Kris Held is a doctor “on a mission to get government out of medicine.” Here’s part of her bio:

I have read The Patient Protection and Affordable Care Act (Obamacare), tweeted it and studied it. I will not implement, comply with it or let my patients live or die by it. Co-Founder AmericanDoctors4Truth.org

And she meant every word.

Here’s the letter she sent to Aetna when she discovered the insurer was “selling plans for which I am a provider-effectively selling my services without even asking, much less informing me that my services would be sold on such a site, under the auspices of new terms with which I will not comply.”

Since that image is small, here are a few excerpts from Dr. Held’s blog.

With a deep sense of sadness, I must inform you that I will no longer serve as a physician for Aetna patients under the terms of our contractual agreement, which you most recently unilaterally changed.

I have been privileged and honored to care for thousands of patients covered by Aetna policies since the 1990’s. I have devoted my life to providing the very best, state-of-the-art care to these individuals. We have formed a patient-doctor relationship, which I hope many will chose to continue in spite of my severing ties with Aetna. You see, health insurance has evolved such that insurers and government have inserted themselves smack-dab in the middle of the once sacred patient-doctor relationship. I am called a provider- not a doctor. My patient is now yours- not mine. What I can do as a physician now has strangulating strings and nonsensical numbers attached- to you and government and money-not the best interests of the patients.

* * *

Obamacare, the “law of the land”, contains ever-changing-at-the-whim-of-HHS, politically-expedient mandates, rewards, penalties, rules and regulations with which I cannot rationally or morally treat my patients and run a practice, much-less interpret, implement, or comply.

* * *

You must explain this to your patients. You must tell them that they have purchased a product that was misrepresented to them and that you cannot deliver. It saddens me to think of the decreased access to care from actual physicians and the shockingly increased costs Aetna patients will now experience because of your choice to collude with big government rather than collaborate with patients and physicians.

Read the whole thing.

Here’s what happened when Held sent her letter.

Dr. Held is heartbroken, but she has plenty of support from those who understand the stranglehold Obamacare places on physicians and patients.

https://twitter.com/gopfashionista/status/429659533577707523

https://twitter.com/gopfashionista/status/429660729222787072

Related:

Crushing Obamacare consequences: This doctor’s practice-closing newspaper ad says it all [pic]

‘Brutal!’ The doctor is in? This newspaper’s Obamacare headline says it all [photo]

Whoa! Keep your doctor? Obamacare architect: HA, suckers, only if you pay more 

‘Brava, ma’am!’ Doctor responds to AMA solicitation in epic fashion [pic]

Guess how many of her doctors Brit Hume’s wife found in the top Obamacare plan

Keep your doctor, period? Meet Americans who say they already lost their docs under Obamacare

‘Destroying medicine’: David Limbaugh shares story of Obamacare’s crushing effect on doctors

Ophthalmologists walk out of Obamacare talk at national medical meeting

  • http://twitter.com/starwarsfan107 Hayekguy

    HHS will essentially be the NHS of the US if Obamacare isn’t turned back within a 5 year period or so. I’m optimistic though it’ll be overturned through some means whether it’s the courts, states or Congress.

    • docscience

      So you think that ANY justice who doesn’t whole heartedly support statism is appointed at the Federal level.

      I trust NO ONE on the Supreme Court to uphold the Constitution over the state.

      • milootoole

        Alito, Scalia, Thomas.

      • http://twitter.com/starwarsfan107 Hayekguy

        Justices who had their heads up their asses in the Obamacare ruling: Roberts, Ginsburg, Breyer, Sotomeyer, Kagan. Justices who had sanity: Scalia, Kennedy, Thomas, Alito. It’s baffling what Roberts did, but maybe his sanity will return in the next Obamacare case.

        • bungopony

          Seriously.The decision said that Obama(spit!)care is legal because Obama(spit!) is a chronic bullsh*tter.Absolutely wretched.

          • http://twitter.com/starwarsfan107 Hayekguy

            I’m just as outraged as any other liberty-lover of the Roberts decision, though I’m not throwing out the possibility of the court changing its mind. My State Attorney General Scott Pruitt (R-OK) has a lawsuit against Obamacare’s subsidies as we speak. In particular it challenges an IRS statutory ruling that applies all subsidies and penalties in all states even though it says explicitly in the ACA that ONLY states running their own exchanges are subject to that. Only 16 states run their exchanges while all others consented to the feds or entered a partnership. It’s not a constitutional challenge, it’s a statutory challenge. In this case, you’d have to be blind, deaf and stupid to ignore the language in order to uphold the IRS’s cronyism. I don’t give up hope.

          • bungopony

            Willfully blind,deaf and stupid.Well,good luck-you’ll need it.

    • Denise Smith Mason

      The ONLY hope we have of overturning this POS law is to elect conservative men and women in 2014. If we can control Congress and take over the Senate we stand a chance but we have to elect a true conservative POTUS in 2016. Otherwise barry will just veto any attempt to overturn his namesake disaster known laughingly as the ACA.

  • NRPax

    Congratulations, Democrats! You built this! Now waiting for our liberals to tell us that the doctor doesn’t really exist, she’s greedy and selfish, or she doesn’t care about patients.

    • EndangeredNJRepub

      No, she’ll be just another anecdote; or better yet, a racist.

      • tjp77

        Oh yeah, definitely a racist. It says right on her profile that she’s a conservative Christian from Texas. To liberals, that’s like the holy trifecta of racism. Pretty much the same as wearing a white hood and burning a cross.

        • SpencerChaffin

          The liberal democrats are very familiar with the white hood and burning cross, they invented it!

        • Claire Garcia

          Wearing a white hood and burning a cross is something the Demo-rats will recognize, since they established the KKK.

    • tops116 ✓Quipper

      What, you’re saying you’d take the word of someone who has credentials, a verifiable history in medicine, and even a name over the anonymous extras wearing lab coats standing behind some dimwit who never bothered to read the legislation? How… unexpected.

      😉

      • NRPax

        I’m funny that way. Comes from having members of my family in the medical profession who have a low opinion of this law.

        • 97E

          I have yet to meet a single physician of any sort who had any respect whatsoever for the PPACA.

          My Primary Care Physician retired early because of Obamacare. My specialist (Nephrologist. I’m suffering from Polycystic Kidney Disease) doesn’t much care for it either.

          Now I’m having a hell of a time finding a new Primary Care Physician. There just aren’t any available to me here.

          • NRPax

            My sympathies. I hope you can find something or that this law gets repealed so you can get your doctor back.

          • 97E

            While I’m all for a full repeal, I doubt my physician is going to return.

          • Millie678

            Ours is opening a cash only clinic, and leaving the insurance companies altogether.

          • 97E

            That sucks.

            I can’t afford a cash-only doctor, and my health is really bad right now. I’m stuck on a small fixed income (SSI), and that goes up by about $15/mo almost every new years (was every, until Congress & Obama decided that there was no inflation in 2009, so no 2010 CoLA, while Congress gave themselves a $15,000/year raise).

          • Martin Sanders

            I have a beautiful property in Hood River Oregon and would love to build a building to do just that! I am looking for Dr investors who are interested in their own clinic.

          • Julieb615

            Hubby has PKD, been on dialysis since Feb 2007. Best thing you can do for yourself is check out the NxStage company.

          • 97E

            Praying for your husband, Julie. =(

            PKD is not fun. I was having symptoms (mostly Gout) for YEARS before I was diagnosed.

            Apparently, the aneurysm that ruptured in my brain is also a ‘warning sign’ of PKD. >.<

          • Julieb615

            Prayers appreciated! Yes, aneurysm is the worst thing that comes with PKD. Sorry you got that part. :( Unfortunately Hubby was not diagnosed until after his daughter was, then son diagnosed, now two of grandchildren have been diagnosed. We pray for genetics to advance to the point that gene therapy can fix this awful disorder. But, please check out the NxStage dialysis machine. It can help you so much!!

          • 97E

            Yeah, I’m sorry about hearing so much of your family is dealing with this. I wish your kids and grandkids well.

            As for the NxStage System One, I’m not aware how I would come into one of these. I am currently subsisting on Medicaid (and SSI) as the brain injury itself has left me permanently disabled. As such, I could not possibly afford such a machine myself. Something is telling me that Medicaid wouldn’t pay for it, either.

            Finally, with the NxStage System One, do you have to have implants placed to facilitate the blood extraction and reinsertion? I sincerely doubt they want patients catheterizing themselves, nor could I see doing that to myself (shaky hands since the aneurysm).

            As per when I was diagnosed, I had absolutely no clue that I had this crazy disease. I follow a particular YouTuber who has this condition (but it isn’t affecting him yet), and his father was on dialysis at the time. He asked if possible if people would be willing to be checked to see if they could be potential matches.

            So I went in, the doctors said that my Uric Acid levels were high, and decided to take an ultrasound of my kidneys (can’t do MRIs, as I have about 9 pounds of metal (Steel & Titanium) holding me together now). That’s when they discovered my kidneys were roughly TWICE the size they should be.

            Oddly enough, I’m the ONLY person in my family to EVER have kidney problems. The Nephrologist (a young man several years my junior… now I REALLY feel old!) said that the likelihood of a “spontaneous appearance” of PKD in a family history of no kidney problems was less than 1 in 20 million.
            Just my luck!

          • Deborah Hallsted

            Two of my daughter’s have a disease that fills the organs with tumors, though they get them in other parts as well. Ones lost a kidney, and in the head had a pituitary resection- they both have renal failure, and we’re seeing a geneticist. They’ve lost 12 organs so far. I’ve never heard of PKD, do you dump your potassium and mag? I don’t think they have your disease, their livers are covered as well as having Cirrhosis. Their nephrologist has quit as well, and sadly he was also research scientist.

          • Julieb615

            Yes, PKD kidneys do spill potassium. IDK about mag. PKD cysts do occur in other organs, esp. the liver.

          • Deborah Hallsted

            Thanks for that information, I don’t think they have ever been tested for that. I’m so deeply sorry for your trials. They’ve both had so brain injury, one by tumor ,the other by Spinal Meningitis, but mostly memory, focus and concentration. It’s terrible to see my brilliant children having “senior” moments, but I’m just watching, it really must be awful for YOU.

          • 97E

            I’m on a low/no-potassium diet right now, because of the renal failure.

            I’m so very sorry to hear about your daughters, Deborah. Like with Julie’s family, they’ll be in my prayers.

            God Bless.

          • Deborah Hallsted

            Thank you, and you in mine.

