To The Daily Sun,
I must have really hit a nerve with poor Tony Boutin.
I always felt that when you write a letter to the editor in a paper you own those words. All my letters are backed up with studies and statistics. I have always been ready to defend my work. Unfortunately, Tony seems to be following the lessons of his friend Russ Wiles. Just make up things, lie and hope that no one calls you out. And if they do, show no moral courage in defending your work.
I called out Tony in my last letter, about his nonsense about nurse practitioners (NP), his nonsense in what Obamacare means to the primary care provider, and his totally nonsensical remark about Ebola and health insurance. Did he address any of those outright lies? No, he did not. If fact he doubles down in his most recent letter, with more nonsense and outright lies.
First, Tony, in my 30 years of practicing health care, including two years in the Peace Corps in Liberia West Africa, 10 years working in pediatric intensive care, and six months training Afghan freedom fighters in Peshawar Pakistan in 1986, to suggest I have a lack of compassion for anyone who has had problems with health insurance is just insane. I am sure my patients would tell you I go out of my way to help all, with or without health insurance. Your remark is morally reprehensible.
All Obamacare does is give people a chance to buy health insurance on the open market. When I see a patient I have no idea if they taken advantage of Obamacare, and frankly I do not care. At least they have health insurance, and their children have insurance.
I cannot imagine the agony of a family without health insurance for their children. Worrying day in and day out about what is going to happen if they get sick. Close to 25 percent of the children in Texas do not have health insurance. These kids are America's children and they should be taken care of. Oh wait, isn't Rick Perry (R) running for president?
When I started at the hospital 16 years ago in my current position, out of the family practice group there was only one independent practitioner. Today there is only one independent practitioner. It's like you went to sleep in 1980s and woke up last year, looked around and decided to blame Obamacare for everything. The independent practitioner has been long gone Tony, long before Obamacare.
Again it seems Tony just likes to make things up. His comment that "the percentages of people with Medicare who have trouble finding a primary care doctor are now at record levels. That number is approaching 30 percent." Would you mind sharing were you got this number from? I noticed you did not reference it. I bet there is no reasonable study to back up your claim. Yes, Tony I am calling you out again. Will you please address this in your next letter? My guess is there is no such study.
Did you know that payments to physicians for seeing Medicare patients have actually gone up this year. But why would you know this, beside the fact your research abilities seems to severely lacking, and you do not see any patients?
Then he states, "the government is already paying 89 percent of all the medical costs in America." I am going to give you a chance on this one Tony. This had to be a typo, right?
This is interesting since according to the Natural Conference of State Legislatures in their report put out last year on the state of health care in the U.S., 64 percent of people with health insurance get their insurance through private parties. Only 34 percent are covered by the government. Maybe Tony can explain this seemingly contradiction of common sense. Especially if what he claims is true up to 30 percent of Medicare patients do not have primary care providers. Where then is all this money going?
Report on health care expenditures for 2013 on the four main drivers for covering health care costs shows that Medicare accounts for 20 percent of health care costs, Medicaid 15 percent, private insurers 33 percent, and out-of-pocket costs were 12 percent. Thirty-three plus 12 equals 45, not 11 as your numbers would suggest. Please explain this to all of us brain dead people out there.
Let's make it interesting. I have a check for $100 that I will send to the charity of your choice if you can prove those numbers to me. If not, you send a check to the New Hampshire Humane Society for the same amount. Man enough to take it on, Tony? I would guess not, seeing your complete lack of any moral courage.
Finally he states that the health outcomes for people with no insurance are no worse than those who are on Medicaid. This came out of one study in Oregon. Which lasted all of two years? How many of you have had a major health complication in the last two years? Not many, I guess.
Let's look at a few stats which may put a more real connection between having health insurance and not having health insurance. A study put out by Benefitspro in 2014 looked at states with the most uninsured residents. The top 10 healthiest states according to the report for 2014 were Nebraska, North Dakota, Colorado, New Hampshire, Minnesota , Utah, Connecticut, Massachusetts, Vermont and Hawaii. Eight of 10 have less than 12 percent of their population uninsured.
Which states are the unhealthiest, from the same study? Indiana, South Carolina, Alabama, West Virginia, Tennessee, Oklahoma, Kentucky, Louisiana (Jindal R), Arkansas (Huckabee R) and Mississippi. All of these states have uninsured rates above 12 percent. And guess what they all were red states in the 2012 presidential election. This is what I give a rat's behind about, Tony. You and your fellow Republicans apparently do not.
You and your friend Russ Wiles continue to partake in the politics of fear. You have no shame, no moral courage to defend your writings. You lie at will and make up the most ridiculous nonsense. My question to you is how do you look at yourself in the mirror each morning after writing this drivel?
Mirno Pasquali PA C
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