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Poll: Doctors have concerns about health care law

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    Medical panel weighs in on new survey

  • Duration 10:04
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We are also standing by right now we are less than 24 hours away from.

One of the most important Supreme Court decisions.

In decades this is the most important decision we've seen out of -- -- in decades.

Tomorrow morning the High Court will at last announce the fate.

Of the president's health care -- has been much debated.

It has been a very emotional sought a subject for many many millions of Americans and finally the nine justices inside that court will tell us.

Whether it is or is not constitutional.

But we today got the results of a stunning new survey that shows how American doctors feel about this law.

The research is from Jackson health care the country's fourth largest health care staffing company.

And their survey showed that just over 67% of the doctors who responded.

Believe this health care law will have a negative impact on private practice.

Nearly two thirds.

Say the law will give them less control.

Over their practice decisions.

Turning now to discuss all of this doctor Marc Siegel who was a member of our Fox News medical eighteen.

Also doctor Richard for -- who's an author and director of the first -- center for comprehensive medicine.

And doctor Bob -- Is chairman of the department of medicine at Newark Beth Israel Medical Center doctors.

Thank you all so much for being here so this -- does this surprise you.

The next activity among the doctors honest I'm not as -- -- you got to see the -- -- -- gonna say no it doesn't surprise you.

Thought that we need to -- a percent the -- it intensity among the doctors.

On it the expectation it will decrease the quality of care and that it will interfere between the doctor and the patient relationship.

Well doctors for a long time they've been very concerned about this particular program and for the important reason.

Two thirds of the doctors who were surveyed last year said that this was going to be a problem 90% so that it was gonna cause increased costs and health care.

Doctors are on the front line they know what's going on they see how patients are treated and how they can treat patients.

Right now we know that 151000 doctors.

-- -- about 151000 primary care doctors by 2025.

Estimates are that a 160000.

More doctors will be needed just to help handle the access.

-- numbers of patients will be included in this plan.

There's a doctor shortage doctor -- about what it how why does that play into.

And why does that mean that in conjunction with the health -- -- -- doctors are saying the relationship between patients and doctors gets affected well.

Right now doctors are a big rush to see patients I mean if you have the average practice a physician doesn't spend as much time with the patient.

As he or she used it we've all experienced that in place in an act absolutely.

And and patients don't like that they want to take time with their physicians I was up in Massachusetts recently talking to specialists and I'm a specialist and rheumatology.

And the doctor said well they were flooded with primary care patients because they really wanted to see -- physician and there weren't enough primary care doctors out there to to visit.

And now he's here primary care doctor and he gives you four referrals brother doctor specialists instead of just you know doctoring you himself.

Not doctor -- he's got.

He or she doesn't have enough time to see the individual patients spend 152030.

Minutes with a -- which is what the patients want.

But -- -- I still understand.

How does the health care a -- impact -- Because the health care law.

And -- many many more regulations.

Guidelines.

And observations about what's good care what is it.

Coming from committees that are making recommendations even as we sit here this week it was about obesity US preventive services task force says.

We should be doing counseling for obesity.

Every time one of those guidelines comes -- if it gets adopted by insurance if it gets adopted by the independent Medicare advisory board which is part of Obama care.

If that happens then doctors get told how to practice we don't like getting told that a practice -- we feel the three of -- probably agree.

Practicing medicine is a one on one situation.

There are different wrinkles -- each patient.

There are different permutations.

Guidelines help you but if an insurance says I -- covering that that's not been -- -- -- -- -- over the age of forty can't do a pap test.

There were told what we can't do.

We can't practice.

I thought that the that the Obama care law was supposed to add services for us.

Preventative care in particular they're making insurance companies cover costs that -- previously were refusing to it isn't that good for patients well it's.

It's a good idea and in in principal what's happening now as we really don't have a good understanding of what it makes what it takes to have good preventive care we know that.

Obesity right now is a huge problem 66% of the population is either overweight or obese we know that people still smoke 42 million Americans still smoke.

Until we get to the core issues we can pay for health care.

Until we get to the court issues about why Americans aren't healthy and what we can do to prevent those problems we're not gonna solve it by telling doctors what to do is -- A fight ducked between the doctors.

And the Obama administration or is it between the insurance industry I -- Is does this ruling tomorrow affect more.

