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royal_archer
Guest
That is about as silly as saying a person is guilty of causing a car wreck because they weren’t standing in the intersection directing traffic.
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royal_archer
Guest
For the most part, the big ones are public, most are traded publicly and are all considered places of public accomodation.
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royal_archer
Guest
Some people don’t care who gets hurt as long as they get what they want.
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royal_archer
Guest
This bill will at best temporarily mask some of the symptoms while making the underlying problem worse.
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royal_archer
Guest
So it is as I said. In America we are paying for the development of all of these new medicines.
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pathia
Guest
Reforming it means I get health care, which means I wouldn’t pay $2000 a month for the drugs, or at least make it legal for me to import them from somewhere where it’s the same exact drug, made by the same exact companies.
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pathia
Guest
I can’t imagine it’s a cash cow, it’s an incredibly incredibly rarely used medicine, there’s no way to make tons of money off of it, even if they charged tens of thousands for it. Likely the only reason it exists is because of government funding it under orphan drug programs. Free market economics wouldn’t have allowed for development of the drug at all, it’s not a rare enough condition to be profitiable.
Without the government giving them the money to develop it, it likely wouldn’t have ever been investigated at all.
en.wikipedia.org/wiki/Orphan_drug
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peary1
Guest
Thank you, doctor!
Some posters don’t have a clue about the effect the government healthcare system will have on doctors and their businesses. And another thing - with so many people in the new system, WHO is going to be able to take care of them?
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royal_archer
Guest
I believe they do know but are more concerned about their personal interest and less concerned about who gets hurt in the process.Thank you, doctor!
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Steave
Guest
Sir, Doctors care more about others than you would ever understand. From working 120 hours a week, to working on Christmas, Thanksgiving, and New Years, for who? The benifit of the paitient.
**Doctors have one boss right now, the paitient. ** and I assure you most doctors understand that.
My sole and only reason for going in to medicine is for the paitent, I feel its my vocation in life to take care of the needy, and convey faith from the holy spirit to those who are healed by the power of God through my hands.
As far as doctors are concerned now, I would say you do not know one doctor on a personal level. Doctors on a whole 95% or greater truly care about their paitients, It’s unbelivable.
Try talking to a surgeon sometime after he did a 6 hour surgery to save the life of a paitent, do everything 100% correct, and then come to find he stroked and died afterward, and have to tell the family that. I promise you their hearts are broken, to see the pain in their faces and trying to let them know they did everything fine, but still someone died under there care.
You have obviously never been around enough doctors, ever. Why not look at doctors as regular sons and daughters of God with a unique vocation, rather than you current outlook.
With love
-steave
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Libertarian_FL
Guest
This is not all up to the Federal Government states will have to innovate and make new ways to deliver medicine.
For two ideas I have just thinking about this train nurses at the B.S. level to perform primary care in many countries its nurses not doctors that do much of such care so why not here. If you have a chronic medical issue such as multiple UTI’s then they should see a doctor, but for the normal UTI where the tests and symptoms fit why bother a doctor. Just issue a simple prescription for antibiotics with follow up. And I for one want to primary care doctors more like doctors used to be handling most procedures lower key in office without sending them to a specialist. Use medical care suited to the need not just because a doctors ego gets in the way and looking down on para-professionals that could do basic medical care.
Another idea is use a carrot and stick give doctors who take state funds Soveriegn Immunity from lawsuits without a hearing before a judge or some other mechanism and then demand all doctors take Medicaid patiants for a certain percentage to hold their license (such as 8%). And require malpractice insurance be lowered taking into account the lower risk.
There two ideas to take pressure off medical doctors and add more to the Medicaid system. I’m sure thinking outside the box we could add more ideas.
For two ideas I have just thinking about this train nurses at the B.S. level to perform primary care in many countries its nurses not doctors that do much of such care so why not here. If you have a chronic medical issue such as multiple UTI’s then they should see a doctor, but for the normal UTI where the tests and symptoms fit why bother a doctor. Just issue a simple prescription for antibiotics with follow up. And I for one want to primary care doctors more like doctors used to be handling most procedures lower key in office without sending them to a specialist. Use medical care suited to the need not just because a doctors ego gets in the way and looking down on para-professionals that could do basic medical care.
