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Patients Fear Mt. Sinai Will Drop Low-Cost Insurance Plans

[preamble]Thank you Obama[backtopost]

For four months, Yitzchok Shuster felt secure in the knowledge that he had signed up for a health insurance plan on New York’s Affordable Care Act exchange, and that he was still able to see his longtime doctor, who was employed by the Mount Sinai Health System.

After his insurance took effect in January, he visited the doctor, Gary Lerner, at his Forest Hills, Queens, office three or four times with minor ailments. Then at his last visit, three weeks ago, Mr. Shuster was warned that the practice was planning to drop his plan, Empire BlueCross BlueShield Pathway.

“The girl at the front desk, a real sweetheart, she told me, Yitzchok, I really don’t want to burst your bubble because we told you that they would be taking your plan,” Mr. Shuster, 52, said Thursday. “But we have it from on high that in a month or two, they’re not going to be.”

A Mount Sinai cancer patient, who asked to be identified only as Beth because she was afraid her doctors would resent her if they knew she was complaining, said she visited her Manhattan doctor, Stacy Suden, on March 24 without incident. But said she was told on Tuesday that Dr. Suden was no longer taking her insurance, MetroPlus.

Beth and Mr. Shuster appear to be among a number of people whose low-cost insurance plans are being dropped by Mount Sinai doctors. Patients said the changes were especially upsetting because the open enrollment period for insurance has passed, and federal law does not allow them to switch plans as a way of keeping their doctors.

It was not clear on Thursday whether the changes were limited to a few doctors or part of a movement by a major institution to squeeze out low-paying plans under the Affordable Care Act or force higher reimbursement rates. Since its merger with the Continuum chain last year, Mount Sinai has become New York City’s biggest private hospital system, giving it considerable clout with insurance companies.

Mount Sinai ordered the doctors not to talk to the press, according to receptionists at both offices, and messages left for the doctors were not answered. Sid Dinsay, a spokesman for Mount Sinai, confirmed that Dr. Suden had dropped MetroPlus, and said Dr. Lerner was still in Empire’s network but “may elect to change.”

Mr. Dinsay did not respond to questions about whether the doctors had been told by Mount Sinai to drop the plans or whether similar decisions had been made across the system.

The state Health Department said that it could not stop doctors from dropping plans, but that New York State law requires insurance companies to allow doctors who have dropped plans to permit patients to continue receiving treatment for up to 90 days.

Despite that law, Beth said Dr. Suden, her primary care doctor at Beth Israel, part of the Sinai system, had turned her away. She called MetroPlus, whose agents, she said, first advised her to go to the emergency room and then sent her to an internist in Chinatown who did not speak English very well and told her she might have a new cancer.

“The whole point of having an internist is that she is your internist for more than one month,” Beth said. “This is a person with medical concerns who can’t afford to be without insurance. Just somebody who speaks English would be a good start. Maybe somebody who speaks English and is good.”

Mr. Shuster said he was told that the decision to drop his plan would affect about a dozen patients in the group his doctor belongs to, Mount Sinai Medical Associates.
Continue reading the main story
Continue reading the main story

Mr. Shuster, a rabbi, lawyer and small claims court arbitrator, said he was so outraged he went to Mount Sinai administrators seeking an explanation. He said Dr. Arthur Klein, president of the Mount Sinai Health Network, told him that dropping his plan was part of an effort to force the insurance companies to negotiate higher reimbursement rates.

“ ‘Rabbi Shuster, you have to understand we have a right to ensure that our employees at Mount Sinai get a decent wage,’ ” Mr. Shuster recalled Dr. Klein saying to him. “Then he told me, ‘We weren’t in favor of Obamacare to begin with.’ ”

Dr. Klein did not return a call for comment.

Mr. Shuster said Dr. Lerner told him that he would continue treating him at no charge, but Mr. Shuster said he does not like the idea of accepting charity when he has insurance. “He’s been a real mensch,” Mr. Shuster said. “But I don’t see it from the hospital’s point of view. It’s a multibillion-dollar business. I think Mount Sinai has a moral obligation not to drop any plans until the next enrollment period.”

Officials at MetroPlus and Empire said they had not yet received word of cancellations, but that doctors are required to give 60 to 90 days’ notice before dropping a plan.

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America’s new regime – the big/small lie!

“In the primitive simplicity of their minds [the broad masses of a nation] more readily fall victims to the big lie than the small lie, since they themselves often tell small lies in little matters but would be ashamed to resort to large-scale falsehoods. It would never come into their heads to fabricate colossal untruths, and they would not believe that others could have the impudence to distort the truth so infamously.” This is called the Big Lie Technique.

