Doctor-Spy

Via Byron York, I learned of this absolutely shocking New York Times story about how the Obama Administration is recruiting a team of “mystery shoppers” to pose as patients, call doctors’ offices and request appointments to check on Obamacare compliance. These shoppers will not identify that they are actually government agents when they make their calls.

If the following quotes are representative, doctors are not happy with the new spying program:

 “I don’t like the idea of the government snooping,” said Dr. Raymond Scalettar, an internist in Washington. “It’s a pernicious practice — Big Brother tactics, which should be opposed.”

 According to government documents obtained from Obama administration officials, the mystery shoppers will call medical practices and ask if doctors are accepting new patients and, if so, how long the wait would be. The government is eager to know whether doctors give different answers to callers depending on whether they have public insurance, like Medicaid, or private insurance, like Blue Cross and Blue Shield.

 Dr. George J. Petruncio, a family doctor in Turnersville, N.J., said: “This is not a way to build trust in government. Why should I trust someone who does not correctly identify himself?”

 Dr. Stephen C. Albrecht, a family doctor in Olympia, Wash., said: “If federal officials are worried about access to care, they could help us. They don’t have to spy on us.”

 Dr. Robert L. Hogue, a family physician in Brownwood, Tex., asked: “Is this a good use of tax money? Probably not. Everybody with a brain knows we do not have enough doctors.”

And it's only going to get better with Obamacare, right?

Comments:


One-Eyed Jack
Joined
Jun '11
One-Eyed Jack

 One more disincentive for talented people to enter the medical field.

Sisyphus
Joined
Jul '10
Sisyphus

I'm sure the rumors about retraining camps for doctors not meeting the federal standard for provider conduct are overblown.

Palaeologus
Joined
Jul '10
Palaeologus

Barry's administration once again offers something simultaneously useless and obnoxious.

The "secret shoppers" will tell them what they already know regarding the big picture: access to care isn't as good for folks on Medicaid. It will tell them virtually nothing on a provider by provider basis, but the individuals running these practices will be pointlessly harassed anyway.

Andrea Ryan
Joined
May '10
Andrea Ryan

And what's the consequence?  They'll pay them...less??  Most physicians already take care of Medicare and Medicaid patients purely because it's the right thing to do.  My husband has a pretty good payer mix and still Medicare is 30% of his labor and only 10% of his compensation.  If the government screws with them any more they'll just stop accepting them altogether.

Midget Faded Rattlesnake
Joined
Aug '10
Midget Faded Rattlesnake
Andrea Ryan: Most physicians already take care of Medicare and Medicaid patients purely because it's the right thing to do... If the government screws with them any more they'll just stop accepting them altogether. · Jun 26 at 9:35pm

Oh, Andrea, you know that's easy to fix. Next you mandate that doctors must accept them ;-)

StickerShock
Joined
Jun '10
StickerShock

Midget Faded Rattlesnake

Andrea Ryan: Most physicians already take care of Medicare and Medicaid patients purely because it's the right thing to do... If the government screws with them any more they'll just stop accepting them altogether. · Jun 26 at 9:35pm 

Oh, Andrea, you know that's easy to fix. Next you mandate that doctors must accept them ;-) · Jun 26 at 10:11pm

Molly:  You say the callers are checking on Obamacare "compliance."   Are doctors required under Obamacare to accept Medicare & Medicaid patients?  I didn't know that.

I assumed the purpose of the secret shoppers was to get evidence that the doctors aren't accepting these patients so they could be forced to in phase 2.  As Palaeoogus states, we already know Medicaid & Medicare patients aren't accepted by all doctors.

Government uses these secret shoppers to catch businesses that serve booze and cigarettes to minors.  I think they are quite effective when used by pivate industry to check on their employees' customer service skills.  It does seem like Big Brother when the government is involved & their agenda is so tranparent.

Edited on June 27, 2011 at 8:56am
Wylee Coyote
Joined
Jul '10
Wylee Coyote

On the other hand, we've stopped that program to wiretap terrorists.  So we've got that going for us.

Kervinlee
Joined
May '10
Kervinlee

Another one for the "if a Republican had done this" file.

Paul A. Rahe

Step by step, the administrative entitlements estate is destined to become a police state.

Andrea Ryan
Joined
May '10
Andrea Ryan
Paul A. Rahe: Step by step, the administrative entitlements estate is destined to become a police state. · Jun 27 at 5:31am

That's exactly right.

tabula rasa
Joined
Jun '10
tabula rasa

After the initial bit of shock, my more rational response was, "well, of course, this is what they would do."  For the reasons set forth by Dr. Rahe.  

