It Appears the Age of Obamacare Has Dawned!

The doc may be in but you'd best bring cash -- even if you're on Medicare/Medicaid!
The doc may be in but you'd best bring cash -- even if you're on Medicare/Medicaid! | Source

A New Day Has Dawned?

Having experienced a most interesting, not to mention humiliating experience in an ophthalmologist office recently; I’d like to announce: Folks, get ready, whether or not Obamacare is in effect now (or even parts of it) or not there’s definitely changes being made by medical practitioners in preparation for it. I’m not talking about the docs that are leaving their practices by the dozens (and who can blame them?) but about those planning to stay in the medical business.

To make a long story even longer, here’s a bit of background. I’ve had a hole in the macula of my left eye for years and in point of fact am considered legally blind in that eye. I consider myself way too old to endure the surgery required to fix the hole (the docs say it’s as big as it can get so don’t worry about the hole getting larger) so I’ve just dealt with it. I see light and shapes with that eye but everything appears to be in the shape of an “X” – in other words the middle of my sight disappears entirely. I had cataract surgery on the right eye in 2005 and it does just fine – which is a good thing as it still permits me to drive, read, etc.

I’ve been aware the bad eye has a cataract on it but it wasn’t until the last year that the cataract became a problem – the problem being my depth perception is now non-existent in the left eye and I’m told that part is due to a cataract. True, cataract surgery will not correct the hole in the macula of the left eye but it will give me a bit more distinct “seeing power.” Also, with age, one becomes more aware of what might be needed in the future and I began to think about injury to the good eye and what would I have left – not much! So, reasoning it was time to get the cataract removed from the bad eye I sallied forth to arrange for cataract surgery on the left eye.

I made an appointment with an opthamologist in East Texas as he had a wonderful reputation (of which I’d been aware for years) and I could stay with my significant other the couple of days required to recover from the surgery and pay a follow-up visit to the doc after the procedure. As I was familiar with cataract surgery, had Medicare and Medicaid, I proceeded to the doc’s office for my appointment believing myself to have all my ducks in a row.


This part of the eye exam is now an extra fee in some optometrists/opthamologists offices and may also require up front payment --  so be ready for it. It's called a "refraction fee."
This part of the eye exam is now an extra fee in some optometrists/opthamologists offices and may also require up front payment -- so be ready for it. It's called a "refraction fee." | Source

The arguments begin...

I presented all my documentation to the lady at the front desk in the doc’s office and while she was copying everything I noticed a sign on the counter stating ALL patients were required to pay $140 in cash prior to treatment as of 2012. Now, I found this odd as when I’d made my appointment I had verified the doc accepted Medicare/Medicaid. Those two cards indicate no up-front money is required, etc. I questioned the charge for several reasons. First and foremost, I’ve never had to pay any monies up front to any doc that accepts Medicare/Medicaid and secondly – most people on Medicare/Medicaid do not go around with $140 in cash on their person.

My query posed a huge problem for the front desk lady and she promptly pulled out several books and began checking out her information/instructions. She finally ascertained that since I was a QMB Medicaid patient I didn’t have to pay the $140 cash but would have to pay a $20 cash “refraction fee.” I then inquired as to what a “refraction fee” was. A refraction fee is what one has to pay that is going to take the test for a prescription for glasses – you know, which line can you see on this chart and which is clearer to you (frame number one or frame number two?) I assured her glasses were not in my future as the right eye saw just fine and I was only there to arrange for cataract surgery on the left eye.

She rudely informed me whether I needed glasses or not didn’t matter; the refraction fee was mandatory for all patients. It was at that point – and thank heaven I kept my temper under control – I informed her I was not only not going to pay for something I didn’t need but I wasn’t even sure her demands were legal as far as Medicare/Medicaid were concerned and I felt there was a strong possibility this whole check-in process wasn’t on the up-and-up. With that I requested my documentation back and also the copies she’d made of my cards. She gave me the cards but refused to give me the copies she’d made.

Dear hearts, that was the last straw! I assured her, since I would not be receiving services from her doc or her office that she had no need whatsoever for copies of my private documents. She still adamantly and rudely refused to give me the copies at which point I insisted she call her office manager to her desk. When the office manager arrived she explained to me, very coldly, that it was office regulations that all copies of documents made in the office went in their folder whether or not services were administered. I assured that lady I was familiar with office procedures in doctor’s offices after 20 years in the legal field and either she would give me the copies back, shred them in my presence or hear from my lawyer. We all three finally agreed the office manager would shred the copies in my presence and that’s what happened.

