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  1. #21
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    Jan. 26, 2012
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    Perhaps physicans need to look at expenses and consider asking the government to reduce factors that build them. I would imagine that things like malpractice insurance et al. make expenses rise.


    5 members found this post helpful.

  2. #22
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    Oct. 19, 2006
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    If I were to go into medicine it would be plastic surgery...


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  3. #23
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    Aug. 25, 2007
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    My wife is an MD and semi-retired from a university level Family Practice program.

    FP was supposed to be "winner" under Obamacare but she reports that they don't have a single nickle allocated towards expansion of services, new faculty members, training of new residents, etc.. As 2014 approaches and up to 20% of the populace suddenly having access to insurance and doctors what's going to happen to wait times for routine appointments?

    What's going to happen in ERs (where many of the newly insured are used to getting their care)?

    What's going to happen to turn-around times in the lab with all the new samples being run and no new techs, machines, etc.?

    What's going to happen to wait times for sophisticated testing like MRI, CATSCANS, etc.?

    Where are the nurses going to come from to do the screening, physical measurements, injections, etc.?

    Where are the clerks going to come from to keep the records on up to 35 million new patients?

    There do not seem to be any answers yet.

    Her Best Advice: Don't get sick until about 2019.

    G.
    Mangalarga Marchador: Uma Raça, Uma Paixão


    10 members found this post helpful.

  4. #24
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    Jul. 20, 2007
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    Quote Originally Posted by Bluey View Post
    Doctors that complain of government interference in their private practice are right.

    Right now, for most they do, Medicare sets the prices, then insurances, that doctors used to trade patients for cost breaks, traded in the free market, are now just paying, say, 10% over Medicare's rock bottom prices and not leaving doctors any bargaining power any more.
    Doctors are becoming employees of the health care system, not independent contractors running their own business any more.

    When you add to that that many patients end up not paying anyway, to run a doctor's office or clinic is becoming a losing proposition and that means many lost jobs, not just the doctor's job and less doctors for patients.Yes, the world is changing and no one can foresee where to stand not to be washed away in the unintended consequences.
    Changing paths with foresight is ok.
    Rocking the boat and see who all gets thrown into the waters to sink or swim is not a good way to go running a country as large and diverse as the USA is.

    I hope cool heads will prevail.
    After all, presidents are not alone governing.
    But when everyone is covered by health care, you won't have these non-paying customers....


    5 members found this post helpful.

  5. #25
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    Oct. 9, 2012
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    Washington State
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    I have heard plenty about why some people are not for the new health care system but very little about why the other group of people are excited about it. What makes it exciting? Exactly?

    Eta: I'm mean the professionals here and not the general health care using public.


    1 members found this post helpful.

  6. #26
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    Apr. 23, 1999
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    Rosehill, TX
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    United HealthCare pays at the rate of medicare + 10%
    Nothing says "I love you" like a tractor. (Clydejumper)

    The reports states, “Elizabeth reported that she accidently put down this pony, ........, at the show.”



  7. #27
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    Jul. 20, 2007
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    Quote Originally Posted by Guilherme View Post
    My wife is an MD and semi-retired from a university level Family Practice program.

    FP was supposed to be "winner" under Obamacare but she reports that they don't have a single nickle allocated towards expansion of services, new faculty members, training of new residents, etc.. As 2014 approaches and up to 20% of the populace suddenly having access to insurance and doctors what's going to happen to wait times for routine appointments?
    So you think it's better to have all these people go without care than to have to wait a few extra days for routine appointments?
    What's going to happen in ERs (where many of the newly insured are used to getting their care)?
    They will be able to provide timely emergency medicine like they are supposed to!

    What's going to happen to turn-around times in the lab with all the new samples being run and no new techs, machines, etc.?
    Again, is is better for people to NOT be getting tests they need? If the volume is up, trust me. labs will expand to handle the business.....

    What's going to happen to wait times for sophisticated testing like MRI, CATSCANS, etc.?
    at the risk of repeating myself, is it better to have people in need NOT get these tests? And many of these sophisticated testing facilities are currently underutilized . If they have too much business, they will expand....

    Where are the nurses going to come from to do the screening, physical measurements, injections, etc.?
    good point, there are nursing shortages and they need to be addressed, but again, I can't believe you'd rather people to go without these services. It sounds like you want to ration care, one of the things that many opposed scream about. Poor people can't have access to health care because it might compete with the resources available for the wealthy?

    Where are the clerks going to come from to keep the records on up to 35 million new patients?
    Hire some! Hey new jobs? On no that must somehow be bad......

    There do not seem to be any answers yet.

