Tag Archives: Obama Care

Obama Care and Residential Care and Assisted Living Facilities.

Change-for-the-betterHow will Obama care and the disjointed care system that is the hospitalists not knowing your doctor, not calling your doctor, and communicating with the “chart” as if that was an all telling chart will likely continue as impediments to care in Residential Care Homes and Assisted Living Facilities until all parties, patients, doctor, society, and the government payers re value what health care is and how to value the relationship and duty of a primary care doctor.

The new direction and better changes are to value the relationship among and between one doctor and patient and to pay for, nurture that relationship especially for those who are older and have pre existing conditions. Society needs to wake up because they too will be at least old and needing chronic care services on day too.

The Los Angeles Times reports ” “Maria Berumen, a tax preparer in Downey, was uninsured for years because of preexisting conditions. The 53-year-old was thrilled to find coverage for herself and her husband for $148 a month after qualifying for a big government subsidy. She jumped at the chance in early January to visit a primary-care doctor for long-running numbness in her arm and shoulder as a result of bone spurs on her spine. The doctor referred her to a specialist, and problems ensued. At least four doctors wouldn’t accept her health plan — even though the state exchange website and her insurer, Health Net Inc., list them as part of her HMO network. “It’s a phantom network,” Berumen said.” ”

 What is the problem with care and what is the solution?

Society and Residential Care Homes and all that are involved with caring for the chronically ill and those with “preexisting” conditions at any age will have to finally understand that medicine is not an a-la-cart product but a service that REQUIRES AN ONGOING, MUTUALLY APPRECIATED RELATIONSHIP between / among Doctor, Patient and those needy members of society and the payment for that responsibility and duty.  Instead, the system as morphed based on all economic incentives to a disjointed, less relationship and duty driver system, to what we have now.  Indeed, this is not new, this is not only due to Obama Care but has been coming and evolving for decades.  Now the HMO and hospitalists are pretty close to “phantoms” when it comes to being responsible to deal with the outcomes of their advice day, weeks, and years after thy see you for that short in hospital hospitalist stay.  We all should want to use the same doctor for extended time frames and to pay for, value and nurture that relationship instead of allowing the government, the insurer to decide on who are doctor is practically speaking.

Only by re visiting continuity of care and paying for primary care as THE MOST VALUED PART OF MEDICAL CARE will this evolving medical and social / financial crises be addressed.


What do you think?  Share your views here.

Check out these fantastic Residential Care and Assisted Living Care Services that advertise and focus on that continuity of care as models of the care for all of us. 

Tender Loving Care Senior Residence – Or Tender Loving Care Senior Residential Care, Costa Brava  –  



Educational video links

TLCSRLV youtube Channel.  Subscribe for free. Assisted Living and Residential Care Home Video Tour. Assisted Living and Residential Care Home Testimonial


Dr Shawn McGivney  

Senior Care Las Vegas, Malpractice suits GUARENTEE you will be hurt! Find Safe Las Vegas Senior Care


I came across a very misleading article in Forbes.


10 Things you want to know about medical malpractice.


This is written by lawyers who want you to sue.  Their advice builds a law suit during care. That is absolutely not the way to get the best care. That is a way to guarantee you get less care, age faster, are less well, but are more likely to get paid for your resulting lifelong disability that will result.

You-get-hurt-lawyer-gets-paid Services-provided-by-people

Services are provided by people.  Value people the care team and doctor to get the best care and value Build a relationship with your care team.  That gets you better care and saves you money. Value the doctor as a friend.  That builds in many in-kind, multi-generational benefits. Work with your social systems and community to support local doctors who are community and  like minded and express a willingness to assume the old fashioned role of trusted, community, minded doctors instead of salaries, shift workers.


Forget the lawyer, Invest in the doctor or care team; make sure the doctor/care team are your friend! You choose the doctor, the Senior Care Setting, and you ultimately have to live with the results. Sure you can sell your health, ie accept the doctor, insurance, or care setting that gives you a new doctor every few visits or you can invest in one doctor that you know, your friends know, and your community also supports to help him remain in private practice and off of the salary support of various institutions.


Each person is partly to blame for their own lives and choices.  Choosing your care team and doctor are your choice.    Choosing the insurance is not choosing the doctor.  If you choose the insurance you are choosing the doctor but very indirectly and not in any meaningful way.  You don’t choose your wife, friends, or business partners that way.  You choose based on mutual respect, trust, long track record of behaviors, going out of your way for each other, etc.  If you value your doctor and accept seeing a different person every two days or two visits then each of those people or doctors will expect the same, only to see you twice. health-care-services-matterJust ask yourself how much do you trust a stranger who someone else assigns to your case and who you do not expect to see again and in turn that specialists or staffer does not expect to see you again?

Food for thought.  – “Needed” had a very broad definition.

