I remember a much healthier and more competent public health system in California, before Obamacare. It started going downhill before that but this put the kabosh on it. My friend is an Obama supporter but she is in shock and can’t believe how bad it is!

So, this whole thing is a joke. A bad one.

It’s really very simple — the whole thing is a plot by the Indian Medical School Association,

The federal gov’t funds the residency positions for doctors.

But it doesn’t pay enough money for all the people that are graduating from medical school! And an MD must get through a residency.

The ACA did nothing to fix this. The USA needs more doctors and Obama did nothing on the supply problem and only made it worse.

Ask Zeke Emnanuel about this.

The general public would be shocked to know that about 30%+ of the tab is spent inside the ‘paper mill.’

0-care has a provision that mandates that the Insurance Cartel hold themselves down to 15%.

That’s an impossibly low figure.

It also ignores the tremendous paper churn that follows totally free health care for illegal immigrants.

Go to any central city ER and witness how LONG illegals spend at the counter getting their ‘records’ straight. If one applies appropriate overhead burdens to the clerks’ time it costs about $100 every time an illegal sits down.

(It’s nothing for them to burn up 40-60 minutes of clerk time on a visit. While the clerks aren’t paid large, their office space comes dear, very dear. Most ERs have 30-50% of their floor plan dedicated to super-clerking.)

Yet all of this has to be eaten by the Insurance Cartel… as in passed on to Whitey.

In racial terms, the only terms that Barry uses, 0-care takes from Whites and gives to Blacks — and Latinos.

Being innumerate, it has never occurred to Barry that he’s set up a system that simply HAS to implode… to go ‘Detroit.’

Open borders and a welfare state can only hold together for a brief moment, like any embezzlement.

The ‘kids’ that Barry is bringing in by the train-load are NEVER going to fit in.

The orphan grinder is making their teen years a total Hell.

This is best told in fiction: “Thief” — Frank/ James Caan explains to the adoption bureaucrat what it’s like to grow up in an orphanage. He has other words about surviving prison life and his ‘adopted father’ — Okla / Willie Nelson.

Barry is inflicting this upon uncounted thousands. His activist policy is to destroy families. Those sending their kids north have absolutely no idea what they’re getting themselves into.

They think they’re going to enter the set of “Dallas.”

Yet, most are destined for foster homes, prison, and penury — courtesy of our welfare state.

As to who would hire them? No-one. There are countless Latinos ahead of them in suitability — right now. And robots are destined to eliminate countless Latino jobs in the immediate future.

Barry is as ideological as any despot to precede him.

Cruel, too.

That’s horse crap on stilts. What it hurts is their ability to put a contract in front of a doctor or pharmacist with subsistence-level reimbursement rates and say “take it or leave it,” when “leaving it” is the same as committing business suicide.

Meanwhile, the insurance company just gets fatter on the “spread” between what they charge the payer and the pittance that they pay to the provider.

Who came up with that idea? Why, people who want to sell narrow networks to the public, that’s who.

“You’ll save money and it will all be fine because all doctors are the same, and all providers are the same.”

Meanwhile, the speaker goes to the elite physicians and either pays his/her own way or has employment-based insurance with wide networks. Narrow ones are for us peons.

But I’ve seen almost NO discussion of where the medical care itself is going to come from. We’re supposedly giving improved medical care to millions of people, without increasing the number of doctors, nurses, or specialists. It’s not possible. Depending on the obfuscation of the system, this problem will show itself in different ways (e.g. poor quality, long waiting times, small networks), but it WILL show itself, and no complaining about the details will help.

WTF??

Who came up with that idea? How insulting.

In the distant past I had a situation misdiagnosed by 2 doctors. A very serious misdiagnosis. I CARE about who I see for certain things. However for issues of lesser importance I am usually happy to see whomever.

These people make me sick.

The corporate people and bureaucrats just want to drive down costs (think PAs and nurse practitioners) AND capture all of the equity and profits by putting everyone on salary.