Add between 1 million and 2 million persons to the patient load of California doctors. Do not open any new medical schools or import many foreign-trained doctors. It’s a sure-fire way to create a doctor shortage — and just where California is headed right now.
That’s probably the most severe problem the Patient Protection and Affordable Health Care Act, often called Obamacare, faces in California when it becomes fully active Jan. 1, but it’s hardly the only one. There are insurance companies refusing to write policies for some small businesses. And how about the fact that the federal government, at least for the first year of the program, will not demand any kind of proof that people actually qualify for subsidies designed to make health insurance affordable to almost everyone.
Instead, a kind of honor system may be in effect. “For income verification, for the first year … we are providing exchanges with temporarily expanded discretion to accept an attestation of projected annual household income without further verification,” says a rule officials just inserted into the Federal Register.
This applies to states like California that have their own insurance exchanges, although the Covered California exchange says it might still demand pay stubs or their equivalent from clients...