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  1. #101  
    Administrator SaintLouieWoman's Avatar
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    They're already limiting durable medical equipment. I received a report showing that the cost (about $240) for the soft, lace-up brace that the orthopedist put on me after I broke my wrist is not covered. I haven't received the bill from the doc yet, but waiting for it.

    Maybe we're supposed to use popsickle sticks and duct tape if we break a bone. Every time I think of the illegals sucking up our medical dollars I get more ticked off.
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  2. #102  
    Sin City Moderator RobJohnson's Avatar
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    Quote Originally Posted by SaintLouieWoman View Post
    Doctors aren't going to lose money. Time to them is a commodity--they can't take up all their time on patients with a plan (Medicaid) that costs them everytime the patient steps into the exam room.

    For example (and I don't have Medicaid but regular insurance) a specialist told me (and SR was with me in the exam room and is my witness) that it was lucky for me that I got treatment in 2013, because the medical device that is really helping me will not be available in 2014. It sounds like even my visits will be difficult to be reimbursed, as he said my problem is chronic. Beware everyone who has any chronic condition (like arthritis for example). Under the regime reimbursement for those conditions will be phased out.

    Obamacare is a joke---and the joke is on us. They've been moving toward their goals for the last few years. Palin wasn't an extremist when she talked about death panels. They're here.
    ACA changes everything to outcome based reimbursement. Unless you are healed the doctors and hospitals are not going to get paid. Chronic conditions are going to be very difficult.
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  3. #103  
    Sin City Moderator RobJohnson's Avatar
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    Quote Originally Posted by SaintLouieWoman View Post
    They're already limiting durable medical equipment. I received a report showing that the cost (about $240) for the soft, lace-up brace that the orthopedist put on me after I broke my wrist is not covered. I haven't received the bill from the doc yet, but waiting for it.

    Maybe we're supposed to use popsickle sticks and duct tape if we break a bone. Every time I think of the illegals sucking up our medical dollars I get more ticked off.
    My gosh how terrible. Let's not forget the medical device tax.

    My town just had a specialist decide he was going to retire Feb 1. They just sent out the letters. He is a fairly young guy when it comes to doctors. He can no longer afford to be in practice and does not want to join up with a big medical group.
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  4. #104  
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    Quote Originally Posted by Odysseus View Post
    What makes you think that it can take on the infinitely more complex task of managing all medical practices?
    How do you figure that the government is or would be managing all medical practices?
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  5. #105  
    Sin City Moderator RobJohnson's Avatar
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    Quote Originally Posted by Novaheart View Post
    How do you figure that the government is or would be managing all medical practices?
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  6. #106  
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    Quote Originally Posted by coach View Post
    by the way, what does your vet pay in malpractice insurance ?
    It's my understanding that the law treats pets as property and liability is limited to the replacement cost of the pet.

    How much do you think doctors pay in malpractice insurance?

    I used the highest figure in this article. $20,000/yr. http://www.huffingtonpost.com/david-...b_4171189.html

    http://truecostofhealthcare.org/malpractice

    20000/48 weeks/5 days / 16 patients = $5.20 per patient visit

    In reality a doctor would probably see more than 16 customers per day so the cost per customer would be lower. Obviously, if a doctor sees 32 patients a day the cost would be half. It's not unreasonable that a GP with an adult client base would see 32 patients per day.

    http://www.kevinmd.com/blog/2013/12/...afely-day.html
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  7. #107  
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    Quote Originally Posted by RobJohnson View Post
    My gosh how terrible. Let's not forget the medical device tax.

    My town just had a specialist decide he was going to retire Feb 1. They just sent out the letters. He is a fairly young guy when it comes to doctors. He can no longer afford to be in practice and does not want to join up with a big medical group.
    People grow chickens where I come from. Years ago, farms were integrated businesses more of the traditional family farms. They grew some crops, sold eggs, raised some chickens. Perdue came along and said, "Become a Perdue grower and you will make a lot of money." Some people did. Others bitched that he was too demanding, that he insisted on improvements and equipment and capital expenses they didn't want to make. Some people made money and have nice farms with fresh paint on the house and the fence. Other people live in run down farmhouses and sell chickens to pet food manufacturers.

    August smells pretty bad.... just like money.
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  8. #108  
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    Quote Originally Posted by RobJohnson View Post
    My gosh how terrible. Let's not forget the medical device tax.

    My town just had a specialist decide he was going to retire Feb 1. They just sent out the letters. He is a fairly young guy when it comes to doctors. He can no longer afford to be in practice and does not want to join up with a big medical group.
    The co-pay for my cpap mask has gone up from $9.60 to almost eleven dollars. It's terrible.
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  9. #109  
    Sin City Moderator RobJohnson's Avatar
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    Quote Originally Posted by Novaheart View Post
    People grow chickens where I come from. Years ago, farms were integrated businesses more of the traditional family farms. They grew some crops, sold eggs, raised some chickens. Perdue came along and said, "Become a Perdue grower and you will make a lot of money." Some people did. Others bitched that he was too demanding, that he insisted on improvements and equipment and capital expenses they didn't want to make. Some people made money and have nice farms with fresh paint on the house and the fence. Other people live in run down farmhouses and sell chickens to pet food manufacturers.

    August smells pretty bad.... just like money.


    So how many years of medical school did the chicken farmers need?

    Sorry but I have lived on farms, worked on farms and have even owned a farm. Independent farmers still do pretty good.
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  10. #110  
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    Quote Originally Posted by Novaheart View Post
    How do you figure that the government is or would be managing all medical practices?
    It might be nice if you actually answered Ody's question before asking another. He basically asked you the following:


    Quote Originally Posted by Odysseus
    Now, here's a question for you, Nova: The US Government couldn't roll out a web site whose purpose was to sign people up for insurance with existing carriers. What makes you think that it can take on the infinitely more complex task of managing all medical practices?
    In other words, if the government can't handle a website, how is going to handle a large scale healthcare system? This is actually a legitimate question: if they can't handle the small stuff, how to you expect them to handle the very large stuff?

    In terms of "managing" (I assume this is a semantic obstacle for you), there are many ways in which the ACA law manages physicians and hospitals, typically under the rubric of "cost cutting". There are also the overt regulations which government will have to police: 10,000 pages of new regulations, according to the Washington Post:

    http://www.washingtonpost.com/blogs/...942e_blog.html

    At the very least, one can point to 10,000 pages of tiny regulatory type regarding the implementation of the Affordable Care Act.
    These regulations come both from the law itself and from the codes developed (without Congressional approval or oversight) by Health and Human Services.

    So, indeed, practices will be being managed. You will not have a government representative running your doctor's reception area or doing the billing spreadsheets, but you will have 10,000 pages of new regulations with which you and your staff will have to comply; you will also have "cost saving" measures (that will include denying care or medications under certain circumstances) and you will have "incentives" for doctors to drop certain patients from their practice--likely the patients that need them most--because of "pay for performance" incentive programs. Remember that government will have to police all this through the Executive Branch (HHS, CMS) as well as policing the health insurance status of every American. This is one reason why all medical records are required to be on the Cloud.

    So, now that you have the answer to what "management" means, perhaps you can actually answer the question.
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