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View Poll Results: Will doctors be forced to receive Medicare patients as a condition to getting licensed?
Yes 27 54.00%
No 18 36.00%
Pie 5 10.00%
Voters: 50. You may not vote on this poll

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Old 08-01-2011, 08:07 AM
 
Location: Foot of the Rockies
90,297 posts, read 120,823,758 times
Reputation: 35920

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Quote:
Originally Posted by le roi View Post
Yes, it is. Law schools get their funding from federally subsidized student loans.
I am talking about medical residencies. These are the programs that pay doctors-in-training after they have graduated from med school but before they are ready to go out and practice on their own.

The vast majority of med students take out govt. subsidized loans, as well. However, it is incorrect to say that med schools or law schools are funded by these loans.
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Old 08-01-2011, 08:08 AM
 
Location: Raleigh, NC
20,054 posts, read 18,293,964 times
Reputation: 3826
Quote:
Originally Posted by anifani821 View Post
Well, American physicians have been forced to practice "defensive" healthcare, over-ordering expensive tests and office visits, and referrals to specialists, as a way of trying to cover themselves b/c we have become a litigious society.
quoted for the MF truth.
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Old 08-01-2011, 08:10 AM
 
Location: Raleigh, NC
20,054 posts, read 18,293,964 times
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Quote:
Originally Posted by geeoro View Post
Very true.......... This must be addressed too.
If the government gets to control everything, as sure as s**t lawsuits would be banned.
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Old 08-01-2011, 08:10 AM
 
Location: London UK & Florida USA
7,923 posts, read 8,850,084 times
Reputation: 2059
Quote:
Originally Posted by summers73 View Post
What is fair to you?
An amount that is advantageous to both the Doctor/insurance company and patient. NOT a amount that can only be affordable to the wealthy and negates everyone else. In other Countries with Govt funded healthcare, a small tax is paid which covers ALL users and the Doctor is still extremely well paid........... Fair means FAIR to ALL not just "FAIR" to the Doctor / Insurance Company. Years ago here the Doctors and Insurance Companies did not charge the huge amounts they do today and they all had fantastic lifestyles...... Maybe enough is not enough to these people today.
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Old 08-01-2011, 08:13 AM
 
Location: State of Being
35,879 posts, read 77,524,305 times
Reputation: 22753
Quote:
Originally Posted by geeoro View Post
Very true.......... This must be addressed too.
Yes, it is actually a very complicated situation. Lowering the cost of healthcare means following the administration of healthcare through a continuum of services and professionals.

And folks are right - the cost of a medical education has put physicians in the position of having to figure out how to keep their practice doors open - after taking on large debt to open that practice. In addition, hospitals who "own" physicians are paying them very comfortable salaries, plus picking up part (if not all) of their practice costs (i.e., providing office space, computer system, etc). This can vary a lot . . . but I think the reader can understand that this creates a financial burden on hospitals, too.

So there are many factors that play into the cost of healthcare.

Most docs are happy to have Medicare patients as Medicare is guaranteed payment.

Insurance's role in all this is quite the wild card, as insurance companies are basically the gatekeepers of the industry, wh/ is totally backwards. Physicians should be the gatekeepers of our health - NOT insurance companies whose sole reason for existence is profitability, wh/ means their first responsibility to their own corporation is to JUST SAY NO. (Denials).
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Old 08-01-2011, 08:13 AM
 
Location: North Cackelacky....in the hills.
19,567 posts, read 21,880,765 times
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Quote:
Originally Posted by geeoro View Post
Most Doctors in the UK don't ask ANY patients for a fee. 99% of Doctors in the UK work in the NHS. Some Consultants also have private practices but they must work a minimum of hours in the NHS to be paid by the NHS.
In the UK the Consultants do not ask 4-5-6 times the normal amount of a treatment to the Insurance companies as they do in the USA thus the Insurance company can keep their premiums low. Many of the private patient work in the UK comes from people coming from abroad as most Brit's use the NHS.
When my wife came to the UK from the USA, she insisted on getting health insurance as she had heard in the media here how bad the NHS is. She got platinum health cover.... everything possible covered and she would be given approx $90 per day into her bank account for everyday that she is in a NHS Hospital from the insurance company if she had the treatment in the NHS Hospital. There was also NO copay when using the private health insurance. Having now used the NHS in the UK...My Wife realises what B/S the reports about UHC's are.
As the Health insurance companies in the UK have to compete with the NHS they cannot charge HUGE premiums as patients would not use them... they still earn mega bucks. No poor Doctors in the UK either.
Do private Doctor practices in the UK take patients ''without looking at their wallets first''?
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Old 08-01-2011, 08:14 AM
 
