Inside Obamacare

By Dr. Joseph Rosin


Follow Joseph Rosin on Blogspot

The change is coming much more rapidly than I imagined. Independent physicians are starting to vanish, fast. Economics drives behavior. In the mid 1990’s, doctors merged with hospitals to form networks in response to the HMO plans. The percent of doctors who were independent, private practitioner began to drop. Patients generally disliked the HMO programs and insurance companies went back to a model which allowed more choice. Most of these networks fell apart.

Fast forward to today. In the L.A. Times, there is an article about the movement of doctors to affiliate with hospitals, again. (Link)

This is in direct response to the provision in the new healthcare legislation for Accountable Care Organizations. (Link)

Doctors are as concerned as anyone about making a living. They realize that current government policy does include the independent practitioner. HMO’s were encouraged by government policy which took shape in the 1980’s. (The history of corruption with some of these early plans makes for great reading)*. Today we have the Medicare advantage plans as a result. The insurance companies will not touch them unless they get 15% more from CMS than they pay individual doctors. It is not hard to see that the government favors big organizations as proxies to control doctors and health care.

All Americans should have entrée to medical care as a matter of social benevolence. It makes the world a little kinder and more comfortable for us. It is on par with food and shelter. It has become increasingly expensive to access a doctor, largely due to attempts at government control. The politicians’ will is to be in charge of the solution. The fewer players they have to deal with, the easier it is to control the distribution of medical care. This results in consolidation, monopolies, layers of management and regulation, none of which provide any actual care. However, expenses continue to increase before one patient is treated.

Resources are limited. Therefore, less should be spent on bureaucratic control. That is not likely, since history has proven otherwise. So, why not allow a parallel system to compete? There are doctors who are willing to risk themselves in the professional marketplace. The current system effectively does not allow it. The present health care market is not a free market. Doctors and patients are hemmed in by government policy (Medicare). If the patients want to contract with a physician outside of Medicare, the care prescribed (doctor visit, lab, x-rays, CT scans, etc.) are not reimbursable by Medicare. If the doctor accepts this contract with the patient, he or she will not be able to bill the government for any other Medicare patient for two years. Very few doctors can take that risk. The alternative to participation is dire, so the economic pressure is to join large organizations.

The systems that provide large institutional care (i.e. the VA, Kaiser-Permanente, ACO’s) have a place. The doctor as an employee is not new. What is new, and should concern all of us, who may need personal and compassionate care, is the lack of choice as to who employs our physicians. The institution or the patient? Along with the drive to provide universal health care, there should be a system that fairly and realistically leaves room for the individual practitioner. A doctor practicing independently, in a free marketplace, can provide professional services for a fraction of what a big box medical conglomerate has to charge. There should be room for patients and doctors to choose to contract for professional services and not be penalized. Choice in health care should be as universal as the availability of care.

*From the files of CMS:

HEALTH CARE FINANCING REVIEW/Fall 2000/Volume 22, Number 1; page 64

The following indicates the drama associated with this particular episode of Medicare managed care history. This is the text of the FBI international crime alert regarding the head of IMC: “In 1986, a federal government task force was established to investigate charges of corruption and fraud on the part of Miguel Recarey, Jr. Recarey was then head of International Medical Centers, America’s largest health maintenance organization. During its peak years, International Medical Centers received three-hundred sixty million dollars a year in U.S. government Medicare funds. In April 1987, the first indictment was returned in Miami, Florida, against Recarey and three co-defendants for conspiracy, bribery, obstruction of justice, and illegal wiretapping.” The IMC crisis for Medicare and for the Medicare enrollees of the organization was alleviated when Humana took over operation of the plan, which continues operating to this day. However, the image of Medicare HMOs was tarnished by the IMC experience for many years afterwards.

For the full report click here.

Note: Recary remains living in Spain today. The U.S. Government has not been able to extradite him.


This MUST be why Trump (allegedly) had NUCLEAR documents at Mar-a-Lago

Photo by (Left) Win McNamee/ (Right) Bettmann /Contributor/Getty Images

According to the Washington Post's "anonymous sources," the FBI was looking for documents related to nuclear weapons during its raid of Mar-a-Lago.

Who could have guessed what Donald Trump did with those documents (never mind that he allegedly had them for over a year before the FBI actually did anything)? And who knows why they were searching through Melania's drawers for such top-secret information? Also, isn't it interesting that even after both Attorney General Merrick Garland and Donald Trump asked for the search warrant to be unsealed, only this very unspecific and very damning bit of information was "leaked" to the Washington Post? And just a few months before the midterm elections?

Since the DOJ still hasn't told us much (what was leaked to the media), Glenn did his best to present a few "theories" of his own on "The Glenn Beck Program" Friday. Watch the video clip below to hear more from "The Glenn Beck Program." Can't watch? Download the podcast here.

Want more from Glenn Beck?

