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So, you object to Physicans having private practices? In your opinion, should they only work for the Government and only get a set amount of pay from the government?
Is this what you believe?
Dont have to work for goverment , dont care who they work for.
In German system which is great and I had for a decade, there are clinics and private practices paid
thru insurance plans limited to 5% profit per annum, and price control on all aspects . Sice there are a hundred or so plans,guess German firms dont mind being in that business. Canadians do single payer, more than 1 way to skin a cat.
People who can't live on 100K a year just don't become docs, simple at that.
Many more primary docs than here, about 3/4 women.
[quote=delusianne;11130483]Oh, it was not. The most typical Medicare (or any) visit is a well patient visit - check the blood pressure (done by an assistant), look in their ears and refer them to a specialist if they have a concern.
Sorry, I implied "visits without a reason" and that's not what I meant. Not sure what you call "visits with just a complaint, not an emergency visit", but that's the kind I meant - when the doctor checks you and s/he determines whether you should see a specialist/go to the hospital/get a prescription/go home.
Sorry, I implied "visits without a reason" and that's not what I meant. Not sure what you call "visits with just a complaint, not an emergency visit", but that's the kind I meant - when the doctor checks you and s/he determines whether you should see a specialist/go to the hospital/get a prescription/go home.
For a Medicare visit to be covered by Medicare, it must meet the medical necessity requirement. If a patient has a medical condtion(s), it is necessary to monitor the patient. If a Medicare patient has no medical problems and justs wants a general check up, that comes out of the patient's pocket. I understand now what you meant though.
Nice thread hijack!
I don't believe I stated an 'HO', nothing humble about it just MO.
Your post (opinion) is not only wrong but pure bovine excrement.
Back to the OPs original point;
A Mayo clinic is refusing to accept Medicare patients.
Clinics of all sizes and levels of service are refusing to provide services to Medicare patients - the level of reimbursement is less than the cost required to operate the clinic.
IMO Medical providers will continue to refuse Medicare/Medicade patients until the level of payment equal the cost of service.
The problem will only get worse................
Dano
If you can't understand the complexities of the discussion that doesn't constitute "hijacking" . Not that you are to blame.
It is abundantely clear there are some that there are those who lack understanding on many issues / levels.
This includes failure to understand that it does take money to operate a medical practice. And those that express that doctors should not be concerned with money clearly lack total knowledge on what it takes to operate a business - even to the level that that "assistant' who takes the blood pressure gets paid - and the costs associated with keeping an employee today with workmans comp, unemployment insurance, medical insurance etc. These people think that the doctor should not be concerned with these things.
Then, there is the issue of rent, utilities, insurance of all sorts, telephones and so on. They don't think the doctor should be concerned about getting enough money to pay for these things.
Then, they clearly do not understand what the physician does even with a "wellness check".
They don't seem to be concerned with a doctors desire to earn money to support their families - the doctors family should be of no concern - as long as the patients are taken care of.
Perhaps some of our more "liberal" posters should try to get more educated on medical practices and what THEIR doctor REALLY has to do to be able to continue to see THEM as a patient.
This thread highlights the fact that the whole health care system in America is broken. The cost of services are too high. The payments from gov. run programs are too low. Meanwhile, all of us, me included, are caught in the middle pointing fingers at each other. I'm not sure the proposed health care reform will solve anything as the whole process of reform has been politicized beyond recognition. But I do know that the current system fails to address the needs of doctors, patients and society as a whole.
It is abundantely clear there are some that there are those who lack understanding on many issues / levels.
This includes failure to understand that it does take money to operate a medical practice. And those that express that doctors should not be concerned with money clearly lack total knowledge on what it takes to operate a business - even to the level that that "assistant' who takes the blood pressure gets paid - and the costs associated with keeping an employee today with workmans comp, unemployment insurance, medical insurance etc. These people think that the doctor should not be concerned with these things.
Then, there is the issue of rent, utilities, insurance of all sorts, telephones and so on. They don't think the doctor should be concerned about getting enough money to pay for these things.
Then, they clearly do not understand what the physician does even with a "wellness check".
They don't seem to be concerned with a doctors desire to earn money to support their families - the doctors family should be of no concern - as long as the patients are taken care of.
Perhaps some of our more "liberal" posters should try to get more educated on medical practices and what THEIR doctor REALLY has to do to be able to continue to see THEM as a patient.
CLEARLY, they do not understand.
Most small businesses scratch along on far less than $200+/client x 10 visits/day -- (say only 5 on a golf day), and those owners and their families do fine.
Thinking about it I guess more doctors probably are in it for the money than I'd thought... too bad for everyone.
Maybe the greedy doctors should just get a certificate and go into a field more apropos -- vanity specialization, like liposuction. And leave general practice to the decent doctors.
Anyway, keep on clutching the chains that bind you
More a case of real docs looking to heal are only ones in rural areas while people looking to cash in become specialists.
When I lived in Germany medical care was great,3/4 of docs were woman and made about 100 K per year,
No doctor should be allowed to make over 150 K or so per year,med education should be free or low cost, and anyone who cant live on that should become a stockbroker instead.
LOL my primary care doctor pays $100,000 per year in malpractice insurance alone and that is just a primary care doctor. Specialists can pay well over $200,000 per year. That is ridiculous and you must have zero clue what it really costs to be a doctor.
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