Paul A. Rahe: Step by step, the administrative entitlements estate is destined to become a police state. · Jun 27 at 5:31am
Andrea Ryan
Joined
May '10
Andrea Ryan

Midget Faded Rattlesnake

Andrea Ryan: Most physicians already take care of Medicare and Medicaid patients purely because it's the right thing to do... If the government screws with them any more they'll just stop accepting them altogether. · Jun 26 at 9:35pm

Oh, Andrea, you know that's easy to fix. Next you mandate that doctors must accept them ;-) · Jun 26 at 10:11pm

Let them try that.  Doctors will retaliate and it won't be pretty.  :-)

KC Mulville
Joined
Jan '11
KC Mulville

That's because doctors are now merely employees of the state. Once healthcare was declared a right, doctors stopped being private operators and were "annexed" by the government.

Basil Fawlty
Joined
Mar '11
Basil Fawlty

Andrea Ryan

Midget Faded Rattlesnake

Andrea Ryan: Most physicians already take care of Medicare and Medicaid patients purely because it's the right thing to do... If the government screws with them any more they'll just stop accepting them altogether. · Jun 26 at 9:35pm

Oh, Andrea, you know that's easy to fix. Next you mandate that doctors must accept them ;-) · Jun 26 at 10:11pm

Let them try that.  Doctors will retaliate and it won't be pretty.  :-) · Jun 27 at 6:37am

What are they going to do?  Stick their fingers up . . . Oh, never mind.

Cas Balicki
Joined
Jun '10
Cas Balicki

What are they going to do? Well if Canada is any example, they will work much shorter hours, take longer vacations (I can hear Andrea's cheers in the background!), see as few chronic patients as possible (Chronic patients will be able to get appointments, but it will usually be four to six weeks after the phone call.), build more walk-in clinics, and organize a new medical specialty—the hospitalist (for patients admitted to hospital that have no family doctor), This is a short list, but readers catch the drift. Those with union experience will see this a working to rule. 

The Glaswegian
Joined
May '10
The Glaswegian

There is no limit to the ambition of socialists.

Misthiocracy
Joined
Aug '10
Misthiocracy

Those "mystery shoppers" represent new jobs!  ARE YOU AGAINST JOBS?!?!

;-)

Midget Faded Rattlesnake
Joined
Aug '10
Midget Faded Rattlesnake

Andrea Ryan

Midget Faded Rattlesnake

Andrea Ryan: Most physicians already take care of Medicare and Medicaid patients purely because it's the right thing to do... If the government screws with them any more they'll just stop accepting them altogether. · Jun 26 at 9:35pm

Oh, Andrea, you know that's easy to fix. Next you mandate that doctors must accept them ;-) · Jun 26 at 10:11pm

Let them try that.  Doctors will retaliate and it won't be pretty.  :-) · Jun 27 at 6:37am

I sure hope you're right!

Andrea Ryan
Joined
May '10
Andrea Ryan
Cas Balicki: What are they going to do? Well if Canada is any example, they will work much shorter hours, take longer vacations (I can hear Andrea's cheers in the background!), see as few chronic patients as possible (Chronic patients will be able to get appointments, but it will usually be four to six weeks after the phone call.), build more walk-in clinics, and organize a new medical specialty—the hospitalist (for patients admitted to hospital that have no family doctor), This is a short list, but readers catch the drift. Those with union experience will see this a working to rule.  · Jun 27 at 8:05am

My husband...work less?  Yes, I am cheering!!  But there will always be a boutique care system where those with the means to pay will still get extraordinary care.  I have a few friends who are already taking their practices in that direction.  They limit their practice to about 500 patients who pay an annual fee of about $1,000 to $2,000.  In return, they get great care and immediate access, which includes the doctor's cell phone number.

Misthiocracy
Joined
Aug '10
Misthiocracy

Andrea Ryan

Cas Balicki: What are they going to do? Well if Canada is any example, they will work much shorter hours, take longer vacations (I can hear Andrea's cheers in the background!), see as few chronic patients as possible (Chronic patients will be able to get appointments, but it will usually be four to six weeks after the phone call.), build more walk-in clinics, and organize a new medical specialty—the hospitalist (for patients admitted to hospital that have no family doctor), This is a short list, but readers catch the drift. Those with union experience will see this a working to rule.  · Jun 27 at 8:05am

My husband...work less?  Yes, I am cheering!!  But there will always be a boutique care system where those with the means to pay will still get extraordinary care. 

If Obamacare follows the lead of the Great White North, that will eventually be made illegal.


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