Wingnuts Respond to the Obamacare Ruling

The Supreme Court upheld subsidies for the federal health care exchanges in a ruling Wednesday and some prominent wingnuts immediately took to Twitter to express their outrage. There’s some really funny stuff in here, from paranoia to WTF?

Uh, yeah. Because one of the hallmarks of every banana republic is how they provide access to health care for all their citizens. That’s the very definition of a banana republic, isn’t it?

*scratches head* What exactly is the argument here? That by getting more people health insurance, doctors will stop treating your grandparents because they’re so busy treating all those new patients? As for hospitals, they’re doing better than before the ACA because there is far less uncompensated medical care, so it’s more likely that they’ll stay in business.

Yes, of course. That’s the only explanation. It can’t be that you’re completely full of shit, it must be a giant conspiracy.

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  • theDukedog7 .

    This lawless decision is a voting rights denial. The American people have been denied the right to vote on the definition of marriage via their legislatures.

    Democrats used to deny blacks the right to vote on important issues. Now they deny the whole country the right to vote on important issues.

  • Ellie

    Toddles, I’m not only a grandparent, I’m a great grandparent and yet…I saw a doctor just a few days ago, and had medical tests yesterday! Does this mean that when I go for another test next week, they will turn me away? Thanks for caring.

  • John Pieret

    Um, Egnore … this thread is about the ACA, not same-sex marriage. I knew you couldn’t find your own ass with both hands but …

  • Al Dente

    Egnor, what part of ACA was passed by both houses of Congress and signed by the President does your dumb ass not understand?

  • elephantasy

    There are doctors who ask patients if they have insurance from one of the exchanges, and refuse to accept that insurance, even though it is likely a policy from a provider they otherwise accept. Illegal, immoral, all that, but they do it.

  • llewelly

    “Blackmailed” ?

    What does he think Roberts is guilty of?

  • theDukedog7 .

    @3:

    Oops. You’re right. I’ve got the wrong lawless decision.

    But wait… since words don’t actually mean what they say (…”established by the states…” ), I just assumed this post was about SSM.

  • The Very Reverend Battleaxe of Knowledge

    Oops. You’re right. I’ve got the wrong lawless decision.

    Despite the word “Obamacare” in the title of the post? Have you been operating on yourself again, you suppurating pustule?

  • llewelly

    theDukedog7:

    This lawless decision is a voting rights denial. The American people have been denied the right to vote on the definition of marriage via their legislatures.

    This is about the Affordable Care Act, not the Act for Consensual Attachments. Have you caught something that makes it difficult to keep your rants straight?

    In any case, both the ACA and marriage equality are supported by a majority of Americans. You need to proceed straightaway to moving your goalpost to the Confederate, er, “states’ rights” position, so you can hang onto your bigotry for the decade or less it will take for marriage equality to become majority popular in every state.

    Why you are so in favor of the bad idea of the majority voting on the rights of a minority in the first place … I don’t know. Personally I have always seen it as thing which is not really entirely avoidable, but nonetheless desirable to blunt as much as feasible. In theory, that is why judges ought to be appointed for life, rather than elected for a four year term. Which reminds me … what are the odds that Roy Moore will run for election again after getting removed from the bench a second time?

    PS. If America is now a Banana Republic, does that mean Ray Comfort will soon announce candidacy for the Republican nomination?

  • The Very Reverend Battleaxe of Knowledge

    PS. If America is now a Banana Republic, does that mean Ray Comfort will soon announce candidacy for the Republican nomination?

    Comfort/Cameron 2016?

  • Synfandel

    Here is the result.

  • thebookofdave

    No one is who they appear to be. Roberts was not blackmailed. He was the Democrat’s deep-cover plant. Even Dukedog is a vegetable.

  • theDukedog7 .

    @8:

    “Obamacare” means same sex marriage, just like “exchanges established by the state” means “irrespective of exchanges established by the state”.

    The Court has ruled that words don’t mean what they say. Get with the program, Comrade.

  • The Very Reverend Battleaxe of Knowledge

    God, you’re a moron.

  • shouldbeworking

    Dukedog isn’t a complete moron. At least he isn’t threatening to move to Canada in protest. I gives him 4.2 on the Official Moron Scale (out of 5).