So, what’s this story all about, you ask? The answer is simple. Patients on Medicare/Medicaid, to my knowledge, have never been asked to provide money up front. The doctor renders services, presents his bills to the government, Medicare pays their part, Medicaid pays their part and if there’s any balance left the patient is billed directly by the government and required to pay that balance personally to the doctor or whomever it is owed. The head’s up here is all that’s apparently changed. If I’d gone along with the doc’s office requirements I’d have been out $160 right out front, the government would never have known about it and paid the bills presented by the doc -- never knowing the doc got $160 off the top of the whole deal.

The conclusion being: This doc, although claiming to accept Medicare/Medicaid patients, in truth doesn’t want those patients. His front desk lady tells these patients “of course we accept Medicare/Medicaid patients” to get them in the office and then those patients are hit with additional fees from every side – and very few will have enough money on their person to complete registering whether they need surgery, glasses, etc. Some, who can, will go to the bank, get the cash and come back. Most don’t even have that kind of reserves so they’ll just leave and forget it. For the doc it weeds out patients he doesn’t want and assures service for those he can charge whatever he deems right – and with a little research since this incident I’ve found he charges regular pay patients exorbitant fees. Well, who can blame him? With Obamacare on the horizon and part of it already in place prudent doctors better find a way to keep making a living and Medicare/Medicaid patients aren’t high on his list.

I have, since that visit, found that the “refraction fee” is legal and Medicare/Medicaid DOES NOT pay for that part of an eye examination. However, most docs just wrap it up in their other charges and aren’t so bold about it. Fact is, I thought that was just part of what one paid for when seeking services from an eye doctor so how wrong could I be?

Oh, in conclusion, when I got home I had a letter in my mail box from the powers that be at Medicaid (which I've had for 10 years and used twice). They were writing to announce that my Medicaid benefits were cancelled (although nothing has changed in my life -- finances or income) and I'd better find some supplemental insurance to replace it...and there you have it...the age of Obamacare has already dawned (at least for one old lady)!



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Comments 38 comments

WillStarr profile image

WillStarr 4 years ago from Phoenix, Arizona

Nothing is ever the same once government gets involved, and the difference is never for the better.

Do you know when medical care costs first spiked? With the advent of Medicare!

No surprise there.


Angela Blair profile image

Angela Blair 4 years ago from Central Texas Author

Ah, Will --'tis true. It would have been immensely helpful to me if I'd had any inkling of what had changed, etc. -- and I read everything I receive from the government very carefully -- so this is what's happened while the government was doing a "watch this hand" and I was watching that hand. I'm curious as to what and how much has already changed without the knowledge of the general public? Yep, I know Medicare changed the whole landscape of medical care costs -- and will change even more if Obamacare becomes the law of the land. I don't think it'll matter what seniors do or don't have in place -- we're expendable anyway in that scenario. Thanks so much for your astute comments. Best/Sis


Au fait profile image

Au fait 4 years ago from North Texas

An unfortunate story. Patients have had to pay up front before their appointments at the medical office where I go for a couple of years already. I'm really sorry you had so much trouble. While you kept mentioning ObamaCare, I didn't see any explanation as to how ObamaCare is responsible for your bad experience.

From what I can tell over the last few years -- even before Obama was elected -- doctors have gone the way of many lawyers -- anything for a buck. It's been a long time since I've seen a doctor that cares about anything more than getting your money.

For the $135 I had to pay at my last visit less than 3 weeks ago, I got to see the doc for about 5 minutes and he made sure I didn't have a chance to mention anything he might have to deal with.

I've noted for years now that if a person has more than one medical complaint, doctors like you to come in and pay their office call fee once for every complaint. So if you have 3 complaints, they will only deal with one per office call, and may require additional visits beyond just 3 in order to milk each complaint for all it's worth.

Hope you have not given up and will get the treatment you need for your eye.

Interesting hub. Voting you UP and interesting.


