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Politics : The Trump Presidency -- Ignore unavailable to you. Want to Upgrade?

To: bentway who wrote (47839)	12/7/2017 11:37:14 PM
From: i-node	Respond to of 361337

>> but, it seems like you blame the ACA for all problems, big and small. If it makes you feel better, great. I blame ACA for problems that were created by ACA (actually, ACA or Stimulus). It is not the ACA's fault I have cancer. It is in spite of the ACA that the United States has absolutely the best PrCA survival rates of all developed countries. But there is no doubt that the paperwork burden (keeping in mind that a lot of that was not ACA, but was a result of the Stimulus bill) is the biggest single problem in health care quality today. Bigger even than the dumping of millions of Medicaid patients into a system where they STILL think the ER is the place for primary care. ACA continues to be a disaster for the United States. Some have benefited. A key problem is hospital acquisition of physicians, which should have provided efficiency. Unfortunately, that has not been the case (we went through this process in the mid90s and it was a mess then, too). WE were at a hospital owned PT facility yesterday where my wife made her first visit (she broke her hip two weeks ago). This is a facility that is part of a well managed hospital but the poor intake girl typed precisely the same data on each of three sets of forms. Name, address, policy #, etc. I'm always interested in such things and I asked, "Why are you doing that? These forms are essentially identical." She says, "Yes, but headings at the top are different because they go different places." Okay. Then, astonishingly, she took one of the copies and scanned it in to the EHR system. So, instead of plain old text they have images or pdfs -- more or less useless for moving from system to system, in their EHR. This is just stupid shit that shouldn't happen. And it is a product of the Stimulus and ACA.

To: bentway who wrote (47839)	12/8/2017 11:50:12 AM
From: John Koligman	Read Replies (1) \| Respond to of 361337

Two years ago when I had to actually USE my ACA policy to a major extent, I had a far different experience. My wife took me to the ER of our local hospital, they diagnosed kidney stones, with one in the tube between my kidney and bladder which was causing severe pain. They were able to get a good surgeon to perform a procedure the next day, and ultimately I needed two procedures, the second two weeks later on an outpatient basis, but the point is everything went smoothly, quickly, and just as importantly, was covered by my ACA Blue Cross policy.