          • Julieb615

            Medicare pays for use of the NxStage. It saves them on average about $25k per year per patient. Just 10 patients saves a million $ every 4 years. We need every dialysis patient on the NxStage. Yes, you can use a natural AV fistula, in fact it is recommended. Yes, you would likely need an assistant but in some cases not. Feel free to email me by adding (@ymail.com) to my name here. I will be happy to share any PKD info and dialysis info. I have.

          • Deborah Hallsted

            The sickest doesn’t have adrenal glands or a thymus, so no immune system. With factor v Leiden thrombophelia, with a sub factor that makes her blood too thin, I don’t think she’s a candidate for dialysis, or transplant

          • Deborah Hallsted

            Are you eligible for a transplant, or would another kidney just be attacked too?

          • Julieb615

            PKD is inherited at the moment of conception. The transplanted kidney would not have the gene, so no, it would not be affected.

          • 97E

            I don’t yet know if I am eligible for a transplant.

            I haven’t even been blood typed yet. Unfortunately, insurance won’t pay for blood typing unless it’s for a reason like testing for transplant eligibility. Equally unfortunately, to consult on the transplant and be put on the list, I’d have to travel a good distance upstate, and I am not capable of driving (lost my license after the brain injury. I suffer from random bouts of vertigo).

          • Deborah Hallsted

            Heartbreaking

      • CLEmom

        Yes, I’m sure Ezekial Emmanuel (aka Dr Mengala), Kathleen Sebelius (aka Grim Reaper) and Barack Obama (aka Dear Leader) know what’s best for Dr. Held and her patients…

        She needs to lawyer up and sue the pants off Aetna and HHS…in fact, let the lawsuits begin.
        #insanity

    • Adam Wood

      Well, after all, she didn’t build that practice….

      • OLLPOH ~ OurLifeLiberty

        And it also was probably one of those nasty bankers that loaned her parents the money to send her to college for her to get an education…

        And where ever she went to college will be another “destruction point” for her, if it isn’t on the acceptable 0bama Leftist approval list…

        • Dan13

          You have a college that is not on Obama’s acceptable list?

      • Kathy Fagan

        Touche!

    • bungopony

      I was gonna say that.NJRepub is right,too.

  • $84598387

    Any doctor or nurse could be acting illegally and not know it from one day to the next. This law is shameful. THE most damaging single piece of legislation in modern history.

    • Clete Torres

      On par with Johnson’s ‘Great Society’ programs. Ridiculously expensive, ridiculously ambitious, and a ridiculous failure.

    • Paige Jackson

      Exactly what it was meant to be.

    • Thale Taxurfeet

      “Any doctor or nurse could be acting illegally and not know it from one
      day to the next. This law is shameful. THE most damaging single piece
      of legislation in modern history.”

      Yup. Particularly when contractually bound, i.e. the previously, mutually agreed to terms and conditions of the prior contract means whatever the Imperial Council unilaterally decides it means, at this moment…

      *spit*

      • H50 ✓RAT

        The average American violates approximately 2000 laws a day just going thru their daily lives, without even trying.
        Just think of what they can do to doctors with 27,000 (and counting), rules and regulations in Obamacare.

        • Clete Torres

          2000?

          I better get cracking, I’m slacking.

          • H50 ✓RAT

            LOL, used to be busy hands kept you out of the devils workshop. Now it seems you cant escape it.
            I strive for 2001 a day. I like to be ahead of the curve.

          • OLLPOH ~ OurLifeLiberty

            We be liking that new Avatar, H.F.L.

          • OLLPOH ~ OurLifeLiberty

            And people wonder why we smile…giggle!!!!!!

            OLLPOH ~ Our Life Liberty Pursuit Of Happiness ;’)

        • Thale Taxurfeet

          “The average American violates approximately 2000 laws a day just going thru their daily lives”

          Yup. Not to mention I and those like me, Conservatives, veterans of the military, men and women who bitterly cling to the U.S. Constitution/BoR upon our oaths –that whole notion of the rule of law as defined/constrained by the USC/BoR versus rule based upon the whim of those currently holding the political power– and religious types have been considered potential outlaws for a while now. At least according to the DHS report of April 2009.

  • JeffWRidge

    That is an excellent letter, and Dr. Held is to be commended for putting her patients first and taking a stand. We need more like her to stand up and fight this atrocity of a law.

    I hope that some lawyers are ready to step to the plate and fight alongside of her against Aetna. I’m pretty sure that if Aetna altered the terms of their agreement, without her permission, then they have effectively abrogated the contract.

    • Patriot077

      I hope you are right, Jeff. I’m concerned that Aetna basically told her she can’t cancel. There is probably language in there that prevents doctors from pulling out. Class action lawsuit is what they should do, and I would bet there will be many who would join.
      Taking it through the courts will be expensive and time consuming. The rule of law hasn’t meant anything to this government beginning with the auto bailouts. They didn’t care what the bankruptcy law was then and I doubt they give a pinch of concern for contract law. Sebilious thinks she’s the law.
      Government is not kind nor eloquent. It is a force like fire. Paraphrasing Geo Washington.

      • Thale Taxurfeet

        “The rule of law hasn’t meant anything to this government beginning with
        the auto bailouts. They didn’t care what the bankruptcy law was then and
        I doubt they give a pinch of concern for contract law.”

        In a nutshell…

        • Patriot077

          This doctor’s letter reminds me of Reagan’s 1961 speech (I think) about the dangers of socialized medicine. He said it would eventually mean telling doctors where the could or could not practice.
          To be forced to take patients and provide services not agreed to is slavery.

          • Malcolm Reynolds

            Unfortunately the left operate under their own definitions, that usually have nothing to do with the dictionary.
            I argue plenty with a homo on another site who believes it’s slavery to “force women to have children they don’t want” aka outlaw abortion.

          • Patriot077

            If they don’t want kids don’t have sex without protection. Simple as that.

          • Malcolm Reynolds

            You cant go talkin sense like that to leftists. Their minds have an immune system built in to fight it.

          • Dan13

            But they can’t get protection unless the government pays for it.

          • Lynelle Hullsiek

            How about forcing patients to take meds, shots, and God knows what else, without their consent. This whole law is a gang rape.

          • Patriot077

            I am not familiar with the issues you mention specifically but agree that the entire law should be deep sixed.

        • David

          When the government first bailed out Chrysler (late 70s or early 80s as I recall), I said to my brother, “Where will it end.”
          Chrysler under the leadership of Lee Iaccoca repaid the loan, but it was the start of government interference where they had no business.

      • Susan Kamelgarn

        She can cancel but she has to give them six months so patients can find another doctor..If she reads her original contract its says they cancel her or she can cancel them but must give patients time to find another doctor..the 6 months. All contracts with insurance companies say that.

        • Patriot077

          That is perfectly acceptable and customary for the contract that was signed and agreed to. There was no acceptance to the new contract.
          Yet they are not required to give her any notice when they change her contract? They can commit her to services and terms that she did not agree to without discussion?
          That does not pass the smell test to me, as contracts between parties are supposed to be exactly that – between the parties, which implies mutual agreement.
          If you are correct, there is something very wrong when one party can arbitrarily commit another without their knowledge.

        • Dwayne Jackson

          Then why doesn’t your logic apply to the five plus million who lost their insurance as of 1/1/2014? Why weren’t they given six months?

        • Dan13

          Susan, why must she abide by the terms of the original contract when the insurance company is not abiding by the same terms.
          when an agreement is determined to be null and void there is no 6 month waiting period.

          • Susan Kamelgarn

            @disqus_4FL5zbExdI:disqus You’re 100% right. But 6 months was still better than the lie they told her.

  • Chrissy the Hyphenated

    This kind of doctor is who people like us will be using. Cash only until they outlaw THAT. Then black market.

    • Sambo Caesar

      Or barter. Trade services. Looks like personal loans will take over for insurance.

      • OLLPOH ~ OurLifeLiberty

        Yet, the Consumer Financial Protection Bureau-CFPB Richard Cordray, and the Treasury and the FRB Federal Reserve Banks (whom no one knows for sure who they are) is destroying the loan market, which is being done purposefully, to collapse the banking system for consumers, so that the only place one could possibly borrow money from will be the Federal Government. (We scream at Senators to Repeal, Repeal, Repeal…Privacy is Gone).

        Remember Student Loans were taken over from Banks by Barry and his Treasury/IRS with Geithner at the helm, when student loans Were which was a bank selling product. And of course today, Barry is really close to forgiving the recent student loans, by saying if you can’t pay for them, and if you find a job with the Federal Government, and you work for the Federal Government for 10 years, we will forgive your Student Loan.

        Also, he has in the works also, to make loans available for low income earners, too.

        Another, government thing in the works, (and keeping our fingers cross, and praying like we have never prayed before and scream as loud as we can at our Congressional so called leaders) if, and we repeat if, Nancy Pelosi does (were to) become the House Majority Leader this year, she does have Legislation waiting on her desk to shove through the house, that all Day Care for Children is paid for by the Federal Government.

        There is a wealth of information, and everyone can weigh in at…
        http://www.popvox.com (Hope everyone will pass this website on…)
        on legislation that is waiting in the wings, where things are sitting in committees, etc., etc.

        • Ranba_Ral

          “Remember Student Loans were taken over from Banks by Barry and his
          Treasury/IRS with Geithner at the helm, when student loans Were which
          was a bank selling product.”

          Boy do I remember that. My minimum monthly payment tripled, and they didn’t have the courtesy to shift me to the slightly lower interest rate the government loans had to offset.

  • TJ

    If you like your doctor you can keep your doctor…..You just have to pay for their services outside the insurance payment system, as they will not work under the terms of Obamacare mandated to doctors.

  • H50 ✓RAT

    I follow her on twitter. She is an intelligent and caring doctor who is totally patient care focused.
    This is the way that most will go I fear, cash only clinics, insured will be left with the bureaucrats, lazy and dregs.

    • Clete Torres

      Well stated.

      Like the new avi, ipo.

      • H50 ✓RAT

        Had to re-verify my disquis account this morning and it wouldn’t allow the other for some reason, so I went with the outrigger canoe paddlers instead.
        Good to change things up every now and again.

        • Clete Torres

          I had to a couple days ago. Something about how they re-did their sign-on process.

          • H50 ✓RAT

            Yea, it was weird, humming along posting and all of the sudden red bar to re-verify.

          • Clete Torres

            Same here.

        • nc ✓s & balances

          I don’t think my little chihuahua would forgive me if I ever did.

          • H50 ✓RAT

            Adorable pup!