Angela Blair profile image

Angela Blair 4 years ago from Central Texas Author

Thanks for your astute comments, Au fait. My point on Obamacare is just that doctors are already covering themselves in preparation for it (at least that's what I was "indirectly" told at this doc's office). The eye doc had never gone that "upfront" route before but realized if he's going to stay in business he'd better start now. I've never, as a Medicare/Medicaid patient incurred any upfront costs although I know they're common place for either regular insurance or self-pay patients so the whole thing was alien to me. Granted, I'm pretty healthy and rarely go to any doctor for any thing so I could be way out of date as to what's going on daily. My eye isn't life threatening in any way so will just deal with it until I can do something else. Again, appreciate you commenting and the vote! Best/Sis


shiningirisheyes profile image

shiningirisheyes 4 years ago from Upstate, New York

Angela - Its scary, isn't it? I can't understand why other countries can provide their citzens free health care but ours can't. But that has its drawbacks as well.

I commend you for thinking on your feet and handling what was, I can only imagine, a frustrating patience-esting ordeal.

I ran into this situation once when my Mother had taken several trips in a short amount of time, always ordering shellfish. Her feet swelled up (we found out it was the steady shell fish diet)and my sister and I took her to an on-call as it was the weekend. Long story short, they wanted to run a battery of tests she has just completed, not a week before. We had handed them over at the reception desk and they weren't going to give them back. My sister and I worked as a team. In the examining room, I told her to bring Mom to the car while I handled the test results retrieval. Needless to say, they handed over Mom's test results.

Glad you shared this and I gave my Mom the heads-up as well.


Author Cheryl profile image

Author Cheryl 4 years ago

All insurances including medicare and medicaid are not footing the entire bill anymore. This happened way before Obama. The patients are responsible for their 20% and it doesn't matter what insurance you have. Obama care does not and has not went in to effect until 2014. Maybe your other doctors because you have been a long time patient have just waived those fees for you but there is not insurance company be it Medicare/Medicaid/ BCBS/ Humana etc are not footing the entire bill anymore. Im sure if you call medicare they will explain this to you. Im also sure that your medicaid was not canceled because you visited this doctor. Medicaid is becoming very strict with who they are insuring and most will only get share of cost which means you have to pay your share. Its really up to the insurance companies how much they will pay not the doctors and they are getting tired of not getting paid for their services.


Angela Blair profile image

Angela Blair 4 years ago from Central Texas Author

shiningirish eyes --good for you and your sis. If we don't stand up for ourselves (or our kids don't pay attention) there's too much that goes wrong these days for seniors -- and unfortunately, everyone else, too! Guess it's head's up for all of us! Thanks so very much for commenting and sharing your experiences with the rest of us. Best/Sis


Angela Blair profile image

Angela Blair 4 years ago from Central Texas Author

Author Cheryl -- appreciate you commenting, however we disagree on some points (1) Medicare/Medicaid was still "footing the entire bill" within the last two weeks so if that's changed it's been rather sudden (2) I've never, ever paid 20% or any other percent in the 10 years I've been under Medicare/Medicaid (although I'm in good health and have to use it rarely) (3) I'm not a long-time patient of any doctor as have only been to the doctor twice in the last two years and each time it was a different doctor at a clinic (4) I never said my Medicaid was cancelled because I visited this doctor (6) there were no " insurance companies" -- as in BCBS/Humana, etc. involved with the visit to this opthamologist at all (7) I've no problem with "paying my share" but want to be advised that will happen in advance so I'm prepared when I go to a doctor's office (8) if one reads the Bill there are already parts of Obamacare working, alive and well (9) I'm smart enough to telephone Medicare if I need an explanation from them and (10) I appreciate all doctors do for all of us and want them to make a living, too. As far as doctors being tired of not getting paid for their services -- several are close personal friends and none of them appear to be suffering from malnutrition or lack of funds for anything they want to do. There are those among us who stay well informed as to what our benefits cover, when, how and by whom and I make it a point to be one of those people. I'm grateful for my benefits and use them prudently, selectively and study every resulting bill carefully. So far, studying each bill has saved the government a little over $1,000 for services I couldn't even identify much less received. Two doctors are now billing Medicare/Medicaid more prudently because of my attention to such details. The attitude that anyone on Medicare/Medicaid is uneducated, stupid, a deadbeat and only looking for a free ride is a misconception shared by many and easily identified. I do not fall within that definition in any way. This Hub was written as things have changed/are changing daily and we all need to be aware and keep up and was not intended to garner a lecture, sympathy or instruction. Thanks again for stopping by. Best/Sis


MikeNV profile image

MikeNV 4 years ago from Henderson, NV

Medicare is a JOKE! Doctors are not required to take it of course so if you find a good one you must pony up or just go home and suffer.

