Living with Diabetes under ObamaCare
Diabetes mellitus (DM) is a metabolic disease which causes high blood sugar because the pancreas does not produce enough insulin, or because cells do not respond to the insulin that is produced. The first type of Diabetes is referred to as Type 1 DM, "insulin-dependent diabetes mellitus" (IDDM) or "juvenile diabetes". It results from the body's failure to produce insulin, and currently requires the person to inject insulin. The second type, Type 2 DM, "non insulin-dependent diabetes mellitus" (NIDDM) or "adult-onset diabetes" results from insulin resistance, a condition in which cells fail to use insulin.
The "Obamacare" law is already affecting the insurance market in tangible ways. And as a result, some of the things people with diabetes have been promised, like coverage for preexisting conditions and the option to buy insurance on our own may not work out exactly how many of us have hoped or expected. Low reimbursement rates are an issue that’s already contributing to the United States’ severe shortage of endocrinologists. According to a 2012 estimate, there may be as few as 1,000 board-certified endocrinologists serving the country’s 6,000 or so hospitals. The American Diabetes Association estimates that 25.8 million Americans currently have diabetes, and seven million are thought to have pre-diabetes. Divide 33 million patients by a thousand endocrinologists, and you’re left with one endocrinologist per 33 thousand people with diabetes.