Inside Obamacare

By Dr. Joseph Rosin

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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.

Terry Trobiani owns Gianelli's Drive Thru in Prairie Grove, Illinois, where he put up a row of American flags for the Fourth of July. But the city claimed he was displaying two of them improperly and issued him a $100 ticket for each flag.

Terry joined Glenn Beck on the radio program Tuesday to explain what he believes really happened. He told Glenn that, according to city ordinance, the American flag is considered "ornamental" and should therefore have been permitted on a federal holiday. But the city has now classified the flag as a "sign."

"Apparently, the village of Prairie Grove has classified the American flag as a sign and they've taken away the symbol of the American flag," Terry said. "So, as a sign, it falls under their temporary sign ordinance, which prohibits any flying, or any positioning of signs on your property — and now this includes the American flag. [...] The only way I could fly the American flag on my property is if I put it on a permanent 20 to 30-foot flagpole, which they have to permit."

Terry went on to explain how the city is now demanding an apology for his actions, and all after more than a year of small-business crushing COVID restrictions and government mandates.

"COVID was tough," Terry stated. "You know, we're in the restaurant business. COVID was tough on us. We succeeded. We made it through. We cut a lot of things, but we never cut an employee. We paid all our employees. I didn't take a paycheck for a year just to keep our employees on, because it was that important to me to keep things going. And, you know, you fight for a year, and you beat a pandemic, and then you have this little municipality with five trustees and a president, who just have no respect for small businesses. And right now, what I see is they have no respect for the republic and the United States ... I think it's terrible. The direction that government, at all levels, have taken us to this point, it's despicable."

Watch the video below to catch more of the conversation:

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The Biden administration is now doing everything it can to censor what it has decided is COVID-19 "misinformation." But Glenn Beck isn't confident that the silencing of voices will stop there.

Yeonmi Park grew up in North Korea, where there is no freedom of speech, and she joined Glenn to warn that America must not let this freedom go.

"Whenever authoritarianism rises, the first thing they go after is freedom of speech," she said.

Watch the video clip below from "The Glenn Beck Podcast" or find the full episode with Yeonmi Park here:

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Most self-proclaimed Marxists know very little about Marxism. Some of them have all the buzzwords memorized. They talk about the exploits of labor. They talk about the slavery of capitalist society and the alienation caused by capital. They talk about the evils of power and domination.

But they don't actually believe what they say. Or else they wouldn't be such violent hypocrites. And we're not being dramatic when we say "violent."

For them, Marxism is a political tool that they use to degrade and annoy their political enemies.

They don't actually care about the working class.

Another important thing to remember about Marxists is that they talk about how they want to defend the working class, but they don't actually understand the working class. They definitely don't realize that the working class is composed mostly of so many of the people they hate. Because, here's the thing, they don't actually care about the working class. Or the middle class. They wouldn't have the slightest clue how to actually work, not the way we do. For them, work involves ranting about how work and labor are evil.

Ironically, if their communist utopia actually arrived, they would be the first ones against the wall. Because they have nothing to offer except dissent. They have no practical use and no real connection to reality.

Again ironically, they are the ultimate proof of the success of capitalism. The fact that they can freely call for its demise, in tweets that they send from their capitalistic iPhones, is proof that capitalism affords them tremendous luxuries.

Their specialty is complaining. They are fanatics of a religion that is endlessly cynical.

They sneer at Christianity for promising Heaven in exchange for good deeds on earth — which is a terrible description of Christianity, but it's what they actually believe — and at the same time they criticize Christianity for promising a utopia, they give their unconditional devotion to a religion that promises a utopia.

They are fanatics of a religion that is endlessly cynical.

They think capitalism has turned us into machines. Which is a bad interpretation of Marx's concept of the General Intellect, the idea that humans are the ones who create machines, so humans, not God, are the creators.

They think that the only way to achieve the perfect society is by radically changing and even destroying the current society. It's what they mean when they say things about the "status quo" and "hegemony" and the "established order." They believe that the system is broken and the way to fix it is to destroy, destroy, destroy.

Critical race theory actually takes it a step farther. It tells us that the racist system can never be changed. That racism is the original sin that white people can never overcome. Of course, critical race theorists suggest "alternative institutions," but these "alternative institutions" are basically the same as the ones we have now, only less effective and actually racist.

Marx's violent revolution never happened. Or at least it never succeeded. Marx's followers have had to take a different approach. And now, we are living through the Revolution of Constant Whining.

This post is part of a series on critical race theory. Read the full series here.

Americans are losing faith in our justice system and the idea that legal consequences are applied equally — even to powerful elites in office.

Rep. Devin Nunes (R-CA) joined Glenn Beck on the radio program to detail what he believes will come next with the Durham investigation, which hopefully will provide answers to the Obama FBI's alleged attempts to sabotage former President Donald Trump and his campaign years ago.

Rep. Nunes and Glenn assert that we know Trump did NOT collude with Russia, and that several members of the FBI possibly committed huge abuses of power. So, when will we see justice?

Watch the video clip below:

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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.