Medicare Reimbursement is a very slow and expensive process requiring a mountain of paperwork.

Obamacare proposes cutting Medicare Payments to Physicians even further. In effect they are telling the Doctors to take on more patients and a big cut in pay. There is already a shortage of qualified doctors so that is not going to happen - EVER!

Obamacare cuts half a trillion in medical reimbursement over the next decade. Doctors are bailing fast because it COSTS Them money to treat medicare patients. I know that $20 seems like a big deal to you, because it is. But from a Doctors perspective treating medicare patients makes them LOSE money. Insurance premiums are up (Medicare is about $115 per month plus 20% copay to the patient) but payout to Doctors is down, way down.

Obamacare has done nothing to lower medical costs, in fact it has increased them.

A basic tenet of Obamacare is to force doctors to take untenable cuts in pay, all the while absorbing overbearing new regulations and mandates with little or no personal recourse.

What is further appaling is while there is a shortage in Doctors in the United States many who are training are NOT US Citizens. Hospitals are paid $90K of your tax money per year per Doctor for Residency programs. The Resident Doctor earns from $24K to $50K during this 3 year training period the remaining going to the Hospital. But the Hospitals are still not turning profits from this.

Medical care in this country will soon be only for the wealthiest citizens. But don't blame the Doctors and don't Blame the Insurance Companies... there are a lot of forces driving costs that are not related to either.

People are VERY IGNORANT. While the full brunt of Obamacare is not at play yet... many parts of the law have in fact already kicked in.


Nell Rose profile image

Nell Rose 4 years ago from England

That's disgusting, it makes me so mad. you see it over here too in England. The National Health is probably one of the best health services in the world, we get everything free, or through normal taxes, but the second you deviate from the normal path out comes the bills! if you are on social, (medicaid) over here, you don't pay for glasses exams but only for the glasses themselves, but if you see an eye doctor that comes under the National Health so its free. But dentists are a different matter, social will pay for your teeth to be done, but it's a case of finding a dentist who takes social patients! in my town there is only one, and luckily I am on his books because I am on social at the moment waiting for another job, and I have to have a tooth out this week! a wisdom tooth! ouch! hope he is gentle just because I am on social! cheers nell


Angela Blair profile image

Angela Blair 4 years ago from Central Texas Author

Mike NV -- it appears you and I are saying the same thing. I'm not bitching about Medicare/Medicaid or doctors. I'm saying what you are -- the medical community is already changing by necessity because of Obamacare (and yes, there are parts of it in play as we speak) and the general public is unaware of it. This was the first time I'd experienced the changes up close and personal and was shocked. Many docs are just getting out of the game and others are trying to save their practices up front before the rest of this "Obamanation" kicks in and they go under. God help us if the Supreme Court upholds this thing. I'm an old lady and won't be needing medical help much longer (don't need or use it much right now) but there's lots of young folks that are in for a horrible surprise that is going to last life times. Thanks so much for your very astute and correct comments. Best/Sis


Angela Blair profile image

Angela Blair 4 years ago from Central Texas Author

Hi Nell -- first off, may your dentist visit be as painless as possible and hopefully he'll give you some good drugs to ease the pain. I'm more afraid of the dentist than a rattlesnake and always put off going until it's too late! As to the Obamacare here in the U.S. -- we're all holding our breath waiting on the Supreme Court's decision as to its legality. This was just the first time I'd experienced personally what's coming and what docs are doing to salvage their practices when it hits. The whole thing is a toss up at best but guess we'll see. Again, all good wishes for the dentist visit. Best/Sis


Katharella profile image

Katharella 4 years ago from Lost in America

Wow.

Well interesting conversation here.

I've not encountered any of these problems in my state, but some of you should know that medicade is state-t0-state not a federal program. So it's your state Government that you need to address these problems to and not to the president. He might have a plan, and I used to want medicade to be federal so people are covered, say on vacation or visiting out of state, but now I am glad it's not a federal program.

