I have never seen a media outlet cheerlead for a politicians to go back on their word as much as AL.com does.
They highlight story after story of people being “disappointed in Governor Bentley” for doing exactly what he said he was going to do…
He’s disappointed that Alabama Gov. Robert Bentley denied Medicaid expansion in the state. “It would have created a whole lot of jobs for the city of Birmingham with UAB there and would have created income for the economy,” Nichols said. “Plus he’s a doctor himself and he took the Hippocratic oath so it kind of shocked me that he denied it, even as a Republican.”
Even as a Republican!
Why, OH WHY, won’t Bentley fold!
This guy wants money and he wants the government to give it to him. Period.
Here is how Doctors in the real world are reacting to ObamaCare…
So I get a recorded phone call today from a doctor that I use to go to all the time, and he says he is now joining a network of doctors in a program called “MDVIP”. He says if you want to continue to be his patient you have to go to this website or call and sign up.
There is an annual membership of $1680 to continue seeing this doctor now. ONE THOUSAND SIX HUNDRED EIGHTY DOLLARS per year just to go see this doctor, plus you would still have to pay your bill for whatever you went to see him for per visit.
Do you think this is a direct result of Obamacare? The good doctors don’t want to get screwed, so for “superior” healthcare you have to join an expensive CLUB where only the good doctors are?This is just frightening.
But there is no record of the number of concierge doctors in Alabama, according to the Alabama Board of Medical Examiners.
MDVIP, a concierge program that includes more than 700 concierge physicians nationwide, had its first concierge doctor in Alabama in 2004, and now has six MDVIP concierge doctors in Birmingham and eight physicians in Huntsville. Lovelady will be the first MDVIP physician in the Tuscaloosa area once his practice converts to concierge in May.
“We started MDVIP 12 years ago, literally with doctors and patients getting together and saying there had to be a better way,” said Dan Hecht, CEO of MDVIP. “Doctors were running faster and faster on a treadmill and couldn’t keep up with patients, and patients were tired of waiting 45 minutes to see a doctor.”
Tuscaloosa resident Justin Little has been a patient of Lovelady’s for the last decade and has decided to join the concierge service.
“(The) thing that appeals the most to me is the preventative nature of the practice,” Little said. “It’s well worth paying a little extra money up front to go ahead and get a preventative health plan in place. It almost seems to me like it is a reversion to the old way of practicing medicine, when you spent time with your patients and had time to assess individual needs going forward.”
While some concierge doctors, like Fernandez, give insurance paperwork for patients to file on their own for reimbursement, other concierge doctors, like Lovelady, file insurance in-office and require co-pays. But the annual membership fee is out of pocket and not covered by insurance.
Despite the cost, it’s a growing model of care, and patients renew their membership to MDVIP concierge doctors at a rate of 94 percent, Hecht said.
But the concierge concept is a model of care that could also put pressure on the rest of the primary care system and make availability of care even more difficult for those who cannot afford it, said Dr. Richard Streiffer, dean of the college of community health sciences at the University of Alabama.
“It’s going to be a development that will only be reachable by a small subset in the population and not contribute in a meaningful way to solving the problem of our health care system,” Streiffer said. “It doesn’t address the population with the greatest need, and instead is giving those who already have the access and can afford the access the Cadillac of service.”
Not enough doctors…
Most of Alabama is considered in a “health professional shortage area” for primary care, meaning there are not enough primary care doctors either to serve the number of people living in a certain geographic area, or enough physicians to service a certain population of people, like people who are low-income.
According to the Alabama Department of Public Health, Tuscaloosa County has a shortage of primary care doctors specifically for people in poverty. Much of the rest of West Alabama, including Lamar, Fayette, Pickens, Greene, Sumter, Marengo, Hale, Perry and Bibb counties do not have enough primary care physicians for the geographic area — meaning there aren’t enough doctors working in rural areas.