I've already spoken of Obama and Congressional neo-liberals gutting Medicare and Medicaid of funding in what small government Clinton neo-liberals like to call THE BIGGEST CUT IN THE DEFICIT SINCE CLINTON. Indeed, so much was cut that doctors are moving from accepting Medicare patients and the Federal Medicare is helping seniors less and less with some of the most important procedural coverage. All of this is meant to force seniors to private Medicare Advantage----they of course are offering all of what Federal Medicare does not. Medi-gap is costing $300 a month making that 20% deductible of Medicare harder and harder to meet.
WALL STREET NEO-LIBERALS ARE DELIBERATELY MAKING IT TOO HARD FOR SENIORS TO STAY IN FEDERAL MEDICARE.
What about the donut-hole? Obama and Congress moved most of the PHARMA coverage to generics at the same time they wrote in Trans Pacific Trade Pact laws making generics harder to manufacture as they take from profits of name-brand. All of the policy around Affordable Care Act is designed to end the Federal programs Medicare and Medicaid.
Let's look at other policy doing the same. When Obama and Congress chose austerity over recovering tens of trillions of dollars in corporate fraud to pay down the national debt and budget deficit they did one thing that will literally KILL many American people moving into Medicare. Since Medicare guarantees seniors access to hospital care since Medicare came into being the Federal government used a fund to subsidize the care hospitals gave not covered by insurance. This Federal fund covered the low-income uninsured as well as seniors with Medicare who could not meet the 20% deductible. So, all patients were covered for all the care they needed regardless of coverage.
Public hospitals and clinics used to take those not insured and used that Federal fund for resources. Clinton neo-liberalism meant all that was public was closed as were all these hospitals and clinics and THIS IS THE REASON EMERGENCY ROOMS FILLED. All of that Federal funding then moved to these hospitals instead of the public hospitals and clinics and patients received the worst of care because of overcrowding.
THOSE HOSPITALS MADE TONS OF MONEY FROM THE FEDERAL AGENCY COVERING THE UNINSURED.
Since the Affordable Care Act ends public subsidy for health care as required by Trans Pacific Trade Pact so ends hospitals taking all citizens. With public hospitals and clinics closed----THERE IS NOWHERE FOR CITIZENS TO GO. See what public private partnerships lead to? Now, Maryland citizens are not allowed to go to any hospital for care and signs tell you this at the emergency room door.
Republicans are pretending its the Democrats fault calling the Republican written health policy Affordable Care Act ObamaCare. Everyone knew exactly how much harm would come to people with ACA. National labor union leaders bringing labor endorsements knew as did national justice leaders.
EVERYONE WHO SUPPORTED ACA KNEW IT WAS A WALL STREET GLOBAL CORPORATE MODEL KILLING PUBLIC HEALTH CARE. FROM MOVE ON TO AARP-----SUPPOSED PROGRESSIVE ORGANIZATIONS ALL KNEW THIS CLINTON NEO-LIBERAL HEALTH POLICY WOULD BE DEVASTATING. IT IS NOT A STEP TOWARDS SINGLE-PAYER UNLESS YOU THINK A GUTTED MEDICAID FOR ALL IS A GOOD GOAL.
Cuts in Hospital Subsidies Threaten Safety-Net Care
Stephen Morton for The New York Times Donna Atkins has no insurance and went two years with what she thought was a sore throat. She recently had cancer surgery.
By SABRINA TAVERNISE Published: November 8, 2013
SAVANNAH, Ga. — The uninsured pour into Memorial Health hospital here: the waitress with cancer in her voice box who for two years assumed she just had a sore throat. The unemployed diabetic with a wound stretching the length of her shin. The construction worker who could no longer breathe on his own after weeks of untreated asthma attacks and had to be put on a respirator.
The New York Times
Dr. Guy Petruzzelli at Memorial Health hospital in Savannah, Ga. Memorial provides care for many patients who fail what Dr. Petruzzelli calls “the wallet biopsy.”