  • Pierce R. Butler

    … one of the hallmarks of every banana republic is how they provide access to health care for all their citizens.

    By that measure, the US still ranks tens of millions of steps below a banana republic.

    I blame (among, ahem, others) the Bananas Republicans.

  • http://en.uncyclopedia.co/wiki/User:Modusoperandi Modusoperandi

    America was founded on the the right to not provide subsidized private healthcare insurance accessed via an on-line marketplace organized by relatively standardized insurance levels with minimum standards set by the state to those who purchase healthcare insurance on the individual market! Read the Decoration of Independence, people!

  • thebookofdave

    I did. The money quote is: “endowed by our creator”. The rest is all florid embellishment. So denial of subsidized healthcare is just a summation of all our inalienable rights, then?

  • http://www.pandasthumb.org Area Man

    *scratches head* What exactly is the argument here? That by getting more people health insurance, doctors will stop treating your grandparents because they’re so busy treating all those new patients?

    That is, in effect, their argument. What it boils down to is saying that some people should be completely shut out of the health care system so that existing, privileged groups aren’t in some way inconvenienced with longer wait times or having to find a new doctor (which are unlikely things in any case, though at least plausible).

    In other words, conservatives believe in rationing! They just think that some people’s ration should be set to zero so that others can have more than they need.

  • http://en.uncyclopedia.co/wiki/User:Modusoperandi Modusoperandi

    “Doctor! We’ve got more customers!”

    “Really?”

    “Yes, with insurance and everything!”

    “Oh, great! Now we have no choice but to not expand our business! Thanks Obama!”

  • elephantasy

    That by getting more people health insurance, doctors will stop treating your grandparents because they’re so busy treating all those new patients?

    I think the issue is that grandparents will have insurance from the exchanges, and doctors will refuse to accept that insurance, thus effectively denying care.

    This kind of thing is already happening. Doctors are asking patients if their insurance is from an exchange. Doctors have signs in their offices saying they don’t accept “Obamacare”. Illegal, nonsensical, immoral, but this is happening.

  • daved

    Doctors have signs in their offices saying they don’t accept “Obamacare”.

    How often is this happening? I looked around a bit for an example and didn’t find one. (I didn’t look hard.)

    Last year, many doctors were saying they wouldn’t accept Obamacare policies, but it had nothing to do with ideology, and everything to do with low reimbursement rates.

  • http://www.facebook.com/kent.reniche kentreniche

    Not to generalize, but I’ve into quite a few doctors, beginning with my pediatrician who kept John Birch Society brochures in his office, who were hard core conservative nut jobs.

  • karmacat

    #21, it is clear you don’t understand insurance. Blue cross from your employer will pay the same rates as blue cross from the ACA exchange. Insurance companies generally follow what Medicare determines for payment. Grandparents if they are over 65 usually have Medicare as their primary insurance. The problem with Medicare is all the damn rules and threats that they will take back the money if you make a mistake in terms of the codes you use.

    Medicaid in a lot of states doesn’t pay very well so it is far more likely patients with Medicaid will have more problems finding a doctor, but that has always been true

  • elephantasy

    #24, perhaps you meant to refer to #22, rather than my #21? I said nothing about reimbursement rates. I agree with you that insurance is insurance, which is why it is clear the doctors who are rejecting ACA exchange insurance are doing so based on ideology.

  • D. C. Sessions

    Those docs who refuse “Obamacare insurance” are going to find themselves refusing all insurance, because part of being in a network is a contractual obligation to accept people insured in that network. You can’t have BCBS network status and then refuse BSBS patients who happen to have BCBS through an exchange.

    Not that you can’t refuse, exactly — just that you’ll rather promptly lose all of the other BCBS patients, too. And the Cigna patients, and …

  • http://artk.typepad.com ArtK

    @elephantasy

    There are doctors who ask patients if they have insurance from one of the exchanges, and refuse to accept that insurance, even though it is likely a policy from a provider they otherwise accept. Illegal, immoral, all that, but they do it.

