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I don't follow your reasoning, I'm sorry. Rationing? It talked about rationing in the bill? Rationing what? You read about longer waits in the bill? This is news to me.
I accepted Medicaid for about 2 months of my practice. Even thought the reimbursement was substantially lower than my stingiest insurance, I figured it would allow me to treat kids that needed it and at least cover my staff costs. How wrong I was. They denied procedures all the time, delayed billing ( I didn’t get paid for up to 8 months post-op) and were a pain in the ass generally. The support was rude and clueless. Now insurance companies suck too, but Medicaid was like dealing with Nazi nurse Wratched. So I dropped out and now just see poor kids for free. No way in the world I will ever deal with a Government controlled care system again. Ever.
If we want to create shortages of medical services here in the US, single-payer care is the way to go. The red tape of Medicare and Medicaid is already creating such shortages among those patients the system is designed to help.
Hells Bells Captain, that’s pretty much the whole (unstated) point of nationalized health care in the first place. Why are you surprised? The point is to ration health care. One way of doing that is to explicitly refuse to pay for various tests and treatments. But, another is to just make it plain hard for patients to get in to see a doctor. That’s something that the HMOs have done for many years by refusing to allow certain competent physicians on their panels even though those physicians would have been happy to accept the level of reimbursement the HMO was offering. This is a disaster waiting to happen. Americans are not going to tolerate the kind of system they have in Canada or the UK. Too bad most of them won’t have a choice. I don’t think the Democratic Party has any idea how much damage nationalizing health care is going to do to them. The GOP better have the balls to step aside and make this a Democratic issue.
I saw exactly one MA pt early in my career and said, “Enough”. So for a long time I have done school physicals for free. I also see recent vets free, too, but only through personal contact or direct consult with another Doc. This is usually when a long term treatment plan is the only way to “get back to normal”-whatever that is. Single visits and shorter plans are cash, baby. I do see families at a reduced fee as well, and yes I know this could spell trouble as one is not supposed to have separate fee schedules. But, here is where the revenue hungry missing links can kiss my ass. If they can dictate fee schedules, along with every other entity out there, so can I. Like I said, don’t get me started.
I am the head of a Nuclear Medicine department here in East Texas. We recently stopped doing Octreotide studies, a cancer and infection-seeking test we had offered for more than 19 years because our cost for the procedure was about $1500.00 and our reimbursements were south of $700.00. Even with the hospital donating all services, we were losing money on the Indium 111 radioactive dose. After losing tens of thousands of dollars in 2008 on this procedure, I was informed that we no longer offered this service. Now my patients are referred to a facility 60 miles away, a difficult and uncomfortable drive if you are sick and miserable. I don’t blame my hospital; we are laying off and cutting costs just to stay viable in our network. We know who is to blame; Medicare and Medicaid reimbursement.
It’s not just that doctors stop seeing Medicare patients. Sometimes, hospitals stop doing procedures which Medicare will not reimburse them for. I remember when the hospital I worked for stopped doing cataract surgery because we had so many Medicare patients, and the reimbursement didn’t begin to cover the expense. So we stopped doing them. I believe we are doing them again now, but it’s because we now have a smaller percentage of Medicare patients.
The government imposes 30 different taxes on bread . They are federal income taxes, state income taxes, state and local property taxes, federal payroll taxes, sales taxes, capital gains taxes, unemployment compensation taxes, workmen’s compensation taxes, retailers’ excise taxes, business license taxes and fees, utility taxes, and state wheat farmer checkoff taxes......sSource
Originally posted by mikerussellus
A narrow win for Obama brought with it a "land slide" of government change.
So, ATS-folk, what are you going to do when this passes?
Take the red pill? The blue one? Or stand in line and wait for what ever it is they want to give you?
Originally posted by centurion1211
So what you are saying is that outrage against what the previous administration was doing was OK, but not against what the current administration is doing?
kinda kurious? No, kinda hypocritical ...
Originally posted by kinda kurious
The Republican party COST thousands of American lives with an unnecessary war and ruined thousands more.
Originally posted by Jenna
Originally posted by kinda kurious
The Republican party COST thousands of American lives with an unnecessary war and ruined thousands more.
The Democrats had their hands in approving the wars too, so they too are responsible for the lives that have been lost. You can't put that solely on the Republicans.
UNITED STATES SENATE
In the Senate, 21 Democrats, one Republican and one Independent who courageously voted their consciences in 2002 against the War in Iraq
UNITED STATES HOUSE OF REPRESENTATIVES
Six House Republicans and one independent joined 126 Democratic members of the House of Representatives in voting NAY, on October 11, 2002, to the unprovoked use of force against Iraq.
126 (61%) of 208 Democratic Representatives voted against the resolution.
Originally posted by Credge
reply to post by kinda kurious
You know what the odd thing about the tallies you linked is?
Democrats still voted AYE.
Originally posted by kinda kurious
And @ Jenna.
Sad but true, However, I am pointing out the OVERWHELMING majority of the Republican vote. 98% and 97%.
. . .
Nice try, but thems the facts.
Besides, Guess who "declared" the war? Anybody?
Originally posted by Jenna
Like I said, ignoring the facts that don't support your point even though you're posting them yourself is hypocritical.
The president did not seek a formal declaration of war from Congress. But he did seek congressional support, he said, to demonstrate to the United Nations and to the world that military action against Iraq was not just his own
The current president Bush also never sought a formal declaration of war from Congress. Instead, he requested, and received, the authority to use armed forces "as he determines to be necessary and appropriate" to defend American interests against "the continuing threat posed by Iraq."
Furthermore, some have argued that the constitutional powers of the president as commander-in-chief invest him with broad powers specific to "waging" and "commencing" war.
Instead of formal war declarations, the United States Congress has begun issuing authorizations of force.
Originally posted by kinda kurious
I'll gladly accept being labeled a hypocrite, if you'll agree that it was the Republican controlled Whitehouse, Congress and Senate that cast us into an unnecessary war based on lies and deception. Fair enough?
Originally posted by Melissa101
WAccording to the bill we will all be commiting a crime if we do not have some type of health insurance. It will be manditory, now you do not have to have the gov't insurance but you have to have insurance. Read the bill it's in there.
Originally posted by Paroxysm
but in the bill we would be surrendering some of our freedoms of choice, and our privacy, so it seems.
Originally posted by Ethera
I don't believe mandating coverage is the proper way.
Insurance is not always an option,
Originally posted by ag2000
Those of us who can afford insurance will be paying for those that can't. So my responsibility is now to pay for others?