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marco427
03-30-2010, 07:06 PM
Here’s a forward look at the likely impact of health care reform from the doctors’ own consultants and advisers. This is stuff that in the euphoria of finally getting the damnable thing passed, the political types glossed over.

First,full disclosure. I’m not a doctor, and I don’t even play one on TV. But when I was diagnosed with a rare blood cancer in 2005, I concluded that the really worthwhile internet information that I would need to make an informed decision about treatment was only available to doctors. So I told a little lie and became Mark the oncologist with a mythical practice in upstate New York. It worked like a charm, and that’s why I was still able to access the article that I will be quoting. If anyone doubts the credibility of the source, I’d be happy to provide details.

Note that these are all from people who the physician world pays to help them maximize the profit of their practices:

“It's too extreme for most doctors to eliminate all Medicare patients from their practice, and many would not want to. But doctors can still allocate fewer resources to that patient, says Jeff Denning, a practice management consultant with PPG Consulting in La Jolla, California.”

"Physicians who can replace Medicare patients with other patients should limit appointment exposure to Medicare patients and give better service, quicker availability, to the patients with better paying plans”

"Doctors have to ask themselves: how many hours of the week can we afford to see patients paying 21.2% less than they were yesterday?" says Scroggins. "Doctors may need to think of changing the amount of time they allocate to Medicare patient encounters or limiting the hours per day they can accept Medicare patient appointments”.

“Or, while it may sound unfair or insensitive, a practice could allocate only a day a week for Medicare patients and move those patients through much faster.”

Now I ask you, if you were a Medicare patient, would the above advice give you a warm and fuzzy feeling that you’re likely to be well served in the new Obamacare world? Can anyone say rationing?

wbeck257
03-30-2010, 07:20 PM
So, wouldn't this be the same under the old system?

redbeard
03-30-2010, 07:31 PM
As i understand it your making the argument that those covered by medicare have not gotten and would not be getting the attention from the doctors that they probably should be getting? Obmacare doesn't address that issue and you are right it is something that probably should have gotten some attention. However if I understand the way things are proposed to work many of those who are currently not covered at all, like an average 24 year old, could at least get some medical attention via medicare.

marco427
03-31-2010, 06:19 AM
You both missed the point. One of the major "savings" that has been projected to pay for the new health care program is a significant reduction in Medicare reimbursement rates. That's the 21% referred to in one of the quotes. Based on the article, this may be the tipping point for many doctors, who, not surprisingly, want to run profitable practices.

As for the 24 year olds, no, they don't go on Medicare, but they will be required to purchase health insurance or pay a stiff fine when they file their tax returns.

wbeck257
03-31-2010, 07:09 AM
Sucks for people on Medicare then...

MrBlah
03-31-2010, 08:27 AM
both of my doctors do not take new medicare/medicaid patients already

marco427
03-31-2010, 09:24 AM
My point exactly. Yet the Dems sold this abomination as something that will improve health care for all Americans.

At least the illegal immigrants will be healthier.

impalanar
03-31-2010, 10:05 AM
both of my doctors do not take new medicare/medicaid patients already

Nor mine. I see him next month, I will have to ask him what he thinks of this.

marco427
03-31-2010, 12:08 PM
Medicare has been on the endangered species list well before the currently planned rate cuts. I went on the progarm in 2005 (I'm an old fart) and was immediately dropped by our family doctor.