Many of these patients were expected to gain health coverage under the Affordable Care Act through a major expansion of Medicaid, the medical insurance program for the poor. But after the Supreme Court in 2012 gave states the right to opt out, Georgia, like about half the states, almost all of them Republican-led, refused to broaden the program.
Now, in a perverse twist, many of the poor people who rely on safety-net hospitals like Memorial will be doubly unlucky. A government subsidy, little known outside health policy circles but critical to the hospitals’ survival, is being sharply reduced under the new health law.
The subsidy, which for years has helped defray the cost of uncompensated and undercompensated care, was cut substantially on the assumption that the hospitals would replace much of the lost income with payments for patients newly covered by Medicaid or private insurance. But now the hospitals in states like Georgia will get neither the new Medicaid patients nor most of the old subsidies, which many say are crucial to the mission of care for the poor.
“We were so thrilled when the law passed, but it has backfired,” said Lindsay Caulfield, senior vice president for planning and marketing at Grady Health in Atlanta, the largest safety-net hospital in Georgia.
It is now facing the loss of nearly half of its roughly $100 million in annual subsidies known as disproportionate share hospital payments.
Memorial is also facing steep reductions in the subsidies. Cancer care may be among the services reduced, administrators here said. Memorial is now one of only a few hospitals in the state with a tumor clinic that accepts poor patients without insurance. Many show up coughing blood or having trouble breathing because their cancers have gone untreated for so long.
On a recent afternoon, Dr. Wade Fletcher, who practices at the hospital, thumbed through a stack of patient intake forms. The sections on payment contained the same refrain: No insurance. No money.
Even so, many of the patients work, often in Savannah’s huge hotel and restaurant industry. Late last month, Donna Atkins, a waitress at a barbecue restaurant, learned from Dr. Guy Petruzzelli, a surgeon here, that she has throat cancer. She does not have insurance and had a sore throat for a year before going to a doctor. She was advised to get a specialized image of her neck, but it would have cost $2,300, more than she makes in a month.
“I didn’t have the money even to walk in the door of that office,” said Ms. Atkins, speaking in a low, throaty whisper.
Dr. Petruzzelli has a phrase for her situation: “She failed the wallet biopsy.”
Ms. Atkins had surgery last Friday, two years after her first symptoms. It is unclear whether Ms. Atkins, whose income is right around the poverty line, will be left without Medicaid, or if she earns enough to qualify for subsidies to buy private insurance on the federal exchange. She appreciates the intent of the health law, but does not like the outcome: Her hours are being cut so her employer can count her as part-time to avoid having to offer insurance.
As she juggled takeout orders at the restaurant, Ms. Atkins said she would have to try to find a second job. “I’m 53,” she said. “Not too many people want to hire someone my age.”
Patients with chronic conditions like hers often go in and out of emergency rooms for years without treatment because doctors are only required to treat immediately life-threatening conditions. Dr. Christopher Senkowski, a surgeon at Memorial, recalled examining a farmer with pancreatic cancer that had spread throughout his body after months of referrals to specialists that he could not afford.
The cuts in subsidies for safety-net hospitals like Memorial — those that deliver a significant amount of care to poor, uninsured or otherwise vulnerable patients — are set to total at least $18 billion through 2020. The government has projected that as much as $22 billion more in Medicare subsidies could be cut by 2019, depending partly on the change in the numbers of uninsured nationally.
The cuts are just one of the reductions in government reimbursements that are squeezing hospitals across the country. Some have already announced layoffs. In Georgia, three rural hospitals have closed this year.
Medicaid expansion may not have replaced all of the lost subsidies, but it would have helped, hospital administrators said.
“I understand that the state needs to balance its budget, and control the runaway costs of Medicaid, but to turn a blind eye and say, ‘Let the chips fall where they may,’ you’ll end up with a gutted health care system,” said Maggie M. Gill, chief executive at Memorial Health.
