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-- hope you're not careful this is your future are finally got up and.
-- -- -- -- Everybody's going into management.
And you're gonna not enough doctors and -- -- and I've -- and had not yet even -- the event not just the Internet betting event.
-- My little nervous okay it's my first to -- me.
-- can tell that may be funny but -- it is no joke.
Another state another doctor shortage this time it's Florida.
Gary -- what content that's.
Well -- it starts right with the very first doctor you see and that's primary care specialists.
You don't need to look any further than Massachusetts which of course was the the model it in and leasing some camps they say of obamacare they face a shortage -- not only a primary care.
Special -- but in eight specialties across the board.
It's estimated by health care that by 20147.
Million Americans will.
-- trouble finding a primary care physician the recent primary care which is that that kind of got the tip of the iceberg here they're the ones that have the most paperwork which you know it's gonna go up.
Under obamacare and they get paid the least bread today and I'm gonna steal a line from -- the best way to look benefit from a -- care.
Is to buy stock in the company that makes waiting room chairs because that's where you're gonna need after read this all -- sent.
So Scott not just a problem in Florida you think this might be nationwide.
Yeah it's nationwide Brendan Florida's just happen to be example here for a couple reasons one because it's a terrible tort reform state means is very tough there.
Forgot to -- from -- don't forget so there's a lot of Medicare patients down there right so when you're a private practice and you're looking for reimbursements from Medicare.
You're not exactly a great spot especially when you look at down the road we -- all these hospitals.
They're buying up the private practices overpowered some of these small care places because they've got more negotiating -- -- insurers it's a very tough business to be an especially in Florida.
-- you worried about us.
Yeah our board about it but look at the first we heard about the new health care a lot of with unconstitutional -- -- that was wrong and we heard Republican governors.
Say they would never take health the Medicaid expansion.
Now there -- flocking to the Medicaid expansion the Medicare expansion which is what the issue is here will cover 21 million people that weren't insured.
And many of these people that weren't insured the doctors that are treating them earn a better position treating insured patients rather than uninsured because many of them had to treat them under law.
Even when they were uninsured.
The Obama law which parenthetically is deficit neutral actually reduce hundred billion over ten years.
Provides bonuses for doctors to provide these Medicaid patients so I what I think is that this is the latest complaint.
In a series of complaints about the health care a lot of turn out not to be true.
From detractors from the law and then what we see is -- Supreme Court embraces that Republican governors are embracing it everybody's embracing it as time goes.
Way out and say let's go to bed and helped her so you're saying that that my health care costs are gonna go down I thought that's been.
Yeah I know are bad idea -- other issue while premiums going up that's another conversation if you don't have and I thought we got a lot of analysis about how they would control the increase.
OK we got I had this conversation have a debate if you want to.
-- with a bit of time that now Toby doctor shortages that's what we're talking about is obamacare causing that.
But we've had doctors -- the last -- years but we've accelerated and again I'll use Massachusetts Massachusetts.
Have the second most physicians per population in the United States that anybody was not gonna have shortages they would be right well they went from a toilet day waiting period for a new doctor -- Massachusetts care to now somewhere in 42 to 45 days for a primary care possession that was just -- because it put more people in the system that -- have possessions the second issue.
The Medicaid and Medicare are are not forced on doctors don't have to take it and they loss of 1% of the doctors take -- site.
I got -- -- market collapsed the last time knows but I'm pretty sure there's not a shortage of plastic surgeons South Florida and the reason.
As -- necessary it is because you don't have insurance companies and the government decree and how much money doctors can makes us both the -- of health care.
By the government and buy insurance companies we've increased the demand for health care expressing the decree -- wanted to get health insurance.
You can't increase the supply of doctors if they can make proportionally more money is the demand for the services goes out.
So you can have some imbalances but that is also some of the -- you control cost and you have shortages and lines of some all.
Negative for everybody okay.
And that --
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