Dr. Richard Thorp is a Northern California internist, a primary care physician and the president of the California Medical Association. The CMA wants every Californian to have health care, yet he initially opted out of Covered California because the exchange demanded too deep a discount. Later, when exchange providers couldn't enroll sufficient doctors in his region, they upped their reimbursement rates so that Thorp now is with the plan. But doctors who were not so lucky have to make "a difficult business decision and a difficult patient-care decision," he said. Those doctors who can afford to see more patients for less money may have to opt for shorter visits. Blue Shield is restricting access to half its doctors.
When Obama and congressional Democrats set out to expand health care, they promised that the 85 percent of Americans who already had coverage wouldn't get shortchanged. They lied. Now everyone can get his fair share of less care.