    Her Best Advice: Don't get sick until about 2019.

    G.


    12 members found this post helpful.

  8. #28
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    Feb. 15, 2007
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    Midwest
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    I also work in a large academic hospital, for a very large academic program. For what it's worth, the PCPs are all for it while the specialists aren't.
    “Riding a horse is not a gentle hobby, to be picked up and laid down like a game of Solitaire. It is a grand passion.” ~Emerson


    1 members found this post helpful.

  9. #29
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    Dec. 21, 2008
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    Quote Originally Posted by sunny59 View Post
    So you think it's better to have all these people go without care than to have to wait a few extra days for routine appointments?
    .
    I would rather the health insurance companies come up with something these people can afford and that the government stay out of it 100%.

    With 46 million people in this country on some sort of government aid that we( working taxpayers) can't afford to pay for, and that our government can't manage now, I seriously doubt this will end up being beneficial to anyone in the end.


    14 members found this post helpful.

  10. #30
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    Oct. 25, 2012
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    Quote Originally Posted by candyappy View Post
    I would rather the health insurance companies come up with something these people can afford and that the government stay out of it 100%.

    With 46 million people in this country on some sort of government aid that we( working taxpayers) can't afford to pay for, and that our government can't manage now, I seriously doubt this will end up being beneficial to anyone in the end.
    We are the last supposedly "civilized" (developed) nation on earth still practicing for-profit medicine.

    There are some things that need to be above the marketplace. This is one of them.


    26 members found this post helpful.

  11. #31
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    Apr. 28, 2010
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    My mother is an OB-GYN, and she is horrified. In her opinion, Medicare/Medicaid is such a mess, that it is ridiculous to think the government will do a better job at a larger task. All of her OB-GYN colleagues feel the same way. They are all dreading it.
    Riding a horse is not a gentle hobby, to be picked up and laid down like a game of solitaire. It is a grand passion.... ~ Emerson


    8 members found this post helpful.

  12. #32
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    Feb. 3, 2000
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    Nokesville, VA
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    Quote Originally Posted by candyappy View Post
    I would rather the health insurance companies come up with something these people can afford and that the government stay out of it 100%.
    Basic arithmetic says the only way the premiums can be affordable is if EVERYONE - sick and healthy, rich and poor - participates.

    As long as people can "wait until they get sick" to buy health insurance, and quit when they are "cured", premiums will continue to be "unaffordable".
    Janet

    chief feeder and mucker for Music, Spy, Belle and Tiara. Someone else is now feeding and mucking for Chief and Brain (both foxhunting now).


    12 members found this post helpful.

  13. #33
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    Aug. 25, 2007
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    You miss the point, Sunny.

    The Law of Supply and Demand still works. If you grossly increase the demand for a service but don't expand the supply what happens?

    Now what happens if the State says you can't respond to changes in demand?

    How long does it take to train a nurse? Or a lab tech? Or Family Practitioner?

    The wait is NOT going to be a few days, it's going to be like a few weeks (and maybe even a few months at some times of the year, like in flu season or allergy season).

    You don't just go out and "hire" a few new people to give injections, draw blood, do surgical prep, etc.

    Obamacare has really been sold as "pie in the sky." It' more likely going to be something very different.

    G.
    Mangalarga Marchador: Uma Raça, Uma Paixão


    7 members found this post helpful.

  14. #34
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    Jan. 4, 2007
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    Quote Originally Posted by sunny59 View Post
    But when everyone is covered by health care, you won't have these non-paying customers....
    Are you kidding?
    Didn't you read how the government is barely paying now and takes weeks/months for doctors to be paid?
    No wonder doctors are not holding their breath that will work even close to what they have now.


    6 members found this post helpful.

  15. #35
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    Jan. 17, 2008
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    While I am not a doctor, my father is a retired oncologist, and my brother is a practicing one. Both strongly supported the Healthcare Act.

    The problem with complaining about Obamacare is that the healthcare system is horribly broken as it is. There already IS rationing (you try getting good care without insurance, or getting insurance if you have a preexisting condition). There already ARE panels denying certain procedures etc even though your doctor thinks you need them.

    If it were up to me, I'd absolutely have REAL electronic medical records -- records that could be accessed electronically anywhere in the country, not just in one hospital's system. (If you've ever had someone with a complicated history who's had to see many different doctors and specialities you would know what a blessing this would be -- no more making sure you have copies of all the latest tests to add to the inches thick folder you drag to every appointment).

    I would have a single payer system so that NO ONE would be unable to get care.