          • porkchop6209

            Hey girl! What’s this I hear about you trying to cut yourself in on our snow/winter deal? Couldn’t stand the loneliness?

          • H50 ✓RAT

            It snows on the Big Island from time to time. Nothing new, but pretty to look at……………from across the channel.

          • Clete Torres

            My neighbors used to fly from HNL to the Big Island a couple times a month to go skiing.

            No thanks. I moved to HI to be warm in January, not cold.

          • H50 ✓RAT

            Yep. I whine when it drops below 70 here. I know growing old is not for sissy’s, but Im a big baby when it comes to cold. Makes all my old aches and pains scream Helllllooooo!

          • Clete Torres

            Right there with you. The 4 days in AZ a couple weeks ago was the best I’ve felt since last summer.

          • porkchop6209

            Well, swim over and get you some, the exercise will limber you up. I’ll send you some pookoon root, works miracles.

          • H50 ✓RAT

            Ummmm….better send some shark repellent too…..I dont care for them either!

          • porkchop6209

            Nah, makes you swim faster, keeps you fresh! Motivate, motivate, motivate…….

          • H50 ✓RAT

            Well, yes, there is that. :(

          • Mark81150 Never/Trump/Hillary

            awwwwwwwwwwwwww…

            Duke approves… his bestest pal is a mini Dachi.. Dacheshund. Duke loves his canine pals..

            and he pees on the people he doesn’t like… the ideal dog.

            Duke’s a Jeagle.. half Beagle, half Jack Russel.. and a self entertaining cutup and comic.

    • nc ✓s & balances

      I like the new pic too!

      • Mark81150 Never/Trump/Hillary

        me three…

        • OLLPOH ~ OurLifeLiberty

          Well, shucks…again we 4 and 5

  • therealguyfaux ✓ᵛᵉʳᶦᶠᶦᵉᵈ

    From a legal standpoint, she could say THEY breached the contract she and they had, but they have the defense of “supervention”– i.e., the law changed, and it became illegal for them to honor the contract with her. But often, there are what are called “saving clauses” in contracts that say, in effect, “OK, if anything happens that makes some part of this contract null and void, the rest of it still stays in force regardless.” This may be the situation here.

    In addition, it must be asked whether she has some sort of non-compete clause in her contract in exchange for signing up with Aetna– if she refuses to take any patients enrolled by Aetna, she can be prevented from maintaining a practice completely, until Feb 2015. Such clauses are usually upheld. She can look only to work as a salaried physician in the meantime as the employee of someone/some entity.

    If there is some lawyer out there with expertise in the field who would like to point out if I have got any of this wrong, feel free to correct me.

    • Mark81150 Never/Trump/Hillary

      always the small print which destroys your soul isn’t it?

      I can’t speak for her, but in her shoes, I’d get a lawyer and tell that insurance company and Obama.. to kiss my @ss….

      If someone has their contract changed by the insurer with no notice, and that insurer still thinks they have a deal, here’s the reality… they have a lawyers deal, not a contract.. that they broke on their side.

      This is why people hate lawyers…

      They word these contracts in such a way, you’re literally an indentured servant to them… no free will at all… and hide in it triple speak about clause this and party of the second part that..

      If it needs a translator..it’s not something a free person should have to sign..

      When legislators stopped being mostly small businessmen and farmers.. and became a refuge for lawyers, that’s when government began to seriously suck.. all law… ALL of it should be in plain spoken English any layman could understand or it’s not ethical and true to the spirit of the Republic.

      By the People.. For the People… not by the attorney’s at law and for the attorney’s at law… and screw the public… but that’s what it has become, a refuge for crooks conmen and tyrants… all three in Obama’s case.

      • therealguyfaux ✓ᵛᵉʳᶦᶠᶦᵉᵈ

        The more laws you have on the books, restricting someone from doing something somebody else thinks they oughtn’t be doing, the more lawyers you’re going to have, and, unfortunately, need.

        As far as that goes, there are many plain-language standard-form contracts available that skip all the “Party #1/#2” horse$#!t, but you kinda have to be wary of whether such contracts contemplate all possible Murphy’s Law situations. That’s where the lawyers come in. The essential rule of thumb is that of what Elihu Root, an early 20th C. politician and statesman, said was the job of a lawyer– to tell clients they’re being a$$holes and to stop doing what they’re doing.

    • 1CatEye

      If the breach in the contract is material, then she has a good case. Even if there is an unenforceability clause in the contract, it must be read with the entire contract in mind. Again, if the breach is material, the unenforceability clause probably can’t save it. There is another point to consider. If it materially changes the way she is compensated (material), she could sue and claim involuntary servitude. Hahahahahaha. Like to see this admin deal with THAT one. Non-compete clauses are usually not worth the paper they are printed on, usually NOT upheld unless it has to do with customer lists and or/trade secrets.

  • EndangeredNJRepub

    This law will be repealed, or nullified in one way or another. Remember how Prohibition (another fruit of lefty intellect) was supposed to be set in stone? It’s funny sometimes how the more things change the more they stay the same.

    • H50 ✓RAT

      It took 14 years to repeal Prohibition, look how much damage was done in that time period. Spawned a whole new era of gangsters (urban terrorism) that we still battle today.

      Its not always a matter of whether or not something can be repealed, but the damage something leaves in its wake.

      • EndangeredNJRepub

        I agree 100%.

        But unfortunately, it’s going to inevitably take too much time. It already has. You hit the nail on the head, though. These things always have completely unforeseen consequences that last for generations, and a lot of times are never even resolved. I just hope it doesn’t take 14 years and a devolving health system that gets people killed or otherwise screwed to do away with the ACA.

        • nc ✓s & balances

          We can’t afford 14 years of this. I fear for the damage that has already been done.

        • H50 ✓RAT

          Well said.

          Its the unintended consequences that do the worst damage and leave the longest lasting damage.

          • Clete Torres

            The consequences are not unintended. They’re built-in by design.

          • H50 ✓RAT

            Kinda hard to refute that when they keep doing the same destructive things over and over again.
            Incredibly stupid or incredibly cunning? Im leaning towards cunning more every day, because even rocks arent that stupid.

          • porkchop6209

            For some as of yet proven, but well speculated, underlying reasons those victims are just collateral damage on the road to utopia.

          • H50 ✓RAT

            Apparently you have to destroy everything before the great phoenix of the progressive utopia can rise from the ashes.

          • Clete Torres

            …or something.

          • Mark81150 Never/Trump/Hillary

            The ultimate delusion they have..

            That after causing the country to collapse… anyone.. ANYONE will trust THEM to put in single payer to fix it..

            They’ll have no credibility left outside their own hardcore leftist statist ranks.. when it comes to that, we’ll be there REMINDING people that it was the progressive left which sold them this piece of schit..

            They may well crash the system.. but it won’t be them who’ll have to fix it, they’ll be in the same trashcan with Obastardcare…

          • H50 ✓RAT

            Ya hit the nail on the head.
            Thats the problem with bubbles and utopias.
            When you go outside your bubble you find out that the majority of people around you disagree with your insane visions. They see you as stupid and weak. As we all know when everything turns to poop, the weak are destroyed first.
            The fallacy of the utopia is that it will ultimately be populated by human beings. Human beings always dream, want more, strive to be the pride lion. They manipulate and prey on the weak.
            Either way you look at it, pajama boy is the first to go.

          • porkchop6209

            Don’t let them get your moomoo.

          • H50 ✓RAT

            I have some truly beautiful mu’mu’s made by local Aunties. I treasure them. They will have to pry them from my cold dead hands. ……..

          • porkchop6209

            Oh, I misspelled? Mea Culpa! So sorry. I bet they are comfortable though.

          • H50 ✓RAT

            LOL, I dont know anyone who isnt local that spells it right. Not to worry.
            They are comfy and beautiful and made far better than anything you can buy in the store. They become heirlooms that you pass down.

        • Mark81150 Never/Trump/Hillary

          We don’t need to convince the public, they were always on our side… we need our leaders to challenge the media’s outright distortion of Obamacare, and it’s shameless shilling for it.

          It was opposed from the start, and the media lied about that..
          it was opposed by the grassroots Tea Party’s and the media lied about that too, calling us Nazi’s and an unrully mob of malcontents, racists, thugs…

          The MSM widely aired every lie… never retracted anything debunked over and over.. their propped up Obama by smearing Romney to drag him over the finish line, and they need to be endlessly called on THAT..

          Every republican on TV needs to go Gingrich and slap them in the face with their actions and the facts.. and be ready for the lies and got cha’s to come when they do…

          We’re seeing the enactment of a slow motion coup by the traitorous media aiding and abetting a corrupt party of political thugs…. It’s NOT America when the media has it’s thumb pressed firmly on the scales of justice to push their own ideology on 305 million free men women and children, lying the whole time about what they’re doing, smearing patriots for opposing them, and white washing the crimes of “their” president..

          Stalin’s not Obama’s mentor.. Al Capone is..

          and we need to ruin the media’s day over that fact completely..

          • OLLPOH ~ OurLifeLiberty

            Yes, sir well said. And of course you do know already, Saul Alinski was mentored by Al and it is a definite that Communism and Marx and Black Liberation, Critical Race Theory are built in and honed skills of his. It behooves us that there also, is the CPUSA, Young Communist League ( YCL.org , http://www.cpusa.org ) on our soil and no one does a d*mn thing about. And emboldens us that there is 1167 Leftist Groups (just Groups mind you) , http://www.discoverthenetworks.org and click on Groups.

            /rant over

  • https://naturalfamilyblog.wordpress.com/ Jenny Marie Hatch

    Dr. Zhivago, 21st century American Style…

    • Clete Torres

      Excellent analogy.

  • nc ✓s & balances

    BRAVA, Doctor!!!! Well done!!! While we, as patients, can do our best not to comply as best we can by not accessing their corrupt system, brave action such as this by DOCTORS (not “providers” – such an important point she made!) is essential to bring this monster down. The longer it lives the more damage it creates.

    Thank you, Dr. Held, for showing how it’s done!

  • Clete Torres

    Good luck, Dr. Held. Now that your intransigence is public knowledge, you can expect all manners of microscopic scrutiny from our betters, the self-appointed arbiters of right and wrong vis a vis medicine: the 0bama administration.

    • MeanGranny

      look for a tax audit in three, two, one…..

    • Mark81150 Never/Trump/Hillary

      HHS will be looking at her hard for anything they can twist… calling old patients to see if they can find any disgruntled types to lie for them..

      The politics of nuclear war on your enemies is the only kind Obama knows..