Traditionally, safety-net hospitals have played a special role in caring for poor people. They make up just 2 percent of acute care hospitals in the country, but provide about a fifth of all uncompensated care, according to Dr. Arthur Kellerman, dean of the F. Edward Hébert School of Medicine in Bethesda, Md. The subsidy was created in the 1980s to help hospitals with large shares of patients who were uninsured or had government insurance that did not pay very much. Many hospitals came to depend on it.
A full third of Grady’s patients have no insurance, and, if that does not change, the hospital will have no choice but to cut services, said John M. Haupert, Grady’s chief executive. The hospital’s large outpatient mental health program, which handles 58,000 visits a year and is critical to keeping poor patients with behavioral problems from seeking treatment in the emergency room, would most likely be hit, Mr. Haupert said.
Some experts say the cuts in hospital subsidies are part of a larger problem: government programs like Medicaid do not pay enough to cover the actual costs of care. The cheapest private insurance on the new health care exchanges, the Bronze Plan, covers just 60 percent of costs, leaving low-income people who buy it with a lot of out-of-pocket costs that hospitals worry the patients will not be able to pay.
A spokeswoman for the Centers for Medicaid and Medicare Services said that some of the reductions in the subsidy should not hurt safety-net hospitals because states have discretion over how the money is distributed and should be focusing on hospitals with the most uncompensated care. And while there is no special exception for states that did not expand Medicaid, federal officials have said they will revisit that in 2016.
But experts and hospital administrators said it was unlikely that the federal government would make adjustments that would reward states that refused to expand Medicaid. And the health care landscape is changing so rapidly, they say, that the subsidies are crucial to keep going over the next few years.
Hospitals in Georgia are trying to hang on. Rural hospitals rely heavily on the subsidies and as many as 15 could close in the coming months, their trade association estimated, costing jobs in economically depressed parts of the state.
Georgia hospital officials hope that the plight of rural hospitals may eventually cause Gov. Nathan Deal to opt for some version of a Medicaid expansion. The state’s politically powerful hospital association late last month called for expansion.
But for now, the governor is holding firm. His spokesman, Brian Robinson, said Mr. Deal’s opposition to expanding Medicaid was driven by simple math: Georgia cannot afford it. Though the federal government is paying the full costs of the expansion for the first three years, states will have to pay up to 10 percent in later years. States that do not expand should be spared cuts in hospital subsidies, Mr. Robinson said.
The federal government, not Georgia, is to blame for the predicament, he said.
“The state is sitting here, a victim of a crime, and you’re asking the victim, ‘Why did you let yourself get mugged?’ ” he said.
Hospitals are trying to get Congress to delay the subsidy cuts by amending the health law, but House Republicans in Washington have thus far refused.
“The conversation we are having with the congressional delegation goes like this, ‘If we don’t expand Medicaid, what is the Georgia solution to indigent care?’ ” said Matthew Hicks, vice president for government relations at Grady. “So far they don’t have an answer.”
If you ride public transportation in Baltimore you see all of the health advertisements for drug studies and HIV tests. Now we see ads for free cancer screenings and all of the Medicaid funding is being sent to these 'preventative care' programs. Now, call me suspicious but Baltimore had the highest HIV and Heroin addiction decades ago and today----it has the highest heroin and HIV in the nation. That is after hundreds of millions of dollars sent by Hopkins to private non-profit health organizations to address this. Brexton-Chase is now a hospital chain in Maryland that came from one of Hopkins' private non-profits for HIV and heroin use. It is a health corporation. Below you see what again is a scam-----because as the article shows below---the Affordable Care Act and cuts from Congress targeted major disease vectors like Diabetes and Cancer for funding cuts. I heard Baltimore citizens state 2 years ago that even the University of Maryland was not treating people without insurance for cancer beyond initial finding.
YOU CAN GET THE PREVENTATIVE SCREENING BUT YOU HAVE NO ACCESS TO THE HEALTH CARE PROCEDURES NEEDED IF SOMETHING IS FOUND!
This is preventative care in Baltimore. All that money funding these preventative checkups that no one will go to because they know its all a scam-----will go to corporate profit. People will die.
