Trust me, I’m a doctor and a patient, and I’m not for sale-even though Obamacare says I am!

The patient–physician relationship is based on complete, unadulterated trust and faith. When I plunge a scalpel into the only eye of my patient to remove a cataract and place a new lens and when my surgeon plunges a scalpel into my chest to remove my cancer and reconstruct me, we-the patient and doctor-have an intimate, unspoken bond like no other. We start with morality, virtue, intelligence, wisdom, skill, experience, compassion, and common sense and end with honesty, transparency, and informed consent, all of which are foreign to big government. Enter Obamacare-the biggest fraud ever perpetrated on a free people in the history of the world.

Obamacare empowers a few political elites, their operatives, and cronies to do whatever they want to the American people on the false promise of access to “free”, “quality” “medical care”, AKA tyranny-through-medicine. They write and rewrite the deceitfully-passed law for political expediency, power, and money; patients are an afterthought, an annoying impediment to their ultimate goal- socialized medicine, the keystone in the arch of Socialism. These Alinsky-inspired, Cloward-Piven trained, Marxist-admiring operatives will do anything to undermine the US Constitution and fundamentally transform the United States of America. These crooks will do anything to achieve their ends. They will lie, cheat, and steal. We cannot trust them. They think we are the problem and that there are too many of us.

We, the patients and doctors, are being scammed, used. I trusted my government until 2009; I was naïve. I do not trust my government now. Our current Federal government is the antithesis of all that composes American medicine and the sacred patient-doctor relationship.

Accordingly, I have fought Obamacare and will not comply with parts of it that I regard as unethical, unconstitutional, illegal, and ungodly. January 1, 2014, Obamacare plans will begin. I will not participate- on principle. I will care for my patients directly, free of government constraints, in accordance with the patient-doctor relationship and the Hippocratic Oath.

Currently, I am contracted with all the major insurance companies, accepting countless, but not all, versions of their various plans. After intensive application process, I was accepted, and I signed contracts with these companies to provide care for “their” patients. I can terminate the contracts with written notification, usually requiring 3 month notice. Most plans are self-renewing; I am sent updated fee schedules for my services, and if I am not willing to accept what they offer, I must give written notice to terminate the agreement. I decided, when or if the Obamacare plans came across my desk, I would decline them. They never came.

Then, recalling that I cannot trust these people, I decided to verify that I am not somehow on the Obamacare exchange plans. I wondered who would be. Not my billing company, not my colleagues, not my patients, not the insurance representatives- really no one, knows what is going on. How can we? The law changes as we go, over 20 times thus far that we know of, by fiat or blog, in Friday news dumps and obscure regulations, at the whim of one man and one women, Obama and Sebilius- who I do not trust.

My office manager, a former insurance specialist, logged on to HHS.gov to see what’s being advertised. Lo and behold, a few plans I’m on were listed, as was I, as a “provider”. How did this happen? We presume, the plans I am contracted to are offered to the exchange by the insurance companies; they never asked me- a physician whose services they are selling.

I’m not an attorney, but can a company legally sell my services without my consent? I fathom, they will claim the terms of the contract haven’t changed-that they are just selling the plan to more patients, on a new individual market. Herein lies the problem, while the insurance company may claim the terms of the contract have not changed, the terms of the contract have most certainly changed once it is offered under the Obamacare umbrella.

The Obamacare umbrella is one I refuse to get under. The Obamacare umbrella is oppressive; government holds it over patients and physicians, and we must move under its tiny moving cover or face punishment ranging from loss of revenue, loss of license, audit, and even imprisonment for doctors to loss of doctors, hospitals, drugs, and treatment options for patients. If I do not comply with ICD-10 by October 1, 2014, I cannot even file a claim with CMS. I am not going to comply with ICD-10 (along with many other aspect of Obamacare), so logically, in 10 months I will not be able to comply under the Obamacare umbrella. I will be shoved out. Patients will have signed onto these plans having seen a provider list which has been falsely represented to them. This is false advertising, continued deception and political gamesmanship, by big government and big insurance at the expense of the little people, the American patient and doctor.

I have not seen a new pay schedule for me from the insurance company that now advertises my services for sale under Obamacare. What will they pay me? Will it go up for a little while to play the political game? I can hear it on MSNBC now, “Obamacare exchange plans pay doctors more!”. Then, once the propaganda/news-cycle has run its course, they will slash what they pay us and pocket the cash.

