Affordable Care Act survives Supreme Court challenge

The SCotUS both then and now says you are wrong. So does reason, sanity, and reality.

You're not paying attention. With the changes under the PPACA, more facilities are opening with longer hours. Google "Minute Clinic," for one. And there are now doctors who will make house calls and are avaliable 24/7 - at least here in enlightened California.

THESE THINGS ARE HAPPENING NOW.

California isn't the entire United States Garamet

If you can pay, and we're not talking mere insurance co-pays.

Obviously, and these docs are very clear about that. The question is, how do their fees compare with the costs of an ER visit?

I thought house calls were dead, due to liability concerns?

You're kidding right? Using Medicare's payment figures, which is the standard for the industry, a visit to the ER (CPT Code 99285) is about five times as expensive as a visit to a normal Doctor's Office (CPT Code 99213). A home visit (CPT Code 99347) is even more than that. That's not a DRG figure, that's just the visit codes. Concierge Medicine usually runs several thousands time the office numbers once you factor in "enrollment fees."

Wouldn't you make house calls if you had 10+ people paying $10,000 - $150,000 cash per year just for the privilege of being seen by you? That doesn't include the money you make from billing their insurance and co-pays. That's cash on the barrel head that you keep.

Yes, I know.

I was referring to doctors like this guy:

http://www.housecalldoctorla.com/

not the latest episode of Royal Pains. He actually charges less than some regular in-office visits.

Then, depending on how he bills insurance, he's committing Medicare fraud. A shockingly common event in Doctor's offices because Doctors have zero clue how insurances actually work (That's why a good CPC or CPB is worth their weight in gold). The CPT code for a Doctor's Home Visit pays exponentially more than an office visit.

So you have to get a doctor from a reality show to get health care?

He's not billing Medicare or any insurer. Cash upfront.

Then if you don't mind my asking.............how is this relevant to Obamacare at all?

Put that way it sounds like the market is working. I had heard some time ago that certain doctors were going "outside the system" and setting up their own little customer circles just to take the middlemen out of the equation AND to greatly simplify the process - you pays you fee and you gets you care. Also heard it was being strongly discouraged by the powers that be, tho.

They'll have to make that illegal because it favors rich people with lots of cash, further alienating the already disadvantaged.

Did you Google "Minute Clinic" yet? Are you ever going to figure out why the seven-year-old NEJM article you cited in the other thread is no longer relevant?

It's not a tax loophole you dumb fuck! Just because you libtards see something that hasn't been taxed yet, doesn't make it a loophole. You can repeat your talking points all you want, "it's a loophole", "no it's a typo", "it's not a tax, it's a fee", "it's not a fee, it's , a tax", either way, you're all full of shit. They wrote a shitty law, they know it's shitty and now they're trying to cover they're ass. Now you want to jump up and down for joy, but you have no idea how many people you just pissed off and the consequences of this decision are coming. So, do continue with your superior intellect complex telling all us simple folk how great you are and how dumb we are, I can't wait for this shit to come back and bite you in the ass.

The Supreme Court is infoulable, all hail the Supreme Court.

Sigh.

• There is a tax
• You can avoid/reduce the tax by engaging in a certain behavior
• It's called the mortgage deduction

Now pay attention!

• There is a tax
• You can avoid/reduce the tax by engaging in a certain behavior
• It's called the PPACA

See the similarity? No, of course you don't. But the Supreme Court justices are a bit smarter than @Federal Dumbass, so they can actually cut to the chase and make a meaningful statement. You are going to have to get past sobbing about your incorrect notion of constitutionality if you want to do something about Obamacare. It's legal, obviously so to anybody with half a brain, and now confirmed as such by the SCOTUS. If you don't like it, work to change the law. You are not going to get anywhere by continuing to show off your stupidity.

*Patting his back to get the burps out, and swaying him side to side*

Shhh....shhh...shhh...

Dear God in heaven, will you please buy a freakin' dictionary?

And does the government require you to buy a house or pay a fine for not doing so, gul?

Nobody has said that, nor does anybody think they are infallible. Not sure what is meant by the court never fouling off the ball, but there is a baseball thread in the Green Room.

Yes, absolutely it does. Think it through, ignore labels for a bit, and really think hard about the two examples I provided. In each, you are required to buy something if you wish to avoid a tax (fine).

Really? No-one in America rents? The Fed compels you to buy a house? Wow . . .

No, the fed says if you rent, you don't get the mortgage deduction. Stop channeling Dayton. There's enough Stupid in this forum already.

Of course you don't get the mortgage deduction if you don't have a mortgage! Holy Jeebus! This is why gul's post makes no sense!

And you don't get health insurance if you're John Castle stupid and decided you'd rather pay the annual fee for...nothing.

Let me ask you this...do you make this much of a stink about needing car insurance?

Unless you are dying why would you go to the ER instead of urgent care?

Because it's 3 a.m. and the urgent care center's closed? Because you may live in Bumfuck, Arkansas and there's no such thing as an urgent care center? Because prior to the PPACA, if you were broke and had no insurance, the ER had to treat you anyway, and then you could kite without paying the bill, which is why so many hospitals have closed down.