There are a few old topics here that I need to rehash so that I can come to some logical conclusions.
First of all, if I owned a factory and had a contract to produce a significantly larger number of “widgets” a few years hence, I would start to plan now. I would hire extra people so that I could handle the increased demand. Anticipating a significant increase in work, I would retool and possibly expand my work area, so that again I could handle the increased demand. In other words I would prepare for something that I knew was coming. So how did the Democrats prepare for the increased demand that everybody knew was coming when they passed Obamacare?
Answer: They did nothing to prepare for the increased demand.
Specifically there was not a planned increase in the number of physicians to take care of the expected significantly increased number of patients . . . in fact there may even be less physicians as more and more are choosing retirement rather than deal with the onus of Obamacare. (This is a topic for another day.) In addition, to make matters even worse, many primary care physicians refuse to take new Medicaid patients because of the low reimbursement rates. The end result is that the decreasing supply (of primary care physicians) is not able to keep up with the increasing demand (of more Medicaid patients). So now what happens to all of these new Obamacare patients when they cannot find a primary care physician? When they have a problem, what do they do?
Answer: They go to the Emergency Room.
Is there any evidence of that? Yes! For example, in Ohio between 2012- 2014 emergency room visits by Medicaid patients to ERs doubled while the enrollment increased by only 10%. This can only mean that these patients used the ER more frequently than the average patient, and thus ERs are often inundated by the increased demand.
“Okay,” the liberals say, “so what.”
Well it gets worse and significantly more relevant to one of our country’s present problems . . . a major and increasing problem, The Opioid Epidemic.
Allysia Finley wrote an excellent article on the Opioid Epidemic in the Wall Street Journal on Sept. 25, 2017. From that article read the following very carefully:
“Often providers in Emergency Rooms, where many Medicaid patients seek treatment, don’t have the time to check databases that have been set up by the states, examine patients for abuse, perform follow-up consultations, or consider analgesics or physical therapy.”
In fact, Medicaid patients are twice as likely as privately insured individuals to be prescribed opioids, and so these patients often then receive prescriptions for generic opioids. These generics are less expensive and thus favored by Medicaid. Unfortunately for the patients and their families – and now for the country – these generics have little abuse deterrence compared to the more expensive non-generic opioids.
So, in essence the Democrats have created a system that forces the new Medicaid patients into the ER where they more than likely will a prescription for potentially addicting generic opioids. Certainly these ER visits and the subsequent opioid prescriptions generated are not the only cause of country’s opioid problem, but I venture to say that they are major contributors.
In closing, I say to the Democrats what Oliver Hardy said to Stan Laurel in their classic comedy routine, “This is another fine mess you’ve gotten us into!”