What insurance companies are gonna have to cover what they're gonna have to pay for or does it affect more what you can do with your patients -- The insurance companies directly impact on our practice of medicine right now insurance companies are regrouping they're thinking they're they're playing all the alternatives.

The the key to successful medical care is good outcomes.

And preventive medicine is most of my colleagues have said is very very important and you know mammograms.

Colonoscopy east.

They can't be done Willy -- even have a bone density measurements you just can't do that you have to get permission yet to get approval.

Even if I write a prescription for particular drug I need approval I have to spend time on the phone calling insurance companies talking to their medical director.

Isn't this going to to improve that because now you don't have to call the insurance companies they just say it's covered it.

President Obama has told us we have to cover it and it's covered.

That's for certain things but when you cover certain things and it cost more money and be other things aren't covered and Richard -- something before that I want to refer back to.

Which is that when patients are told they have a certain thing that's preventive medicine it leaves out a whole other thing that we think really preventive medicine is exercising.

Losing weight I'd like to see tax incentives for losing waited for exercise instead of when you already got the -- because if -- -- -- saying they're sending people to your obvious that the that the law is sending people to your office that should not be there that's.

Hey it's forcing people to pay insurance if the independent mandate remains of the individual mandate remains it's forcing people debate by insurance -- the united beset by -- or else I called Ponzi scheme because you're gonna get an eighteen year old who's totally healthy.

Give me money to give the insurance company money to help the insurance company -- out one and obese diabetic.

Maybe -- don't -- why should eighteen year old who's throwing the javelin paid for.

But I gotta tell it like I objected that it on the eighteen year old -- found that 66 year old I'm all in favor this.

It's -- Grammy well but if -- the third why do you care but -- the doctor why he wanted to.

The way this program is set up right now.

There's a very small number of people are actually you know you have increased and -- improved medical care you know right now sixty million Americans are uninsured.

This program really only takes into account thirty million of those 6010 million of that that thirty will be elude a legal.

Americans.

But twenty million will be have increased service has -- problem here is that many many people who would normally have health care who can get to doctors and have -- I'm not gonna get the service of the -- a tremendous job -- -- -- recommend.

And now -- having all these other people.

Need -- -- -- I have insurance coverage to go to the doctors and that's good for them but for the people who already have coverage that they're paying for.

They may have a tougher time getting in to see their doctor they exited the visits may be getting shorter is that what you're -- Exactly it's unsustainable as it is we have emergency -- -- thirteen with patients there's no primary care physician out there to take care of people that are on Medicaid.

Government sponsored programs those with charity care those who cannot afford it.

Wind up in our emergency rooms hundreds of thousands of people jamming emergency rooms has become the doctor's office charges after.

Megan obamacare is not for a rainy day it's for a sunny day in other words it's too easy to overuse they're making insurance which should be for a rainy day.

Too easy to overuse you can use it even if you're not sick.

You can use it without a co pay you the music if the doctor is available which we think the doctor may not be available.

Could the doctor was already overwhelmed before obamacare -- I gotta go but I want so I want quick answers on this but what are you hoping.

-- -- -- Well I would hope I would hope.

The -- only struck down I know what's gonna happen is that the individual -- it's gonna be struck because the supremes are -- re reluctant to take on a law that they think.

Overall maybe parts of these look this law was constitutional go go for the -- there was.

I've ever spent I agree and I also hope that people take the take away message here is that there is important things they can do -- prevention because that's going to be more and more important as the system gets overwhelmed we're gonna need.

People to go out -- learn how to stay healthy if they really don't know that they're not gonna have that kind of access to cap a middle providers nurse practitioners are going and they're going to be booming because they're going to replace some of our -- doctors who are stressed and stretched.

I think he had preexisting condition clause is a very good women should remain that.

This is gonna go into that mandate goes well the whole any preexisting condition clause according to -- has little to go as well.

Well and and you know.

That's a big problem so the pre existing condition and it keeping kids healthy under the parents policy until they're 26 is not a bad idea.

That could survive even if the mandate is thrown out -- throughout the whole lots of different of course -- a lot of insurers are you saying -- that that they'll continue to do that I mean why not make as a 26 year old.

Are the ones getting sick.

I it has its assurance that the majority portable document -- -- -- if you really need any -- got everything yeah it's not eat you can't really easily clearly that it -- and -- You -- let me if I think you also quite reserved like her doctors -- cubes.

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