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Back to Hannity now before we bring back our audience we are gonna head to the front lines in the fight against obamacare my next guest to doctors.
Are here to shed some light on what challenges they have faced in the first week alone and what their patients in the average American citizen.
What you could expect in the long run here with the details cardiologist doctor Kevin Campbell and surgeon doctor Dmitry all the gentlemen welcome to the program -- -- -- -- for having me Sean all right I hope I never need either one -- you ever.
Hope I stay healthy all right doctor -- Campbell's talk about you what what was the first week like people signing up -- We've heard nothing about glitches and difficulties.
And that's exactly what we expected to be honest -- I go to work every single day with one goal providing high quality.
Efficient care for my patients.
I am very concerned that this new health care law is going to impede my ability to do just that why.
I think that we are asked to do more with less reimbursement rates are falling we're having to cut staffing.
So that now to make a more efficient office to see more patients we're doing it with less staff were using physician Extenders such as physician assistants.
We are not using all our ends in that in the office were using some medical assistance and things of that sort and I think that that is a real real challenge.
In fact I have patients that are coming in my office to say dot.
Can I get done what ever I need to have done before this health care law takes in -- fact I'm afraid.
Obama -- not gonna let me have a new defibrillator or new pacemaker there's a lot of misunderstanding out there you know -- all the and I think.
This is a point and I have a lot of members of my family Madison and perhaps -- -- more than I should.
Along I I don't play a doctor on TV.
But in all seriousness most people don't know.
With these reimbursement rates -- decide what you get paid.
In other words the free market doesn't decide.
For example you get X number of dollars you are a surgeon for.
A particular procedure is not true and and others determine that that -- That's that's correct charm.
Insurance companies have establish -- rates for people who are in their network and those rates.
Are sometimes quite quite low and in certain instances they're actually lower than the Medicare rate.
Which makes private practice virtually impossible to -- -- And I think if this is going to continue to private practice -- -- we'll see if existent in the very near future.
And the other significant problem with the insurance exchanges.
Is the limiting.
Access to specialists a lot of specialists are not part of the exchange is a lot of university centers are not part of the exchanges.
And therefore a lot of patients with some sophisticated complex problems requiring.
-- very complex here which went back provide in liver surgery.
Cannot -- me and as a result they're forced by the insurance companies.
Travel to -- what areas where the insurance companies have made a deal wit some doctors or hospitals where they can be taking care of quite commonly at a lower level of care.
Yeah so doctor Campbell what what are you anticipates gonna happen over the long term.
That doctors are going to be able to give the care that they once gave there won't be able to give the attention that they once game and and there are going to be rushing people in and out just so they can keep the lights on in and purchase equipment.
I think that's going to be part about it.
I think one of the things that concerns me most echoed the last point is some of my long time patients may not be able to see me.
If they're not part of a preferred network that the Affordable Care Act exchanges are going to dictate.
That means that -- had a longstanding relationship with you -- your cardiologist.
We've managed -- your care through multiple heart attacks and then you're gonna have to go see someone else who doesn't know you as well the resident bonded with you we know that -- patients have better outcomes so we have a relationship and we worked together in our health care.
You're gonna do better and you're gonna have to start over it's like -- and a divorce and it's a very traumatic thing for both patient and physician.
How many doctors last question doctor -- how many doctors do you think -- been a movement like private practice.
Specialized care Cadillac premium services that.
People that are just willing to pay for their services that -- cater only to them and not take any of the exchange money.
I think it's going to be very hard to determine because in today's environment we are already facing that doctor short -- And it's very hard to tell how it's going to impact.
Right now 42% of American surgeons -- 55.
Years or older.
And as a result we kept aging population of surgeons and a lot -- -- doctors are not coming on board because they're afraid.
That after going through rigors of residency complex training research.
And -- large amount of money they will not be able to.
Pay off their student loans in the future -- very hard to tell.
What's going to happen but I predict that we'll have two tier system.
And one system -- those who can afford.
Complex here sophisticated concierge medicine and -- and those who don't and by the way I just want to quickly say that my experience today.
-- talking to one of their insurance companies.
About an eighty year old lady who is dying in hospital and questioning why the insurance has denied the the announcer from the representative of the -- this very large.
Nationwide insurance company was guess what we don't -- dying.
Tell that the -- -- hand that little eleven year old girl who have Kathleen Sebelius had a way some people have some people died.
I think that can really happen thanks -- given -- a little sneak peek into the future thank you doctors appreciate it.
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