Budget cuts have forced doctors and cancer clinics to deny chemotherapy treatments to thousands of cancer patients thanks to a 2 percent cut to Medicare. One clinic in New York has refused to see more than 5,000 of its Medicare patients, and many cancer patients have had to travel to other states to receive their treatments, an option that obviously isn’t available to lower-income people. Rep. Renee Ellmers (R-NC) proposed restoring the funding, but the legislation so far hasn’t moved in Congress.
In Baltimore, hospitals have designated not to accept patients without insurance and we are seeing media reports of these hospitals using ambulances to cart patients to other clinic outlets where these patients can be seen. This is happening because the Federal agency funding that used to pay for the care those without insurance is now going to subsidize all of the corporate health system structure that is making health profits soar!
Keep in mind if you are a senior having had a health experience that left you in debt from the 20% deductible----that debt will no longer go away after a few years and you will be considered just as a Medicaid patient level of care. Accumulating health debt does not go away and it moves you to the lower category of health insurance---- gutted of funding and barely existing Medicaid.
SEE HOW THIS BECOMES A SINGLE-PAYER----MEDICAID FOR ALL! BYE BYE MEDICARE!
Below you see what deregulation of health care looks like. Under the guise of needing lots of different care policies to find what works best----as with education----they are deregulating a health industry that worked well to protect the patient. Now, they pretend to sacrifice all those protections looking for best practices!
Deregulating the health industry will create an impossible maze for the American people trying to access the best care and/or trying to get justice in what will be an explosion of malpractice and wrongful death and injury. Remember, the Hippocratic Oath of DO NO HARM cannot be done when insurance/health boards are writing standard procedures and steps are required.
ER doctors may not take insurance; even if hospital does
Posted: Aug 06, 2013 8:38 PM EDT Updated: Sep 10, 2013 7:14 PM EDT
By Dave CherryConnect GOODYEAR, AZ (CBS5) - A Goodyear man says he feels duped by an emergency room doctor. He had to pay thousands of dollars for services he expected to be mostly covered by his insurance plan. His experience is a common practice in hospital ERs, and there is little consumers can do about it.
The setup in most hospitals nationwide is perfectly legal. Emergency room doctors are not generally employees of the hospitals they work in. Just because a hospital in "in-network" with your insurance, that doesn't mean the emergency room doctor is. In fact, there's a good chance that an emergency room doctor doesn't take any insurance at all, and that could lead to big out-of-pocket expenses for you.
Richard Davis badly dislocated two fingers last year, when he tripped and fell outside his house. With his Blue Cross, Blue Shield insurance, he went to Banner Good Samaritan Medical Center for treatment.
"It was a Banner hospital and we knew that they were in-network so we had no reason to believe this doctor wouldn't have been in-network also," Davis said.
Davis says insurance wasn't discussed at the hospital. He says the doctor, Lloyd Champagne, spent less than thirty minutes resetting his fingers. Insurance covered the hospital charges, but Davis got a massive bill from Champagne's practice, the Arizona Center for Hand Surgery.
"Almost $11,500 for 20 minutes of service in the ER by this doctor," Davis said.
Turns out Champagne doesn't take any insurance, hospitals don't require emergency room doctors to accept it and many don't. Most emergency room doctors are independent hospital contractors who can bill as they please. The Center for Hand Surgery reduced their bill to $9,600, but Davis says his insurer thought about $2,000 was customary and reasonable. He asked The Center for Hand Surgery to accept the lower amount as full payment.
"They refused. That was it. That was all they were going to do, and if we didn't pay it, they'd send us to collections," Davis said.
Davis paid almost $8,000 out of pocket for something that would have cost very little had the emergency room doctor taken his insurance.
"There are patients out there that are being bilked out of huge amounts of money for procedures that shouldn't cost that much," Davis said.
Hospitals have been hiring independent contractors to run their emergency rooms for years, but many consumers are still shocked when they find out. Most insurance will only pay the out-of-network rate to that doctor, and they'll only pay what is customary and reasonable. So patients like Davis, who get an extremely large bill, are stuck with a huge balance.