4 out of 5 people signing up for Obama care are receiving government monetary help
we now have legislation requiring the new regime to provide sign up numbers and it passed the house!
we have no proof anyone signed up as insurance companies do not have the information.

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The Un-State Of The Union

Governor Christie – his ads were approved by Obama|

CGI that robbed us on our web site for Obama care In a NO BID contest – has been found to give contribution donations to Obama in excess of $250,000 – makes you wonder!

41%f children have no family, no family, no stability.

Unemployment extension was the 1 thing that Obama said not to do for the so called budget

92 Million out of work – highest unemployment EVER!!! By extending unemployment, these people are subservient to the government – learned helplessness.
74,000 job created – less than 1700 per state
Most of this labor force is part time – makes you wonder!

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The true cost of Obama care and the ignorance of our president

6 cent tax imposed on taxi rides in ny – was SUPPOSED to goto health care costs but we find its going to pay navigators to get people to sign up – $13 million a year total

How much do we pay the navigators –  $34+ million a year?
How much did a web site cost – over a Billion dollars?
This waste alone if pumped into the health system would have ended the “crisis” for at least a year
And this is ONLY what we are told.

marines died in Afghanistan yesterday – not a peep from our esteems leader
spending budget approved – billions more to spend – and our elected officials all pat themselves on the back for a “job well done” – my god have we allowed ourselves to be such fools. Why have we allowed our ELECTED leaders to be unaccountable? This is all our doing and all our fault!
Will this folly ever end?

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You will definetly lose your doctor under Obama care – except if your a frieind of the whitehouse

Now it makes sense why our politicians on capital hill excused themselves from Obama care and allowed their friends in business and the unions to also have this luxury – they KNEW that all would lose their doctor and the care would be less.

Make you think – no? But what is the purpose anymore? Our president is self absorbed and uncaring about anything but his “vision”. He views us as chattel that must listen to him – he will “never” repeal Obama care – we are all wrong except him! no matter how many lies he told, no matter how much money, our money he spent, no matter the disaster he is causing…………………

And yet again – no one takes him to task and keeps the pressure up – the means does NOT justify the ends in the case – You cannot trump our constitution and lie to the American people with out consequences – what precedent does this set for the future?

This folly will never end!

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Obama Care – The Working Failure!

Obama care – the web site, the cancellations, the lies, the push to single payer big government, the constant denying that its a failure and expensive – the new “health care is a right” mantra.

All the arguing, all the videos showing the lies, all the words and papers showing the deception – means nothing.
Its the law – as we are always told – this is the grand plan – once its law, it has to be – hence we are all forced into it – by design – by default – as intended.

We have succumbed to socialism. Hence why Obama never apologizes, hence why he never has to be accountable, hence why his supporters never answer to the lies, hence why they never will – he has brilliantly stacked the government deck in his hand to shove this down our throats – he has won and we let him. You were warned!

Now Deblasio in NY – wait till this communist gets into power – be even more afraid!

I hope this folly ends……………


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Obama – SIngle Payer System – Socialism

President Barack Obama made it no secret he was a proponent of a single payer health care system in America when he first came on to the national scene. However, he explained to his supporters over the years that a “potential transition” would be necessary to break away from the current system.

Interestingly, as the implementation of the Obamacare exchanges face problems and millions begin to lose coverage from their private insurers, something President Obama promised would not happen, Democrats and their liberal allies are now beginning to suggest a single payer system as a solution to the rickety exchanges.

Rep. John Larson (D – CT) told Breitbart News last Wednesday that under a single payer system Americans would not be losing their private health care coverage, claiming, “You would be covered automatically. But that’s not the law. The law is that it’s a free enterprise system and they have the right not to enter into the exchange or not to provide for you in the exchange. That is their right.”

The video below shows clips of Obama explaining to supporters  his views over the years about how he would transition a single payer system into the United States. At the same time he criticizes his detractors, saying the Affordable Care Act is not a “government take over” of American health care.


Obama – Remarks to AFL – CIO

“I happen to be a proponent of a single-payer health care plan. The United States of America–the wealthiest country in the history of the world, spending 14 percent–14 percent of its gross national product on health care and cannot provide basic health insurance to everybody and that’s what Jim is talking about when he says, ‘Everybody in. Nobody out.’ A single payer health care credit–universal healthcare credit. That’s what I’d like to see, but as all of you know, we may not get there immediately. Because first we have to take back the White House and we’ve got to take back the Senate and we’ve got to take back the House.”