      This American left doesn’t just want to defeat you politically, they want to destroy your life, and ruin your reputation… We have too many examples to not believe this is a deliberate act by evil people.

      • iconoclast

        Of course. After all, look how many leftists still support the North Koreans or Pol Pot in Cambodia. People are some more eggs to break when making a socialist omelette

    • H50 ✓RAT

      Shes been doing this for quite a while. If she starts a revolution among doctors (shes not the first to do this) I can see a targeted review of taxes, patients standards/practices and campaign donations in her future.

  • Clayton Grant
  • desicon

    Congratulations doctor. In the day and age a man with spine, self dignity and values the noble service that he offers.

    RINO GOP, get inspired, show you have some self dignity left.

    • Clete Torres

      You mean the GOP that’s fast-tracking immigration? They have no spine, nor dignity, nor gravitas left.

      • OLLPOH ~ OurLifeLiberty

        S p o t…O n !

  • Ax2root

    Fight Fascism…govt partnership with business

  • Clete Torres

    Simple fix:

    She sees her Aetna patients one more time, and explains what’s going on. Since she’s ‘contractually bound’ until 2/15, she sets next appt on 3/15 date.

  • Danny Wheeler

    Bravo, Dr. Held!

  • tops116 ✓Quipper

    No wonder Democrats are already giving up on the House and focusing on the Senate. This is just the tip of the iceberg.

    Congrats to Dr. Held for standing firm. And congrats to Democrats for digging that hole you all find yourselves in.

    • Green Eggs And Ted

      And hilariously enough, they still have a huge problem coming down the pike that will hurt them. The employer mandate won’t kick in until later this year. So the Dems might want to give up on keeping the senate.

  • Green Eggs And Ted

    I wonder how the Democrats will spin this?

    • NRPax

      Probably by calling the IRS to investigate her.

      • Green Eggs And Ted

        Of course, I forgot about the hounds that Obama sends after anyone who refuses to bow to his will.

        • NRPax

          That’s because we didn’t have an affirmative action President before this.

          BTW, I see you have Daredevil in your icon but it looks like a parody. What is it from?

          • Green Eggs And Ted

            I found it on a google search for funny comic pics. I just thought it was funny that Daredevil was typing on a cat.

        • RedSoloCup

          Kneeling on a rug in his (Muslim) case.

    • H50 ✓RAT

      They will ignore it until enough doctors drop out to paralyze the system. Then they will blame republicans for not fixing Obamacare.

      • Yeah Buddy

        Deny the problem
        Shift the blame
        Change the subject

    • WhoDat

      That it’s completely the insurance company’s fault.

      • Malcolm Reynolds

        Hey Average Joe, here’s your answer.

        So you’re saying they are operating completely independently of fed insurance regs aka obamacare now?

      • Green Eggs And Ted

        The insurance companies are complying with the law that the Democrats shoved into place. It’s the law’s fault and everyone who passed it. Not the insurance company for obeying the law. Do you think before you type?

        • WhoDat

          You wondered how Democrats would spin it. That is how it’s going to be spun, if it isn’t already.

        • tedlv

          A change in the law is a very good driver for a change in the contract. If the parties can’t agree, then bye-bye.

      • gekkobear

        Yeah, the insurance company shouldn’t have written and passed the law like they did… they should have asked someone to help them write a better law.

        Weird… when did Insurance companies and not Congress write and pass laws?

        Oh, they didn’t pass the law; the Democrats did unilaterally without Republican votes? Well, good luck trying to find someone else to blame… but don’t expect anyone who knows how laws work to buy it.

    • tedlv

      They will probably ignore it, or if they acknowledge it, they will call her a racist.

  • docscience

    Apparently there is a Ms Galt too.

    • H50 ✓RAT

      Behind every great man, there is a woman with a cattle prod.

      • OLLPOH ~ OurLifeLiberty

        Yes, D e a r . …;’)

  • rambler

    Contract law was rewritten with the auto bailouts too. If one can be held to changes in the contract without agreeing to those changes, then what good is any contract? That defeats the whole purpose of entering into a contract.

    • therealguyfaux ✓ᵛᵉʳᶦᶠᶦᵉᵈ

      Justice Oliver Wendell Holmes discussed this in a commencement address at Harvard Law School in the late 19th C.; the idea is that a contract simply sets a price that has to be paid if one or the other party backs out. He told the graduating class that they should never confuse what’s legal with what’s moral– it will only end in tragedy for any lawyer who does. He compared it to tort law, and said, in effect, as far as negligence goes, you pay attention, or you pay damages. When it comes to a contract, you pay for what you receive, or you pay damages– the difference between the two basically being that in tort law, $#!t happens, and in contract law, $#!t changes, and in both cases, you have to pay damages when it does, so why get all hi-falutin’ preachy? Just total up the losses and sue. Save the morality for church, or, maybe, the criminal court.

      • tedlv

        Real, this is the first time I have ever disagreed with you.
        I was involved in a case in which the company for which I was a private contractor suddenly fired a whole group of us, basically because of a death in the family owning the company. They then tried to enforce a “no similar local work for 90 days” clause. The company we were working for hired us as direct employees, and the contract company sued us. The lawyer we hired shot them down. They had to pay his fees,
        Contract changes must involve both parties, or the contract can be rendered void in court, as this one was, if one party tries to enforce other clauses of a contract after a change that was outside the original contract.

        • therealguyfaux ✓ᵛᵉʳᶦᶠᶦᵉᵈ

          OK, this is a bit abstruse for some people, so I’ll keep it simple– enforcing a non-compete clause or any clause for that matter is a case in equity, not in law. The remedy is a court order, not damages. Fee-shifting is a possible outcome for the prevailer in such a case. Holmes was talking strictly about damages, i.e., law, in the illustration he gave.

          (Interested readers can go to Wikipedia to get an idea of what the differences are between law and equity.)

          • stuckinIL4now

            Wikipedia, really? I take issue with touting Wikipedia as a reliable source for differences between law and equity. Sorry, that don’t float.

          • therealguyfaux ✓ᵛᵉʳᶦᶠᶦᵉᵈ

            Assuming you’re in earnest on this point, and not just taking a slam at Wikipedia or at me for citing them:
            They’re not ALWAYS unbalanced in their presentation, y’know. They get SOME things right. Especially where both sides of an issue have an interest in seeing editing done to curb excesses.

            Quick rule of thumb:
            Law = “Somebody DID something to me, and I want them to pay.”
            Equity = “Somebody’s DOING something to me, and I want them to stop.”

      • OLLPOH ~ OurLifeLiberty

        They have to be made “whole”.

        • therealguyfaux ✓ᵛᵉʳᶦᶠᶦᵉᵈ

          Either to be put in as good of a position as they’d be in if the contract were honored, or no worse off than they were going into the deal, whichever applies.

          • OLLPOH ~ OurLifeLiberty

            And sometimes it ends up in mediation, too.

      • rambler

        We can expect more S#!t to happen as a result of these political winds.

        • therealguyfaux ✓ᵛᵉʳᶦᶠᶦᵉᵈ

          Except that Mr Justice Holmes didn’t cover the part about when $#!t happens BECAUSE $#!t changes. That’s called Unintended Consequences Law when it’s negligence, and Broken-Window-Fallacy Law when it’s consensual as in contract law.

          • rambler

            That’s life….. a string of S#!t happening moments. We don’t need politicians making our lives even more miserable by creating more of those moments. We’re getting slammed with the intended and unintended consequences of having self-centered, party promoting corruptocrats in office.

        • TexasStomp

          Good for him! We take CASH payment for products and services just like Walmart. Patients are welcome to carry any insurance policy they like and to file their own claims. We have NOTHING to do with that. We are physicians, not contract negotiators.

          • rambler

            It all should be cash and carry. The gov is trying to reduce the medical profession to the status of piece workers and medical care into factory work.

          • TexasStomp

            LOL. They’ll have more luck “tryin” to stop a boar hog with a table knife.

            When you owe nearly half a million bucks before you open for bid’ness it ain’t likely you’re gonna take anything short of cash in hand, in full, thank ewe fer yur bud’ness.

          • rambler

            Send in the boars! Let’s have a running of the boars in DC and give the politicians a head start. PETA wouldn’t approve of handing out knives. :-)

          • TexasStomp

            Now that’s a thought worth thinkin. Only in my game PETA would be tasked with herding them and the IRS would be on the ground to collect the fee for playin.

            A twofer….:))))

          • rambler

            It would be so fun to watch.

          • TexasStomp

            And then some, lol.

  • RedSoloCup

    I’m not complying either.

    • 24fan

      Me neither

  • thathadtohurt

    Forced servitude…..The democrat way

  • old_grump

    Hey Doc, prepare for a colonoscopy from the IRS.

  • MLCross

    The only question here is whether the Democrats will use the IRS or try to get her license revoked as a method of punishing and shutting her up.

    • Casca

      Both

  • Malcolm Reynolds

    I’m sorry, someone tell me how the left isn’t the party of despotism and slavery. Then, now and always.

  • regmgr

    If it wasn’t for John Robert’s need to attend A list Washington parties we wouldn’t be going through this disaster of a health care mandate. More from the socialist that runs the administration. He will literally kill people because of his radical ideas on government control so hang in there, things will get worse as long as he’s in office.

    • AZWarrior

      Have you ever noticed the the Supreme Court Justices are among the few American government workers who can’t be reached by an email, phone call or letter? Even the President has an address.

      • stuckinIL4now

        Time for Supreme Court term limits and other restrictions on their ability to “rule” and “decree” our laws. They’re not gods and this is one area where our Constitution, in my opinion, has been misinterpreted. The courts should not have the final say-so–We the People should and we need to take back our power.

  • mickeychick

    insert “teacher” everywhere it says “doctor” and exchange “students” with “patients” and you have a letter every teacher in America feels like writing these days.

    • OLLPOH ~ OurLifeLiberty

      We wish they’d start writing those letters.

  • Steve Canon

    If the system is so gamed that we can’t do it at the ballot box, then we must take other measures. Read the Constitution, BIll of Rights, and the works of the founding fathers. United we stand. Liberty and justice for all.

  • Kristine Gorski-Bailey

    An above tweet really makes a great point. It should be called Obamacoverage , not Obamacare. Just getting the “insurance” says nothing of the care, quality or lack of.

  • LoneWolf

    Thank you, doctor!

  • BAW

    Dr. Held is an impressive woman. And it appears she’s a woman on a mission. Unlike Wendy Davis, an actual successful Texas woman doing important things.

