So, of course, after I tell you that I will diversify my topics, I start with a medical issue. One pet peeve of mine is the venom that some of my patients spew with regards to the new health care reform, which they derisively dub "Obamacare". The concerns expressed by my patients are that somehow, after the reforms take full effect, they will no longer have access to adequate medical care. What the patients don't seem to realize is that "Obamacare" has not gone nearly far enough to reform the system, and that the danger lurks where it always has been- with the insurance companies.
Case in point. One of my patients, who is employed but does not have health insurance, has a serious gastrointestinal problem that needs attention. He called me with great concern about his medical problem. He told me that he and his fiancee decided to get married in the next 2 days so that he could go on her medical insurance to take care of the problem.
In my hours of paperwork at the office, I am still dealing with insurance companies asking me medical information about patients that I have just seen. This is done not out of concern for them, but whether they can glean that they have a so-called "pre-existing" condition so as to deny them coverage.
Now I know that the health care reform bill is supposed to fix these problems in the future, but I have my doubts. So much of the reform is dependent on the cooperation and integration with states, that I am concerned that red state America, at least, will opt out. I am also concerned by the fact that the Federal Government has already given waivers to self insured entities such as Macdonalds so that they don't have to follow the new requirement to provide insurance to all children in their health care plan.
The issue, my dear patients, is not with "Obamacare", but with insurance care, especially the profit driven, cherry picking type of plans.