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  • Protect Your Children and Yourself from Phthalates December 19, 2014
    Phthalates are chemicals used since the 1950s to soften plastics. They are continuously released into the air, food, or liquid. How do you and your children become exposed to phthalates? Ingestion – When babies suck or chew on an object …
  • Holiday Specials on Lab Tests December 18, 2014
    Give the gift of health and wellness this holiday season. This is a great way to be proactive and keep up with your health as well as that of your loved ones. Below are the December specials from DirectLabs. You …
  • The Truth About Sugar December 15, 2014
    The past decade’s focus on low-fat diet has led to an unintended consequence, an increase in sugar consumption. Many people are not aware of exactly how much sugar they are actually consuming. The sugar, processed food, and beverage industries do …
  • Yet Another ObamaCare Miscalculation December 12, 2014
    by Marilyn Singleton MD, JD On November 13th, the Government Accountability Office (GAO) issued a report finding that that enrollment for the state-operated Small Business Health Options Program (SHOP), created by the Affordable Care Act, was significantly lower than expected. …
  • Ralph Weber Talks About Root Causes of High-Priced Healthcare – Video December 10, 2014
    The main reasons that health care costs so much are because of lack of transparency, lack of competition, and the complexity of the system. There is a lack of transparency between the patient and the provider, as well as between …
  • Here’s The Thing #6: Root Causes December 10, 2014
  • Yogurts: Not All Are Created Equal December 8, 2014
    by Adrienne Snavely Most commercial yogurts are full of artificial colors, flavors, and sugar, which stimulate disease-causing bacteria, yeast, and fungi in the gut. This overpowers your good bacteria, increasing the chance you’ll get sick. Healthier yogurts are pasteurized at …
  • The Scientist, the Sage, and the Homunculus: The Psychology of Direct Pay Medicine December 7, 2014
    How Patients and Doctors Make Decisions About Payment for Care. Dr. Robert Emmons and Dr. Josh Umbehr of http://Atlas.MD discuss the psychology behind direct pay medical care. From September 4, 2014, AAPS 71st Annual Meeting.
  • “The Rich, Fat Giant & the Free Market” – A Bedtime Story December 5, 2014
    by G. Keith Smith, MD When my children were young, I used to make up bedtime stories for them, stories they recently reminded me they remember even now.  I hope you enjoy the following actually true story, many versions of …
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  • Should You Worry About Phthalate Exposure While Pregnant? December 3, 2014
    Chemicals called phthalates are used to make plastic items more flexible. They are found in packaged foods and personal care products. In the past few years, studies showed that phthalate exposure put pregnant women at risk of complications and fetal …
  • Beyond Mere Board Certification: Paul Kempen, MD, PhD December 3, 2014
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  • Thanksgiving Special from MediBid for Physicians & Patients November 26, 2014
    Happy Thanksgiving from MediBid! MediBid is offering 25% off annual registration to give thanks to all of the freedom fighting doctors and facility administrators we have out there! We have a large group of self pay patients looking for quality …
  • Fraser Institute: Waiting Your Turn, Medical Wait Times in Canada 2014 November 26, 2014
    The Fraser Institute study, Waiting Your Turn: Wait Times for Health Care in Canada, is Canada’s only comprehensive measurement of wait times for medically necessary health care. Based on an annual survey of physicians practising in 12 specialties in each …
  • Why You Should Eat More Prunes November 24, 2014
    Many people are not fans of prunes, yet sales of “dried plums” are on the rise. Prunes have been a popular digestive remedy for decades with their fiber, stool loosener, and natural laxative compound. They are a sweet treat for …
  • ACA Architect Gruber Insults Voters November 21, 2014
    MIT economist Jonathan Gruber (an architect of Obamacare) has emerged in a handful of videos insulting the American public. In one video, Gruber discusses how voters’ “lack of economic understanding” enabled a politically unpopular tax on “Cadillac” health plans to …
  • Are You Vitamin D Deficient? November 19, 2014
    Many Americans believe they are not at risk for Vitamin D deficiency because they eat D-fortified foods. These foods do not contain enough Vitamin D to benefit your health. Vitamin D is not a regular vitamin, but a steroid hormone …
  • Ambulance Drones Could Help You Survive a Heart Attack November 17, 2014
    Heart disease is the #1 cause of death in the United States. The odds of surviving a heart attack outside of a hospital is only 8%. Four out of five heart attacks occur at home where there is no emergency …
  • Eugenics in America – In the Name of Science November 17, 2014
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10 Ways Obamacare Limits Patient Choice

We know that the ACA or obamacare severely limits choice, and increases costs. MediBid does the opposite. We increase choice, and lower cost. For increased choice, and lower costs, visit MediBid and give us a try.

10 Ways Obamacare Limits Patient Choice.

Ten Ways Obamacare Limits Patient Choice

In the wake of the Supreme Court’s ruling on Obamacare, Americans should remember that higher taxes are not the only negative consequence of the law. Obamacare limits patient choice through expansive federal regulation of the insurance market, government interference in the decisions patients make with their doctors, and increased dependence on government health programs.

Obamacare limits patient choice either directly or indirectly in a variety of ways. Here are just 10 Obamacare provisions to be aware of.