22,768 posts, read 30,748,463 times
Reputation: 14745
Quote:
Originally Posted by Katiana View Post
I am talking about medical residencies. These are the programs that pay doctors-in-training after they have graduated from med school but before they are ready to go out and practice on their own.
right, it is a job, which is why it is incorrect to refer to it as "Medicare-funded education." It isn't education.

Quote:
Originally Posted by Katiana View Post
If their education was funded by Medicare, which it is for the vast majority, a case could well be made for a requirement.
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Old 08-01-2011, 08:14 AM
 
Location: Foot of the Rockies
90,297 posts, read 120,823,758 times
Reputation: 35920
Quote:
Originally Posted by le roi View Post
A residency is not an "education". There is on-the-job training, but they work for a living, they are not students. Residency is not medical school.



No, nothing at all like that, because residency is not schooling, and because the hospital is getting that subsidy ... not the doctors.

Medicare is getting a HUGE bargain if you ask me, by paying these doctors $50k - 70k / year while they work 100 hours a week in a hospital, so they can eventually pay off the quarter-million dollars worth of student loans they needed to take on, to get into medical school.

Hospitals would probably pass that cost onto their patients.
Medicare is paying their salaries. The docs are learning. You cannot be board certified w/o doing a residency. In fact, you can't really practice medicine w/o doing a residency.

Medical Residency Training - All About Medical Residency Training
During residency training, residents are usually paid about $40,000 to $50,000 per year to help pay the bills. They are paid a minimal salary because medical residents are not fully licensed to practice medicine, and therefore residents do not independently bring in any revenue for a medical facility. Instead, residents are physicians in training, working only under the supervision of an attending physician, who is ultimately responsible for the patients being treated by the medical residents.
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Old 08-01-2011, 08:16 AM
 
22,768 posts, read 30,748,463 times
Reputation: 14745
Quote:
Originally Posted by Katiana View Post
Medicare is paying their salaries. The docs are learning. You cannot be board certified w/o doing a residency. In fact, you can't really practice medicine w/o doing a residency.
All true -- and beside the point, which is that they are working and training. They are not students, they are not receiving an "education." Medicare is paying hospitals to provide them with salaries, not paying for their education.

Therefore these comparisons you made with the military are invalid.
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Old 08-01-2011, 08:16 AM
 
Location: London UK & Florida USA
7,923 posts, read 8,850,084 times
Reputation: 2059
Quote:
Originally Posted by anifani821 View Post
Yes, it is actually a very complicated situation. Lowering the cost of healthcare means following the administration of healthcare through a continuum of services and professionals.

And folks are right - the cost of a medical education has put physicians in the position of having to figure out how to keep their practice doors open - after taking on large debt to open that practice. In addition, hospitals who "own" physicians are paying them very comfortable salaries, plus picking up part (if not all) of their practice costs (i.e., providing office space, computer system, etc). This can vary a lot . . . but I think the reader can understand that this creates a financial burden on hospitals, too.

So there are many factors that play into the cost of healthcare.

Most docs are happy to have Medicare patients as Medicare is guaranteed payment.

Insurance's role in all this is quite the wild card, as insurance companies are basically the gatekeepers of the industry, wh/ is totally backwards. Physicians should be the gatekeepers of our health - NOT insurance companies whose sole reason for existence is profitability, wh/ means their first responsibility to their own corporation is to JUST SAY NO. (Denials).
Absolutely!
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