CBS 5 News contacted the Arizona Center for Hand Surgery and Dr. Champagne several times wanting to discuss why this bill was so high, but no one from the practice returned our calls.
There isn't much you can do, if you are in a life/death emergency, you should go to the closest emergency room. But if it is not life/death, ask the emergency room staff if the physician on duty takes your insurance, if not, assess if you can go elsewhere.
Copyright 2013 CBS 5 (KPHO Broadcasting Corporation). All rights reserved.
Medicaid funding has been so gutted so as to not be a program.....doctors are not taking Medicaid patients and states like Maryland use Medicaid funding for everything other than Medicaid. They are pretending they are building an entire infrastructure of health care for Medicaid and Bronze level preventative care only----but they are not in most cases.
There is no plan by Clinton Wall Street neo-liberals to offer any care to Medicaid and seniors not able to buy private Medi-gap kinds of insurance beyond communicable disease checkups.
Maryland is making all kinds of policy that protects these health disenfranchised------Maryland Health Care for All ---the Johns Hopkins organization making sure Hopkins' private profit-driven health system is the only one----makes all kinds of policy to protect the poor ----children-----dentist here----raw milk there......while silent as the entire Medicare and Medicaid structure is dismantled.
THIS IS THE MARYLAND GLOBAL MODEL BY JOHNS HOPKINS-----ALL FEDERAL, STATE, AND LOCAL FUNDING FOR HEALTH CARE GOES INTO A POOL OF FUNDS AND ALWAYS ENDS UP SUBSIDIZING HEALTH INDUSTRY PROFIT.
It's also good to know that Obama's Health and Human Services appointment is a Bill Gates global health corporate executive committed to turning Medicare and Medicaid into block grants which is what Johns Hopkins did to these programs decades ago!
Medicaid cuts to hit doctors hard in 2015: California may see fee reductions up to 50 percent as federal subsidy ends
December 11, 2014, 05:00 AM
By Ricardo Alonso-Zaldivar The Associated WASHINGTON — Primary care doctors caring for low-income patients will face steep fee cuts next year as a temporary program in President Barack Obama’s health care law expires. That could squeeze access just when millions of new patients are gaining Medicaid coverage.
A study Wednesday from the nonpartisan Urban Institute estimated fee reductions will average about 40 percent nationwide. But they could reach 50 percent or more for primary care doctors in California, New York, New Jersey, and Illinois — big states that have all expanded Medicaid under the health law.
Meager pay for doctors has been a persistent problem for Medicaid, the safety-net health insurance program. Low-income people unable to find a family doctor instead flock to hospital emergency rooms, where treatment is more expensive and not usually focused on prevention.
To improve access for the poor, the health law increased Medicaid fees for frontline primary care doctors for two years, 2013 and 2014, with Washington paying the full cost. The goal was to bring rates up to what Medicare pays for similar services. But that boost expires Jan. 1, and efforts to secure even a temporary extension from Congress appear thwarted by the politically toxic debate over “Obamacare.”
Doctors probably won’t dump their current Medicaid patients, but they’ll take a hard look at accepting new ones, said Dr. Robert Wergin, a practitioner in rural Milford, Neb., and president of the American Academy of Family Physicians.
“You are going to be paid less, so you are going to have to look at your practice and find ways to eke it out,” Wergin said.
Medicaid covers more than 60 million people, making the federal-state program even larger than Medicare. The health care law has added about 9 million people to the Medicaid rolls, as 27 states have taken advantage of an option that extends coverage to many low-income adults.
Health and Human Services Secretary Sylvia M. Burwell says expanding Medicaid in the remaining 23 states is one of her top priorities. But the fee cut could make that an even harder sell, since it may reinforce a perception that the federal government creates expensive new benefits only to pass the bill to states. In Pennsylvania, where the Medicaid expansion will take effect Jan. 1, doctors are facing a 52 percent fee reduction, according to the Urban Institute study.
