OK-SAFE, Inc. Blog

July 22, 2014

Appeals Court Deals Major Blow to Affordable Care Act

OK-SAFE, Inc. – Some good news about the Unaffordable Care Act.

From the WSJ Blog 7/22/14:

Appeals Court Deals Major Blow to Affordable Care Actby Jacob Gershman

A federal appeals court on Tuesday dealt a serious blow to the Obama administration’s implementation of its signature health-care law, striking down subsidies available to some consumers who purchase health coverage on insurance exchanges set up by the federal government.

WSJ’s Brent Kendall has more on the breaking legal development out of Washington:

The U.S. Court of Appeals for the District of Columbia Circuit, on a 2-1 vote, invalidated an Internal Revenue Service regulation that implemented a key piece of the 2010 Affordable Care Act. The regulation said subsidies for health insurance were available to qualifying middle- and low-income consumers whether they bought coverage on a state exchange or one run by the federal government.

The ruling potentially could cripple the Affordable Care Act by making subsidies unavailable in as many as 36 states where the federal government has run some or all of the insurance exchanges.

The court sided with challengers, four individuals and three employers, who argued the health law allowed subsidies only for insurance purchases made through state exchanges. The issue became an important one after the law was enacted because more than two-thirds of the states chose not to set up their own exchanges, relying on federally run exchanges instead.

 

 

January 20, 2013

Why Health Entitlements are “Broke” – G. Keith Smith, MD

OK-SAFE, Inc. – This blog post by Dr. Keith Smith is so good we are re-posting it here.  Dr. Smith is one the co-founders of the Surgery Center of Oklahoma, located in Oklahoma City.  This physician-owned facility is an example of the free market medicine –  see more about them here.

Dr. Smith objects to government involvement in health care, having a low opinion of so-called  “health care cartels”.  Also of note is the fact that his health care facility does not use those privacy-killing electronic health care records.

OK-SAFE applauds Dr. Smith for his stance and for working to expose the deceptive practices associated with so-called “health care reform”.

Jan. 18, 2013

Why Health Entitlements are “Broke” – by G. Keith Smith, MD

At the end of 2012, like the end of many prior years, physicians faced the draconian Medicare cuts, the threat of which has served to be one of the most effective fund raisers for politicians in history.  SGR.  Sustainable Growth Rate.  Calculation of what this cut might have been involves a complex series of factors, affecting some doctors more than others.  Some specialists were anticipating cuts of as much as 23% in pay.  Alas, the “Doctor Fix,” although temporary, arrived just in the nick of time, as sufficient contributions to the D.C. extortionists rolled in.

“Either we cut the doctor pay by up to 23% or the country might go broke!”  ”Cuts are inevitable.”  ”We will have to face this one of these days.” “There is simply no other way.”

Those of you who follow this blog know my thoughts on Medicare, indeed on any government involvement in health care at all.  However…..

Keep in mind several things.  Medicare pays the “not for profit” hospitals twice what is listed on our website for the same operations.  Hmmm.  How did this happen?  Medicare pays the local teaching hospital twice what it pays the physician-owned hospital for a joint replacement.   Hmmm.  Now my favorite.  Medicare pays hospitals for the services provided by their physician employees 40% more than for the same services provided by non-hospital employee doctors.  Hmmm.

I see not only a potential for savings, but a pattern.  This is without a doubt an assault on the private practice of medicine by the government, an attempt to drive physicians to be hospital employees, at once lining the pockets of the health cartel lobby and annihilating the remnant of doctors who take the patient-doctor relationship seriously, those doctors who are pushing back on further medical intrusion by Uncle Sam.  The buy-electronic-health-record-systems-or-else policy by Medicare is yet another move that has cut the net pay to physicians in private practice and a move that has brought many doctors to “throw in the towel.”

Click here for the rest of the post by Dr. Smith.

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