1. “Free” Preventive Services

Obamacare requires health plans to cover all preventive services ranked A or B (recommended) by the United States Preventive Services Task Force and does not allow them to share these costs with policyholders. This means that all patients will be forced to pay for this coverage through higher premiums. This additional expense will mean that some patients miss out on the coverage they actually need. As health policy expert Scott Gottlieb explains, “Many services that get ‘Cs’ or ‘Ds’—such as screening for ovarian or testicular cancer—could get nixed from coverage entirely.”[1]

2. “Free” Women’s Preventive Services

Obamacare creates additional preventive care coverage requirements for women, which, like other benefit mandates, means that women are prevented from choosing health plans that suit their needs and reflect their values. These provisions require Americans to pay for products such as the full range of contraceptives, including abortifacient drugs, even if they object as a matter of conscience.[2]

3. Essential Health Benefits Package

Obamacare requires health plans to cover whatever benefits are deemed essential by the Secretary of Health and Human Services. As Heritage expert Ed Haislmaier explains, “The new federal benefit requirements represent a blatant assertion that Congress and federal bureaucrats know best how to design health insurance policies. The effects will be one-size-fits-all coverage—so that patients are not ‘confused’ by having choices—and elimination of employers’ freedom to design their own self-insured plans.”[3] Special-interest groups will most certainly lobby for inclusion of generous benefits, and the more expansive the “essential” benefits package becomes, the more it will cost. The coverage “floor” will become the ceiling, and Americans will have fewer options.

4. Medical Loss Ratio (MLR) Requirement

Health plans with health savings accounts (HSAs) give consumers more power over their health spending, which explains in part why enrollment in these plans grows every year.[4] But MLR ratios—which require insurers to use a certain percentage of premium revenue on medically related costs—threaten this popular option. One reason is that, since HSAs often cover most or all of participants’ routine medical expenses, the claims that a high-deductible health plan experiences are larger and may fluctuate significantly from year to year. According to one study, “For high-deductible and HSA plans to be viable, both from a consumer and carrier perspective under [Obamacare], an adjustment to the MLR formula for the impact of HSAs may be necessary.”[5] Otherwise, HSA plans may disappear, robbing consumers of an attractive and popular option.

5. Independent Payment Advisory Board (IPAB)

Obamacare creates a board of unelected bureaucrats to implement ways to keep Medicare spending below a new cap. The board is limited mostly to changing provider payment rates, but reducing reimbursement will make it more difficult for providers to continue to care for Medicare patients. IPAB will also be empowered to contain costs by restricting access to certain treatments or services. Though the statute authorizes IPAB to “protect and improve Medicare beneficiaries’ access to necessary and evidence-based items and services,” this directive can be used to justify restricting access to care that the government does not consider necessary or evidence-based for most patients.[6]

6. The Patient-Centered Outcomes Research Institute

Obamacare creates this entity to advance comparative-effectiveness research (CER), which compares treatment options for a disease or condition. CER might be useful to doctors and patients in a purely informational role, but it should not be used to influence decisions without consideration of each patient’s values, lifestyle, preferences, and goals. Obamacare will allow CER to be used by government to restrict choice through a one-size-fits-all approach to medicine.[7]

7. Medicare Value-Based Purchasing

Obamacare creates a Medicare value-based purchasing program to pay hospitals differentially based on their performance on federal quality measures. This model has not proven effective in demonstration programs, and it could, in fact, discourage high-quality, personalized care. For example, value-based purchasing could lead providers to focus more on care that is financially rewarding than on the needs of individual patients. In some cases, this may mean giving preference to ineffective or even harmful care.[8]

8. Medicaid Expansion

Medicaid, the federal–state program that provides health care for the poor and disabled, often fails to ensure timely access to appropriate care because of low reimbursement. Obamacare will add at least 17 million Americans to the program, exacerbating Medicaid’s existing problems. More patients will be subject to the limited access to providers experienced by current Medicaid beneficiaries, reducing choice of physicians for current and new enrollees.[9]

9. Medicare Provider Payment Cuts

Obamacare cuts Medicare spending by about $400 billion by using one of the most damaging cost-containment mechanisms: reducing provider reimbursement rates. As payment for provider services falls, seniors will find fewer doctors and other providers who accept Medicare. The Medicare actuary predicts that reductions in provider payment rates under Obamacare will lead to 25 percent of hospitals, skilled nursing facilities, and home health agencies operating in the red by 2030.[10]

10. Medicare Advantage Cuts

Obamacare cuts payments to health plans in Medicare Advantage. This popular and successful program allows seniors to receive Medicare benefits through a private plan of their choice. But the cuts will force seniors to either pay more in premiums or receive fewer benefits. The Medicare actuary projects that enrollment in the program will be cut in half as seniors’ options become limited and they are forced back into traditional Medicare.[11]

Health Care Reform: Empowering Patients or Government?

Many of the problems in health care today can be traced to the disconnect between patients and decisions that affect their care. Health reform should reverse this and put patients back in charge. But Obamacare does the opposite and gives more power to the government rather than individuals and families. The impact of the health law on patient choice is just one of the many reasons Obamacare should be repealed.

Kathryn Nix is a Policy Analyst in the Center for Health Policy Studies at The Heritage Foundation.



At MediBid, we restore market forces to medical care. Doctors get to set their own rates based on their training, experience, and outcomes, and patients get to shop for medical care across state lines and international borders. Many times with MediBid, you will find procedures that are more effective than procedures allowed, or covered by health plans. Transparency and competition are the only way to achieve reasonable costs. Many of our employer clients offering group health insurance through MediBid save $5,000 per employee per year. Those are substantial savings. Patients are saving an average of 48% vs. insurance discounted rates, or 80% vs. retail. Contact us for more information.
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