The fee boost has cost federal taxpayers at least $5.6 billion so far, but Stephen Zuckerman, one of the study’s authors, said it’s not clear whether access actually improved.
Many doctors did not begin to see the higher payments until the second half of 2013 because of rollout problems. And about three-fourths of Medicaid beneficiaries are in managed-care plans, which may already pay doctors more for routine care and prevention.
Still, Zuckerman said the fee increase was also passed through to doctors seeing patients through managed-care plans, and now they will feel the cuts. “The magnitude of the reduction will be somewhat smaller ... but there is no way to believe there won’t be a decrease,” he said.
Despite such questions, some states have recognized the importance of the fee increase. Fifteen are planning to use their own money to continue paying higher Medicaid fees through 2015, Zuckerman said. Among them are several Republican-led states that have resisted Obama’s broader Medicaid expansion, including Mississippi and South Carolina.
Another dozen or so states are undecided.
“If you are cutting primary care fees, patients could end up in the emergency room for something that could be dealt with in a doctor's office,” said Zuckerman. “That is not a good outcome.”
Doctors groups say they will try to revive the Medicaid fee boost next year, when lawmakers must act to prevent a big cut in Medicare physician payments. The health program for seniors has much stronger political support.
Everybody understands that a trillion dollars cut to Medicare and Medicaid will make taking new or keeping old patients harder to do. We understand as well that these new ACO managed care health systems working for profit will not allow their ACO doctors keep unprofitable patients. So, this will keep what is now 70% of Americans out of ordinary health care and that number will expand to 90% as veterans and union health plans end-----and the next economic crash sends more people to poverty.
THAT IS WHAT THE AFFORDABLE CARE REFORM WAS ALL ABOUT.
Meanwhile all of that money Obama and Congressional Clinton neo-liberals sent to build this new health system structure is building the global health systems that are making US hospitals and health systems global. Health tourism is what Maryland hospitals are competing for and that means the rich of the world come to the US to be the patients that American citizens made too poor and without its War on Poverty programs Medicare and Medicaid can afford. Don't worry----you will get to compete with immigrant workers from developing nations for jobs in these global health systems for a chance to earn developing nation wages!
THOSE CLINTON WALL STREET GLOBAL CORPORATE NEO-LIBERALS-----TAKING THE PEOPLE'S DEMOCRATIC PARTY FOR WALL STREET WITH 80% OF DEMOCRATIC VOTERS BEING KILLED BY THESE POLICIES. JUST GET RID OF THESE CLINTON NEO-LIBERALS AND BUSH NEO-CONS AND WE CAN REVERSE THIS!
As more doctors opt out of Medicare, overall shortage increases
Jul 30, 2013 By Hope Gillette VOXXI
Prior to the Affordable Care Act (ACA), it was sometimes difficult to find a doctor willing to accept Medicare coverage. As more and more regulations go into effect from the ACA and Medicaid coverage is expanded, that issue isn’t likely to improve—actually, it’s already getting worse as more doctors opt out of Medicare.
According to a report from the Wall Street Journal, currently, more than ever before doctors opt out of the Medicare program due to increasing regulations and low payment reimbursement. This means a growing number of people over the age of 65 and those with disabilities are left with limited care options.
According to the Centers for Medicare and Medicaid Services, in 2009 the number of physicians not participating in Medicare totaled almost 4,000. In 2012, that number had grown to approximately 9,500 physicians. Between 2010 and 2011, approximately 33 percent of primary care physicians did not accept new Medicare patients.
What’s more, not only do doctors opt out of Medicare programs, but they are also refusing to accept small group insurance plans, a fact which may mean newly insured individuals with the ACA market exchange will need to find additional medical providers if certain coverage isn’t accepted.
Just because the Affordable Care Act grants health insurance coverage to millions of people, it does not mean all doctors everywhere will accept every insurance plan. Private practices in many states have the ability to pick and choose providers based on reimbursement numbers and turnaround time.
“In most places, doctors can’t pick and choose because Medicare is the biggest game in town, or the only game in town,” Joe Baker, president of the Medicare Rights Center, told the Wall Street Journal.