Another idea is use a carrot and stick give doctors who take state funds Soveriegn Immunity from lawsuits without a hearing before a judge or some other mechanism and then demand all doctors take Medicaid patiants for a certain percentage to hold their license (such as 8%). And require malpractice insurance be lowered taking into account the lower risk.
There two ideas to take pressure off medical doctors and add more to the Medicaid system. I’m sure thinking outside the box we could add more ideas.
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royal_archer
Guest
Please reread my post in the context of it being a reply to a specific quote. My response was to the prior poster’s comment about other commentators. My response was not directed at doctors.
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AP4Him
Guest
Thanks for starting this thread! The AMA does NOT represent most docs! I am a physician’s wife. This bill will ruin us. Really.
As is, we are fleeced with taxes and crazy high malpractice costs. And, if you are a kind doc like my husband and agree to see medicaid or state insurance folks(the pay is so low, most will only see a few or only private insurance), you get paid nothing for that!
In TN, my husband once spent an entire night in the nicu, performing very complicated procedures, saving a baby’s life, and TennCare gave him 15 bucks for his troubles. The take home pay is vastly lower than what we bill or gross. On top of that, we have over 200K in student loan debt. The only reason my husband took on this debt was because he knows that if he works hard, he can pay it back. Looking at the bill, it will hurt us on all financial fronts. We, like a few other docs we know, have already started looking for international placements. At least there, you get some perks like free housing and such to lessen the blow of lower-paying socialized healthcare. Many of the older docs talk about retiring early.
Ever wonder why we have so many international docs here? Because our system not only pays them better, but it allows them to practice GOOD medicine. It is nice being able to order a test without fear of having your pay docked because the government has labeled it wasteful. Ever wonder why socialist countries have shortages of primary care doctors and waiting lists? If this passes, there will be a mass exodus of not only these int’l docs, but our American docs as well, not to mention early retirements. Then what? You will wait and wait and wait…oh, and see a nurse instead as they do in socialist countries.
As is, we are fleeced with taxes and crazy high malpractice costs. And, if you are a kind doc like my husband and agree to see medicaid or state insurance folks(the pay is so low, most will only see a few or only private insurance), you get paid nothing for that!
In TN, my husband once spent an entire night in the nicu, performing very complicated procedures, saving a baby’s life, and TennCare gave him 15 bucks for his troubles. The take home pay is vastly lower than what we bill or gross. On top of that, we have over 200K in student loan debt. The only reason my husband took on this debt was because he knows that if he works hard, he can pay it back. Looking at the bill, it will hurt us on all financial fronts. We, like a few other docs we know, have already started looking for international placements. At least there, you get some perks like free housing and such to lessen the blow of lower-paying socialized healthcare. Many of the older docs talk about retiring early.Ever wonder why we have so many international docs here? Because our system not only pays them better, but it allows them to practice GOOD medicine. It is nice being able to order a test without fear of having your pay docked because the government has labeled it wasteful. Ever wonder why socialist countries have shortages of primary care doctors and waiting lists? If this passes, there will be a mass exodus of not only these int’l docs, but our American docs as well, not to mention early retirements. Then what? You will wait and wait and wait…oh, and see a nurse instead as they do in socialist countries.
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pathia
Guest
What are your husband’s thoughts on those of us that cannot get insurance due to more or less being blacklisted?Thanks for starting this thread! The AMA does NOT represent most docs! I am a physician’s wife. This bill will ruin us. Really.
As is, we are fleeced with taxes and crazy high malpractice costs. And, if you are a kind doc like my husband and agree to see medicaid or state insurance folks(the pay is so low, most will only see a few or only private insurance), you get paid nothing for that!
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AP4Him
Guest
First, we fear that you will be denied care by the government. They deny ALOT of care based on cost alone, and many people die on wait lists. People that have trouble getting care now because of costly medical conditions and preexistings will fare worse imo once the government starts controlling costs. Has anyone seen some of the bell-curve like charts socialist medicine countries use in deciding who should recieve life saving treatments? It is scary.
Second, the market has never been totally free. If people could buy across state lines, competition would increase, price would go down, and more risk-pooling would probably fall in line with that too, which would mean accepting more folks like you.
What if you got great tax breaks like companies do, so you could afford to buy your own insurance? That is another idea too.