I hope those of you who look into this and find that I am right realize this puts a big hamper on traveling. If you are hurt on a relatives property your medicade just might not cover it and you'll be sent a bill.

Also remember that some hospitals are private and some are Government funded. Private hospitals can turn you away and the Government ones cannot turn you away, but they most certainly can send you a bill.

Best wishes. And remember the American Constitution gives us the right to rise up against our government when we believe they are not acting in the best interest of the people.

P.S. National Health Insurance isn't the best either. They give very low quality medications and I learned this when my stomach Dr. wanted me on Prevacid to stop bleeding ulcers which worked great. But medicade wouldn't pay the $8. difference and switched me to Prilosec which made me need two doses a day. Now they have downgraded to a Canadian company (prilosec) which I run out of before the end of the month and my Dr. has to compensate for it with another form of antacid to tied me over until I can refill the crap from Canada. Also my heart medication was downgraded again when Ivax sold out to an Israel company (Teva) which uses the lowest grade fillers that are on the list of fillers they can use for generics from the FDA approved fillers. So I have two drugs that sparkle. So those who say there is no difference in generics need to research the fillers. The "active" ingredient is the same, but this is why some people cannot take generics as the fillers interact with other medications. (These are facts if you don't believe me please look them up.)

Again best wishes to everyone.


SusieQ42 4 years ago

Interesting story and I am so sorry you have to put up with such headaches! I voted this up. I do blame Obama, of course, since I feel that he is looking for America to become a socialist country. I hope that he isn't reelected!!!

Katherella, you can buy prilosec over the counter! I too use it and can buy it at Walmart or any other pharmacy OTC.


Angela Blair profile image

Angela Blair 4 years ago from Central Texas Author

Katharella -- how very much I sympathize with your medication problems and also appreciate your astute comments. Although Medicaid is state funded Obamacare has come into being on a federal level and it's that level which I am addressing here. Parts of Obamacare are in place and some changes are already activated -- hence doctors scrambling to take up the slack the Bill has caused and will cause in their practices and income. If/when Obamacare is working full tilt everything from doctor's visits to prescription medications will change again and I hope you get better treatment as to your medications than you have now. We can only hope. Thanks again for commenting. Best/Sis


Angela Blair profile image

Angela Blair 4 years ago from Central Texas Author

SusieQ42 -- appreciate your commenting and we are definitely of one mind -- anyone but Obama in the next election. Truthfully, in all my life, I've never feared for my country and its citizens as I do now. I've lived a long and good life and won't be here to see a lot of what's going to happen -- I do, however, have nieces and nephews that are going to struggle through Obamacare for many years if the Supreme Court upholds it as I fear they will. My experience is obviously just the tip of the iceberg and I think it's the first time I've really faced the fact that it's a reality and not just a subject to debate. Again, your comments are appreciated. Best/Sis


breakfastpop profile image

breakfastpop 4 years ago

And just think, this is only the beginning. Medicare and or Medicaid patients will find an increasing number of doctors who refuse to see them. Up interesting and useful!


Angela Blair profile image

Angela Blair 4 years ago from Central Texas Author

Pop -- how right you are. The way this doc worked was to say he accepted Medicare/Medicaid and never mentioned the additional fees when I called for the appointment. The fees alone would put off a lot of M/M patients, if they knew about them in advance, and he wouldn't have to appear as shall we say "uncooperative" in a small, East Texas town with lots of senior citizens by refusing to take M/M patients. He just made it financially impossible for most of them to avail themselves of his services -- and sadly, I understand why. Yep, we're heading into a peck of never before seen trouble and lots of folks don't even realize it yet -- but like me, they will soon enough! Thanks for the compliment and the vote. Best/Sis


Katharella profile image

Katharella 4 years ago from Lost in America

Hey Susieq I'm aware of that. I can't go into it in public why it's not an option for me. Thanks though in case I could do that. I have over 9 medications per month. That's the cost of one box. Too many other health issues or I would pay for the prilosec. (The second best to what my Dr WANTS me to have)

Angela Thanks. I understand what you mean. I was speaking of present terms but yes are changing and by far too quickly. I wish we had better choices. My friends brother works for DSM (they make medications) and he said some rather disheartening words this past week. They are coming out with a new medication that would greatly help my arthritis (full body) but one has to be near not moving at all to get it. The person said it'll be the rich who get proper medical are correct. Hopefully I won't live to see it myself.


