance, individualism and freedom. Technology, history and time are on our side.

    I wonder, do we have what it takes to see it through?

  21. 21

    Moriarty, man seeing you back is one of the highlights of what’s been a very shitty turn of events. You’ve been missed my friend.

  22. 22
    LC LOBO growls and barks:

    Schoolboy, 13, spends TWO DAYS with pencil stuck in hand after hospital sent him home and made him wait for operation. You can bet that if this happened to some libturds kid, the lawyers would be beating down the doors of the hospital.

  23. 23
    LC HJ Caveman82952 growls and barks:

    God, Lobo….., that’s horrible. I would have signed a release, anything to get that handled by my doctor. On a personal level, perhaps removed it ourselves, going after the graphite, provided the kid with powerful pain killers and antibiotics until a doctor. could be seen.
    I once got my ass chewed for giving a friend in pain a strong vike……of course his doc was too busy, or so he claimed. Actually, he was an asshole.
    A friend in Ohio fell in the bathtub, broke her foot in five places. The hospital couldn’t find anyone that took her insurance, sent her home with a bottle of vikes. Her doctor gasped when he saw the X-rays, went on a rant, made some serious phone calls…You ever treat my patients like this again sort of thing….
    I can remember a trip at a hundred miles an hour getting a friend in the sticks to a hospital before he could bleed to death……

  24. 24
    LC&IB Vulcanrider, MSgt, USAF, Ret growls and barks:

    LC Moriarty says:

    It’s been too long, my friends…

    Good to see you back again, Moriarty, and thanks for perfectly describing what military medicine is turning into. My Primary Care just left the base, he was a trained Family Prac guy. My new “Primary Care Team” consists of 2 PAs that don’t have a clue. That being the case, I’m now re-doing all the tests that my previous doc did, even though the results are in my records for all to see.

    And in this mostly military and retired area, more and more docs are also dropping Tricare, so there’s considerably less options for care.

    Healthcare for life my ass…