  • Ellis Reyes

    @kksheld This is what integrity is all about. You are an inspiration, Dr. Held.

  • nosocialism29

    Thank you Doctor for standing up against Obamascare. Please bring fellow doctors on board !!!

  • steven

    WE need all doctors to do this!!naughty reviews.

    • Casca

      Canadian doctors did when it happened to them- and the government said it would no longer issue a license to those who refused to accept the Canadian single payer system

  • tedlv

    Isn’t Aetna’s attempt to force her to take patients that they choose for her, contrary to her contract, something akin to slavery?

  • TerryK

    Blame the insurance company – Obama DOES NOT run Aetna. Too damn many hands taking money out of the system. Which single payer would have limited. Good thing health care industry (insurance companies and pharma) profits are top priority over actual health care. And I am sure denying healthcare to poor is exactly “WWJD”.

    • nc ✓s & balances

      Nice try. If there was no Obamacare, you could blame the insurance companies. But now all they can do is dance like puppets on a string of massive government regulations.

      • Pawtrax

        Could you explain, specifically, what role Obamacare played in Dr. Held’s problem with Aetna–beyond the fact that it simply exists?

        What specific “massive government regulation” forced Aetna to, apparently, include Held in their network against her wishes?

        • nc ✓s & balances

          Did you read her letter?

          If you want the “specific” regulations, I suggest you read the 11,000 pages of regulations.

          http://www.usatoday.com/story/opinion/2013/10/23/affordable-care-act-pages-long/3174499/

          • Pawtrax

            I did read her letter. I also read her related blog posts.

            Her main complaint is that Aetna included her in their network before sending her their revised schedule of reimbursements. She does not explain why she rejected the schedule of reimbursements.

            Given that these are her main issues with Aetna, you would do better to read her contract with the insurance company than the legislation for Obamacare, because Obamacare does not tell insurance companies who they can or can’t have in their networks, nor does it force doctors to participate in any insurance network they don’t want to participate in. Obamacare also doesn’t set reimbursement rates for private insurance companies. Those are the facts, in terms of the legislation.

            The facts of Dr. Held’s case though, are far murkier because we don’t and probably can’t know, what her contract with Aetna says. If you read her blog posts and twitter feed, SHE isn’t even clear on what her contract with Aetna says.

            If you want to make a case for how Obamacare is the real culprit here, go ahead. But the facts point elsewhere.

          • stuckinIL4now

            And where is your SPECIFICITY of sources for what you’re claiming?

          • nc ✓s & balances

            Pawtrax is full of something, but it ain’t facts.

          • Pawtrax

            First of, all, stop and think for a second. If Obamacare forced doctors to work in a network against their will or if Obamacare allowed insurance providers to do that, then Dr. Held would be breaking the law for severing her contract with Aetna. Right? Not even Dr. Held is claiming that Obamacare is forcing her to work for Aetna. She’s focussed her complaint on their contract–the terms of which she is unclear.

            Second, Kaiser Health News ran an article in November that address a lot of the concerns that Dr. Held has–although in a far less hysterical tone. The article goes a long way to explaining the context for her letter:

            Many doctors are disturbed they will be paid less — often a lot less — to care for the millions of patients projected to buy coverage through the health law’s new insurance marketplaces.

            Some have complained to medical associations, including those in New York, California, Connecticut, Texas and Georgia, saying the discounted rates could lead to a two-tiered system in which fewer doctors participate, potentially making it harder for consumers to get the care they need.

            Insurance officials acknowledge they have reduced rates in some plans, saying they are under enormous pressure to keep premiums affordable. They say physicians will make up for the lower pay by seeing more patients, since the plans tend to have smaller networks of doctors.

            But many primary care doctors say they barely have time to take care of the patients they have now.

            The conflict sheds light on the often murky world of insurance contracts in which physicians don’t always know which plans they’re listed in or how much they’re being paid to treat patients in a particular plan. As a result, some doctors are just learning about the lower pay rates in some plans sold in the online markets, or exchanges.

            http://www.kaiserhealthnews.org/stories/2013/november/19/doctor-rates-marketplace-insurance-plans.aspx

            It should be noted that this “murky world” existed long before Obamacare existed. This is why people often “lost their doctors” or “had their plans cancelled” every year, for years, well before the law passed and went into effect.

            But who is setting these lower rates? The federal government or insurance companies?

            It’s the insurance companies. From the article:

            The benchmark for physician fees is the rate the federal government sets for services provided to older Americans through Medicare. In many markets, commercial plans may pay slightly above the Medicare rates, while doctors say that many of the new exchange plans are offering rates below that.

            Physicians are uncomfortable discussing their rates because of antitrust laws, and insurers say the information is proprietary. But information cobbled together from interviews suggests that if the Medicare pays $90 for an office visit of a complex nature, and a commercial plan pays $100 or more, some exchange plans are offering $60 to $70. Doctors say the insurers have not always clearly spelled out the proposed rate reductions.

            The insurance companies use Medicare as a benchmark but they are free to set their rates as they see fit. That’s why the insurance companies are able to claim that their reimbursement rates are “proprietary.” They set the rates, not the government. If the government set the rates for private insurance–as it does for medicare–you would be able to find out the exact rates from the public record–as you can with Medicare. But since the government doesn’t set private insurance reimbursement rates, the companies can claim the right to privacy to protect them from going public.

            Read the article. You’ll see that Dr. Held isn’t the only doctor who found herself in a network she didn’t expect to be in. But, the article also says:

            Some insurers have contractual arrangements with physicians that allow them to automatically include doctors in a new plan, unless the physician requests to opt out in writing, according to Mike Scribner, CEO of Strategic Healthcare Partners, a health care consulting firm based in Savannah, Ga., that represents about 700 physicians and 30 managed care hospitals in the state.

            So, again, it all depends what’s in Dr. Held’s contract with Aetna.

            The bottom line is that insurance companies want to participate in the Obamacare exchanges–remember, they don’t have to, if they don’t want to. In order to participate. they have to offer plans within certain price ranges. The insurance companies are free to decide how they’re going to meet those price ranges. They could find efficiencies elsewhere in their systems to cut costs, reduce the numbers of doctors in their networks, cut back reimbursement rates, or even, (heaven forfend!) think about reducing executive and CEO compensation.

            I know that’s Communism, but Aetna CEO Mark Bertolini’s salary TRIPLED between 2011 and 2012:

            The CEO of Aetna Inc., Mark T. Bertolini, had a 2012 pay package that more than tripled — nearly quadrupled — his compensation the year before, according to documents filed Friday with the U.S. Securities and ExchangeCommission.

            Bertolini was compensated a total of $36.36 million last year, not including $11.1 million in stock awards which vest later and are based on the company’s performance.

            http://articles.courant.com/2013-04-08/business/hc-aetna-ceo-bertolini-pay-20130408_1_aetna-ceo-magellan-health-services-inc-aetna-inc

            This is the guy telling Dr. Held she needs to take less money from Aetna for helping people with their cataracts.

  • AZWarrior

    This is just the beginning. Wait until Obama allows the employer mandate to go into effect after the mid-term elections.

  • Gstephens

    “I guess we’ll have to pass it to see what’s in it.” Famous last political words of that great American, the honorable Nancy Pelosi. May her words be hung as an albatross around her neck.

  • Guest

    My doc takes cash only, has for about 8 yes. Fine Dr. I can see him within 2 hrs at his office. he has minimal overhead be cause hedoesn’t deal with medicare,medicaid,workmens comp. We can talk without being rushed and he knows my health status better than all the specialist I have dealt with over the yrs. And I’m a person, of a medical number.

    • Deport all illegals

      I bet money I pay more now for my doctor CO-PAY then you do your appointment. My last doctors appt my 40% co-pay was $98,00 absolutely RIDICULOUS…….

      • Casca

        Wow ! What kind of specialist did you see and who is your insurance company ?

        • Deport all illegals

          It was not a specialist it was like a urgent care. I went in for the flu. Appointment was $135. flu test $45. Throat test $45. I think they used a swab for something $10. Blue cross yup paying double and lost my doctor of over 24 years….

    • SB

      Guest ~ That is how my relationship with my dr. was before he passed away ~~ now???? After having the same two drs. for almost 40 yrs., this “OBAMACARE” is an abomination to this country.

  • Dennis the Dreamer

    Obama is ruining health.

    • TitzyFritzensimmons

      The purpose of Obamacare was NOT to provide healthcare insurance to people who did not have insurance, BUT RATHER TO KILL OFF THE PRIVATE HEALTHCARE INSURANCE INDUSTRY in the United States. Simple, and it’s working.

      • Michelle ✓classified

        That’s exactly right and what many of us understood all along. This was never about health coverage for those without, this was always about a major step toward nationalized health coverage. I can only hope that Republicans gain control of the Senate and keep control of the House this coming November so they can toss this law in the trash.

  • twobadknee

    Interesting that when insurance companies had policies that had to be changed to comply with the ACA mandates, millions of customers (insureds) had their policies cancelled. Now that physicians are told that they have to act according tot he new (changed) regulations, their contractual date is brought up. It seems they want it both ways.

  • righteousreverenddynamite

    “I am DOCTOR Spartacus!!!”

  • Bob Young

    Does Obama want the pen or the phone shoved down his throat first. His choice, because I believe in his right to choose. Does that make me “pro-choice?”

    • Michelle ✓classified

      I’m thinking of a much better place either instrument can be shoved…

      • Bob Young

        Me to. I was just being respectful of the office. Of course the person in the office deserves no respect.

      • Casca

        Sideways I hope ?

  • HARP2

    Nancy Pelosi: ‘‘Waiting hours longer in the emergency room will allow you to make new friends!’’

    http://www.duhprogressive.com/index.php/site-map/412-nancy-pelosi-waiting-hours-longer-in-the-emergency-room-will-allow-you-to-make-new-friends

    Seriously libs
    You vote for this ?

    • Michelle ✓classified

      Whoa, wow. Did she really say that? Apparently she’s not been in an ER in California. Even before Obamacare, the wait was HOURS and HOURS because of all the illegal aliens who use the ER as their “Primary Care Provider” knowing they can walk away without ever paying the bill.

      • Pawtrax

        She totally said that! Check the link! An investigative journalist there uncovered a secret strategy letter written by Pelosi that the lamestream media doesn’t want you to read!!! Spread the word!

        • Michelle ✓classified

          I did check the link, but am too lazy to check other sources. I prefer to verify by way of several sources before I believe or get behind something. I’ll look into it later.

          • Pawtrax

            You totally need to check this out! It’ll blow the lid off Obamacare when this gets out!