However, with the health care exchanges underway, doctors will have more options as to who they can see, and the need to rely heavily on Medicare won’t be as prominent.
“Medicare has really been pushing its luck with physicians,” said economist Paul Ginsburg, president of the nonpartisan Center for Studying Health System Change. “By allowing the SGR [Sustainable Growth Rate] and its temporary fixes to persist, Medicare is risking a backlash by senior citizens who say, ‘Hey, this program isn’t giving me the access to doctors I need.’ ”
Currently, Medicare reimbursement rates are considered low among coverage plans.
Some, for example, only pay $60 for an office visit, which may normally run $150 or more.
But reimbursement is not the only issue. As the Affordable Care Act is implemented, government-run programs like Medicare are seeing more and more regulations and penalties. Starting in 2015, any facility accepting Medicare that does not switch to electronic medical records will be subject to a penalty.
The number of doctors who opt out of Medicare is concerning, largely because there is already a limited number of them. Insurance providers aside, the United States is short by approximately 16,000 primary care doctors to treat the current population.
AARP indicates the millions of people who will suddenly gain health care coverage through the Affordable Care Act will put a significant stress on the medical community. That stress, combined with the doctors who opt out of Medicare and those who hit retirement age means fewer doctors to treat a growing number of patients.
“The doctor shortage is worse than most people think,” Steven Berk, M.D., dean of the School of Medicine at Texas Tech University, told AARP. “The population is getting older, so there’s a greater need for primary care physicians. At the same time, physicians are getting older, too, and they’re retiring earlier.”
Almost half the nation’s 830,000 physicians are over age 50 and are seeing fewer patients than they did four years ago, a 2012 Physicians Foundation survey reported.
Unfortunately, the doctor shortage is not likely to improve unless there are changes in the education system. Medical students currently graduate and leave primary care positions as soon as possible to help pay for their significant student debt—often upwards of $250,000.
Current numbers indicate only one in every five medical graduates plan on going into primary care as their field of choice.
With so few doctors currently available already, and those that are actively seeing patients opting out of the Medicare program, senior patients may find affordable care increasingly difficult to come by.
As US doctors are pulled to US health systems going global Americans are going to be forced to go overseas to get 'cheaper' care. So, US trained doctors taking the rich from the world getting the benefit of the health care the American people paid for using our payroll taxes and Medicare and Medicaid Trusts to expand-----while overseas----they are waiting for desperate US citizens to look for ordinary care outside the US.
This is the Affordable Care Act----consolidating and deregulating the health industry to create global health systems that are as profit-driven and predatory as Wall Street banks. If you think they are building a system for 90% of Americans----third world clinic care will be it----they say---HIT THE ROAD FOR YOUR HEALTH CARE!
For those thinking the Affordable Care Act funding for more primary care doctors will see doctors coming to American patients think of this global health tourism business that all of America helped build with a trillion dollars in Federal, state, and local taxes building Hopkins global corporation and its headquarters in Baltimore.
The number of doctors tied to both Hopkins and University of Maryland Medical System which is not a state institution as you might think, but a quasi-governmental---which means corporation----dedicated to this global structure is huge. It has sucked all of the medical personnel out of the city and brings tons of immigrant medical personnel to Baltimore to serve the citizens of Maryland. Right now citizens are finding availability at Hopkins but Hopkins markets all over the world and nation while people living around the hospital die 30 years earlier than affluent communities. I keep repeating this because this shows absolutely no caring of public welfare-----and Hopkins writes this Wall Street health policy operating only on what brings more wealth.
Because Hopkins operates only for wealth----all of its data-----all of public transparency-----all of policy protecting patient well-being -------is gone. It made it's living robbing the poor and protects corporate profit at all cost.
This is where Maryland's global fund model for subsidized corporate profit was written.
Johns Hopkins Medicine International
Baltimore, US | Accreditation: none listed
601 N. Caroline Street, Suite 1080
Baltimore, Maryland 21287
contact: International Care Coordinator
Features: Johns Hopkins Medicine International (JHI) facilitates the global development of the Johns Hopkins Medicine mission: to set the standard of excellence in medical education, research and patient care.
