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.


Roger Stone is kind of a scumbag but the outrage over his commutation by President Trump has gone off the rails. Thus far in his presidency, Trump has commuted the sentence for 11 individuals while in comparison, Bill Clinton had 61. Even worse, Barack Obama commuted the sentence of 1,715 criminals! Just by the numbers, the outrage is insane. But then add in that both Obama and Clinton commuted or pardoned the sentence of terrorists and/or "friends" of the the president and the double standard is outrageous.

Here is a list of just a few of the worst offenders:

Bill Clinton Pardons/Commuted sentences

Terrorists

  • Commuted the sentences of 16 members of the FALN, a Puerto Rican paramilitary organization that set off 120 bombs in the United States, mostly in New York City and Chicago. There were convictions for conspiracy to commit robbery, bomb-making, and sedition, as well as firearms and explosives violations.
  • Linda Evans and Susan Rosenberg were both commuted and both were members of Weather Underground and the May 19 Communist Movement, and were convicted on weapons and explosives charges.

Case similar to Trump/Roger Stone

  • Susan McDougal was sentenced to 18 months in prison on contempt charges for refusing to testify about Clinton in the Whitewater scandal only to have Clinton pardoned her.

Pardons/commutations that look like a response to bribes

  • Carlos Vignali was convicted for cocaine trafficking. Almon Glenn Braswell was convicted for mail fraud and perjury, and was under investigation for money laundering and tax evasion. Vignali was commuted while Braswell was pardoned, but they were also both caught paying approximately $200,000 to Hillary Clinton's brother, Hugh Rodham, to represent their respective cases for clemency.
  • Marc Rich fled the U.S. after he was caught owing $48 million in taxes and was charged with 51 counts for tax fraud. Everyone was surprised when Clinton pardoned him. It was later revealed that Rich's wife made substantial donations to both the Clinton library and to Hillary Clinton's senate campaign.

Pardon for a member of Clinton's family

  • Clinton pardoned his brother, Roger Clinton, who had been convicted on drug charges. A year after the pardon he would be charged for Drunk driving and disorderly conduct.

Drug Cartel lawyer

  • Clinton commuted the sentence for Harvey Weinig, a former NY lawyer who was sentenced in 1996 to 11 years in prison for facilitating an extortion-kidnapping scheme and helping launder at least $19 million for the Cali cocaine cartel.

Obama Pardons/Commuted sentences - the most since Truman: Obama granted clemency to nearly 2,000 individuals, including 212 pardons and 1,715 commutations.

Terrorist

  • Obama commuted the sentence of another FALN terrorist, Oscar Lopez Rivera.

Traitors

  • Chelsea Manning: the former Army Intelligence analyst was convicted of leaking documents that revealed classified information on military and diplomatic activities all around the world only to have her sentence commuted.

Case similar to Micheal Flynn or Roger Stone

  • Obama pardoned General James Cartwright, who had been convicted for lying to the FBI (sound familiar?!). Cartwright was considered "Obama's favorite general".

On his Wednesday night special, Glenn Beck goes where the Left and the media don't want us to go. The protests, riots, pandemic — it's all one big distraction being weaponized to shield the Deep State from the big reveal.

The case against General Michael Flynn is bigger than a phone call with the Russian ambassador; it exposes everything. Glenn reveals multiple cogs in the Deep State wheel that tried to destroy Donald Trump's presidency.

This story has everything: secret meetings, spies, glamorous European locations. Glenn puts all of the pieces together and interviews the man who was an eyewitness to all of it — former Trump campaign adviser George Papadopoulos. Specifically targeted by this Deep State coup, his reputation and life may never be the same. He reveals the names of those he believes were behind his setup and the coup against the president.

Watch a preview of the full episode below:


Watch the full episode only on BlazeTV. Not a subscriber? Use promo code FIGHTTHEMOB to get $20 off your BlazeTV subscription or start your 30-day free trial today.

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The Washington Post wants Native Americans to hate the name "Washington Redskins" so badly that that it is willing to mock its own study that proved otherwise.

On the radio program Tuesday, Pat Gray and Stu Burguiere (filling in for Glenn Beck) discussed the "woke insanity" of the WaPo's most recent poll, which, like its 2016 counterpart, found that the vast majority of Native Americans are not offended by the NFL team's name.

Watch the video below for all the details:


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As the left tries to erase America's history and disparage nearly everything about our nation's founding, Glenn Beck set the record straight about the Declaration of Independence, what it really says, and why he believes it is the "greatest mission statement of all time."

On the radio program Monday, Glenn read something you've probably never heard before: a section of the earliest known draft of the Declaration of Independence, written by Thomas Jefferson in July 1776 and lost for more than a century and a half.

"This wasn't found until 1947; the original draft of the Declaration was found in a bunch of Thomas Jefferson's writings, in a box in the Library of Congress," Glenn said. "This takes everything that you have learned about Thomas Jefferson and turns it upside down. It also explains why we didn't eliminate slavery. It also explains that our Founders felt passionately about slavery, that they tried to end slavery. I want to read just this paragraph to you. This changes absolutely everything."

Watch the video below for more details:



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