    [CITATION NEEDED]. You’ve made a claim and provided exactly zero evidence for said claim. Why should we address the substance of your statement when there is no substance to it?

    Evidence, or I (and everyone else here) will assume that you’re making this up. Put up or shut up, buttercup.

  • elephantasy

    #27, why the hostility?

    I live in Alabama. Some of my friends have encountered these signs. I participate in a group that discusses and helps people with ACA issues, and this situation has come up a number of times. I don’t understand why this seems so farfetched to you. I’ll see what I can find that might be publicly accessible.

    #26, that was my understanding as well, from the insurance-knowledgeable people in a discussion group. I think these doctors are going to be in hot water. That doesn’t mean they don’t exist, of course.

  • http://www.pandasthumb.org Area Man

    I think the issue is that grandparents will have insurance from the exchanges, and doctors will refuse to accept that insurance, thus effectively denying care.

    Unless you’re the result of two generations of teen pregnancy, your grandparents are almost certainly on Medicare. Doctors don’t have to accept Medicare patients, but virtually all do because it’s such a huge market.

    As for doctors refusing to accept insurance plans from the exchanges, that’s nearly impossible. Insurance plans don’t come stamped with “exchange” on them, they’re indistinguishable from employer plans, and doctors have already agreed to accept that insurance. Putting up signs is purely an act of spite, and you probably don’t want to see a doctor like that anyway.

    I think it’s a safe bet that Starnes (who in fairness is an utter moron and shameless liar, so he could mean anything) is regurgitating the common anti-ACA litany that universal coverage will reduce the quality of healthcare for Medicare recipients, in part because it will overburden doctors with new patients, and in part because the ACA reduces Medicare reimbursements, which will obviously cause doctors to quit in droves (even though doctors groups readily agreed to the cuts since they make up for it with greater volume). Aside from being bullshit, the argument exposes the moral thinking of the Right: Having a somewhat harder time seeing a doctor is a moral outrage, but kicking millions of people off their insurance, preventing them from seeing any doctor, is a great idea.

  • elephantasy

    #29, I see your point regarding Medicare. Thanks. Not that Starnes makes any sense, but yeah, I can see now he might have been referring to Medicare.

    The most recent discussion I saw regarding doctors refusing ACA exchange insurance was a sign in a doctor’s office saying that patients are to tell the staff if they have insurance via the exchange. The patient was going to inquire further, and photograph the sign. It seems pretty clear that the doctor intended to use that information to discriminate in some way, and if so the patient was prepared to file a complaint. This doctor is in Birmingham, AL. There are a fair number of anti-ACA doctors in the state, including one serving as governor and refusing to expand Medicaid.

  • Lady Mondegreen
    Good luck trying to find a doctor or hospital to treat your grandparents.

    That by getting more people health insurance, doctors will stop treating your grandparents because they’re so busy treating all those new patients?

    I read it as a modified “death panel” threat. You know. Doctors are busier than ever before, and Grandma is old, and in the Nightmare 1984 scenario we Heartless Liberals are inflicting on America, resources must not be wasted on the aged, Comrade.

  • Michael Heath

    elephantasy writes:

    Doctors are asking patients if their insurance is from an exchange. Doctors have signs in their offices saying they don’t accept “Obamacare”. Illegal, nonsensical, immoral, but this is happening.

    Citation requested.

    Additionally, what does ‘Obamacare’ even mean in this context? People are generally purchasing health insurance from the same insurance providers that existed prior to the implementation of the ACA. So how does a doctor even know whether the premiums for an individual patient are subsidized or not?

  • elephantasy

    How does a doctor know if the insurance is from the exchange? By asking the patient. My previous comment mentioned a sign in a doctor’s office saying patients were to provide that information.

    As for citations, sorry, I can’t give you names of patients or doctors from private conversations. There are internet articles, for example one from last year about a Dr Martin in Tuscon, who pulled this kind of nonsense, but the original of that article has expired. You can read a copy of it here, and see the situation mentioned in his MD ratings here.

  • sezme

    @elephantasy #28

    I live in Alabama

    Ah-ha, I think we’ve discovered the problem. I’ll believe what you say in deep red states but elsewhere? Not so much.

    My condolences on your location.