          • Deport all illegals

            Can’t we just recall, impeach and imprison and wash our hands of all democrats?

          • Pawtrax

            Why don’t you peddle that to the DC elites like John McLame! We don’t need low information RINOs like you around here! Nothing short of extermination will suffice for the disease that is liberalism!

          • Deport all illegals

            How do I inform you that democrats make up 100% of liberals? Holy wow please tell me you don’t vote!!!

          • Pawtrax

            How do I inform you that your half measures are what’s going to destroy this country? Imprisonment? Bah! Exterminate the liberal brutes! 100% of them!

          • Deport all illegals

            Yeah this conversation isn’t going anywhere….usually I’m better on my game with trolls….

          • Pawtrax

            What a shame. Your first comment held such promise.

          • nc ✓s & balances

            You totally need to check out. Blow off. Get out.

          • nc ✓s & balances

            Smart cookie!

      • John Thomas “Jack” Ward III

        Try Wyckoff Heights Hospital in Bushwick, Brooklyn, N.Y…..And that was when H.W. (“41”) was in office! Jawamax 8<{D}

    • Evil Otto

      Much as I loathe Nancy, she didn’t actually say that. The Duh Progressive site is like The Onion, and their stories aren’t real. It does sound like something that twit would say, though.

  • Jane Boso

    Ms. Held, I and many Americans applaud and stand behind you. We have to fight this! The progressive ideology is insane. I will keep you in my prayers that everything works out for you. God bless you.

  • AmericanMom

    Obamacare currently has many seriously ill children yanked from their coverage and now uninsured – taking the Death Panels to children. Democrats are responsible if these children perish.

    • John Thomas “Jack” Ward III

      “MERCIFUL KILLING” It was called in NAZI Germany….(See my comment, above) Jawamax 8<{D}

      • John Thomas “Jack” Ward III

        EDIT:”Anyone who was not of any use to the Reich was Killed. The Disabled, the insane, the Mentally incompetent.”.. Jawamax 8<{D}

  • waterytart

    Here’s the ultimate irony, I work for a healthcare organization, and the ins they offer is Aetna……..however, they don’t take Aetna insurance.

    • nc ✓s & balances

      ?????????

  • jb80538

    The government can’t successfully run the Post Office, has destroyed education, and now they want to run healthcare? God help us all!

  • Unknown User

    Understand that the Obama admin will begin to use the DEA licensure process and push states to use their medical licensure rules to FORCE doctors to participate.

    It’s been in the plans for quite sometime, if the doctors don’t play ball they will not get their DEA script license, they will be hard pressed to get board certification, state licenses, and malpractice insurance. Just you watch. Obama admin will have a practice and doctor compliance czar

    • Devil Dog

      most people have YET to figure out how oppressive our government has become. The Republic is sinking like the Titanic and all we have is teaspoons to bail it out.

  • TocksNedlog

    Aetna SUCKS all the way around.

    • Devil Dog

      They actually HELPED to craft obamacare.

      • Michelle ✓classified

        Did they really? If so, they really screwed themselves. They were the first to pull out of the California individual market once Obamacare rolled out.

        • Devil Dog

          yup. They were the “alpha testers” for obamacare. Like any crony capitalist- they expected payback for their assistance. Idiots. Obama and the rest of the communists clearly stated they wanted single payer. Aetna’s collapse is almost as certain as our Republic.

          • NRPax

            Good thing I lost them when I did. Quick summary: They raised my premiums twice to be Obamacare compliant, discontinued my plan and put me on one that wasn’t as good.

            If you’re correct on their role in crafting this law, let them burn.

  • Millie678

    Thank you for standing up, Doctor. I wish more of your voices could be heard. I have wondered WHY we are not hearing from more of you, and why they can get away with making you work for Obama Care fees and policies without your consent.
    Mainstream media has done a very poor job of representing you in this matter, but many of us are listening to hear what you have to say.

    • DrSamHerman

      Millie,

      The sad truth is that many of our professional organizations (e.g. the AMA, which only represents 20% of American physicians) sold us down the river thinking it would protect us from being nationalized. What the idiots managing the organizations didn’t realize is that their membership didn’t want anything to do with what Obamacare morphed into – a giant drain of scarce medical resources.

      • Casca

        That and the Media flat out ignored what outcry we did make.
        I received a “Dues ” letter yesterday with no return address- it was the AMA hoping somebody stupid at the office would pay it and send it back without noticing what it was.
        The AMA represents doctors like AARP represents older Americans

  • DrSamHerman

    I applaud Dr. Held. I manage a 150+ multi-specialty group medical practice in Texas, and we will be sending similar letters as our contracts with various insurance companies expire and as they conspire to interfere in the physician:patient relationship. We have had no choice but to stop taking Medicaid patients because we simply can’t afford to care for them while receiving only 60% of the cost in reimbursement. We also cannot afford to keep some of our other insurance plans because they are cutting reimbursement right and left, often without notice and certainly without our consent. Funny thing is that a contract is supposed to be mutually agreed upon between two parties. In the instance of insurance carriers, it is all one way and we have had enough.

    • nc ✓s & balances

      God bless you, Dr. Herman.

    • Michelle ✓classified

      Dr. Herman – just because I’m curious, do HMOs still provide capitation payments? And if so, have they been diminished so much that between the cap payments and co-payments, medical practices are losing money?

      Thank you for taking a stand.

      • DrSamHerman

        We have one small HMO plan that still does a capitation payment to keep caring for their patients after everyone else in the city dropped their coverage. It isn’t a classic HMO in the sense that their capitation is the only reimbursement we receive, but what money we do get is right between Medicare and the lowest paid commercial plan we have. I don’t really think there are many true HMOs out there in our market area, but I know they are very big on the coasts.

        • Michelle ✓classified

          Thank you, again I was curious. Didn’t realize HMOs were going by the wayside, and I think you’re right – the are still big on the coasts – I had an excellent one w/ Blue Shield/Cross when I lived in Boston, now back home in CA, on another good one. Was just wondering if they’re still cost effective for the provider – someone like me who has only co-payments, was wondering if providers at least get a decent capitation payment on the back end.

          • DrSamHerman

            The most cost-effective HMOs are the ones that employ the physicians and thus have direct control over their practices. They have run into problems, however, due to the amount of travel that people do and the increasing complexity of care in terms of technology and drugs. The first HMO, Kaiser, is notoriously leftist and pro-Obamacare.

    • Casca

      I stopped taking medicaid a loooong time ago. I got tired of them wanting me to ” Fill out my disability papers” while wearing Rolexes and driving a new Escalade

    • John Thomas “Jack” Ward III

      That’s one of the Dumb-0-Crooks’ M.O.’s: One-Way “Deals/Contracts”, No-Bid Contracts, CRONYISM, NEPOTISM, and (of COURSE), CORRUPTION! ‘Nuff said. Jawamax 8<{D}

  • Debra Howard Gilbert

    Well I am on my 3rd doctor in the spectrum of all this Obama care and the cost and paperwork but I am happy with my new dr but he is not my 1st choice because if I had my way I would still be with Dr. #1 This is a shame. If Obama care is good enough for us then why is Obama and the other presidents and the House and Senate exempt?

    • Casca

      Because we are the common people, who are not like the Elite ruling class. Just like Russia used to have.

  • Orthospinedoc

    I am an Orthopaedic spine surgeon…packing my bags and leaving for another country in South America…I will not be a part of this…Americans will soon see what hell on earth is like…medicine was already getting this way before the ACA…now it’s just going to be out of control…good luck hope you stay healthy!

    • lraivala

      Can’t all of you Doctors just form a group and saythat you accept no insurance of any kind? Cash only. It use to be that way before the insurance industry blossomed into this nightmare.

    • Casca

      I had an offer to join some other doctors moving to Costa Rica. Seriously considering it.
      Good luck finding a doctor, Obama voters !

      • Pawtrax

        And good luck with Costa Rica’s Social Insurance Administration which runs the country’s universal health care system!

        • Casca

          Cash only from retired Americans living there.
          Suck it, Libiot !

          • Pawtrax

            But you could do that here.

            So you’re planning to leave the United States because why?

          • Casca

            The Federal Government bans Doctors from charging patients more than the small amount they get from Medicare–
            It’s called ” Balanced Billing”.
            For me to charge cash to anyone who is signed up for Medicare , it would be illegal, unless they leave Medicare completely.
            Plus, I am now waiting for Obama’s regime to “force us” to accept what they want- or else. That is how every other country with Socialized Medicine does it.

          • Pawtrax

            So charge cash to people not signed up for Medicare. You know, rich people.

            So again, what’s the difference? (Except, of course, that Costa Rica is actually a country with socialized medicine.)

            Oh, I see. You’re also a paranoid crazy person.

          • Casca

            You’re off your meds again, aren’t you ?

          • Pawtrax

            Sure. I’d ask you to write me a scrip but I suspect you only play a doctor on the internet.

    • Deport all illegals

      Most didn’t vote for this and I know thousands that fight everyday to stop this. After reading your post I feel so grateful to have my doctor…He’s in it to fight with us together not leave us…….Thanks…..:/

  • SonofLiberty

    Atlas just shrugged

  • bo ure

    I’m sure she’s smart enough to be prepared for IRS audit, a visit from OSHA, NHA, ATF, Dept Labor, FBI, Justice, etc., etc.

  • Liliana Rawks

    What I find terribly interesting is that it took Michelle Malkin to bring this to our attention. Aside from the news about Aetna possibly leaving Obamacare there hasn’t been one peep from the mainstream media about it. Not one word about Obamacare since Obama got home from his vacation.

  • TPAINE

    I sense one of those Obamic “tea party like” IRS Audits in this doctors future!

  • TPAINE

    Democrats can steal an election, but they can’t cheat their way towards making the ACA work, because either young people–who are crucial to its success–are signing up, or they’re not, and the consensus is, they’re not! Young people were expected to fund this train wreck, but they’re running for the hills…it will implode!

  • LST

    Ovomitcare will be the death of this country.

  • Bluto ✓ᵛᵉʳᶦᶠᶦᵉᵈ ᵈᴿᵘᴺᵏᵃᴿᵈ

    My primary care doctor closed his practice because of Obamacare. He chose to go work for a big clinic.

    Of course I’ve been called a liar by the blind liberals more times than I can count for merely stating this fact.

    The fallout from this horrible law is just beginning. Even when – and it will – get worse, the blind followers will never accept the truth.

