Death by Obamacare: ‘Reform’ reams cancer patients
Posted in the Caruthersville Forum
#1 Nov 18, 2013
ObamaCare is supposed to be a huge boon for anyone with a pre-existing condition. Count that another promise broken: It’s actually denying care because of pre-existing conditions.
Millions of Americans with cancer and other chronic illnesses will wind up paying more for lifesaving care, if they can get it all.
To keep costs down, the White House designed ObamaCare plans as cut-rate HMOs. The low profit margins have forced insurers to downsize the number of doctors and hospitals in their networks — and to slash what they cover for out-of-network treatment.
So most ObamaCare plans don’t include the vast majority of the best cancer doctors and cancer centers. That’s a huge problem for these patients. As Dr. Scott Gottlieb, a former Medicare official, writes:“Cancer patients often need the help of specialized doctors and cancer institutions that won’t make it into many of these cheapened networks.”
All across the country, leading cancer centers — including New York’s Memorial Sloan Kettering — are excluded by the largest plans. In Washington state, the largest exchange plans exclude world-class cancer care for kids such as the Seattle Cancer Care Alliance. California’s state-of-the-art Cedars-Sinai cancer center isn’t in any ObamaCare plan. Only a few plans include the Mayo Clinic.
And if you want a doctor outside such networks, you’ll generally have to pay the full cost of care.
Many people will get better coverage at a lower cost under ObamaCare (after all, the feds are spending hundreds of billions on it). But most cancer patients will wind up paying more for less.
Take Michael Cerpok, a leukemia survivor in Fountain Hills, Ariz. Right now, his monthly premium is about half his monthly take-home pay. But the ObamaCare law forced his insurer to kill that plan for one that fits the law’s rules.
Now he’ll have to pay more for drugs, and his Mayo Clinic doctor is no longer in his network.
Last year, his treatment bill was more than $350,000, but thanks to insurance his out-of-pocket was only $4,500. Now, to keep his doctor, the one who has kept him alive for seven years, Cerpok will have to pay $26,000 out-of-pocket.
ObamaCare also stints on drug coverage, severely limiting the medicines plans cover. Many pre-Obama plans just charged a co-pay of about $50-70 a month for cancer drugs. Under ObamaCare, thousands of cancer patients will have to pay more than $2,500 a month for medicines.
Horribly, ObamaCare is limiting access to new medicines just as a revolution is delivering far better treatments. More than 40 new treatments target the genetic source of tumors, as opposed to older therapies that kill cancer cells after they spread. On average, ObamaCare plans cover only 10 targeted therapies, and insurers don’t have to add new breakthroughs until 2016.
A study by Avalere Health found that up to 90 percent of ObamaCare plans will force cancer patients to cover half the cost of new drugs until they hit the out-of-pocket maximum. By comparison, only 29 percent of non-ObamaCare employer-based plans do so.
Many patients will just give up. Another Avalere study found that people are four times more likely to stop using innovative therapies if they have to pay $500 or more.
South Carolinan Bill Elliott, 50, and a late-stage lung-cancer survivor, is looking at doing just that. He reports that premiums for his family will jump from $150 to $1,500 a month. His doctor isn’t in the ObamaCare network and neither are his medicines, so he’s thinking about stopping altogether,“pay the $95 or whatever fine and I’m just going to let nature take its course,” because he doesn’t want to burden his family.
Forget the Web site and other disasters: The ugliest part of ObamaCare is how it denies life-saving coverage to cancer patients. That isn’t a “glitch”; it’s a cruel and key feature of the law....what else are we going to Learn about the AHCA???????
#2 Nov 18, 2013
Any comment on how your brother allowed our hospital to damn near bankruptcy and millions of dollars in debt or do you blame that on Obamacare also? You know Jerry, its one thing to argue with credits of merit but you argue out of spite and hatred while your own family member cost people their jobs. I happened to be one of them Jerry, so shut your damn mouth up once and for all because not only are you making yourself look like the racist ass we all knew you were by posting over and over how you hate Obama, you also make yourself look like a fool for having a brother that sat on the hospital board and cost people their jobs you piece of shit.
#3 Nov 18, 2013
Your Should have asked this Question and others to The Previous Administrator who could not and WOULD not make the TOUGH Hard decisions That was needed to keep PMHS solvent and People in their jobs.. BUT there were Too many NON-Essential People needed that needed to be LAYED off But He did NOT have the BALLS to do it and went into the 4 mil debt!! He did not want to make the Tough decisions and DID not wanna be the BAD guy and LEFT the Mess to The Board that was asked to leave!!!So bark up another tree Dick Head your Wrong on this one!!!! And The only Fool out here is YOU!! And Please feel Free to shut my Mouth ass hole, Im easy to find!! every year spring and Summer I'm in Cville...Look me up or are you A coward? Hiding behind former PMHS employe seems to answer my previous question MOFO!!!!!
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