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Old 12-29-2009, 08:08 PM
 
3 posts, read 3,116 times
Reputation: 11

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Medicare reimbursements for outpatient hospital clinics have not been reduced. If cardiologists cannot afford to see patients in a private setting, then they would need to become hospital employees or retire. Then Cardiologists can work kind of 8-5, have a nicer life albiet at lower pay. Patients: they will have ever changing cast of shift workers for doctors similar to what you encounter in an emergency room. Because there are already too few cardiologists and > 40% practicing are now > 50 years old and it takes 10 years after medical school to train a cardiologist, the remaining will use nurse practitioners to actually "see" you. The doctors will then have much more time for their families and extra curricular activities like all shift workers on salary. Their patients can then deal with a corporate system since private practitioners willing to bend over backwards 24/7 will be dinosaurs.
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Old 12-29-2009, 08:13 PM
 
Location: Hoboken
19,889 posts, read 17,722,449 times
Reputation: 3141
Quote:
Originally Posted by Finn_Jarber View Post
Here is the scenario:

You pay into medicare for 40 years, and then 5 years into your retirement someone adds a 400 Billion dollar 'enhancement' to medicare, and then a few years later that 'enhancement' is removed.

OK, is it fair to say that the benefits which you paid for 'all your life' are being reduced? No, because you DID NOT pay into the 'enhancement' at all. If was added AFTER you had retired. No one paid for it, because it was added on borrowed money. See the problem? Medicare has been expanding like a bubble-gum bubble, and it keeps getting more and more expensive, but every time anyone suggests any cuts, the opposing party fights against it. If Republicans suggested the cuts, the "R" voters would be all for it, and the Dems would be all against it. It just happens to be the other way round now, so all the Republicans are told to oppose it. It's sad. I don't believe Sanrene is retired. She opposes it only because it is being proposed by the party she opposes.
But I didn't have a choice to get that "enhanced" coverage 40 years ago because my money was confiscated to pay for this. I had no choice now you chastise me for poor planning?

Republicans have suggested personal savings accounts for SS they have been entirely consistant.
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Old 12-29-2009, 08:13 PM
 
Location: Land of debt and Corruption
7,544 posts, read 7,869,850 times
Reputation: 2885
Quote:
Originally Posted by TigerLily24 View Post
So, basically what this cardiologist is saying that were it not for Medicare there would be no cardiologists? So they are only in it for the Medicare reimbursements? What a racket.

Also neglected to mention that Medicare fees will be increased for primary care physicians and internists, in keeping with the goal to put more emphasis on primary care. This is a good thing.

Primary care slated for Medicare pay increase | Internal Medicine News | Find Articles at BNET
I think you vastly misunderstand the issue. Cardiologists are saying that it will be too expensive for them to continue to provide their services in a private practice setting, especially for rural patients, with these cuts to their reimbursement. They (in private practice, which is the majority of cardio's) invest large amounts of money on nuclear med scanning equipment to be able to meet the technological needs of their profession for their patients. They are saying that with these proposed cuts, there will be a large shift from private practice cardio's to those who decide to contract with hospitals instead. Less overhead for them at increased inconvenience to the patient, especially those in rural areas that live far from local hospitals. To say cardiologists are only in it for the Medicare reimbursement is laughable at best, especially since medicare reimburses at much lower rates than private insurances.

And, FWIW, the article did too mention that fees would be increased for primary care physicians and internists. I'll quote it for you...

"Jonathan Blum, director of the government's Center for Medicare Management, says the agency is bound by law not to increase spending when making reimbursement decisions each year. That means the agency must rob Peter to pay Paul — or the cardiologists to pay the internists and family physicians — to boost payment rates for long "undervalued" primary care services, Blum says".

And to Finn, medicare was set up as one big ponzi scheme to begin with. When it was first instituted, elderly people were immediately given benefits even though they didn't have "40 years of paying into the system". It was meant to work by having the working populace pay into the system while the retired populace used those funds immediately. Worked fine while the baby boomers were all still of working age because they outnumbered the retired folks, but guess what? They are retiring now. We have fewer and fewer workers to support each medicare-eligible person. I don't remember the exact figures offhand, but I think we are going to be upside down very soon, meaning there will be more retired people in the medicare system than there are workers paying into it. Recipe for disaster. Then add this healthcare reform bill on top of it all and it's gonna really hit the fan.
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Old 12-29-2009, 08:14 PM
 
3 posts, read 3,116 times
Reputation: 11
By the way. Because of the overwhelmingly huge number of primary care doctors compared to cardiologists, the amount of money shifted to primary care turns is actually peanuts, per capita. In addition a large percentage is being shifted to non primary care doctors such as orthopedics and anesthesia. It's a funny shell game.
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Old 12-29-2009, 08:22 PM
 
Location: Land of debt and Corruption
7,544 posts, read 7,869,850 times
Reputation: 2885
Quote:
Originally Posted by Finn_Jarber View Post
....but every time anyone suggests any cuts, the opposing party fights against it. If Republicans suggested the cuts, the "R" voters would be all for it, and the Dems would be all against it. It just happens to be the other way round now, so all the Republicans are told to oppose it. It's sad. I don't believe Sanrene is retired. She opposes it only because it is being proposed by the party she opposes.
Actually, that is factually incorrect. Every year when reviewing the budget the issue of cutting medicare gets brought up regardless of who the majority party atm is, and every year there is bipartisan support to not make cuts.
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Old 12-29-2009, 09:15 PM
 
Location: Vermont
11,350 posts, read 13,110,315 times
Reputation: 17243
This should dispel the idea of doctors as selfless servants of humanity.
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Old 12-29-2009, 09:19 PM
 
Location: Hoboken
19,889 posts, read 17,722,449 times
Reputation: 3141
Quote:
Originally Posted by jackmccullough View Post
This should dispel the idea of doctors as selfless servants of humanity.

I don't think anyone was under such an illusion. With the exception of perhaps clergy and the military, their aren't many of what you describe.
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