  • Wayne Wilhelm

    Any contract the doctor entered is void if Aetna substantively changed the contract after the fact. Even if not so, (say in cases where abstract paragraphs allowed the changes), technological advancements over the past two decades have brought into life a new element of contractual obligations:

    presumption of legitimacy

    Remember that term well. Contracts are so numerous in today’s society, no person in existence is capable of reading every word she is exposed to unless she hires an attorney to translate every word she is exposed to 24 / 7. Contracts have a presumption of legitimacy.

    In this case, if her contract is abnormal, should it exceed normal presumptions of legitimacy, then the contract is not legally binding. Aetna can and might sue to try to enforce the contract, but the doctor owes it to herself to fight it. Additionally, in a highly political arena of which her contract falls, political embarrassment to the Obama administration and all who support ACA (aka: Obamacare) will result in Obama and Aetna wanting to keep this quiet.

    • nc ✓s & balances

      Great info, thanks!

  • http://foxnews.com Larry Miller

    Obama and his Socialist Dems. will get rid of Obamacare as soon as they figure out how to blame Republicans(America’s only patriots).

  • Sam

    Obamacare and everything else the Democrat-Socialist party does is deliberate destruction (deconstruction).

  • CLEmom

    Not sure how she is tied to a contract that has been “revised” to something other than the original contract she signed…
    Time to lawyer up, Dr. Held.

    Best of luck to you and your patients…they are/were fortunate to have such a caring, compassionate physician!
    #usvsthem

  • Wesley Stinnett

    That is what people should have expected when they voted in a bunch of liberal socialists!

  • Demoriot

    After Blue Cross canceled our catastrophic plan, which cost $421 monthly, and offered a replacement plan for over $1300 monthly, we told them to go to hell. Since
    November, we signed up for AMG, a direct primary care group. We pay $89 monthly for actual health care, not insurance.

    This guy’s business model is great, because even people who buy the overpriced Obamacare plans will soon find that the deductibles will price them out of utilizing it.
    In NY the lowest price Bronze one has 3000/6000 deductibles and covers only 50% of office visits and hospitalization up till the 6350/12700 cap. If in NYC, check it out, they have 6 offices, one in each borough, 2 in Queens. http://www.amgmedicalgroup.com/

  • ToyZebra

    Bless you Dr Held. Every physician in America needs to be doing this.

    • Casca

      We tried to do this to Blue Cross a few years back- they tried to have the Feds charge us with ” Racketeering”

  • John Thomas “Jack” Ward III

    I think Dr. Held saw this atrocious Scam a little too late…But Great that she’s for Care, not “Coverage”.Perhaps everyone should see what I watched yesterday evening:From 1955, Bishop Fulton J. Sheen “Life Is Worth Living” on ‘Doctors and Nurses’ Try YouTube first). In this inspiring episode, Bishop Sheen points out the difference between Pit and Compassion, thusly:”Pity is Aristocratic; people look down upon you, as they offer you a hand up. Compassion is more DEMOCRATIC.”
    As an example, he made the argument for the REAL founder of the Red Cross, back in 1555 (I Didn’t get his name though…),and how the RED CROSS had religious-or should I say HOLY-signifigance. He also read the Original “OATH OF HYPOCATES,” which in part states, “….I shall not perform nor give women any device for them to have an ABORTION….” Which means, any “Doctor” that administers Aborteratcik(sic) to their “Patients” ARE ACTUALLY NOT DOCTORS! And it also states that the health of an unborn Child is as important as the Life of the Mother! I may be wandering off-topic a little, but I URGE EVERYONE (INCLUDING 0BAMASCAMSCARE SUPPORTERS AND ADVOCATES) TO WATCH THIS! Jawamax 8<{D}

  • Saito Sama

    Only way to fight this is put Aetna’s new patients on a waiting list until 2015
    you can only service those new Aetna patients as your time and practice allows.
    Whoever a legal review of you contract is recommended. However BROVO You go Doc. !!!! Hoo Rah!

  • Suzyqpie

    I hope this Drs action become a tsunami. 0bamaCare is GuineaPigCare. We are all guinea pigs in the democrats experiment in our health care system. Democrats have created a total debris field of nonfeasance built upon intentional deceit. Nancy Peliso’s appearance on JStewart illustrates the magnitude of the folly with her ignorance statement of “Not my responsibility.” BTW calling Drs “providers” is groundwork for having medical procedures performed by other than Drs. It’s cheaper for the government.

  • plaingolf

    She’s smart and beautiful. Mmm mmm mmm!

  • Mackie

    Where I live, Aetna is the only provider the city I live in will accept from those offered threw my group plan. HMOs’ are not accepted here and yet the hospitals have to accept medicaid patients? My plan has gone up 35.2 percent under Obamacare for me and we have had to make several changes in our living expenses thanks to Obamacare. I am now being told it is only going to get worse in the next year.

    • nommoc esnes

      And whenever people change spending habits due to less disposable income, the economy suffers, especially for local small businesses. Cut back on going out to dinner, getting haircuts or manicures, home renovations and buying things for your family and who suffers? Middle class workers, small businesses and local & state government taxes. The economy will be shrinking even more and our friends and neighbors and many of us will not make enough money to get by. Period.

      • Mackie

        Precisely, it is the domino effect on all businesses.

  • dev

    Personally I know of many many doctors who are leaving this sinking ship. The more that speak out on what a mediocre experiment this is, the better. Very scary times in the health profession.

  • Had_Enough2010

    People need to realize that they have the constitutional and God given Authority to nullify this illegal and unconstitutional act of extortion. It is not the law of the land, it is an intentional criminal act of extortion that is UNCONSTITUTIONAL. It is a tax that was born in the senate not congress, it is a bill that is designed to cripple the heath care system in this country. The People and Physicians have already made their decision by choosing NOT to participate in this criminal insanity. Do the same. You are NOT obligated to recognize and Unconstitutional Act as Law no matter what Obama or the Main Stream Propaganda Machine says.

  • Kdiity

    Are there any lib post out there agreeing or disagreeing with this wonderful and caring Dr.?

    • Pawtrax

      What’s there to disagree about? She doesn’t have to contract with Aetna if she doesn’t want to and any problems she has with them she can work out through the process stipulated in her contract with them.

      It’s unclear why she’s chosen to frame her dispute with Aetna as her martyrdom at the hands of Obamacare but hysteria seems to be the preferred style for wing nuts in general so what’s new?

      • Rick Caird

        I guess you must have severe reading comprehension problems. It was clear that Aetna changed her contract and has attempted to foist those changes on her. Those changes, according to Aetna, were due to ObamaCare and the exchanges. So, after changing the contract terms, Aetna is trying to claim she is still bound by the contract No, she isn’t.

        • Pawtrax

          Could you please cite Aetna’s statement to Dr. Held?

          I’m curious to know what the company is saying because there’s nothing in the Obamacare legislation that sets reimbursement rates for private insurance, even for policies offered on the exchanges. Aetna knows full well that it can set its reimbursement rates at whatever it wants.

          You can read this Kaiser News story for more, less hysterical, context on the situation Dr. Held is complaining about: http://www.kaiserhealthnews.org/stories/2013/november/19/doctor-rates-marketplace-insurance-plans.aspx

          On the question of contracts it relates:

          The conflict sheds light on the often murky world of insurance contracts in which physicians don’t always know which plans they’re listed in or how much they’re being paid to treat patients in a particular plan. As a result, some doctors are just learning about the lower pay rates in some plans sold in the online markets, or exchanges.

          Some insurers have contractual arrangements with physicians that allow them to automatically include doctors in a new plan, unless the physician requests to opt out in writing, according to Mike Scribner, CEO of Strategic Healthcare Partners, a health care consulting firm based in Savannah, Ga., that represents about 700 physicians and 30 managed care hospitals in the state.

          As I have noted elsewhere, this “murky world” existed long before Obamacare existed. And Dr. Held’s situation depends entirely on what’s in her contract with Aetna, not Obamacare.

          • Rick Caird

            Nice, you don’t need to cite the contract, but you insist I do should. Typical liberal misdirect. I am going by what she says:

            “I must inform you that I will no longer serve as a physician for Aetna patients under the terms of our contractual agreement, which you most recently unilaterally changed.”

            and

            “Then, after the fact, I received a form letter informing me of Aetna’s “new allowables”. I will not sell my services under such terms. While treated as such, patients and doctors are not commodities worthy of such
            impersonal, inconsiderate, and cavalier treatment. We choose dignity and personal service over disrespect and form letters.”.

            It is nice you have a “non hysterical” story from Kaiser (and don’t forget they are a strong supporter of ObamaCare), but you have no idea if it is on point with Dr. Held’s situation, it as meaningless as your first comment.

          • Pawtrax

            What misdirect? That’s exactly what I said: Held is complaining about changes that Aetna made to their reimbursement schedule and since she refuses to accept those terms she wants to sever the contract. The point of the Kaiser article is that it focusses on the kind of problem Held describes–a problem doctors have had with insurance companies long before Obamacare existed.

            Again, Held’s problem is with Aetna but she spends most of her letter blaming Obamacare. Neither she nor you can really explain why.

            As for reading comprehension, you wrote: “Those changes, according to Aetna, were due to ObamaCare and the exchanges.” But then when I asked you to cite what Aetna said, you wrote: “I am going by what she says.”

            Those sentences don’t mean the same thing.

            What’s more, you seem to be confusing Kaiser, the insurance company, with Kaiser Health News. They are also, not the same thing. From their “About Page”:

            Kaiser Health News (KHN) is a nonprofit news organization committed to in-depth coverage of health care policy and politics.

            KHN is an editorially-independent program of theKaiser Family Foundation, a non-profit private operating foundation, based in Menlo Park, Calif., dedicated to producing and communicating the best possible analysis and information on health issues.

            It’s amazing how stupid you people can be.

          • BunE22

            Maybe this time the change in contract cited the ACA as the cause? She wants to opt out and Aetna says she can’t. But according to her Twitter she read her contract and it states either party can cancel with written notice.

            IMO, the problem isn’t really whether its because of the ACA or not, the problem is her being told she can’t cancel her contract.

          • Pawtrax

            That is exactly what I’ve been saying. My issue with Dr Held is that much of her letter is a rant against Obamacare in what is, ultimately, a contract dispute with a private insurance company.

            As I’ve been trying to explain to numerous idiots in this thread, Obamacare does not set reimbursements for private insurance–which appears to be Held’s major beef with Aetna (she’s getting less money).