I hope you all start to see it is who you are getting in health care or any service industry that matters most.   After you find a person you trust and who wants to trust you then you can discuss the many forms of compensation.  Indeed, trust and enjoying helping each other is a dollar free benefit both people get which is why that is the only cost effective way to get more care, better care, as an individual, community or society.

Share your comments, like if you agree, Click for The Best, Most Cost Effective, Assisted Living and Senior Care Alternatives.

Tender Loving Care Senior Residence – http://tlcsr.com Or Tender Loving Care Senior Residence, Costa Brava  – http://costabrava.tlcsr.com Dr Shawn McGivney    Other search topics: Assisted Living, Senior Care,  Home Care, Hospice Care, Residential Care, Senior Living, Nursing Home, Assisted Care, Continuity of Care, Elder Care, Adult Care, Las Vegas, Local, Call now, Visit us Dementia Care, Alzheimer’s Care, Memory Care Check out these cost effective Senior Care Setting.


Big Business First to Benefit From Obama Care! Is Obama a Closet Republican?


Who knew –a four way win. 

Big Business, Part time and uninsured American’s, Hospitals and Doctors and Society all win!


 Winner 1-Businesses save on benefits and workers comp. 

Read this Bloomberg article on how Home Depot is using Obama care to get care for their part time workers and saving millions in the process

Winner 2 -The part time and uninsured workers get care and care that can stay with them

even if they have several part time jobs and move around.  That is essential in the process of health care to see the same care team who can know you, your social system, and emotional health better than any new doctor or care team even if they have your old chart on the first visit; first, visits are first visits with or without a chart.  Yes, first visit with a chart is better than nothing but is that really the comparison we want to make?

Winner 3- Hospitals and Doctors benefit from not having to “eat” or write off the many uninsured, no pay claims, they get.  Winner 4– Society benefits in we can say we are really doing something for the 80% of Americans who work, make less than $20 / hr and support their fantastic families.  If we as a society can’t care enough to do a little like helping families and the people who do the work the rest of us “Administrator types”, “Managers”, and higher earners should be ashamed.  Red-White-Blue-ObamaSlide2

Also note, the first big benefit is to save businesses millions and keep their work forces healthy on the government costs.  Health care and workers comp expenses should decline and business profits should continue to rise.  Of note, Home Depot Stock rose 1.5 % today as Home Depot announced taking advantage of Obama care to cuts its costs and boost profits. Read more from Bloomberg News about how Home Depot is taking advantage of Obama Care and the Affordable care act!  Home Depot is moving 20, 000 part time employees off of their benefits and onto Affordable Care. Better for home depot workers to have a consistent helath care that stays with them in any job and BETTER FOR HOME DEPOT to save money on benefits.  Win-win.  Oh, also better for society to ensure hospitals and doctors get paid instead of relying on hospitals and doctors to “eat” the many no pay claims from uninsured people.    

Slide3How does this affect seniors?

All seniors have extended families and those families need to be healthy to help the seniors who came before them and this is a small step to providing that care.  Caregivers low paid, in families, senior family members who assume child care or senior care responsibilities are valuable to society’s function and building families and this helps them. The main benefit in my view to Obama-care is not preexisting coverage or covering the few who never had coverage but helping the many who have coverage to be sure they can have continuity of care and coverage.  If your insurance changes often you lose the most cost effective part of care, staying with one doctor for a long time. If you can’t do that the many in kind services that having a long standing doctor patient relationship provide will be lost and unnecessary duplicative services will continue.  Of course, I am happy to cover all too but I feel the benefits to all current insurance holders, hospitals, doctors, big businesses are undervalued and described.

 Value Continuity of Care and not continuity of your chart.

I have to say the effort to build a chart is VERY MISLEADING! DO NOT LET ANYONE SAY OR IMPLY YOU ARE YOUR CHART. Caring for the chart is not providing complete medical care or continuity of care.  Continuity of the chart is not continuity of care, the care team, individuals involved in the care.  Without continuity of the people, patients and care team, care, caring, and quality of care suffers.  You, society, get less value for their health care dollars.  Strive to know your doctor, value your doctor, and build a relationship as small local communities or groups with your doctor to get the best care and most cost effective care. A new doctor visit with any new doctor is not as good by far as seeing a doctor who knows you and whom you know.  Even if a “new” doctor has your chart that is a far cry from seeing the same doctor.  The chart is a very incomplete, partial, representative of who any of us are as individuals and people.  While it is a great way to reach the minimum legal standard of care for the system do not accept the minimum legal standard of care for you and your loved ones.  Value the doctor, one or a small group of doctors, in your community.  Please consider how you trust any new person and then how they trust you?  Trust is earned and is not reflected in the chart. Obama care is a small step in that direction for continuity of care. Shawn McGivney Like, Share, comment if you agree!