And the refusal of Medicare patients because of low reimbursement is spreading in Oregon.
A 2009 survey of doctors in the Oregon Medical
Association showed that 19.1 percent of Oregon physicians had closed their practices to Medicare, and 28.1 percent had restricted the number of Medicare patients they would accept.
The Affordable Care Act includes cuts to Medicare reimbursement of doctors.
If those cuts occur, "the doctors are saying, 'We're out of here,' " said Mark Pauly, professor of health care management at the University of Pennsylvania.
"'We'll treat Medicare patients like we treat Medicaid patients,' which is mostly not."
Politicians can mandate many things and entitle
people to all sorts of services - and have.
It doesn't seem to have crossed Democrats' minds that doctors can't operate at a loss, making the whole grand vision a mirage.