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Doctors by law cannot form "monopolies" That means "super groups" are prohibited from forming and controlling an entire market (in theory forcing price demands on insurers).
What physicians are doing these days and it's more and more common is "sell out their practices". By guess who's buying these practices. Big hospitals (and wall street) are buying up primary care and speciality care services and doctors are becoming employees.
Guess what Wall street (say publically traded companies like Mednax) and big Hospital Systems (say Florida Hospital and Orlando health) can do that physician "mega" groups cannot do:
Guess folks.......Physicians cannot coerce insurers to pay more. Insurers will claim physicians are violating anti trust laws when they have a controlling stake in a market.
Yet when mega corporations control Anesthesia services in say Atlanta area or Hospital Systems control markets like Orlando. And they can force whatever demands to be paid from insurers. That's legal. So the ACA encourages mega mergers of hospitals, encourages buyout of physician services. Yet hospitals and wall street can exert monopolistic demands to get "top dollar" from insurance. The little physician owned practices cannot make the same demands.
Doctors are NOT required to accept insurance, and in fact, can request to be paid up front, and YOU file with your insurance company for reimbursement.
That discriminatory against minorities who do not have cash. Look for a law soon to fix this problem.
Understand that I am merely playing devil's advocate here.
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Originally Posted by hawkeye2009
I really doubt it. Why?
1. There is already a shortage of physicians
Lower the bar, lower the quality. Create MASSIVE incentives and subsidized interest loan rates for people entering into medicine and sidestep guilds like the AMA.
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2. Physicians in my age group (which make up 35% of all physicians) would quit, as we are able to do so financially. This would precipitate a healthcare crisis.
The next generation would have much lower student loans and less debt obligation due to the subsidization of their education. Thus, they could work for far less.
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3. 13th Amendment
Look at the fedgov lately and say that with a straight face.
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4. "Accepting patients" and "rationing" are two different things. We accept medicare, but now ration slots. There is a few week wait if you have regular insurance, but over three months if you have medicare. This is the unfortunate economic reality of medicine and reimbursement today.
Do it or lose your license. Perhaps even go to jail. Class envy commoners love watching upper middle income people eat cake and experience "a day walking in their shoes". This will especially be true as upper middle and upper class folks become an increasingly scarce minority of the population. NEVER underestimate the peoples' love for bread and circuses. Remember that not too long ago people got a hard on for watching dudes become enslaved to fight to the death against lions or each other. Social democracy WIN!
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5. Medicaid is state run and individual states that compelled physicians (illegally) to see Medicaid would see a large percentage of physicians simply leave their state.
Create Fedgov standard to set the bar very high on quotas, perhaps by Exec Order granting DHHS through the ACA to accomplish this.
I would expect the AG start enforcing some type of Discrimination laws against Doctors.
If HUD can force developers to build X% of low income housing. Someone will force you to accept X% low income patients.
They will do studies that says minorities are not getting treatment as well as whites. You will then have an AA type program.
It may take a few years as people find their Ocare policy does not allow them "To keep their doctor" he promised.
Enjoy your freedoms to practice and choose while you can.
Obama Care has really highlighted the danger of an inept, foolish, President and Harry Reid/Nancy Peolsi and crew none of who have any understanding of America, freedom, Constitutional guarantee of individual right to equal "opportunity" ... not just equal "without working for it, for lack of better description." Then we add this President who, in addition to the above, has no clue about our military's charge of National Security. It's time to "take our Country back!' Yea for our Doctors who see the disaster Obama Care will bring down on their and ultimate our heads!
I truly hope and pray that our "voting" citizens, those "voting" citizens voting next November pay attention to the fact that whatever "freebies" and/or "credits," etc. are given to all those who "cannot afford to pay/want free birth control/kids to 26 years on parents' health insurance/pre-existing conditions, etc., etc. are getting all these "freebies" fully understand that all these give-aways are being paid for by those responsible citizens "who take care of themselves". I do not believe I should pay for the bad lifestyle or unfortunate circumstances of life through Federal taxes! All that, IMHO and experience in life, should be under the jurisdiction of each State and preferably should be addressed on a local level where those "receiving" are known to those "giving."
Dems need to quit "giving away" freebies that have to be paid for by those working and paying taxes!
Last but not least, AFA (Obama Care) needs to repealed in its entirety! The Constitution does not "give the authority" for the Feds to interfere in most areas of our lives as it currently does and that includes our health care big time! All those areas are "State" jurisdiction...not Federal! Each State is different and should address their individual needs within their own State government.
The voting public has to be educated to the fact that when States make their laws if the people living in that state don't like it they can seek another state in which to live. This makes all State-Government interference open to "competition" and States that get "over authoritative" will lose their population and, thus, their tax base. States will "have to" abide by laws with which citizens can and will live.
