Jane Orient, a physician in Tucson, Ariz., says she's never accepted a dollar of third-party medical payments, whether from a government program or a private insurance company. She has a "philosophical and ethical" opposition to the U.S. health care infrastructure, and she's put it into practice for more than 20 years.
But with Obamacare set to take full effect in January, Orient says more and more physicians are joining with her in opting out of a payment system that she describes as co-opted by "insurance cartels" and the nanny state.
Orient is the executive director of the American Association of Physicians and Surgeons, a free-market group that claims 4,000 members nationwide, including Sen. Rand Paul (R-KY). Paul himself hasn't endorsed physicians pulling out of the third-party system, but he has said that if a "right to health care" is invoked, then doctors could be conscripted against their will.
"It means you believe in slavery," Paul said in a clip from a Senate committee hearing posted by the AAPS YouTube account.
More than half of AAPS members have stopped accepting Medicaid payments, Orient says, though she stresses that they'll still see patients if they either pay for themselves or come to a free charity clinic. A smaller number of her membership is also bucking the private insurance industry, asking for direct payments from customers and telling them to seek reimbursements from their insurers on their own.
They see themselves as the front lines in the fight against a "plan ... to destroy the current infrastructure," as Orient put it in a recent interview with TPM. Winning that fight starts with convincing their peers and patients to break away from the system set up under the health care reform law.
Read More →