I’m finding your posts a mite confusing, so I’m going to have to take it slow.
Do you have figures to show the reimbursement trends? I’m particularly interested in the years that relate to the ACA, because my information is that recent scheduled cuts have been postponed time and again.
My impression is that under Obamacare, the rise in premiums will slow for everyone and out-of-pocket cost will fall (as happened in Massachusetts). I don’t see how that necessarily decreases reimbursement, because the total pool will be larger, but I may be looking at this from the wrong angle. I do know that right now doctors, out of the goodness of their hearts, quite often accept people who can’t afford care - so I really don’t think that giving them the ability to pay the doctors is the equivalent of a disaster.
Again, stats would be nice because then we might see how much of that is related to the intricacies of the profession (pre-dating the ACA). I personally know of docs who would have loved to jump ship midway due to professional stresses and poor fit with their specialites, were it not for their enormous student debt. Maybe the word’s getting out that there are easier ways in the world to acquire money and prestige while helping people…
That’s news to me, I though it was the ***insurance companies ***providing those services to their members with no out-of-pocket costs associated - loosely labelled as ‘free’ preventive care. Are you asserting that it is the doctors being asked to provide this care free of charge?