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So what will your doctor -- -- question does this change any thing.
In the medical business joining me now -- member of course of the Fox News medical -- team doctor Marc Siegel and well.
Doesn't change how you practice medicine.
Well I want to tell you Tom it's already been changing in anticipation of this law even though a lot of the provisions are not coming until -- fourteen.
Are already starting to offer less services.
To -- more red tape.
To make it harder and harder for me to get things approved.
Raising premiums for my patients so in other words you pay more you get less that's an anticipation of the idea.
That they're gonna get 32 million more customers beginning in -- fourteen.
And that they're gonna have to provide the same amount they're not gonna do it they're gonna provide less services that's the precursor of -- -- -- But but don't -- it is but the question is is the broad.
I'm kind of thinking of the Canadian system to an extent.
That mostly if if I've got chest cold -- a better broken leg I come in to see it works fine.
It's it's one you get into the serious illnesses where you start getting rationing -- you say I'm sorry we can't afford that is that what's going on is that what.
You're predicting well I'm predicting that it kind of what you just said in a different way that would turn -- a different way and say if my offices clogged by someone with a cold because you can use this insurance card as long as doctor we'll see you.
If you're an eighteen year old customer that just been mandated to have insurance -- -- and by the individual mandate.
And then you go and see me I'm not gonna have the time to see.
The someone -- president's Kraushaar an article -- hello my off my hours are limited I can't be doing two things at once so I don't wanna see the eighteen year old who's totally healthy.
Of course except -- makes my day easier but it's not good for the health care of the country.
So can you say no.
-- -- right now you can say I don't accept.
Medicare or Medicare or Medicaid -- Tom that is the untold story here.
That there's been no consideration to the fact that many physicians do not take insurance.
Many surgeons don't take insurance I can't find an obstetrician in New York the takes insurance psychiatrist don't take insurance they don't have to.
And the more Obama -- floods negates the less they will take insurance -- -- not being paid.
And insurance companies as well I gotta cut somewhere.
I mean they're -- they're forcing me to cover all preexisting conditions which sounds great.
Let's take care of everybody's preexisting condition -- -- on the couch for thirty years you're never exercised.
You gain weight you all along -- you get diabetes now you have Obama care.
But the fact is doctors don't have to play ball with the if they're not paid enough they won't play -- with a market depth of another -- ability.
Are you suggesting then that if I come to see you in depending upon.
What the procedure is -- my illness that your fee is 200 dollars.
Then you say you pay me 200 Tom and then you work with filing your claim I get from the government I get fifty.
Is that it is that what you're saying doctor's gonna shifted over to the patient.
Actually that's the old system.
Now doctors are not going to be able to do with the way you just said it's gonna be an either or for doctors it's gonna either be pay me cash.
Sullivan pay pay any cash or.
Give me your obamacare card and so doctors that don't have any other choice that are new in the game or haven't made the amount of money they need or -- well known.
Those doctors will be accepting obamacare and the others will be accepting cash that's a two tiered system it's what we have in Great Britain.
We're gonna have that here.
So if -- give you my obamacare card you get fifty bucks instead of the 200.
So why don't you just change your feet to the government for.
Make 200 because I'm not allow.
Because I'm not allow because it because if I sign up with a prior to the two reasons -- -- -- If I sign up for the HMOs -- private contracts they -- me I'm not allowed to charge.
Blue cross blue shield Oxford United Healthcare I can't charge into -- -- I can only charge what they'll pay and Tom you know where they figure out what they have to pay.
From Medicare they look at what Medicare rates are.
And then they turn around and they'll only pay the same amount.
That's been true for a long time and -- more more regulatory committees coming in the independent Medicare advisory board under obamacare 33 new committees under Obama care.
More more regulations.
You know more and more services that are deemed not acceptable the less some going to be able to get done and the lesson going to be our.
They're counting on the fact that you guys and gals in medicine are there are under the hippocratic oath you're gonna you're gonna take care of the sick in the injured.
You said before and I've heard this from other doctors to that's it I'm getting out of the business -- retiring I'm gonna go do something else.
How many you think really well.
Well I think that less well than say -- well because they're stuck but I ask you Thomas -- the kind of got you want someone that's trained for.
And for an item number of years.
And has no choice but to stick whether it.
Under very unhappy situation where they have to work more more hours seem more and more patients in shorter amount of time get paid less for it and they can -- the tests they want but have nothing else to do.
Because they've been so super trained in one direction.
That's not how I want my doctor all right.
The most expensive medical tool is the doctors pan.
So there's no tort reform here.
There's no interstate competition here and there's nothing that drives down the cost of medicine all we're talking about is insurance premiums.
You -- a great point here.
Tort reform by the way I think it's much far reaching much more far reaching in the fifty billion dollars they always claim it is it's much more far reaching because it's a whole.
Culture of practicing medicine that's very defensive.
You just afraid of a suit even won a lifetime cripples doctors one loss of per lifetime so they've.
Busy ordering tests so that they won't get suit and then your other point that you brought up about portability is a total disgrace.
Because if we're gonna load up preexisting conditions we need -- insurance companies to be able to compete with each other.
But they can't because they can't.
-- up portable across state lines so whereas doctors can organize because of anti trust legislation.
Insurance companies get out of anti trust legislation and they -- and they don't have -- Go across they like I think it's really important that that -- gets changed portability would and competition and drive down premiums.
That maybe they will maybe -- work on the out of Washington I don't I'd probably -- I'm I'm over here fantasizing.
Doctor -- always good to get your opinion there is great to see -- --