11/11/2013    David Gurvis, DPM

Are We Mandated to Accept Obamacare Patients? (Richard Rettig, DPM

I have to agree with Dr. Rettig. There is no Obama
care insurance. I certainly do not expect to have
a patient walk in with a plastic card with Obama's
grinning face on it demanding care.

Actually, I have just received notice from Anthem
that says pursuant to my contract, I am now
enrolled as a provider in Anthem X - X for
exchange. The so-called Obama care. I imagine I
will get something similar from Cigna, United and
so on, soon enough. The Anthem letter warned me to
be observant as some of their new programs will be
classic HMO programs. No where did they say what
fee schedule they will use so that remains to be
seen.

The important fact missing from my letter is what
to do if I did not want to participate. That
information was lacking for a reason and that is I
will take Anthem and Anthem X or I will not take
Anthem. That was the implied offer. This is
probably a good thing as there are many from what
I have seen who would refuse Exchange Insurance on
some kind of principle.

As for questioning the law being
constitutional....well...in my limited
constitutional experience...if the law is passed
it is constitutional until proven otherwise by
challenge in the court system. And this law has
been passed. No matter what you think about it,
it is the law of the land.

Here is my only "rant" so to speak about all those
who want out of Obama care etc. It is the law.
You don't have to like it. The opposing side had
two years to study the law, find problems, and
offer to negotiate to limit the problems. Instead
the entire fight was about destroying and getting
rid of the ACA. Who is going to probably suffer
while this law is tweaked? Well, all us docs of
course. Ultimately however, I happen to think this
law will help all of us as Americans.

David Gurvis, DPM, Avon IN, deg1@comcast.net

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