    I would also reform medical school and reduce the debt many students graduate with. And I would cap doctors' salaries too -- at a pretty high level, but still. I would not have doctors profit from the number of tests they order (i.e. that is an incentive to order unnecessary tests)

    In fact, I'd model my system on Britain's, where I lived for four years. I love that they have a single payer system and a private system. It guarantees a minimum level of care. And it may surprise you to know that the government run healthcare is regarded as superior to the private.

    OK, off my soapbox, sorry for the rant that wasn't what the OP asked. But I couldn't help myself!


    15 members found this post helpful.

  16. #36
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    Jul. 11, 2005
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    SF Bay Area
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    Quote Originally Posted by Lady Eboshi View Post
    We are the last supposedly "civilized" (developed) nation on earth still practicing for-profit medicine.

    There are some things that need to be above the marketplace. This is one of them.
    This. As long as health care is a for profit industry, it is in the interest of pharmaceutical companies, doctors, and hospitals to keep people sick and coming back rather then get them healthy and out of the system.
    It's not having what you want, it's wanting what you've got.

    www.sararoxannephotography.com
    www.facebook.com/sararoxannephotography


    13 members found this post helpful.

  17. #37
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    Jan. 4, 2007
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    TX
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    Quote Originally Posted by Janet View Post
    Basic arithmetic says the only way the premiums can be affordable is if EVERYONE - sick and healthy, rich and poor - participates.

    As long as people can "wait until they get sick" to buy health insurance, and quit when they are "cured", premiums will continue to be "unaffordable".
    Except that many are already not paying, so the same will be now asked to contribute for all, just as now, but thru even more taxes and whatever government programs we already have doing so do today.


    1 members found this post helpful.

  18. #38
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    Jan. 4, 2007
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    TX
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    Quote Originally Posted by two sticks View Post
    This. As long as health care is a for profit industry, it is in the interest of pharmaceutical companies, doctors, and hospitals to keep people sick and coming back rather then get them healthy and out of the system.
    You are kidding, are you.
    If not, that is the most absurd post I have read yet.


    9 members found this post helpful.

  19. #39
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    Jul. 14, 2000
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    midwest
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    Quote Originally Posted by Lady Eboshi View Post
    We are the last supposedly "civilized" (developed) nation on earth still practicing for-profit medicine.

    There are some things that need to be above the marketplace. This is one of them.
    LOL. So you get to decide when a doctor has made enough money?? Sigh.


    4 members found this post helpful.

  20. #40
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    Feb. 25, 2012
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    Montana
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    Quote Originally Posted by candyappy View Post
    I would rather the health insurance companies come up with something these people can afford and that the government stay out of it 100%.

    With 46 million people in this country on some sort of government aid that we( working taxpayers) can't afford to pay for, and that our government can't manage now, I seriously doubt this will end up being beneficial to anyone in the end.
    As someone (psychologist) who does take medicare and medicaid (and champus and tricare and sees VA clients and criminal justice clients and child protective service clients), sure, the system is not perfectand no, I do not love the administrative issues involved with medicare. I do think most of us are waiting to see how things shake out and are RELIEVED that people will at least have SOMETHING.

    But the "gub'ment out of healthcare 100%" mantra is just, how to put this...silly, and is an viewpoint I find very annoying. As far as direct service, do you people not think our vets deserve health care? Or do you take the "thanks for the service, now F off and die" approach? how about active military? Don't they deserve some sort of medical treatment or are they pretty much on their own? Obviously, people who think like this are okay with seniors not getting any medical services, what the heck, they're old, let 'em go. How about tribal health?? Same thing, I suppose, no point in offering the redskins any medical care,might as well continue a great tradition! (sarcasm alert). Yep, no health care for low income kids, no point in perpetuating a problem.

    And how about government funding for any kind of scientific, health related research? NIH? No point there either I guess? AIDS/diabetes/heart issues, etc/ let all those folks go too? What about the Center for Disease control? Kind of pointless? Food and Drug? Any value in regulating what drugs get on the market? How about your state insurance auditor's office who regulates those private insurance companies, or were you envisioning we'd just fight it out on our own, or accept the generosity of those companies??? How about any student loans for medical school? Just let those that can afford it go?

    Usually people to NOT mean to cut those "government involvments" (because they personally could benefit) but just the direct support that would help OTHER PEOPLE. I do share concern about how ready we are, how "staffed up" we are and whether or not at the moment we are ready to handle large amounts of people. But, I am not sure that is a good reason to say we shouldn't get there.

    Really, the ignorance of that "the government should stay out of healthcare 100%" (usually except for women's health care because we reserve the right to tell her what to do) boggles the mind.


    23 members found this post helpful.

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