We’ve mentioned before how top hospitals are not going to be included in Obamacare, and that the number of available doctors will be restricted for those purchasing a plan through the exchanges. New stories are coming out to confirm what we told you.
AP reports that New Yorkers are now finding that the local medical resources in that city have become off-limits to many of them.
New Yorkers buying a health plan on the state’s new insurance exchange should read the fine print if they’re interested in getting care at some of the city’s top hospitals.
Not all are participating in the new plans created by the Affordable Care Act.
As of this week, not one of the plans for sale on New York’s health benefit exchange would cover treatment at Memorial Sloan-Kettering Cancer Center, one of the world’s largest and most respected cancer hospitals.
That could mean that the 615,000 individuals and 450,000 small business employees expected to eventually get their insurance through the exchange would have to go someplace else for treatment, or pay the bill out of their own pockets.
Other premier city hospitals are in the networks of just a few of the new plans.
The story goes on to list several of the hospitals and point out how few of the offered plans include access to them.
It is not only the hospitals who are opting out of many plans, but the insurers themselves are keeping down costs by restricting hospitals and doctors.
The Obama administration made it a priority to keep down the cost of insurance on the exchanges, the online marketplaces that are central to the Affordable Care Act. But one way that insurers have been able to offer lower rates is by creating networks that are far smaller than what most Americans are accustomed to.
The decisions have provoked a backlash. In one closely watched case, Seattle Children’s Hospital has filed suit against Washington’s insurance commissioner after a number of insurers kept it out of their provider networks. “It is unprecedented in our market to have major insurance plans exclude Seattle Children’s,” said Sandy Melzer, senior vice president.
The result, some argue, is a two-tiered system of health care: Many of the people who buy health plans on the exchanges have fewer hospitals and doctors to choose from than those with coverage through their employers.
It won’t be two-tiered for long because the employers will start dumping their employees into the exchanges.
Keep in mind how Obama portrays the conflict that brought about the government “shutdown” when the Republicans tried to defund the Affordable Care Act and rescue Americans from this dangerous mess.
At the heart of the impasse that shuttered the government were deep disagreements about what role the government should play in helping Americans succeed, Obama told about 60 donors at a fundraiser for House Democrats.
‘‘The shutdown was about more than just health care,’’ Obama said. ‘‘It was about a contrast of visions, about what our obligations are to each other as fellow citizens.’’
‘‘And we’ve got the better side of that argument,’’ Obama added.
Right. We have an obligation to one another, as fellow citizens, to deprive each other of access to healthcare, to restrict each other from top hospitals, and to take one another’s doctors away.
That makes so much sense.