Provider & Patient: Beside myself in Obamacare

Hmm, why don't patients care?

Hmm, why don’t patients care?


Okay, I provide healthcare and I need healthcare.  So, my question is what do I get and what can I give?

Being a dietitian, I know that my main money maker is in preventative care.  That might sound a bit crass, but can we just get to the point of this program?  I also am looking at my future earnings and what other types of practitioners I can work with.

Here is a list of the adult preventative care every exchange plan must cover: [from]

Free preventive services

All Marketplace plans and many other plans must cover the following list of preventive services without charging you acopayment or coinsurance. This is true even if you haven’t met your yearly deductible. This applies only when these services are delivered by a network provider.

  1. Abdominal Aortic Aneurysm one-time screening for men of specified ages who have ever smoked

  2. Alcohol Misuse screening and counseling

  3. Aspirin use to prevent cardiovascular disease for men and women of certain ages

  4. Blood Pressure screening for all adults

  5. Cholesterol screening for adults of certain ages or at higher risk

  6. Colorectal Cancer screening for adults over 50

  7. Depression screening for adults

  8. Diabetes (Type 2) screening for adults with high blood pressure

  9. Diet counseling for adults at higher risk for chronic disease

  10. HIV screening for everyone ages 15 to 65, and other ages at increased risk

  11. Immunization vaccines for adults–doses, recommended ages, and recommended populations vary:

    Obesity screening and counseling for all adults

  12. Sexually Transmitted Infection (STI) prevention counseling for adults at higher risk

  13. Syphilis screening for all adults at higher risk

  14. Tobacco Use screening for all adults and cessation interventions for tobacco users

BINGO! I see diet counseling.  Great.  Helping folks lose weight has a profound effect on overall health.  I can help people, make my credit card payments and bring down the cost of healthcare.  Not a bad job.

So, I click on diet counseling.  I’m thinking they will have some Plant with heart color redsparameters about how to go about doing this such as you can have so many visits, you need to see these types of practitioners, etc.  Again, I am brought to a general “Be Healthy” page.  They will help you figure out the amount of calories you should eat, and list some foods they deem to be healthy choices.  But only doctors and nurses are listed as the people to help you with your weight problem.  Are they kidding me?  Have they ever talked to an MD about food?  How about an RN?  Seen hospital food?

I have taught the one hour of nutrition class for a physician assistant program.  My friend teaches the nutrition class for nurses.  As you can see from earlier posts [You don’t know me, but take my money anyway] my confidence in these people.

Now, I LUV nurses and doctors.  But, even though I have watched by-pass surgery and deal with food interactions with medication, I don’t slice and dice anyone and I don’t peddle meds.

Nowhere do they list a registered dietitian.  Those of you who have followed me on Twitter and Facebook know that I do not believe all RDs are the same.  On the other hand, I would trust an RD to know more about how food effects you than an MD.

But I digress . . .

You keep your milk, I'll keep mine.

You keep your milk, I’ll keep mine.

You can find a listing of dietitians by wandering around in the Find Services Near You.  Well, you’ll find ones who are members of the Academy of Nutrition and Dietetics.  Many of them have drunk a lot of Dairy Council and Cattlemen’s Association kool-aid.  At least that is a place to start.

Nowhere do I find if or how I can help potential patients.

Here’s my other issue: What do I do as an enrollee?  Well, if you read yesterday’s post you know that the incredibly forward thinking Governor Corbett of my state, Pennsylvania, see ostrich photo, waited until the last minute to send a plan to the Obamacare people with restrictions that may be illegal.  This will push our healthcare commencement past January.  I hope it won’t, but I’m not holding my breath.  He is up for re-election in 2014.  The way his polls are going he will need the health exchanges January 2015.

How much will it cost?  I clicked on How can I estimate costs for 2

What are you waiting for?

What are you waiting for?

non-smoking adults.  The most it can cost me is around $4,000.00.  The least it can cost around $1,200.00.  My last insurance was around $350/month.  Not much change in the price, but we will see about the services.  I have to wait until Tuesday, October 1 to find out about dental and vision.  Wonder what that cost will be?  Will I be able to afford it?  I have until January to plan.

Hmm . . .

If I gain 25 pounds can I go to Myself for counseling, have Myself be very positive with I although I makes marginal gains that keep I patient with weird mdsneeding Myself for months and exchange payment for premium?

Obamacare, a win-win.


Any thoughts, Darling?

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