To enjoy more of Glenn’s masterful storytelling, thought-provoking analysis, and uncanny ability to make sense of the chaos, subscribe to BlazeTV — the largest multi-platform network of voices who love America, defend the Constitution, and live the American dream.

New details emerge about Trump raid — and 'it doesn't look good for the FBI'

Photo by Eva Marie Uzcategui/Getty Images

New, alleged details about the raid of former President Donald Trump's home at Mar-a-Lago hint that it's "not looking good for the FBI," said BlazeTV host Glenn Beck on the radio program Thursday.

Trump has faced attacks from every direction, but despite all of it, he has "not been found guilty or had any kind of real, solid evidence against him," Glenn pointed out.

Glenn detailed a long list of investigations, accusations, and lawsuits against Trump, and the latest puzzling revelations about the FBI's raid of Mar-a-Lago, which only seem to raise even more questions. For example, did agents truly refuse to give Trump's lawyer a copy of the warrant upon arriving at the home? Because sources have alleged that his attorney was kept "10 feet away from the warrant" and was not allowed to actually read it. If that's true, then it was absolutely against the law.

Then there was the inordinate amount of time spent going through Melania Trump's closet. And did they have the proper authority to break into Trump's safe?

"That warrant had better damn well say that they can break into that safe because the law is, you can't go into somebody's house and ... just tear it all apart," Glenn said. "You have to have a pretty good idea of where things might be located, and you ask for permission for those areas. And you have to know exactly what you're looking for, and if it's in a safe, you need to specifically say, 'it's in a safe and we're having a safe cracker come in.' If they didn't say in the warrant that they could crack his safe, it's the fruit of the poisoned tree. By the way, there was nothing in the safe."

Glenn also explained that the FBI broke into a specific "safe room" that contained national archives, which Trump was allegedly told by investigators to keep in a locked room.

"[Trump] made a safe room, and put two locks on it, at their request. And that's what they broke into," Glenn said. "This doesn't look good for the FBI," he added.

Watch the video clip below to hear more from "The Glenn Beck Program." Can't watch? Download the podcast here.


Want more from Glenn Beck?

To enjoy more of Glenn’s masterful storytelling, thought-provoking analysis, and uncanny ability to make sense of the chaos, subscribe to BlazeTV — the largest multi-platform network of voices who love America, defend the Constitution, and live the American dream.

There’s an economic axis of evil taking shape right now, and the people in charge of our government are too stupid to acknowledge and deal with what’s happening. The U.S. dollar and the entire financial system are at stake, and, as Glenn Beck reveals on "Glenn TV" Wednesday, our enemies’ PUBLISHED plans to take the entire thing down.

While all of this is happening, our own leaders are making everything worse. We’ve got Nancy Pelosi risking an international incident, accelerating China’s plans to collapse us. And when Biden SHOULD be focusing on the security of our country, he’s instead preoccupied with controlling the weather with his Inflation "Reduction" Act.

Glenn exposes the TRUE numbers on what that bill will do to your family’s budget. Add to that, they’re more than doubling the IRS to make sure you feel the pain. And if you think they won’t come for you, look at what they just did to the former president of the United States. The DOJ and FBI just went after the political opponent of their boss, Joe Biden.

This is what they are focused on, and the threat to the dollar — and the entire financial system — isn’t even on their radar. Pain is coming for us, and they don’t care one bit.

Watch the full episode below:

Want more from Glenn Beck?

To enjoy more of Glenn’s masterful storytelling, thought-provoking analysis and uncanny ability to make sense of the chaos, subscribe to BlazeTV — the largest multi-platform network of voices who love America, defend the Constitution and live the American dream.

Speaking before signing the “PACT Act of 2022” on Wednesday morning, President Joe Biden claimed that his wonderful economic plan "is working" and that somehow July’s annual inflation rate of 8.5% was actually “zero.”

“I just want to say a number: zero. Today we received news that our economy had 0% inflation in the month of July,” Biden said during a ceremony in the East Room of the White House.

White House press secretary Karine Jean-Pierre dutifully echoed the president's not-at-all misleading claim:

The truth of the matter is that last month's inflation rate of 8.5% was a (small) step in the right direction, but only because it was lower than June's 41-year high of 9.1% — and the thing is, anyone who's graduated kindergarten knows it.

So, who do White House personnel think they're fooling? On the radio program Wednesday, Glenn Beck and producer Stu Burguiere broke down how the Biden administration came to this latest disingenuous conclusion about the economy, what the latest consumer price index actually shows, and why the inevitable Biden brag-fest will be unbearable.

Watch the video clip below. Can't watch? Download the podcast here.

Want more from Glenn Beck?

To enjoy more of Glenn’s masterful storytelling, thought-provoking analysis, and uncanny ability to make sense of the chaos, subscribe to BlazeTV — the largest multi-platform network of voices who love America, defend the Constitution, and live the American dream.