            Yes, Aetna lowered its reimbursements rates so its exchange policies could be priced competitively on the exchanges but Obamacare doesn’t require them to make lower reimbursement rates. Lowering reimbursement rates to doctors, like Dr Held, is an option but not the only one. They also could have found ways to streamline their own operations to reduce costs through efficiencies. Or they could have reduced their executive compensation. As I wrote elsewhere, I know this is nothing short of Communism to the twitcher legions but Aetna CEO Mark Bertolini’s salary TRIPLED between 2011 and 2012.

            The CEO of Aetna Inc., Mark T. Bertolini, had a 2012 pay package that more than tripled — nearly quadrupled — his compensation the year before, according to documents filed Friday with the U.S. Securities and ExchangeCommission.

            Bertolini was compensated a total of $36.36 million last year, not including $11.1 million in stock awards which vest later and are based on the company’s performance.

            http://articles.courant.com/2013-04-08/business/hc-aetna-ceo-bertolini-pay-20130408_1_aetna-ceo-magellan-health-services-inc-aetna-inc

            This is the guy telling Dr. Held she needs to take less money from Aetna for helping people with their cataracts.

            Not Obama or Obamacare.

          • nommoc esnes

            Aetna believed that they were going to make a lot more money as part of Obamacare (which is why they rewarded their CEO, who they didn’t realize at first had made a very bad bet). They believed that through wielding indirect power through lobbyists involved in legislation and regulation, requiring people to buy their products and obtaining subsidies from government, they would gain more revenue. Not through providing a product or service that was superior or desirable but by “crony capitalism” which is not capitalism at all, but is in fact the OPPOSITE of a free market. However, having taken this tiger by tail, they discover that the only way to continue to offer their services under the new law that they thought they would benefit from is to raise rates for most people and lower reimbursements for health care providers, which will ultimately cause the “death spiral” of healthy people and many providers opting out, resulting in proportionately more sick people paying less and fewer good providers available, which in turn makes their insurance product even less desirable for healthy people. D’oh!

            We’ll see what the insurance co’s CEO salaries and bonuses are like next year.

          • Rick Caird

            I am glad you brought up stupid as it is quit applicable to your posts and to you..

            First, stupid, Aetna made the changes in response to ObamaCare. That was the whole genesis of the change because what Aetna offered before was no longer valid. There would have been no other reason for Aetna to make major changes.

            Second, you can no more provide a copy of the contract in question than I can, but you stupidly insist it is a simple matter of a contract dispute. Dr, Hand is claiming the contract to be unilaterally changed and nothing in the Kaiser article can change that because they, like you, do not have the contract in hand. So, of course, stupid, I have to go with what she says. That is a lot more of a sane approach than by going by some article from Kaiser that is not only not specific the Dr. Hand, but is likely to have no applicability to her.

            Not only are you quite stupid, you are insanely annoying by claiming you have facts you do not have and by ignoring what Dr, Hand says and focusing of what Kaiser says which is as likely as not to have zero bearing on the situation.

            You are offering a misdirect. If you have a contract, the reimbursement is specified. If Aetna changes the reimbursement, Dr,. Hand is well within her rights to refuse that change. In fact, she can simply stop seeing Aetna patients regardless of how badly Aetna wants her to see their insured. The basis of your crazy comment is that the changes Aetna made are not due to ObamaCare. Now that is beyond a stupid remark since the whole thing started with policies sold on the exchange. Remember, the exchange is part of ObamaCare, so even the the mentally handicapped should be able to see the relationship. You, however, deny there is such a relationship.

            You are no more than a troll and I refuse to go on with such a nonsensical debate.

          • Pawtrax

            “Dr, Hand”?

          • nommoc esnes

            Projection: the dominant psychological condition of the “LIberal”

          • nommoc esnes

            Amount of remuneration is a material part of a contract. In any usual contract, it cannot be changed unilaterally. Under general contract law, Aetna would be in breach of contract, which would surely allow doctors to opt out. If they just accept lower payments, they would usually be considered to accept the contract change. Dr. Held is doing what she needs to do if she doesn’t want to accept the lower payments to her. She may need to stop if her practice is to survive. Can’t go on long if your expenses exceed your revenues.

          • Pawtrax

            Thanks for yet another completely irrelevant lecture on “general contract law” which doesn’t change my only point which is that Dr. Held’s problem is with Aetna and not Obamacare.

            And, again, please read the Kaiser Health News article I link to which suggests that standard insurance contracts between insurers and doctors have been a source of controversy for some time–a controversy that has been exacerbated by confusion about what exchange plans are being offered and their associated reimbursement rates.

            Dr. Held’s situation is the exact same situation that a lot of other doctors are facing as described in the Kaiser Health News article. The key graphs:

            Insurance officials acknowledge they have reduced rates in some plans, saying they are under enormous pressure to keep premiums affordable. They say physicians will make up for the lower pay by seeing more patients, since the plans tend to have smaller networks of doctors.

            But many primary care doctors say they barely have time to take care of the patients they have now.

            The conflict sheds light on the often murky world of insurance contracts in which physicians don’t always know which plans they’re listed in or how much they’re being paid to treat patients in a particular plan. As a result, some doctors are just learning about the lower pay rates in some plans sold in the online markets, or exchanges

            “If you’re a physician and you’ve negotiated a rate from insurance, shouldn’t it be the same on or off the exchange?” said Matthew Katz, executive vice president of the Connecticut State Medical Society. “You’re providing the same service.”

            http://www.kaiserhealthnews.org/stories/2013/november/19/doctor-rates-marketplace-insurance-plans.aspx

            As I have said repeatedly, the “murky world” of insurance contracts described in the Kaiser piece existed long before Obamacare existed.

            Dr. Held’s complaint is that she never wanted to accept any insurance offered through the Obamacare exchanges in the first place but she seems doubly offended by the lower reimbursement rates that Aetna appears to be offering her.

            You can all pontificate about “general contract law” all you want but if you look at what Aetna told Dr. Held in response to her letter–as she describes it–I’m going to bet that Aetna’s contract with her was part and parcel of the “murky work of insurance contracts” that the industry has been dealing with for a very long time.

            Doctors seem especially perturbed by it because of the lower reimbursement rates associated with Obamacare exchange plans–excepting for Dr. Held who’s furious over the entire existence of Obamacare in the first place.

            But the bottom line is that for all her screeching about Obamacare in her letter, her problem is with Aetna and whatever is in her contract with them and not Obamacase.

            Obamacare did not set her reimbursement rates and it is not forcing her to participate in Aetna’s network. Aetna did that all on its own.

      • Kdiity

        STFU and read the article. These changes were made without her being notified, kind of like what that buttwipe bobo would pull.

        • Pawtrax

          What are you talking about? I readily accept the fact that the changes in her contract with Aetna were made without her knowledge. But it was Aetna that made those changes and didn’t inform her of them. Not Obamacare.

          Accordingly, Held’s beef is with Aetna but she, as I wrote below, spends most of her letter to Aetna complaining about Obamacare. But why?

          The terms of Aetna’s contract with Held has nothing to do with Obamacare.

          • Kdiity

            Because bobocare probably forced these changes. And please, don’t tell me you’re a fan of the horrible BS plan bobocare that is only around to control our lives. If so, stop contacting me because I don’t have time to waste on a low info, ignorant senseless, illogical and brainwashed dolt.

  • bornelk

    Thank-you very much, doctor. These abusive actions that this regime has practiced and gotten away with has only embolden them. According to Mark Levin’s book, the only thing that progressives fear is being ignored and you, doctor, have ignored them. Well done and may more doctors and Americans throw this garbage in the trash can. We do not need new light bulbs, toilets or the other stupidity the left tries to dictate. We all should follow this great doctor’s lead.

  • YourGrannie

    Proctologist in Chief: Bend over and take it

  • dreamweaver55

    I guess it is good. why have more doctors not said they give two weeks notice. will treat for free for 2 weeks then the doors close and will not reopen till oshitma

    is impeached for treason

  • $59154503

    Michael Barone: How ObamaCare Misreads America
    The Washington elites who designed the law must be bewildered: Why doesn’t everyone behave as they do?

    Start with the assumption that just about everyone wants health insurance. You can easily find polls that support this proposition. ObamaCare architects assumed that if you offered health insurance with subsidies for those with relatively modest incomes, those currently uninsured would flock to apply. So far that seems not to have happened. A McKinsey & Co. survey of those thought to be eligible for ObamaCare health-care exchanges found that only 11% of those who bought new coverage between November 2013 and January 2014 were previously uninsured.

    A second assumption of ObamaCare’s architects is that health insurance will make people healthier. That assumption has been tested in Oregon. In 2008 the state government, with limited Medicaid funds, held a lottery to determine which people who were eligible for Medicaid would be enrolled. The result was an unusual randomized control trial of similarly motivated people with and without insurance. The results, reported in the May 2013 New England Journal of Medicine, were that after two years there was no significant difference between insured and uninsured in blood-sugar level, blood pressure and cholesterol levels—although those with Medicaid saved money and were less likely to suffer depression.

    A third assumption is that those with health insurance are more likely to seek care from physicians and less likely to go to emergency rooms. But the Oregon health study showed that those with Medicaid were 40% more likely to go to emergency rooms than those without insurance.

    ObamaCare cuts against this grain. The trouble that has resulted—from the architects’ apparent failures to anticipate the behavior of fellow citizens who don’t share their approach to the world, and the architects’ determination to impose their mores, such as contraception coverage, on a multicultural nation—is a lesson to national policy makers, conservative as well as liberal. Govern lightly if you want to govern this culturally diverse nation well.
    http://online.wsj.com/news/articles/SB10001424052702303519404579353251616150042?

  • Darcy Baxter

    I would LOVE to see the list of new ‘allowables’ that Aetna sent. All pre-existing conditions will be covered? But, which treatments for those conditions will be covered? That’s the hook, isn’t it?

  • NSunkel

    The Democrats passed it; the Republicans won’t fight it. In a time when we need heroes, Dr. Held stands tall. Thank you doctor. THIS is the kind of person we need to send to Washington AND VOTE THE INCUMBANTS OUT! Let’s impose term limits by never voting for an incumbent again.

  • Rachel Phillips

    It is rather shocking that physicians are allowing their profession to be victimized by the government and not so shocking that the government is making promises to healthcare consumers they know they cannot keep. Part of the reason that the government has been able to step in to try to control the industry is that healthcare professionals (MD, RN, nurse practitioners and physician assistants) have made no concerted effort on their own to decrease costs while improving quality nor have they jumped in to create technology that works for them instead of forcing them (with threats of penalties or incentives) to perform for the technology e.g. EHR/EMR.