U.S. CitiesCity-Data Forum Index
Go Back   City-Data Forum > General Forums > Politics and Other Controversies
 [Register]
Please register to participate in our discussions with 2 million other members - it's free and quick! Some forums can only be seen by registered members. After you create your account, you'll be able to customize options and access all our 15,000 new posts/day with fewer ads.
View detailed profile (Advanced) or search
site with Google Custom Search

Search Forums  (Advanced)
View Poll Results: Consequence for doctor refusing Medicare/Medicaid patients?
Nothing, and I support their decision. 128 69.95%
Nothing, however I do not support their decision. 20 10.93%
Force them to take at least x% (e.g. 50%) of patients or lose license 19 10.38%
Revoke license immediately (can only practice at VA hospitals as punishment) 1 0.55%
Revoke license (unconditionally and permanently) 2 1.09%
Revoke license, jail (felony charge) 0 0%
Revoke license, hard labor (to better understand what it means to be a commoner) 4 2.19%
Capital punishment 9 4.92%
Voters: 183. You may not vote on this poll

Reply Start New Thread
 
Old 11-09-2013, 02:20 PM
 
Location: Raleigh, NC
20,003 posts, read 16,698,029 times
Reputation: 3785

Advertisements

Assume doctors begin accelerating the denial of Medicare/Medicaid patients, perhaps from the accelerated demand vis-a-vis new enrollments through the exchanges, along with draconian reimbursement cuts. What should the appropriate steps be to stem the tide of doctors' not accepting these gov't plans?
Rate this post positively Reply With Quote Quick reply to this message

 
Old 11-09-2013, 02:22 PM
 
Location: Great State of Texas
86,068 posts, read 77,096,476 times
Reputation: 27655
Fine them of course. Have them send money to the government. Isn't that the American way ?
Rate this post positively Reply With Quote Quick reply to this message
 
Old 11-09-2013, 02:23 PM
 
27,320 posts, read 14,100,174 times
Reputation: 12052
Quote:
Originally Posted by summers73 View Post
Assume doctors begin accelerating the denial of Medicare/Medicaid patients, perhaps from the accelerated demand vis-a-vis new enrollments through the exchanges, along with draconian reimbursement cuts. What should the appropriate steps be to stem the tide of doctors' not accepting these gov't plans?
Nothing. Private practice doctors have the right to refuse service to those who can't pay.
Rate this post positively Reply With Quote Quick reply to this message
 
Old 11-09-2013, 02:24 PM
 
Location: Newport Coast, California
471 posts, read 530,252 times
Reputation: 1136
Quote:
Originally Posted by summers73 View Post
Assume doctors begin accelerating the denial of Medicare/Medicaid patients, perhaps from the accelerated demand vis-a-vis new enrollments through the exchanges, along with draconian reimbursement cuts. What should the appropriate steps be to stem the tide of doctors' not accepting these gov't plans?
Easy, Your license will not be renewed in the state you are practicing in. A condition of having the privilege of a government sponsored medical license is to accept government provided insurance, since you are requesting the privilege of a government license to practice medicine. You want to profit via government licensing monopoly, then you need to accept government insurance. See it goes both ways.

The option is to opt out or petition for higher reimbursements.

Of course the clear answer is to just go single payer with a cash/supplemental insurance option. That would pretty much solve most of the problems.
Rate this post positively Reply With Quote Quick reply to this message
 
Old 11-09-2013, 02:25 PM
 
Location: Great State of Texas
86,068 posts, read 77,096,476 times
Reputation: 27655
Quote:
Originally Posted by T-310 View Post
Nothing. Private practice doctors have the right to refuse service to those who can't pay.
Times are a changing though. Your "rights" are being questioned, reformed and legislated by the government.
That would be discrimination against the poor.

Private business has "social obligations" now.
Rate this post positively Reply With Quote Quick reply to this message
 
Old 11-09-2013, 02:25 PM
 
Location: Raleigh, NC
20,003 posts, read 16,698,029 times
Reputation: 3785
Quote:
Originally Posted by GoldenZephyr View Post
Your license will not be renewed in the state you are practicing in. A condition of having the privlidge of a license is to accept insurance, particularly the government provided ones, since you are requesting the privlidge of a government license to practice medicine.

The option is to opt out or petition for higher reimbursements.

Of course the clear answer is to just go single payer with a cash/supplemental insurance option. That would pretty much solve most of the problems.
What about doctors who would not take the single payer plan because they feel they can do better cash only?
Rate this post positively Reply With Quote Quick reply to this message
 
Old 11-09-2013, 02:30 PM
 
Location: Newport Coast, California
471 posts, read 530,252 times
Reputation: 1136
Quote:
Originally Posted by summers73 View Post
What about doctors who would not take the single payer plan because they feel they can do better cash only?
Interesting concept, if they accept cash only would be fine, but income would have to be taxed at the maximum marginal rate, whereas income through government insurance would be taxed at a flat rate, say 15%. Sort of provides an incentive and effectively ups the net reimbursement.

Again, if you want to profit via a government licencing monopoly, then you have to take it both ways.
Rate this post positively Reply With Quote Quick reply to this message
 
Old 11-09-2013, 02:30 PM
 
Location: Raleigh, NC
20,003 posts, read 16,698,029 times
Reputation: 3785
+1 for execution. It is a glorious day Comrades!
Rate this post positively Reply With Quote Quick reply to this message
 
Old 11-09-2013, 02:31 PM
 
1,632 posts, read 1,636,959 times
Reputation: 1311
I think it's because Medicare takes too long to pay up, plus medicare will stretch it out fighting with your secondary insurance .
Rate this post positively Reply With Quote Quick reply to this message
 
Old 11-09-2013, 02:31 PM
 
Location: Raleigh, NC
20,003 posts, read 16,698,029 times
Reputation: 3785
Quote:
Originally Posted by GoldenZephyr View Post
Interesting concept, if they accept cash only would be fine, but income would have to be taxed at the maximum marginal rate, whereas income through government insurance would be taxed at a flat rate, say 15%. Sort of provides an incentive and effectively ups the net reimbursement.

Again, if you want to profit via a government licencing monopoly, then you have to take it both ways.
Doctors have a choice of getting a medical license that is not government endorsed?

Why not just pay more for the Medicare doctor instead of giving them a tax break? It seems like you're picking winners and losers and making the tax code even more complicated than it already is. What about under the table cash payments?
Rate this post positively Reply With Quote Quick reply to this message
Please register to post and access all features of our very popular forum. It is free and quick. Over $68,000 in prizes has already been given out to active posters on our forum. Additional giveaways are planned.

Detailed information about all U.S. cities, counties, and zip codes on our site: City-data.com.


Reply
Please update this thread with any new information or opinions. This open thread is still read by thousands of people, so we encourage all additional points of view.

Quick Reply
Message:

Over $104,000 in prizes was already given out to active posters on our forum and additional giveaways are planned!

Go Back   City-Data Forum > General Forums > Politics and Other Controversies

All times are GMT -6.

© 2005-2021, Advameg, Inc. · Please obey Forum Rules · Terms of Use and Privacy Policy · Bug Bounty

City-Data.com - Contact Us - Archive 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37 - Top