Health Care Cuts Draw Criticism

A proposal by Arizona Gov. Jan Brewer to cut 300,000 people from the health care plan for the poor will likely “increase the misery index,” a Prescott doctor said.

Dr. Joseph Goldberger, chief medical officer for the Yavapai Regional Medical Center and a rheumatologist with a private practice, said about 15 to 20 percent of the patients he sees at his rheumatology consulting practice are insured by the Arizona Health Care Cost Containment System, the Arizona equivalent of Medicaid. Already, AHCCCS fees to doctors have been frozen, he said.

“The untold story is patients with or without insurance continue to get the care,” Goldberger said. “They get the most expensive care of all: ER care. Everybody else ends up paying for that through higher premiums. It has a significant impact.”Many of his arthritis patients need “very expensive” medications and “without insurance, they can’t afford them at all. The bigger problem is the access to medications.”

While that may not be life threatening in all situations, it certainly increases pain levels for arthritis patients.

In some situations, such as with a lupus patient who has kidney disease and can’t get access to chemotherapy, it could be life threatening, he said.

While Goldberger understands that the state is having budget problems and that education and health care are candidates for cost cuts, there are consequences, such as the loss of federal matching