#1 Florida doesn't have enough doctors for Medicaid expansion, lobby group says
02-24-2013, 10:07 AM
- Join Date
- Mar 2002
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February 22, 2013|By Kathleen Haughney, Tallahassee Bureau
TALLAHASSEE Brace yourself for longer lines at the doctor's office.
Whether you're employed and insured, elderly and on Medicare, or poor and covered by Medicaid, the Florida Medical Association says there's a growing shortage of doctors — especially specialists — available to provide you with medical care.
And if the Florida Legislature goes along with Gov. Rick Scott's recommendation to offer Medicaid coverage to an additional 1 million Floridians — part of the Affordable Care Act that takes effect next January — the FMA says that shortage will only get worse.May the FORCE be with you!
02-24-2013, 10:42 AM
Yes. Its unfortunate but it seems that once youve sipped some of that Washington inside the beltway tea, you can never 'go back'. Just ask Rick Scott.
Liberalism is just communism sold by the drink.
02-24-2013, 01:17 PM
- Join Date
- Mar 2010
Things need to change and I don't mean that in a general hippie sense. My doctor doesn't use email at all. I would imagine that there is no payment mechanism for email. However, there needs to be. There is no reason for me to see my doctor as often as I do. I could get the bloodwork at the lab and stop by for vitals from a nurse, and then get an email from the doctor saying, "Your BP is good, your calcium is a little low increase supplement to 1800mg/day and we'll get new bloodwork in six months. Have a nice day."
I take my mother to the doctor (for old age and COPD) three times a year, and two of those visits could as easily be done by a nurse.
Meanwhile, the man who was in the room with me at the hospital was costing the taxpayer much more than he would have if he had been able to get regular management for his diabetes and kidney issues. Because he wasn't getting care until his kidneys had failed, he had to have a dialysis chest catheter put in (dangerous and expensive and requires hospitalization), his arm prepared for future dialysis, and spend weeks in the hospital until he was ready for release and outpatient dialysis. That simply does not make sense. Yes, it would have been cheaper if he had died, but as at least two people came to see him while he was there (I would have guessed he was homeless but apparently not) then obviously it would matter to someone.
We have money for the damnedest things. We apparently have 50 million dollars for a new pier that is boring and useless. Many major cities in the US appear to have gazillions to give away to sports teams, even in dying sports like baseball. We can funnel billions of dollars to agribusiness, energy companies, enemy nations, rathole social institutions, etc...
But in healthcare the argument keeps coming back to those darn people who don't deserve it.
02-25-2013, 11:44 AM
About 15 million Floridians have health insurance today, and Obamacare, which requires most adults to have coverage by January, could add as many as 2.5 million more. One million would come through a potential expansion of the federal-state Medicaid program that Scott announced this week he was backing. The others would be the result of new mandates requiring employers and individuals to have insurance or be fined.
Currently, the state has 44,804 doctors, but about 5,600 of them are expected to retire in the next five years. And even though Florida has opened three new medical schools in the past dozen years, the state isn't producing as many doctors as it needs. Scott's budget this year has $80 million to fund programs to train 700 new residents a year, in hopes they'll remain in the state.
So, let's do the math, shall we? Fifteen million divided by 44,804 is a patient doctor ratio of 334:1. Assuming the retirement and residency numbers hold, the ratio changes to 17.5 million divided by 42,304, or a ratio of 414:1. No matter how the doctors are managing their time, the ratio of patients to doctors is still going to rise. Nothing charitable need be assumed about it, it's just math. When you increase the number of patients in the pool, and decrease the number of doctors, you get a shortage.
02-27-2013, 03:01 PM
Up north, we call Florida "Heaven's waiting room".
You would think they would have enough doctors, with all those old folks down there.
02-27-2013, 03:08 PMThe difference between pigs and people is that when they tell you you're cured it isn't a good thing.
02-27-2013, 03:32 PM
- Join Date
- Jun 2008
So, why aren't those visits handled by a nurse or nurse practitioner or physician's assistant? What do the laws, state and federal, say about who can see a patient? Does Obamacare authorize substitutions? Or does it just assume, like you, that the fault is the doctors' failure to manage their time?
The waste of money in one area doesn't justify wasting it in another.
02-27-2013, 03:38 PM
- Join Date
- Mar 2010
Hospitals around here advertise for patients. Palms of Pasadena is advertising dangerous bariatric surgery and giving away one in a promotion. HCA West Florida spends a fortune on advertising how accessible their emergency rooms and obstetric practices are.
This does not appear to be an overburdened system. I'll let you know when the TV commercials and billboards come down.
02-27-2013, 04:03 PM
My dad and his wife live over on the Gulf side of the state and neither one of them has any trouble seeing their doctors. My dad also can go to Bay Pines for treatment of his polio-related issues, if the local doctor is too busy to see him.
02-28-2013, 06:51 PM
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