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New York doctors express their strong reluctance to participate in Obamacare.

Finding out what’s in it: New York doctors express their strong reluctance to participate in Obamacare.

Despite a much publicized rollout, many other doctors said they haven’t decided whether to become ObamaCare providers, because they haven’t been notified by insurers or the state about ­reimbursement rates. “I have not spoken with anyone who has made a decision to participate in the exchanges. We simply don’t have any information about which we can make a decision,” said Dr. Paul Orloff, president of the New York County Medical Society. “We have no idea what the reimbursements will be or what the claims-form process will entail.”

This is another problem for Obamacare: If doctors end up refusing to accept the insurance plans and go freelance, then the law cannot work.

Pioneer cover

From the press release: From the moment he is handed a possibility of making the first alien contact, Saunders Maxwell decides he will do it, even if doing so takes him through hell and back.

 
Unfortunately, that is exactly where that journey takes him.

The vision that Zimmerman paints of vibrant human colonies on the Moon, Mars, the asteroids, and beyond, indomitably fighting the harsh lifeless environment of space to build new societies, captures perfectly the emerging space race we see today.

He also captures in Pioneer the heart of the human spirit, willing to push forward no matter the odds, no matter the cost. It is that spirit that will make the exploration of the heavens possible, forever, into the never-ending future.

Available everywhere for $3.99 (before discount) at amazon, Barnes & Noble, all ebook vendors, or direct from the ebook publisher, ebookit. And if you buy it from ebookit you don't support the big tech companies and I get a bigger cut much sooner.

14 comments

  • David Hollick

    Well, this is simple enough. If the doctors don’t want to participate, the government will just force them to or send them to jail. If people don’t want to become doctors because there will be too much stress for too little money, the government will force anyone intelligent enough to become a doctor or send them to jail. If people don’t want Obamacare, the government will just force them to sign up or send them to jail. See- no problem! Nothing like the prospect of long jail terms to force compliance. The gulags may fill up rapidly.

  • Edward

    Oh, David.

    You make this sound like a communist, Soviet-style society, what with the government coercing people into professions that they don’t want.

    Next thing, you will probably try to convince us that the government will go to even further extremes that even the communists didn’t have the gall to do, such as coercing the population to purchase overly-expensive insurance policies whether they want them or not.

    Oh, wait…

  • Tian Li

    This is precisely what happened in China under Mao. Western educated doctors were executed. To appease the now ailing masses Mao invented Chinese medicine. To this day it is still practiced with all its potions and herbal cure alls. Homeopathy was also heavilly endorsed by Hilter.

    When a people find that their labor does not earn them the wages they are worth they will simply not labor.

  • Cotour

    Obama and the true Marxist believers don’t recognize incentive as being the major drivers of the human animal. They believe that they can assign you a job, like Mao did, and you do it because you were told to do it because its “best” for the collective. What a disrespectful and dangerous intellectual exercise they foolishly immerse themselves and by extension us in.

    What a load of self delusional, idealistic, intellectualized, un Constitutional BS.

  • joe

    The ruling class is looking for a population that has no dreams or desires, that will act like a colony of ants or worker bees and will be obedient to the queen or king, aint going to happen here!

  • Lois Johnson

    I worked for bosses like that in the past – they called it “working as a team.”

  • Cotour

    Marx intellectualized the world into a model which HE believed it would work best, keep in mind that his model is reflective of the culture / world in which he existed. Anyone who foolishly bases their interpretation of reality and human nature first in their intellectual interpretation of how reality “should” be, is just that a fool. We could have a separate discussion about how warped Marx may or may not have been. This foolishness also includes those who unconsciously follow them because they have allowed themselves to become dependent. Lets not fool ourselves about what our leaders in government at this time in our history adhere to, Obama and his fellow true believers have a Marxist like philosophy that guides their actions and agendas.

    Counter to that is the beauty of the Constitution and the power of incentive. The people who wrote the Constitution understood exactly the opposite of Marx and all those Kings and dictators who endeavor to shackle free people, any people, with what THEY interpret reality and responsibility should be.

    I give and am a “socialist”, I give and am a “communist” when I choose to be, not when the government takes from me through taxation the fruits of my labors and redistributes it as they deem fit and then tells me that I am a “socialist or a “communist”. Or when they attempt to control and by extension “own” me by controlling every time I seek medical attention which is essential to my existence. How dark and disrespectful this intellectualized world is. The solutions we seek are shades of gray that lie between the extreme black and white ends of the limits of governments spectrum. Government being necessary, but government being a necessary evil.

  • Pzatchok

    I would love to see the government force someone to be a doctor.

    How many failed tests will it take to drop that idea?

    Like I said a long time ago.
    If the government wants Socialized medicine it will eventually have to take over all aspects of the industry.
    It will have to start offering totally government paid for educations to doctors and other medical personnel. The students will pay it off with time served working for the government sort of like a a military service.

    But first I bet they try an nice incentive to doctors.
    If they work in a government facility for a government wage the government will make sure they do not have to pay for malpractice insurance. The government will pick up the tab.

  • Cotour

    No, what they will do is just make a series of substantial fines for doctors who do not do as they are directed. State governments participate in the over arching healthcare law and license doctors, and the threat of financial fines or the loss of a license is a mighty incentive to do as you are told .

  • Cotour

    You see, Marxist, liberals, Democrats, how ever you want to label them do understand incentive! It just comes in the form of a stick instead of a carrot. Sick, sick, sick.

  • “When a people find that their labor does not earn them the wages they are worth they will simply not labor.”

    I’ve done this. But this simple economic calculation isn’t in the Progressive worldview. I’ve been in positions where the marginal gain from work didn’t justify the tax rate, and I’ve not worked. It’s simple. I don’t work for free.

  • Pzatchok

    But that will not gain new doctors.

    Which we are presently short of.

  • Cotour

    That is the fundamental problem with intellectually investing your time and effort at that end of the spectrum, it is a short term philosophy and will only garner a lower standard and less of what you say you desire. Socialism, Marxism, liberalism, communism are all burdened with these negative kinds of results. The incentive to become a doctor will lessen so the best minds and talent will go else where. This kind of government dictates that the stick is the incentive, the incentive that creates excellence and more excellent doctors is the carrot and being freely able to choose it.

    At the other end of the spectrum is un regulated raw capitalism, this is just as dark and dangerous as the other. What we are searching for is that shade of gray where government, which is the necessary evil is populated by people who first understand their function as it relates to the Constitution, which is the only real and sustainable counter balance to the abuses of power listed above. And when these people loose their way related to their proper function in that government because they are human beings and the nature of the human being is to abuse power as it relates to one mans power over another man (government) the PEOPLE are there to remind them of what they are charged with accomplishing and remove them when necessary.

    So it does not take a genius to understand that there will be fewer doctors and the ones that remain will be less qualified and yours, mine and everyone else’s healthcare will be degraded under the emotional political manipulation banner of “Fairness”.

    Sick, sick, sick.

  • Cotour

    The effects of excessive taxes in the real world, at only 57% how long will it be before the French demand 100%? And the effects of all of this largess is? A welfare state that allows, no encourages immigrants to build their own mini extensions of the country that they come from instead of assimilating into the French culture. Sound familiar?

    http://www.telegraph.co.uk/finance/10390571/france-hollande-taxes-socialist-farrage.html

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