We are a commune of inquiring, skeptical, politically centrist, capitalist, anglophile, traditionalist New England Yankee humans, humanoids, and animals with many interests beyond and above politics. Each of us has had a high-school education (or GED), but all had ADD so didn't pay attention very well, especially the dogs. Each one of us does "try my best to be just like I am," and none of us enjoys working for others, including for Maggie, from whom we receive neither a nickel nor a dime. Freedom from nags, cranks, government, do-gooders, control-freaks and idiots is all that we ask for.
From sea to shining sea, the effect of RomneyCare in Massachusetts on Washington state.
The Seattle Timesreports that Walgreens and Bartell Drugs chains are no longer accepting new Medicaid patients for prescriptions.Walgreens says “the state Medicaid program is reimbursing Walgreens below its cost to break even on nearly 95 percent of brand-name medications dispensed to Medicaid patents.”
The report continues: “Washington was reimbursing pharmacies 86 percent of a drug's average wholesale price until July, when it began paying them just 84 percent.”
Why even lower since?: “Then in September came another blow. The adjusted wholesale price is calculated by a private company, which was accused in a Massachusetts lawsuit of fraudulently inflating its figures. The company did not admit wrongdoing but agreed in a court settlement to ratchet its figures down by about 4 percent.”
I know this - one of my kids is thinking about quitting her oncology practice because of this - after all those years in school, a research fellowship and joining a group, then on her own - she's about had it. When you consider that she has a employee that does nothing but code insurance forms for Medicare (and private insurance) reimbursement at a cool $90K/yr there's something wrong with the system. And now, according to what I've read, the payments are going down even more under Obamacare as an unintended consequence of mandated insurance because there will be more people covered.
She told me she would rather practice for free in a clinic and work as a rent-a-doc in an ER than continue the way she's going now.