As it is, apparently, I must now give the insurance company 3 months written notice and terminate my contract. First of all, will I have to accept Obamacare patients for the next 3 months of the termination notice period, during which, starting 01/1/2014, I am on the hook for patients who thought they were signed up through the dysfunctional, insecure HHS website but really weren’t? There is a 3 month grace period for patients, but not for doctors. I will have worked, incurred tremendous overhead, lost opportunity cost, and medico legal risk, and I will not get paid. Not surprisingly, government will bail out and subsidize the insurance companies for their losses during this period, based on the “honor system” much less.

Secondly, when I submit my 3 month notice of termination relating to Obamacare exchange patients, will the insurance company then say, “Well, then that means you are terminating that contract for All patients-even your existing ones.” Is this extortion?

Again, I’m no attorney, insurance magnate, or elite politician, but as an American patient and physician, I call these crooks out. Stop playing the American people for fools. We’re not playing any more. Game over. We chose the trust and faith in the sacred patient-doctor relationship over the deceit and doubt in the government-patient relationship.

Dear Patients, rest assured. There are excellent plans out there from real doctors for true patient-centered reform that provides actual access to actually affordable, actual quality, actual medical care from actual doctors without the political games, false promises, waste, and theft of Obamacare. Guess what, when they say these don’t exist, they’re lying. Trust me, I’m a doctor and a patient, and I’m not for sale.

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20 thoughts on “Trust me, I’m a doctor and a patient, and I’m not for sale-even though Obamacare says I am!

  1. I agree Dr. Sheld many physicians including mine our going consierge medicine even some nurses are thinking about going consierge nursing, when all the O’care cards fall it will fall real hard. It is stated some hospitals that are suppose to accept O’care are not sure how to charge, more confusion a total disaster, all leading to single payor. I hate what has happen to our medical system!

  2. Pingback: Kris Held MD: “Enter Obamacare-the biggest fraud ever perpetrated on a free people in the history of the world.” | Boulder is a Stoopid Place

  3. Dr. Held,
    Nicely written piece. I saw the writing on the wall 8 years ago and went concierge. Patients are willing to pay for quality medical care. Let’s hope that Dr. Frisk’s bill suggesting that fee for service medicine should be made illegal gets shot down. At this stage of the game, if the government continues their antics, it would be better to retire.

    • I read it and loved the message. I oy wish you had concluded with a reprise of the phrase you used early in the piece about you trust and bond, etc.

      Have you had a chance to look at my book yet?

      Sent from my iPhone

      >

  4. Barack Obama’s mentor was Saul Alinsky, a Trotskyite Communist who shared Karl Marx’s contempt for “the masses”. The elites all share the same vision: a world to be controlled, manipulated, and tailored to their fantasies of what is “the greater good for all” ( the code phrase for: “To tighten our grip on power, promise everyone everything. And make everyone pay for it with higher taxes, re-labeled “fees”.)

  5. I am saying a prayer for you and all the other doctors caught in this quagmire! Also, I’ve shared your posts on my FB page. Hoping, hoping, hoping that Obamacare will be repealed!

  6. When the doctors treating patients under ACA policies find out they worked for free for 3 months – most will decline all ACA policies.

    Here is how most of it will happen
    Per ACA, if an insured cancels a policy, the insurer is obligated to pay claims for 1 month after the last payment.
    The provider / doctor / hospital is obligated for 3 months of care and treatment, one of which may be reimbursed by the insurer.
    But neither the care provider or the insurer know on day 30 if the premium will be paid for the due month, or the next month.

    The claims / billing / payment cycle will continue, and because of the span of time between treatment and claims payment, the health care provider will be the last to know what is going on.

    So the insurer will be paying most claims as late as possible.
    In the case of an unpaid premium, the insurer will most likely withhold payment for other claims to correct the over payment they made on the claims submitted for the insured who stopped paying premiums.

    That will add bookkeeping costs, account reconciliation costs, and reduce patient face to face time.
    It will also force more health care providers to initiate collection actions on unpaid medical bills, and those actions usually result in pennies on the dollars owed.

    The best option for a medical practitioner is to decline new ACA patients, or extended times from booking to actual appointment, to flush out deadbeat patients.
    Mass. – Boston has already instilled 45 day waits on average for booking to appointment for medical services.

    Adding verification of insurance with insurers, and forcing advance issue of payment confirmation from insurers will slow the process, but protect the provider.

    That decline of service will have a bigger impact on ending ACA than anything else.

    Good luck, as this is a no win stacked deck

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