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View Diary: Obamacare Application, Unveiled Today, Full of Win (202 comments)

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  •  "fedeal health clinic" sounds like "death panels" (25+ / 0-)

    Where exactly are these "clinics". Are they going to be built by FEMA by any chance?

    We knew that the private sector was still involved in delivery of health care and that is part of the problem with the ACA.

    That said, the hospitals are not going to be collecting from poor people, they'll be collecting from Medicaid as those people will now be covered under that program. If they aren't covered, then it'll be like it is now and the taxpayers and those with insurance will pick up the tab along  with the hospitals.

    There are other parts of the law that would also suggest that what you claim may not be how it will go in general.

    The politicians may be bought, and the system corrupt, but it is our duty to fix these things.

    by sebastianguy99 on Tue Apr 30, 2013 at 09:56:20 PM PDT

    [ Parent ]

    •  I agree-no such thing as a "federal health clinic" (26+ / 0-)

      I am an MD and no one has heard of such a thing. If no docs, then no clinics.

      However, if they did want to expand VA Clinics to more patients, would not be such a bad thing. Isn't it amazing we have federalized single-payer healthcare for our veterans and really no one complains.

      Seems these ACA forms have things off to a good next step.

      •  RNs trained in master's programs to run clinics (2+ / 0-)
        Recommended by:
        praenomen, CuriousBoston

        My cousin is doing this. He will eventually run a clinic on his own.

        And my info is from academic studies and reports.

        A society grows great when old men plant trees in whose shade they know they shall never sit.

        by bronte17 on Wed May 01, 2013 at 08:49:01 AM PDT

        [ Parent ]

        •  You are closer to the truth than you (0+ / 0-)

          can would be eye-opening if most people could hear what is being taught in medical classrooms at the moment. Even college professors are screaming at their students to wake up before it's too late...but they just don't get it.

          •  I'm sure you could repeat this info (3+ / 0-)
            Recommended by:
            Amayi, howarddream, sethtriggs

            without breaking any confidences. Please do.

            Let us all have the strength to see the humanity in our enemies, and the courage to let them see the humanity in ourselves.

            by Nowhere Man on Wed May 01, 2013 at 10:57:14 AM PDT

            [ Parent ]

            •  In general terms, they're telling students (0+ / 0-)

              that we're all getting royally screwed and if we don't start fighting back, then we're going to discover that we've been had, but it will be too late.

              Many of the professors are saying that they have become healthcare activists because of what they see happening in the medical field (especially to elderly people).

              But what is more amazing is that they are affirming the information that teacherken posted on this site when he said that students entering college now are unprepared for academic studies. They have literally been screaming at them that they don't have critical thinking skills. In other words, the conservatives have managed to dumb down America to the point that our students are in serious trouble. They won't be able to compete.

        •  Still need an MD involved somewhere (1+ / 0-)
          Recommended by:

          I think nurse practitioners and physician assistants are very useful for providing medical care, though there are limits.

          "Minute Clinics" or similar are fine for simple issues. However, anything more complicated needs MDs involvement.

    •  Community Health Centers and Free Clinics (20+ / 0-)

      have been around for forty years. In many cases they are privately funded using new markets tax cuts and neighborhood synergy allowing them to go to banks for loans which the banks can write off in return for the private non profits tax breaks.

      Hospital Free care pays the costs of poor people in a close approximation to universal comprehensive single payer. The costs are passed on by the Hospital to a combination of Medicaid, Insurance  and privately funded charities and philanthropies so that there is more than one payer but it is universal and comprehensive.

      Live Free or Die --- Investigate, Incarcerate

      by rktect on Wed May 01, 2013 at 12:58:57 AM PDT

      [ Parent ]

      •  Hospitals and the CEOs are not the Mister Nice Guy (2+ / 0-)
        Recommended by:
        praenomen, rktect

        that so many people imagine them to be.

        And Mayo Clinic itself ran a program and study which demonstrated that health care costs can be significantly reduced when the doctors and CEOs are NOT personally vested and affiliated with the capital equipment/pharmaceuticals/special hospital wings.

        That's a Texas thang down there in Houston to suck folks dry.

        A society grows great when old men plant trees in whose shade they know they shall never sit.

        by bronte17 on Wed May 01, 2013 at 08:53:46 AM PDT

        [ Parent ]

        •  I'm able to see both sides (0+ / 0-)

          Hospital administrators tend to be assholes more concerned with the bottom line than providing care, and doctors are often asked to give their research grants to the hospital in return for labs. Its the administrators job to identify the funding before agreeing to build a bone marrow transplant or cardiac catheterization, or infectious disease wing.

          Doctors then turn around and demand some pretty fancy lab equipment, autoclaves with their own steam generators and stainless steel piping to wash petrie dishes for example. That's the sort of thing which tends to make hospital healthcare expensive.

          There are also doctors who aren't internationally famous, who don't have their own research labs, who donate time to provide the services of a specialist to community health centers and there are lots of hospitals who allow CHC's to come to them for their lab work and diagnostics.

          As far as affordable healthcare and free care go, its awful nice to be too poor to afford insurance and get your cancer care paid for by a system that medical professionals put in place precisely to get around the insurance company parasites.

          Live Free or Die --- Investigate, Incarcerate

          by rktect on Wed May 01, 2013 at 03:31:13 PM PDT

          [ Parent ]

    •  you do know states are... (3+ / 0-)

      ...cutting medicade coverage left and right now.

      We Glory in war, in the shedding of human blood. What fools we are.

      by delver rootnose on Wed May 01, 2013 at 01:34:13 AM PDT

      [ Parent ]

    •  It is how civilized countries do things (1+ / 0-)
      Recommended by:

      healthcare administration largely centralized at the national level. Much simpler much fairer.

    •  My doctor's office is a "federal health clinic" (7+ / 0-)

      A large percentage of primary care practices are federally qualified health clinics. In rural areas and inner cities, almost all of them are.  

      You will be required to have a primary care physician.

      If you are poor, the offices that receive federal funding to subsidize care for poor patients are the federally qualified health clinics. Practices that chose not to participate in the FQHC program probably won't accept you, but you're unlikely to live in the tony zip code where such a practice is located, anyway.

      Someone is doing some serious "ooga booga" framing here. There's nothing scary about a federally qualified health clinic.

      •  Well then it is not your doctor's office is it? (0+ / 0-)

        This isn't about subsidies, The comment said that there were going to be "federal clinics", not clinics that rely in part on federal subsidies. There is a big difference as one is entirely publicly owned and the other is private but takes public funds.

        I too rely on a local clinic for my care and I'm sure federal money is part of how they stay in business. I am also quite aware of the difference between my clinic and where I went when I had insurance. They are not the same though they both have monies from the public purse.

        I hope we can agree that the public is not well served by misinformation not matter the source or motivation, if any.

        The politicians may be bought, and the system corrupt, but it is our duty to fix these things.

        by sebastianguy99 on Wed May 01, 2013 at 12:46:40 PM PDT

        [ Parent ]

        •  The comment was full of shit (1+ / 0-)
          Recommended by:

          The commenter to whom I replied was using fear-mongering language to describe exactly the kind of office in which my primary care physician works.  

          He has been working from the same office for more than a decade. He is the same doctor I have been going to during that time. A bit over a year ago, his office filled out some paperwork and added some administrative procedures, and voila(!) it is now a FQHC. There is literally no difference in the care I receive or the physician I use, but people in town who are currently uninsured will now be able to use his office and get subsidized insurance coverage.

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