Obama – Remarks  – 8/4/07

“This is a two trillion dollar part of our economy and it is my belief that it’s not just politically but economically it is better for us to start getting a system in place–a universal healthcare system signed into law by the end of my first term as president and build off that system to further to make it more rational…”

“By the way, Canada did not start immediately with a single payer system. They had a similar transition step. ”

Obama- New Hampshire Public Radio 11/21/07

OBAMA: It’s a transitional system building on the existing systems that we have.

HOST: Transitional to what?

OBAMA: Transitional, hopefully, because the system is currently a patchwork of inefficiency that over time I would want to see Medicaid, Medicare, the Children’s Health Insurance Program (SCHIP)–all those integrated more effectively.

Obama – Public Remarks 4/3/07

“Let’s say that I proposed a plan that moved to a single payer system–Let’s say Medicare plus. Essentially, everybody can buy Medicare, for example…”

“Transitioning a system is a very difficult and costly and lengthy enterprise. It’s not like you can turn on a switch and you go from one system to another. So it’s possible that up front, you wouldn’t need not just– you might need an additional ninety or a hundred billion dollars a year.”

Obama – (SEIU Healthcare Forum) – 3/24/07

“But I don’t think we’re going to be able to eliminate employer coverage immediately. There’s going to be potentially some transition process. I can envision a decade out or 15 years out or 20 years out..”

Obama – Public Remarks – 1/27/05

“There’s no denying that part of the solution in the health care arena as we transition and deal with the legacy systems that we’ve inherited will probably require some additional money.”

Obama – Remarks to American Medical Association – 6/15/2009

“The public option is not your enemy. It is your friend…Let me also address an illegitimate concern that is being put forward by those who are claiming a public option is somehow a Trojan horse for a single payer system.”

Obama – (SEIU Healthcare Forum) – 3/24/07

“My commitment is to make sure we’ve got universal health care for all Americans by the end of my first term as president…”

“I would hope that we could set up a system that allows those who can’t go through their employers to access a federal system or a state pool of some sort…but I don’t think we’re going to be able to eliminate employer coverage immediately. There’s going to be potentially some transition process. I can envision a decade out or 15 years out or 20 years out..”

Rep. Barney Frank (D – MA) – 7/27/09

“I think if we get a good public option, it could lead to single payer and that’s the best way to reach single payer.”

Rep. Jan Schakowsky (D – IL) – 4/18/09

“And next to me was a guy from the insurance company who then argued against the public health insurance option saying, ‘It wouldn’t let private insurance compete–that a public option will put the private insurance industry out of business and lead to single payer.’ He was right. The man was right.”

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Obama website – Should not we get a refund?

If you purchased an expensive car and it arrived broken, would you not expect the car company to either replace the car, fix it or refund your money?
Of Course!

So why, are we not getting this service from the company that WE THE PEOPLE paid $600,000,000 for and is broken?
How much more are “we” aka Obama going to spend to make this “work”?
Should not the company that built the site be responsible?
No one is accountable for anything!

For gods sake lets stop being deceived by a WEBSITE – the web site is NOT Obama care!

When this folly ends!

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White House Attacks Cancer Patient For Speaking Out Against Obama Care

Cancer patient wrote an article complaining that she CANT keep her doctor and her plan is cancelled.
The white house response?
Attack Her! – Evidently she is not smart enough to understand insurance and what is “good” for her
This Is not a democracy to the white house – its OBAMALISM!
When this folly ends!

How Low Can They Go?

The White House attacks a cancer patient.

By            James Taranto     November 4, 2013
It’s been just over a month since ObamaCare’s disastrous launch, and it’s just over three years until the scheduled election of Barack Obama’s successor. It’s going to be a long three years. The exposure of Obama’s signature “achievement” as both incompetent and fraudulent (with its economic inviability yet to be realized) is also showing the administration’s true face. It is an ugly one, and we can expect to see a lot more of it while Obama remains in office.

This morning the White House went on the attack against a cancer patient who is also a victim of ObamaCare. Edie Littlefield Sundby of San Diego explains in today’s Wall Street Journal that she’s been managing a case of stage 4 gallbladder cancer, an affliction whose five-year survival rate is just 2%. Having survived the diagnosis by seven years so far, she beat very long odds–and she did so with the help of an excellent insurance plan that covered care at three hospitals, two in California and one in Texas.

In touting ObamaCare, Obama asserted at least two dozen times (in slightly varying language) that if you like your health plan, you can keep it. As Sundby explains, she is a victim of Obama’s fraudulent sales pitch:

Since March 2007 United Healthcare has paid $1.2 million to help keep me alive, and it has never once questioned any treatment or procedure recommended by my medical team. The company pays a fair price to the doctors and hospitals, on time, and is responsive to the emergency treatment requirements of late-stage cancer. Its caring people in the claims office have been readily available to talk to me and my providers.