That is not the case when the Feds "blanket" regulate/impose law, etc. on the whole country. Citizens cannot get away from Fed interference unless they move out of America. That's why our forefathers made sure the Constitution is extremely restrictive in what the Feds may address. We, the voting citizens, have let the Feds go waaaaayyyyy over those restrictions and we need to put the Feds back where they belong under the Constitution. States in charge bring balance to our personal and economic freedoms. We need to "dump" this idea of "interpretation of the Constitution" by the Feds which is lawyer-dreamed crap. The Constitution reads very clear to anyone who understands the English language...no "interpretation" needed!
One way to "take back" our freedom is to disallow any bill in Congress/Senate to address more than one subject...no added subjects/money-grabs/crap allowed. Every single-issue bill has to stand on its own. That, in itself, would stop billions of dollars of waste and an unbelievable amount of "hidden" crap that comes out "after" passage of multi-issue bills that hurt and destroy our freedom.
Add to that, another very important restriction that must be placed on all Federal action is that any bill, regulation, etc., must have a sunset date before passage so it cannot go on forever without being reanalyzed for need or correction. That sunset date must be a "no longer than..." so these idiots cannot give a 25/30/50 year date to circumvent the purpose. My preference would be a 5-year sunset date! Hmmm, in addition to the good that would do to get rid of "crap" or "no-longer-needed" bills, it would keep Congress pretty busy so they could not continue to do so much more damage.
Another "must" action is to peruse every Fed laws/regulation, etc., and repeal all that are outdated, harmful today and/or simply unnecessary.
That's just the "dusting" to start with...then we clean house!
Doctors are not idiots savants who only know how to practice medicine. If they cannot practice in a place where the environment is not heavily queued, they would be much happier working in areas such as oncology, software development, or in cell biology. Plenty of doctors I'm aware of migrate to these fields and suffer from depression far less than surgeons.
The job market is GREAT for well educated professionals in STEM areas and health care in general.
Software development? Hmmm. Cell biology???
At 45-50, making a move like that to start all over? Don't think so.
Doctors by law cannot form "monopolies" That means "super groups" are prohibited from forming and controlling an entire market (in theory forcing price demands on insurers).
What physicians are doing these days and it's more and more common is "sell out their practices". By guess who's buying these practices. Big hospitals (and wall street) are buying up primary care and speciality care services and doctors are becoming employees.
Guess what Wall street (say publically traded companies like Mednax) and big Hospital Systems (say Florida Hospital and Orlando health) can do that physician "mega" groups cannot do:
Guess folks.......Physicians cannot coerce insurers to pay more. Insurers will claim physicians are violating anti trust laws when they have a controlling stake in a market.
Yet when mega corporations control Anesthesia services in say Atlanta area or Hospital Systems control markets like Orlando. And they can force whatever demands to be paid from insurers. That's legal. So the ACA encourages mega mergers of hospitals, encourages buyout of physician services. Yet hospitals and wall street can exert monopolistic demands to get "top dollar" from insurance. The little physician owned practices cannot make the same demands.
At 45-50, making a move like that to start all over? Don't think so.
And plenty of doctors like being doctors.
Gosh, the dude who took care of our baby in the NICU had a Ph.D. and MD. He can EASILY sidestep into pure research, enter academia and disappear from the medical scene. Two time local US congressional candidate with an MD owns a software company and even codes his own software (In before "isolated incidents").
There's no starting over. The experience gained by practicing medicine is an easy transition. In our computational linguistics group, we have psychology and philosophy majors also. But I do enjoy people believing that highly educated doctors are one trick ponies.
Gosh, the dude who took care of our baby in the NICU had a Ph.D. and MD. He can EASILY sidestep into pure research, enter academia and disappear from the medical scene. Two time local US congressional candidate with an MD owns a software company and even codes his own software (In before "isolated incidents").
There's no starting over. The experience gained by practicing medicine is an easy transition. In our computational linguistics group, we have psychology and philosophy majors also. But I do enjoy people believing that highly educated doctors are one trick ponies.
I'm not talking about one trick ponies. Of course people can change, switch, do whatever.
The question is do they want to? I'm not so sure about that.
I wouldn't say good job but none of the other options fit either. Their right and their decision, however I look for someone to try to change that as soon as this becomes an issue.
In the cases of "Obamacare-ACA" its not doctors who are refusing to see patients its the narrow networks that have been set up. When the various doctors refused to lower their fees they were cut out. It they keep refusing to lower their fees they wont have any patients or very few. What happens when they refuse to take Medicare, BCBS, Aetna, Cigna, Humana, etc? There are plenty of other doctors who will. Childrens Orthopedic Hospital in Seattle priced themselves outside almost every ACA plan and rather than lowering prices they are suing the State.
The first case of someone forcing someone else to do something is a group of doctors trying to extort more money from insurance companies and the insured.
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