March 3, 2016
I was listening to Hillary address a crowd of supporters the other day. She talked about “empowering” people and her promise to stop the injustices in our society. The more she talked the angrier I got!
“Hillary Care” was the beginning of the downfall of my profession and Obamacare, the final nail in the medical professions casket. I’m amazed at how both Hillary and Obama have, in fact, empowered the insurance industry while crippling the medical professionals ability to survive and function.
Today, I received a letter from a cutting edge, national laboratory. They closed their doors due to “adverse changes in the regulatory environment, increased pressure from commercial insurance payers and continued compression of profit margins.” This is the second closure of a laboratory that has provided valuable information for my patients in 12 months.
Yesterday, my nurse brought me a pharmacy benefits manager’s letter refusing to pay for a crucial medication that my patient has taken for the last 10 years. Since January 1, I have informed hundreds of my patients that their insurance company will not pay for their medications.
Unfortunately, denial of service has become the usual in my world. Insurers refuse to authorize testing or make the process of prior authorization so onerous that I really have to think twice before subjecting my staff to mountains of paperwork and hours of frustrating wait times as the insurer parks them in a purposely lengthy queue. If you think I exaggerate, Ewa has a 3-inch high stack of denials on her desk covering a month of trying to get a new cholesterol medication approved for five patients who have failed on all other treatment options.
Yes, since Hillary started this mess years ago, my tool chest has shrunk considerably. Since January of this year, my patients and I have lost many of our healthcare battles and surrender to a system that continues to grow in power daily. And yes, I too fear that the day when my doors close due to “adverse changes in the regulatory environment, increased pressure from commercial insurance payers and continued compression of profit margins” is coming.
I am dedicated to providing the best of medical care to my patients on an individual basis and keeping my doors open to all who need my care. I am also getting pummeled daily and slowly being stripped of my independence.
I wish I could tell you that help is on the horizon. Our political madness guarantees that it is not. The best you can do is take good care of yourselves. Exercise regularly and eat healthy foods. Enjoy life to its fullest. For me, it’s time to go to the gym!