But in January, United Healthcare sent me a letter announcing that they were pulling out of the individual California market. The company suggested I look to Covered California starting in October.

Covered California is the state ObamaCare exchange, one of those that, unlike the administration-built federal one, has some degree of technical functionality. Thus Sundby was able to log in and check out her options, which–contrary to Obama’s “new and improved” sales pitch, that people whose policies are canceled will get better insurance–were unsatisfactory. No plan available to her would cover both her primary-care doctor at the University of California, San Diego, and her oncologist at Stanford.

Sundby asks: “What happened to the president’s promise, ‘You can keep your health plan’? Or to the promise that ‘You can keep your doctor’? Thanks to the law, I have been forced to give up a world-class health plan. The exchange would force me to give up a world-class physician.”

This morning Dan Pfeiffer the fast-talking flack tweeted out a piece from, a leftist propaganda outfit. Titled “The Real Reason That the Cancer Patient Writing in Today’s Wall Street Journal Lost Her Insurance,” the piece, by one Igor Volsky, claims that “Sundby shouldn’t blame reform.” Volsky instead blames United Healthcare, which, he writes, “dropped her coverage because they’ve struggled to compete in California’s individual health care market for years and didn’t want to pay for sicker patients like Sundby”:

“The company’s plans reflect its concern that the first wave of newly insured customers under the law may be the costliest,” UHC Chief Executive Officer Stephen Helmsley told investors last October. “UnitedHealth will watch and see how the exchanges evolve and expects the first enrollees will have ‘a pent-up appetite’ for medical care. We are approaching them with some degree of caution because of that.”

Get that? The company packed its bags and dumped its beneficiaries because it wants its competitors to swallow the first wave of sicker enrollees only to re-enter the market later and profit from the healthy people who still haven’t signed up for coverage.

Sundby is losing her coverage and her doctors because of a business decision her insurer made within the competitive dynamics of California’s health care market.

All this may be true, but it begs the question. The addition of a phrase to that last sentence shows why: Sundby is losing her coverage and her doctors because of a business decision her insurer made within the competitive dynamics of California’s health care market under the regulatory structure established by Obama’s comprehensive “reform.”

Obama did not qualify his pitch by stating that if you like your health plan, you can keep it unless your insurer makes a business decision to the contrary within the competitive dynamics of your state’s health care market.

Best of the Web Today columnist James Taranto on how ObamaCare is defrauding consumers. Photo credit: Associated Press.

To the contrary, he represented ObamaCare as protecting consumers from precisely that sort of cruel business decision, and he has not backed away from that fraudulent promise: At a speech last Wednesday, he asserted that the only policies being canceled were “substandard” ones offered by former “bad-apple insurers” whose practices ObamaCare reformed.

Over the weekend a New York Times editorial parroted that line, claiming that “insurers are not allowed to abandon enrollees” and that “people forget how terrible many of the soon-to-be-abandoned policies were.” But even the Times editors can’t quite defend the if-you-like-your-plan-you-can-keep-it fraud. The best they can do is equivocation: “Mr. Obama clearly misspoke when he said that.”

To misspeak means to express oneself imperfectly or incorrectly. It implies either a careless choice of words or an unintended candor (as in a “Freudian slip”). Obama did not misspeak. As The Wall Street Journal reported over the weekend, the slogan was the result of careful deliberation. Whereas “some White House policy advisers objected to the breadth of Mr. Obama’s ‘keep your plan’ promise,” “political aides” insisted upon it. The latter prevailed. In an interview with the Journal, one unidentified former official “added that in the midst of a hard-fought political debate ‘if you like your plan, you can probably keep it’ isn’t a salable point.”

The story closes by quoting a “policy expert” who shrugs off the deception:

Jonathan Gruber, an economics professor at the Massachusetts Institute of Technology, said the law’s impact on existing insurance arrangements was “a social policy decision the government made” and the president’s description of it was “pretty low on the totem pole of political overstatements.”

Suppose the deliberations the Journal describes had taken place in a corporate suite rather than a government one and had concerned a commercial rather than a political advertising slogan. In that case, we’d be talking about a criminal conspiracy to defraud consumers.

Yes, it’s unrealistic to expect politicians to be held to the same standard of honesty as corporate executives. But what does astonish us about the Obama administration is the relentlessness and aggression of its efforts to blame others and evade political accountability. The tone is set at the top by a president who, at age 52, retains an adolescent’s aversion to adult responsibility.

Still, you’d think a political professional would recognize that Edie Sundby’s story calls not for an attack but for a show of compassion, even if one lacks the capacity for the real thing.