By Alieta Eck, M.D.
A Star Ledger headline reads: “ObamaCare fuels applicant boom for NJ Medicaid—Advocate hails 35% increase in October.” Almost 22,000 new applications were filed in October, up from 16,000 in September. Is this a triumph? Was a 990-page law needed to accomplish this? The taxpayers will have to fork over $5,000 per applicant to a Medicaid HMO—that’s $110 million—and what will the patients get?
I am a physician who volunteers at the Zarephath Health Center, a non-government charity clinic in central NJ, where volunteers care for the poor and uninsured. We see Medicaid patients who cannot find a Medicaid doctor. The other day I saw a 35-year-old mother with severe asthma. She is on Medicaid and had gone to the emergency room a few days earlier. She was instructed to find a physician for follow-up treatment. Unable to find a doctor who takes Medicaid, she was welcomed at our clinic. I saw her, spent time hearing her story, and was happy to give her prescriptions to keep her asthma in check.
The next day she returned with the odd complaint that no pharmacy would fill her prescriptions. Since I had not enrolled as a “non-billing Medicaid provider,” the pharmacies were told they would not be paid if they filled my prescriptions. I have a license, am board certified in internal medicine, and pay each year to keep my controlled-substances licenses updated, so why would they not honor my prescriptions?
When the patient called the Medicaid office, they instructed her to go back to the emergency room to get her prescriptions rewritten there—presumably copied by a physician enrolled in the program. Why would the Medicaid program deny her the medicines she needed? One would think they would appreciate the fact that a doctor was willing to see and care for her without costing the system anything. But apparently this is not how a bloated bureaucracy works.admin | Filed under: Alieta Eck, Health Care, ObamaCare | Tags: Dr. Alieta Eck, Medicaid, ObamaCare | 6 Comments »
By Harold Kane
On this our Independence Day I think that it is time for the Republican geldings to stop their whining over the Roberts Supreme Court decision and to think about what can be done with the decision. He reigned in the Medicaid expansion. That ruling stopped the Federal government from extorting the states. This portion of the ruling could have implications that we have not yet discovered.
The Obama Administration has granted ObamaCare waivers to 1,200 organizations. These were “thank you” to their supporters. They were granted under the false notion that ObamaCare was constitutional under article 8, the “commerce clause”. Apparently the regulation of commerce was construed to mean giving out goodies to your friends. However since ObamaCare was found to be constitutional under article 7, the taxing power, are the exemptions still valid? Under the tax laws enforced by the IRS we are all treated equally. If I get a deduction for dependent children, so do all citizens who meet the dependent child test. The IRS cannot arbitrarily decide who will get the child exemption based upon political favoritism. The question now becomes are all of the 1,200 exemptions null and void. If they are null and void I’m sure that Obama’s supporters that received them are going to be very unhappy and some of this unhappiness could exhibit itself on Election Day
Just as a note, Fox News played the tape of the Solicitor General making the case for article 7. Apparently this was plan B if the commerce clause was going to fall apart, which it did.Posted: July 4th, 2012 | Author: Art Gallagher | Filed under: ObamaCare, U.S. Supreme Court | Tags: Commerce Clause, Harold Kane, John Roberts, Medicaid, ObamaCare, Roberts Supreme Court | 5 Comments »