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As your link indicates and as I pointed out physicians have greater leverage with private insurance and none with the Federal goverment. Private insurance Rates are negotiated. Government reimbursement is not.
Leverage or not they don't get reimbursed 100%. Chalk it up to poor negotiating skills on the part of the Dr. then and they don't have to accept Medicare/aide patients do they?
What is this? Docs can only work at Wally's World or Burger King
"The exodus
Doctors are quietly opting out of medicine or they are leaving this life altogether. According to Medscape Medical News, as recently as March 2010, “The United States loses the equivalent of at least one entire medical school class (approximately 400 physicians) each year to suicide”. In other words: one, sometimes two, a day.
People often respond to reports of physician dissatisfaction by saying, “Well, I don’t like my job either.” But the role of a physician cannot be paralleled by any other. They have the least amount of rights of any profession; they must sacrifice approximately 14 years of their lives to the study and practice of medicine and they are held to a standard of perfection that simply does not exist here on earth."
Boo freaking Hoo! I have been working alongside Doctors and nurses for over 30 years they are well compensated for what they have to put up with. Btw, I think members of law enforcement have something to say about sacrifices as well! Social Workers, shrinks, prison guards and even dentist have an incredible amount of stress as well and plus they don't compensated as well either.
The survey did not mention the growing number of PA (Physician Assistants or Nurse Pratictioners) who will fill in their spaces if they ever decide to leave. Or the fact that the AMA really do not care for NP since they can do most of the same things (depending on the state) as physicians
Odd--according to sourcewatch, the DPMA is a front group for physicians involved in the tea party--DPMA is a member of the National Tea Party Federation. In fact, most of their staff are founding members of various tea party groups. I'm surprised that 100% of their members didn't threaten to quit medicine over the affordable care act, let alone 85%. It's the crack pot corp of the medical community.
The American Medical Association--the REAL group that actually represents most physicians--endorsed the affordable care act.
Oh no wonder! So the whole thing is a scam from the door. Can anyone tell me what 85% of 30 members turn out to be Funny thing when you deal with statistics they make any arguement look good
Leverage or not they don't get reimbursed 100%. Chalk it up to poor negotiating skills on the part of the Dr. then and they don't have to accept Medicare/aide patients do they?
Some may get more than 100%, it depends, as your link indicates, who is in the power position. If there is one cancer center in a given area, they have much greater leverage than where there are many. Likewise prestigious institutions, Mayo Clinic, Cleveland Clinic etc., can also demand a premium from private insurers, not so with the Feds.
You are correct! physicians do not have to accept public insurance and many MDs are doing as you suggest. So the government is really achieving the opposite of what it claims. It is not increasing access to physicians, it is limiting it.
Boo freaking Hoo! I have been working alongside Doctors and nurses for over 30 years they are well compensated for what they have to put up with. Btw, I think members of law enforcement have something to say about sacrifices as well! Social Workers, shrinks, prison guards and even dentist have an incredible amount of stress as well and plus they don't compensated as well either.
The survey did not mention the growing number of PA (Physician Assistants or Nurse Pratictioners) who will fill in their spaces if they ever decide to leave. Or the fact that the AMA really do not care for NP since they can do most of the same things (depending on the state) as physicians
There are also foreign-educated doctors who will take any test and jump through any hoops the U.S. makes them jump in order to get to work in the U.S.
I will make a bet with any pro-ACA ******* here that Obama will at least utter something to the effect of wanting to force physicians to accept Medicare/Medicaid patients if he is re-elected. Even if the practice doesn't accept insurance AT ALL. That and he will publicly admit to wanting to force doctors to accept ACA approved insurance if they want to practice.
Some may get more than 100%, it depends, as your link indicates who is in the power position. If there is one cancer center in a given area, they have much greater leverage than where there are many. Likewise prestigious institutions, Mayo Clinic, Cleveland Clinic etc., can also demand a premium from private insurers, not so with the Feds.
You are correct! physicians do not have to accept public insurance and many MDs are doing as you suggest. So the government is really achieving the opposite of what it claims. It is not increasing access to physicians, it is limiting it.
Agreed. The prestigious healthcare systems do have that power. Here is the thing. Those institutions and those Doctors are most likely not a part of the 83% quitting when Obamacare kicks in. It's the private practices that are effected the most and they have the ability to be 1) smarter with their business (don't accept medicare or medicaid 2) they have little to no leverage over big insurance.
If you are a practice and you know you cannot negotiate with the Fed then why accept their business? If Doctor's and Health systems are being dragged down by medicare and medicaid STOP HELPING THOSE PEOPLE. "F" the government and "F" those people who are dragging down your business.
Agreed. The prestigious healthcare systems do have that power. Here is the thing. Those institutions and those Doctors are most likely not a part of the 83% quitting when Obamacare kicks in. It's the private practices that are effected the most and they have the ability to be 1) smarter with their business (don't accept medicare or medicaid 2) they have little to no leverage over big insurance.
If you are a practice and you know you cannot negotiate with the Fed then why accept their business? If Doctor's and Health systems are being dragged down by medicare and medicaid STOP HELPING THOSE PEOPLE. "F" the government and "F" those people who are dragging down your business.
My grandfather was a doctor working in a small village in Egypt. He would go from house to house helping desperately poor people who lived in huts with dirt floors and often couldn't pay him at all... I'm pretty sure he wanted "F" poor people and "F" the government on his gravestone.
Agreed. The prestigious healthcare systems do have that power. Here is the thing. Those institutions and those Doctors are most likely not a part of the 83% quitting when Obamacare kicks in. It's the private practices that are effected the most and they have the ability to be 1) smarter with their business (don't accept medicare or medicaid 2) they have little to no leverage over big insurance.
If you are a practice and you know you cannot negotiate with the Fed then why accept their business? If Doctor's and Health systems are being dragged down by medicare and medicaid STOP HELPING THOSE PEOPLE. "F" the government and "F" those people who are dragging down your business.
It isn't a matter of being smarter, as your link points out, many practioners do not have the leverage. You are correct, more and more are and will continue to refuse Federal insurance which as I already pointed out restricts access to healthcare. Additionally it will lead to two tiers of service the best physicians will not accept Federal insurance.
Good Doctor. Bad businessman. He rested on the fact that he could gouge his patients with Cancer drugs and when that dried up he got screwed.
Another example of him not being smart. A private practice is still a business and needs to be run as one. Good Doctor, bad businessman.
Yes, some docs are bad businessmen/women.
and no denying; many are in the back pockets of Big Pharm...
but one thing not controlled by even the smart businessman doc is the biggest one:
fees set by third party...
Of all the groups covered by insurance today, the largest are
Seniors: Medicare, Railroad Medicare
Children from low income families: Medicaid
Military and Veterans: VA and Tricare
And no one, even on Capital Hill, are arguing that the
Doc Fee Schedule does not need to be fixed.
Quote:
Originally Posted by tluv00
If you are a practice and you know you cannot negotiate with the Fed then why accept their business? If Doctor's and Health systems are being dragged down by medicare and medicaid STOP HELPING THOSE PEOPLE. "F" the government and "F" those people who are dragging down your business.
Not all docs can have a cash only practice
by the demographics explained above.....
but many are asking themselves the same thing you bring up.
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Funny thing when you deal with statistics they make any arguement look good