Angela Blair profile image

Angela Blair 4 years ago from Central Texas Author

Katharella -- Seems a lot of us are on the same page -- it's all gonna boil down to age and money when this is said and done. I've definitely got the age which will be to my detriment but the money -- well, don't have enough of that to make a difference so guess we'll see. Hopefully your medication problems will get worked out and not be such a worry -- I'm wishing you the very best/Sis


PegCole17 profile image

PegCole17 4 years ago from Dallas, Texas

Refraction cost indeed! What a load. As you've pointed out, these guys will find a way around the system to where people like us will just walk away from the procedure needed rather than put up with it.

I wish you all the best in getting the care you need and deserve.


Angela Blair profile image

Angela Blair 4 years ago from Central Texas Author

PegCole17 -- thanks so very much for the positive wishes -- as I said, the cataract is not life threatening by any means but I see this instance as just the tip of the iceberg to come. Appreciate your astute comments. Best/Sis


Katharella profile image

Katharella 4 years ago from Lost in America

Thanks Angela.

The thing about the cataract is, even with sight in one eye the it might not be life threatening to the person directly but I was a few years without sight so I know that it's sure to keep a person home, and it's sure to keep them depressed and steal from the "pursuit of happiness" we are granted. I used to do hobbies and crafts which all were put on hold while I cared for my elderly father. After he passed on, and my cataracts progressed one did faster than the other. I got one fixed, and things were just off balance. With arthritis in my neck (which could happen to anyone) I had to turn my head farther to see good enough to drive. Still minimal things went wrong. I missed places while cleaning etc. I felt off balance. I had to wait for it to progress to finish. LUCKILY I got it done just in time. So I have good enough vision to do things again, but during that waiting time, driving which I had to do (no family here) I still put mine and others lives in jeopardy. Knowing that I only drove minimal as possible, and always took back ways and with care.

BUT, what others didn't know when they showed me things or I was shopping I couldn't read expiration dates on food, ingredients of things I could be allergic too etc. so inadvertently it does put the person at risk that can be life threatening. It's not fair when the gift of sight is at the hands of someone who WANTS to give that, but cannot.

It steals the little things as I said, ability and want to do small things that make us happy. (the crafting or even tv shows) so it can cause one to become depressed, exacerbate anxiety and overall cause the person to want to withdraw from society.

These things might seem minimal to someone who never experienced it, but since I have I know the aggravation of not being able to thread a needle to fix my favorite sweater, the sadness of not seeing a grandchild's first smile etc. Somehow we need to fight against this so the rich cannot be the only ones to have the luxury of sight. xx I send my best wishes to all who experience the atrocities the Government are going to instill upon the people.


Angela Blair profile image

Angela Blair 4 years ago from Central Texas Author

katherella -- you've described the condition perfectly -- especially sewing. I've always loved to sew and couldn't thread a needle if my life depended on it now. Thank heaven I can still use the computer and drive o.k. --but I'm far more cautious than I used to be as to speed, etc. and I'm still on the road a lot. Obviously, we're all going to have to deal with whatever the government deems proper for health care and go along with it in the end. I'm sure I'll figure out some way to get this darned cataract taken care of -- it'll just take a little longer. Thank you so very much for stopping back by and your comments. Best/Sis


Katharella profile image

Katharella 4 years ago from Lost in America

Angela, I'm so sorry. Listen if you or anyone who has vision problems but can still see a bit but not everything. Press the ctrl and the + or - key to increase or decrease the size of your page. (This way you can read the small print)

I had to drive with mine too. From MI to NC! But luckily I knew the roads and didn't drive in early morning or evening when gray or colors on cars could blend in. That is one key to driving more safe.

Also I'm in the beginning stages of a website for our first amendment. We're not supposed to promote other sites but I put a "-" between the first amendment so I could do something to fight the system and if we have to we'll put up a place to donate to get you one paid for!

My shoulders are quite a bit of pain (One of my first hubs) and it gets the most hits.

