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That the Supreme Court upheld obamacare we've seen big health care companies buying up smaller ones.
That includes a five billion dollar deal done earlier this week as -- bought Amerigroup.
The company from Washington is grace Marie turner with the health care think tank Galen institute.
-- you know it is this one of the positives out of obamacare could we see more it's more consolidation.
In certain areas of the industry.
Good morning -- what I think you're already are -- tremendous consolidation in the industry hospitals are buying up other hospitals they're buying up physicians' practices.
They're buying up pharmacy.
Management so in some ways yes the consolidation will help.
Generate economies of scale but I've also worried that we have so much consolidation.
That we wind up with not a competitive environment and it's much harder for the insurance companies negotiate.
Better prices with with the actual providers.
You know I -- afraid that their feelings you have for the stock market and perhaps those individual companies but not going to be great for -- for the patients and certainly.
I can't see that bending the cost curve down that matter at all.
Well but -- public -- published Charles -- that the traditional Medicare Medicaid fee for service program is a terrible program.
That's one of the reasons that people wind up having to spend five or six hours in hospital emergency room to see a doctor because they can't find private physicians -- -- -- so -- Managed care come -- companies like Amerigroup.
That was just purchased by WellPoint.
Can actually provide.
Better coordinated care access to actual physicians and it can be a good thing in the long run if the market -- -- that dictates this not Washington bureaucrats.
You know that said was this perfectly for the next topic because the shocking number 83% doctor said.
That they actually considered giving up private practice as a result of obamacare that's is -- a shocking number.
You know some people question organization -- put it out there but there's no doubt to your point.
Doctors that are probably gonna fully private practice.
No question in -- fair number of other surveys that show at least half of doctors -- sometimes more.
Are seriously considering leaving the practice of medicine.
When this -- takes full effect of 2014 because they do not want to practice Washington cookbook medicine.
All sorts of rules and restrictions and and requirements on how they have to practice medicine and their basics is saying -- -- I thought in this business to take care patients.
Not to answer to Washington bureaucrats these are Smart people they can find other jobs we see it as a a potential physician shortage.
Of well over a 100000.
Physicians just says.
Seventy million baby boomers are aging into Medicare we have a serious problem if we don't -- the practice of medicine more attractive.
We're gonna lose even more -- that's a serious serious problem.
I have a question for its Adam shipped here from here we try -- -- that what prevents.
Doctors who think that the whole system is just crazy from checking out saying I'm only going to be.
Private practice and it's going to be -- cash as we go or payment without insurance is it just to cost prohibitive to do that would have more doctors wanted to form groups that do that to get out of this bureaucracy.
They're actually at the company called indeed VIP and several others like that that help doctors.
Create what they called direct medical practices for -- patients pay.
Sometimes direct fees sometimes the monthly payments sometimes an annual payment maybe 15100 dollars.
Sometimes as -- as you know hundred dollars a month and the costs are lower aren't -- in those services hospital all of because they don't have all the bureaucracy most of these practices this -- insist.
That their patients have catastrophic insurance -- that if they have major medical incidents which they can't take care of the hospital official will be covered.
But it it's giving people access to physicians and these are by the way -- happy used positions.
In the medical practice today because they're able to totally.
Take care of their patients and not answer to private and public sector bureaucracy currently all the paperwork -- Grace Marie I have this thing -- since that morning the announcement you were looking as -- -- I was we just got thirty seconds left but.
Is there anything different that you -- now about this that you've had a little bit time to think about it.
You know that Justice Roberts and really eviscerate that this law now you have Medicaid optional and you have -- -- People given the option of purchasing health insurance are paying attacks.
They've of this right at the law it would have been so much better to strike -- -- -- still think this is going to be a huge huge issue in the November elections I expected to still come down grace -- -- thank you very much we appreciate it thank you --
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