Impact of health care law on medical expenses

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Doctors -- going to be one.

Biggest -- impacted by the affordable health program -- it's not a find out.

Just how it's gonna get them doctor Marc Siegel of the Fox News medical -- team and the author of the book in her pulse.

Also doctor Martha -- she's a urologist from Atlanta Georgia we welcome both of you and delighted to have -- -- -- -- Five employees in your clinic.

That makes you not only a medical practitioner but also business person having to take care of the business side of Madison.

When you think about Obama care what's it gonna mean for you both as a doctor and as.

A business person.

We're told we started down this -- with President Obama that if you had a doctor you can keep them if you're happy with them if you're happy with your insurance company you keep them.

So to the first point you can keep your doctor.

Reimbursement is down the costs of doing business -- Doctors all over Atlanta are getting off of Medicare I don't now doctor is currently on Medicaid.

We've had to -- our office to get a less expensive locations so that we can keep our Medicare patients.

So we're definitely being impacted by the financial aspect.

-- -- a -- has one of the things that I don't think most people understand it it -- the doctors get paid by Medicare.

What is the percentage of the actual costs that Medicare reimburses in Georgia.

I'm embarrassed to tell you that I am able to keep my office at that because of my private insurance patients -- barely break even on Medicare.

-- the amount many did it cost me to see a Medicare -- I'm actually losing money during that time.

Because Atlanta as an affluent city and we're able to have a large numbers people who have private insurance I'm able to carry -- Medicare patients through those private insurance pay.

So the private insurance patients essentially -- subsidizing the government subsidized patients through Medicare and Medicaid already every doctrine America I've ever talk to tells me.

If they had to take more government based.

Patients they go out of business but simply couldn't afford to open the doors I wouldn't make it to leopard.

-- -- on Labor Day if I had nothing -- a government run.

Health care that's that's pretty pretty strong doctors William Gordon finish -- thought there was a mad but I I think that's very important for people understand.

So the first part is your doctor will be there for you I'm not at all certain that that is correct the second part is that you can have the same type of health -- you had before I'm very certain that that is not correct and I really want the patients to understand what we're talking about.

Government run health care as top day -- -- And what that means is a bureaucrat sits in a room with some number crunchers and some scientific articles and decides what is best for you.

Patient run health care is where you sit with your doctor and with your.

Special circumstances your age or sex.

Your family history -- a decision is made in the privacy of the doctor's office and we're seeing that this is already changing several months ago we had this big.

Announcement from the government that people did not need your PSA testing more.

Well as urologist -- PSA test is extremely important to us because we use that as one of the many things in armament here and to help us decide how we should care for prostate cancer -- So instead of allowing us to use this tests on an individual basis to help the pensions make their best decision the government just comes and who says this is a bad test.

So all over the news pensions -- -- this is a bad test I don't need to get it.

On average man doesn't want to come in to get his digital rectal exam and -- blood test.

While eyes had success.

Well hard to say this does.

The government tells and you don't have to do it they're not coming up -- a government that even have to encourage that to Stoxx -- hot yet it staff.

So I'm.

You know and this not a joking matter really because they're going to be deaths from that yeah I live in Atlanta torture which is predominantly an affluent African American community and prostate cancer is a very bad actor in the African American population.

So there could be many man editors say okay -- we need to get this I'm not come again.

And what the pensions don't understand.

Is.

Well what the patches are starting to understand is that they are liberty is being taken away.

Their choices their personal decisions for what they -- don't want and their health care what's going why.

The doctor -- that's something you've written about you've talked about is that this is not just a medical issue it really is the right to the doctor and the rights of the patient.

Are being infringed upon you have some government person you don't know who they are.

Making decisions for you.

Governor wanna talk tonight actually about patients rather than doctors but I -- to -- to Martha's point here which is once that PSA or other test.

When some committee says we don't like it insurers are gonna pay for it so not only don't people or -- -- patients gonna be discouraged to get it it won't be reimbursed.

But you know there's over 250 million people in the United States that already have health insurance that's over 85% of the population.

I'm concerned about them tonight you know why.

-- medicine is -- -- going in the direction of new solutions new technology.

What's good for you isn't good for me personalized medicine genetic -- based solutions immunological based solutions you know -- won't cover that.

Insurance because Obama care and insurance companies are not geared to to do anything other than a one size fits all approach -- you'll see your premiums go up.

But you'll see the services that they cover go down.

You'll see your ability to pay out of pocket go down obamacare.

Has all kinds of problems without.

Where we're gonna pay less and less out of pocket you're not going to be able to the doctor out of pocket expenses flexible spending accounts are going down.

Taxes are going up and isn't just this funny penalty tax -- you don't buy insurance that's one part of it.

There's also more Medicare taxes that are going to be -- on -- -- make over 200000 dollars a year.

This is a bad situation with the 85%.

Are gonna provide bells and whistles for the other 15%.

But it's gonna take away from everybody's basic -- Justice and we're gonna seen less innovation because taxes now are going to be on the innovators taxes are gonna be on the people who attempt to try things that are different.

And out of the government mold.

-- document that does not bode well for the future not not so much of the money side but the delivery side of quality innovative health care.

Player except they brought up a lot of organization called -- -- -- care and our sole purpose is to try to keep the sanctity of the doctor patient relationship.

And if we don't have the financial support from the from the companies and if we don't have innovators.

I mean what can we provide we can do 1950s medicine -- Well I'm afraid that may be where we're headed.

We're going to be paying however 2012.

Cost for 1950s.

Medicine and that is the real worry doctor -- doctor -- thank you --

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