As the international access point to thousands of Johns Hopkins experts in medicine, nursing, public health and health care administration, JHI coordinates treatment for out-of-town patients who travel to Baltimore and local patients with limited English proficiency.
Johns Hopkins Medicine International’s International Care Coordinators, Financial Counselors, International Care Management, Guest Services, Remote Medical Second Opinion and other staff members work as a team to provide seamless service tailored to your personal and cultural needs.
Complete an Inquiry Form online and an international care coordinator will contact you within one business day.
The Johns Hopkins Hospital in East Baltimore is a cluster of more than 20 buildings where patients from around the world benefit from our internationally renowned physicians and medical treatments. The Johns Hopkins Medicine system also includes two other acute-care hospitals, a satellite clinic and nearly 20 community medical centers.
Every year, we coordinate the highest quality health care for thousands of patients from more than 100 countries, so we understand and can anticipate your needs. Our staff will be there to assist you during all phases of your care.
At times, the magnitude of this institution can be overwhelming. For that reason, each international patient is paired with a personal international care coordinator who provides seamless service before, during and after each visit to Johns Hopkins.
BEFORE Your Visit:
* Appointment scheduling
* Financial information and counseling
* Accommodation arrangements
DURING the Course of Treatment:
* Escort throughout Johns Hopkins facilities/departments
* Language interpretation
* Assistance during inpatient stay and after discharge
* Care management nurse visit during inpatient stay
* Durable medical equipment and/or home care arrangements (as necessary)
* Private duty nurse arrangements (as necessary)
* Assistance with prescriptions and refills
* Follow-up appointment(s) scheduling
* Financial counseling
* Concierge services for dining and entertainment
* Historical tour of The Johns Hopkins Hospital
* International newspapers and Internet access
* Relaxing, hospitable Executive Lounge
AFTER Your Departure:
* Assistance with medical reports and films
* Assistance with prescriptions and refills
* Facilitating follow-up communication with clinical and administrative staff
* Future appointment scheduling
* Providing consolidated final bills
Caring, skilled and dedicated, your coordinator will make your stay efficient and hassle-free by helping you navigate the Johns Hopkins system, scheduling medical appointments with the most appropriate Johns Hopkins medical experts, providing language interpretation services and anticipating your cultural expectations.
Call +1.410.955.8032 or connect with your regional expert:
Contact the Africa Team:
Contact the Asia Pacific Team:
(Asia, Australia, and the Pacific Rim)
Contact the Bermuda Team:
Contact the Canada Team:
Contact the Europe Team:
Contact the Latin America and Caribbean Team:
Contact the Middle East Team:
Specialties: Centers of Excellence include:
Brady Urological Institute
Wilmer Eye Institute
Sidney Kimmel Comprehensive Cancer Center
Comprehensive Transplant Center, as well as many other multidisciplinary centers
Our medical specialties include the departments and health services offered by the health care providers at The Johns Hopkins Hospital and Johns Hopkins Medicine.
Many of our specialty services are continuously ranked among the highest in the country, as we work together to offer the finest patient care, research, and education available.
* Allergy and Clinical Immunology
* Anesthesiology/Critical Care Medicine
* Cardiac Surgery
* Childrens’ Health
* Emergency Medicine
* Gynecology and Obstetrics
* Head and Neck Surgery
* Infectious Diseases
* Internal Medicine
* Neurology and Neurosurgery
* Oncology (Cancer)
* Ophthamology (Eyes)
* Oral Surgery
* Orthopedic Surgery
* Otolaryngology (Head and Neck Surgery)
* Pediatric Oncology
* Physical Medicine/Rehabilitation
* Psychiatry/Behavioral Sciences
* Pulmonary/Critical Care Medicine
* Radiation Oncology
* Social Work (Medical & Surgical)
* Vascular Medicine, Surgery, & Endovascular Therapy