One idea I really liked was allowing doctor’s to deduct charitable work value given from their taxes. I think that would work wonders. In TN, tenncare pays so bad, there are many docs that don’t accept it. Patients there have been really limited in who they can see because of that. If a doctor was told that he could treat a patient and then take the value of the services given off his taxes, you would see more people having access to good regular care.
I don’t have all the answers though! I just know that the ‘reform’ being put forth will not do what it says it will do. It will hurt people that need healthcare and hurt our healthcare providers.
Second, the market has never been totally free. If people could buy across state lines, competition would increase, price would go down, and more risk-pooling would probably fall in line with that too, which would mean accepting more folks like you.
What if you got great tax breaks like companies do, so you could afford to buy your own insurance? That is another idea too.
One idea I really liked was allowing doctor’s to deduct charitable work value given from their taxes. I think that would work wonders. In TN, tenncare pays so bad, there are many docs that don’t accept it. Patients there have been really limited in who they can see because of that. If a doctor was told that he could treat a patient and then take the value of the services given off his taxes, you would see more people having access to good regular care.
I don’t have all the answers though! I just know that the ‘reform’ being put forth will not do what it says it will do. It will hurt people that need healthcare and hurt our healthcare providers.
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pathia
Guest
Tax breaks would not be able to let me afford my own insurance. The lowest quoted price I can get for insrance, plus the deductible would be around 80% of my income BEFORE taxes. Lowering my taxes a bit wouldn’t help because I already don’t pay any.
I don’t get care or insurance now AT ALL. YOu have to realize right now I get NOTHING but ER treatment, which is not what I need. I have chronic conditions that need treatment, but are running out of control over time. You say I might not get X, but I’m not getting X anyway in the current system I get NOTHING.
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AP4Him
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If the insurance market was more open and free, it would not cost this much!
How do you think you will be able to afford it with this legislation? If we force insurance companies to accept pre-existings, and we also mandate that basic plans cover several additional things they currently do not cover, how can they do these without raising costs for everyone? With how it is set up, they will lose alot of people on their rolls too. They will then just charge the people they have more. To me, this is just the economic consequence of this legislation, so when pp like you are hopeful for lower costs and care, I just have to wonder how that would happen. Sounds great, but how?
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pathia
Guest
It has caps in place and regulation. I will get care once this bill is through, my main problem is staying alive until it’s in effect. I’ve already had a mini-stroke, I just have to hope I don’t have any more.If the insurance market was more open and free, it would not cost this much!
How do you think you will be able to afford it with this legislation? If we force insurance companies to accept pre-existings, and we also mandate that basic plans cover several additional things they currently do not cover, how can they do these without raising costs for everyone? With how it is set up, they will lose alot of people on their rolls too. They will then just charge the people they have more. To me, this is just the economic consequence of this legislation, so when pp like you are hopeful for lower costs and care, I just have to wonder how that would happen. Sounds great, but how?
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royal_archer
Guest
What they are trying to achieve with the single payer system is elimination of a doctors ability to seek out patients willing or able to pay a fair rate for their services. With a vast majority of Americans stuck in a government system, doctors will no longer be able to find patients willing to pay full rates except on the innevitable black market or super rich who are willing to pay extra for specialized care or supplemental insurance. .
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royal_archer
Guest
Back ground: There are those who have let their insurace lapse in hope they would not have problems, in an attempt to save a few bucks, or have lied to the insurance companies and have subsequently have run into serious medical conditions. Since these people are seeking insurance with a high probability they will be a fast drain on the insurance companies reserves, they are met with very high estimates or refusals.If the insurance market was more open and free, it would not cost this much!
How do you think you will be able to afford it with this legislation? If we force insurance companies to accept pre-existings, and we also mandate that basic plans cover several additional things they currently do not cover, how can they do these without raising costs for everyone? With how it is set up, they will lose alot of people on their rolls too. They will then just charge the people they have more. To me, this is just the economic consequence of this legislation, so when pp like you are hopeful for lower costs and care, I just have to wonder how that would happen. Sounds great, but how?
Many of these people can not pay their bills so want government programs to move the cost from them to everyone else. Further they do not wish to pay their fair share of those costs, they want the costs to be allocated based on income.
In short they want everyone else to pay for them.
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