I can't do all the things I need to do in a day because of pain. But everyone who would want to donate something or even need donations they need to set up a paypal account. If people like us don't help each other, we'll be at the mercy of one man, just like my hub on N. Korea! :(


Angela Blair profile image

Angela Blair 4 years ago from Central Texas Author

Katharella -- what a good idea and best of luck with your website. I agree, we must all help one another in any way possible. At this point in time I'm going to challenge Medicaid on this and see what happens -- by law we can disagree with one of their rulings (if we follow the rules)! Hopefully, the Supreme Court will take care of Obamacare but guess we'll have to wait and see -- they're supposed to announce their decision in the month of June and there's not much of it left! Best/Sis


rfmoran profile image

rfmoran 4 years ago from Long Island, New York

Well done Hub, and as of yesterday (6/28/2012) Obamacare is a done deal, at least constitutionally. Voted up and useful


Angela Blair profile image

Angela Blair 4 years ago from Central Texas Author

rfmoran -- yep, done deal. Thanks so much for commenting and the follow. Looking forward to reading your work soon. Best/Sis


tsadjatko profile image

tsadjatko 4 years ago from maybe (the guy or girl) next door

I found this extremely helpful - 2000 pages of Health Care explained in 1 page!!! Let me get this straight . . ..

We're going to be "gifted" with a health care plan we are forced to purchase and fined if we don't, which purportedly covers at least ten million more people, without adding a single new doctor, but provides for 16,000 new IRS agents, written by a committee whose chairman says he doesn't understand it, passed by a Congress that didn't read it but exempted themselves from it, and signed by a Dumbo President who smokes, with funding administered by a treasury chief who didn't pay his taxes, for which we'll be taxed for four years before any benefits take effect, by a government which has already bankrupted Social Security and Medicare, all to be overseen by a surgeon general who is obese, and financed by a country that's broke!!!!!

'What could possibly go wrong?'


Angela Blair profile image

Angela Blair 4 years ago from Central Texas Author

tsadjatko -- your comments are undoubtedly not only the truest -- and most humorous description I've ever read of the whole situation! Hope you sent a copy to the Republican Party so they can use it in their push to get rid of Odumbo! Thanks so very much for this marvelous comment. Best/Sis


tsadjatko profile image

tsadjatko 4 years ago from maybe (the guy or girl) next door

Although I have said as much myself it was actually - not an original - I got it off the internet! Not sure of original author but whoever it was I'm sure they would appreciate your accolades. :-)


Angela Blair profile image

Angela Blair 4 years ago from Central Texas Author

Tsadjatko -- how generous of you not to take the credit -- BUT, hey, you're the one that brought it to my attention and I truly appreciate it (I saved it to use on some others on my list!) Best/Sis


byshea profile image

byshea 4 years ago

I think this is just a small example of all the problems to come as Obamacare is enacted. The scary part are the stories you hear about seniors from countries such as Canada and England who have social medicine. Many are being denied care unless they pay for it themselves. The system makes decisions based on age and other factors to determine if they are worth the risk. This is where the "death panels" slogan came from. The sad part is that there is truth to it.


Angela Blair profile image

Angela Blair 4 years ago from Central Texas Author

Byshea -- it's now just a matter of when the hammer falls -- May God Bless America. Best/Sis


rfmoran profile image

rfmoran 4 years ago from Long Island, New York

Sis, I just read this hub now having seen it mentioned in my morning notifications. You tell a cautionary tale. I read recently about a doc from the midwest who wanted to sell his practice and retire. No takers, so he decided to give it away. Still no takers. As PJ O'Rourke said of Obamacare: "If you think health care is expensive now, wait until you see what it costs when it's free." Voted up interesting and useful


Angela Blair profile image

Angela Blair 4 years ago from Central Texas Author

rfmoran -- thanks a bunch -- loved your comments -- and when the Irish kid -- O'Bama -- gets that mess up and going called Obamacare -- well, "free" will be described with a whole new definition! Can't wait to ask his supporters "How's that working out for you?" Best/Sis


mike 3 years ago

this is exactly why I don't take medicaid patients... a refraction fee is to CHECK to see if you need glasses. It has nothing to do with whether you are going to get glasses or not. Checking takes time and the skill of the doctor and staff...that is what that cost is for.


Angela Blair profile image

Angela Blair 3 years ago from Central Texas Author

Thanks for the info, Mike -- eventually I found out what the "refraction fee" is for -- and seems they run it every time I walk into my eye doc's office. I've learned to get ready for the $35 outlay before I go. Appreciate your comments and thanks again. Best/Sis

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