Obamacare Means Fewer Doctors and Less Accessible Healthcare
Wall St. Cheat Sheet - Even though the consulting and actuarial firm Milliman
calculated that total healthcare costs for a typical family was more
than the cost of one year at an in-state public college, costs actually rose at the
lowest rate on record last year. Yet, the firm also noted that the
government’s Affordable Care Act has had little effect on price
increases thus far. The nation’s healthcare system is already in crisis,
but the problem is not just exorbitant healthcare costs.
While Obamacare will provide 16 million people with health
insurance through the expansion of Medicaid and the new exchanges next
year, recent data suggests that the influx of millions of new patients into the
healthcare system will exacerbate some of the system’s other problems as
well.
America is currently suffering from a doctor shortage and more than half of the nation’s emergency rooms are over capacity.
According to the Association of American Medical Colleges,
the United States is short approximately 20,000 doctors, and that
shortage could quintuple over the next decade because of the aging of
the American population. Nearly half of the 800,000-plus doctors in the
United States are over the age of 50. Obamacare is only serving to
further decrease the nation’s doctor corp. A Physicians Foundation
survey of 13,000 doctors discovered that 60 percent of respondents would
retire today if they could, an increase from 45 percent who gave the
same answer before the legislation was passed.
The prospect of 9 million more Medicaid patients and an onslaught of individuals covered under plans bought on state-run insurance
exchanges, is a daunting one. Doctors have long limited the number of
Medicaid patients they will treat because of the program’s low
reimbursement rates. The program pays just 60 percent as much as private
insurance. A study published by the peer-reviewed journal
Health Affairs
found that only 69 percent of doctors accepted new Medicaid patients in
2011. For many doctors, the costs of treating a patient on Medicaid are
higher than what the government will pay.
Problems have only become worse as cash-strapped states
have attempted to rein in spending on Medicaid; many states have not
increased payments in many years. In fact, Kentucky has not raised them in two decades. By
throwing nine million additional people into the system, without
finding a remedy for this problem, the Affordable Care Act will make it
even harder for Medicaid patients to find doctors.
With the government
involving itself to a greater degree in healthcare, as Obamacare
mandates, insurance providers worry that they may have to taken on a
greater proportion of healthcare costs. Already, healthcare providers
have signaled that they may turn away patients who purchase insurance on
the exchanges as well.
For example, individuals covered by Blue Shield’s exchange
plan in California will have access to just about a third of its
physician network. Furthermore, the UCLA Medical Center and its doctors
are available to customers of just one plan for sale through Covered
California, while the prestigious Cedars-Sinai Medical Center is not
taking anyone with exchange insurance.
If Medicaid patients and new exchange enrollees cannot
actually see doctors, their only recourse will to visit the emergency
rooms for care. But with so many ERs filled over capacity, causing the
closure of more than 650 in the past two decades, that is not a good solution
.
There are facts that back up this supposition; Harvard researchers have
discovered that emergency room utilization increased in all 11
Massachusetts hospitals after a carbon-copy of Obamacare was implemented
in 2006.