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.


Glenn Beck has been warning since last summer that you would not recognize your country in a year. Well, it's not even summer yet, and he says he already doesn't recognize the country.

Do you recognize an America in which people are making more money off government unemployment benefits than they can make by working, inflation is ramping up, housing, supply and labor shortages are widespread, and the current administration gives cybercriminals from Russia a free pass after the biggest cyberattack on our nation's infrastructure to date?

On the radio program this week, Glenn pointed out that while businesses all over the nation are downsizing, one brand store is actually booming — and it says a lot about the state of the economy and what it means for our country's future.

Watch the video clip below to hear more from Glenn:

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The largest American gas pipeline shut down on Friday due to what experts told the media was the "most dramatic cyberattack on U.S. soil to date." Investigators are looking at a group believed to be based in Russia known as "DarkSide."

It's time our leaders in the White House take national security seriously because this isn't the first time enemies of the U.S. — namely Russia and China — have used the cyber world to attack our nation and weaken our infrastructure, Glenn Beck argued on the radio program. Between Russia, China, and Iran — which President Joe Biden is now trying to make another nuclear deal with — it looks like the "Axis powers" of a "digital World War III" are lining up

"The journalists seem to care about the price of gasoline for the first time. Is it because they actually care? Or is it because they're trying not to focus on the fact that this was an attack most likely from Russia? And it isn't the first cyberattack from Russia of the year ... maybe we should be paying attention, to Vladimir Putin," Glenn began.

"And by the way, the pipeline going down, that's not the only [cyberattack] happening now," he added later. "Thirty thousand U.S. victims, small businesses and local governments, were hacked by cyber espionage units backed by the Chinese government in January of this year."

"There is an 'Axis power.' It is Russia and China. And, by the way, who is also aligned with Russia and China? Iran. Wow, this is weird," Glenn surmised. "But don't worry about that. Just leave your dog tags on another table. Let's not talk about China. Let's not talk about who actually crashed the jugular of our oil pipelines. I don't want war. But I got news for you ... this Biden administration is doing the job for our enemies."

Watch the video below to hear more from Glenn:


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Canadian clinical psychologist, author, and cultural firebrand Jordan Peterson is no stranger to cancel culture. Ever since he was thrust into the culture war, he has faced one controversy after another, stirred up by the woke elites who hate him with a passion. But although they have tried to make him pay for speaking out so fearlessly against their message, he refuses to back down and he believes you should, too. He joined "The Glenn Beck Podcast" this week to explain why.

"There is a growth of the reluctant hero in all stories ... so many people think that they don't have what it takes, that they're not the hero," Glenn said to Peterson. "How do you get people to recognize and then have the courage to stand? You've taken a beating ... why is it worth it and how do you get there?"

"I think it's worth it because I believe the alternative is worse ... to stay silent when you have something to say," Peterson replied. "You don't know what it is within you that requires your voice, right, because you feel like 'I have something to say.' Where does that come from exactly, that feeling that you have something to say?

"Maybe you're disgruntled at work and you're choking on your own bile because the situation is not just in your estimation," he continued. "You're dying to say something, but you won't. Well, you'll die if you don't say it. Maybe it's a death by a thousand cuts. I don't like deferred punishment. I'd rather take it now and keep the future clean, which is why I encourage people to have the fights now, not to hide things in the fog for later. They grow and metastasize. It's better to confront what you need to confront when it's small and you have some possibility of victory."

Watch the video clip below to catch more of the conversation, or find the full podcast with Jordan Peterson here:

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Top officials at the Federal Reserve are doing what they can to sugar coat what's ahead for our economy, telling Americans we may hit a "transitory" period of inflation that will settle by 2022. But Bank of America is saying something different. The bank's latest earnings call commentary warned "at the very least" transitory hyperinflation is ahead.

Watch the video clip below to hear Glenn Beck explain what this means for prices and for our economy.

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.