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-- Affordable Care Act kicks in next -- in California is already bracing for impact yes more people will get access to health insurance.
But it turns out only sixteen of California's 58 counties have their required number of primary care positions that are needed.
Now some state legislators want to redefine who could treat patients -- having nurses and pharmacists pick up some of the slack.
So is this the future health care joining me now -- -- Assemblyman Roger Dickinson and fox business' owner Charles -- thanks to both of you for joining us.
A -- -- start with you oh gee this is the solution.
Well I do think -- fills the provider gap between what we know will be.
An extraordinary shortage of physicians as we cover more people under the under the ACA and the services that they're going to need to be.
-- so -- this is that part of the answer.
Charles you know addressing crazy about this is.
You know may be the best intentions.
Casey doesn't forget it the best intentions but you don't do them half.
-- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- We don't have nearly enough doctors -- -- -- doctors overnight and by the way they're not making that much money anymore and their insurance is so high that.
People I know don't want to become doctors this -- one.
This anecdotally there's a little off sidetracked when he -- running me.
I remember him as a kid and -- was.
Drive on highway whenever he saw a car car with a doctor's license plate it was always the best Carter road you -- nowadays they like to Toyota Corolla than the things like that but I -- pegged to the many point out sourcing.
That's -- I'm not sure you could even argue that this is unintended consequences you know there's a million articles written -- -- just almost as pure common sense Obama at thirty million people keep the same amount of doctors there won't be -- change the quality of care.
I gotta tell you something I wonder -- makers who think this is a good idea if they're gonna say okay you know what you take my doctors mr.
snow so an outlet the nurse provide -- -- -- my primary care.
This settlement are you are you getting pushed back on this I mean does it make people nervous or do they realize that you -- there's it's inevitable I mean I don't know what other solution that would possibly because there just aren't enough primary care physicians to go around.
You know I don't really think this is a question of of compromising the quality of care in fact we have.
Many health care professionals such as nurse practitioners optometrists.
-- -- very very competent capable and what we have done historically is actually limit them legislatively.
In terms of the services they can provide.
So I'm not concerned and fact about competent care.
Being provided by expanding the scope of practice for some of these professions.
The reality is we do face a shortage of physicians at least in the short and intermediate term but we have a way of meeting the need of making sure that those people -- That plays the president and first placed it where they not there for a reason I mean where they Whitney lives that didn't make sense.
In some cases yes I think that's I think that's true I think we have been narrowed the scope of practice in some instances without a real medical justification for doing that and what the implementation of the ACA room requires us to do is re examine whether there are some areas in which these other.
Health care professionals can confidently provide quality medical care.
-- -- -- -- -- listen with all due respect to the gentleman from California.
Is -- going to give up his doctor and let his pharmacists provide this care reform and it's it's so easy to say that say listen.
And I'm not trying to -- all of and there are some great nurses out there there may be some great -- is out there and other you know.
The bottom line those people want doctors whether it's all about the best medical care -- that the argument for obamacare in the first place wasn't that -- it was all about.
Now the bottom line is even before this we were gonna have a shortage because of all the old people.
We're putting a drag on the system the next twenty years I was -- going to be tough.
This is making it an unmitigated nightmare and it makes you wonder what other worst case scenarios could happen from obamacare that we're not talking about right now.
-- settlement doesn't take us further down the road through two tier system as well because he do you hear people who feel the way that Charles is speaking.
They -- gonna if they have money they're gonna pay to go see a top notch doctor and you with people who can't afford that.
Doing what when you don't -- whoever's available.
Now I think this concern is is completely misplaced.
The fact is that if -- want to personalize that I have.
I have great confidence in those two assist mind my doctor I have great confidence in my arms about this with in my opinion my fair and -- and so the so the point here is to make sure that we concentrate the medical.
Resources where their best applied and and most needed.
Not everything needs to be done by a doctor not every person needs to be seen by by a doctor okay and just as people have made adjustments to -- care and other changes in the health care environment.
This is something as long as for providing.
Quality care people will be fine but well thank you very elevated -- we can't cover people and not give them access to care now absolutely our assemblyman Charles -- thanks let's about the -- -- coming up come.