Re: 45% Of Doctors Would Consider Quitting If Congress Passes Health Care Overhaul
- From: El Castor <No_One@xxxxxxxx>
- Date: Thu, 17 Sep 2009 23:13:23 -0700
On Thu, 17 Sep 2009 17:21:35 -0400, Emily <Emily@xxxxxxxxxx> wrote:
On Thu, 17 Sep 2009 10:45:04 -0700, El Castor <No_One@xxxxxxxx> wrote:
On Thu, 17 Sep 2009 09:43:18 -0400, Emily <Emily@xxxxxxxxxx> wrote:
On Wed, 16 Sep 2009 19:09:05 -0700, El Castor <No_One@xxxxxxxx> wrote:
On Wed, 16 Sep 2009 17:23:40 -0400, Emily <Emily@xxxxxxxxxx> wrote:
In my book, any time a CEO and other high level executives are getting
multi-million dollar bonuses, it's unbridled greed, whether it's
health insurance, Wall St., or auto manufacturers. And when they're
in companies that are failing or getting government handouts, it's
even worse. But I digress.
Yes, you do digress. Executive compensation of that half of the US
healthcare industry that is comprised of non profits is regulated by
the IRS.
Oh, come on. Do you think those executives getting multi-million
dollar salaries and bonuses don't have accountants and lawyers
shuttling as much of that money as possible into tax shelters?
The IRS has strict rules governing executive compensation. A
non-profit that violates those rules risks losing it's non profit
status. In any event, I don't for a minute believe that healthcare in
the United States is as expansive as it is because of what the
managers of non-profits are making, and I doubt you do either.
Oops, I misread your statement. I meant the for-profit part. Never
mind.
Of course, almost everyone feels his own life is precious and worthIf I can afford to pay for an annual PSA test, should I be allowed to
whatever expenditure keeps it going, but eventually, we have to
determine if we can really afford it. PSAs and biopsies are small
potatoes compared to something like an organ transplant. A large
chunk is spent on end of life care, and realistically I believe we
have to take a good look at that. What is it worth, even to the
patient, to prolong misery for another few months? I'm for assisted
suicide, another issue which the states control, and which I doubt if
any are likely to change their attitudes about.
have one? A lot of healthcare expense would vanish overnight if
individuals were expected to pay out of pocket for procedures like PSA
tests.
I think you should be able to have any medical procedure you want if
you're willing to pay for it, but there's also the question of what
you would pay. Would it be the same amount the insurance company
would pay or some other jacked up amount such as the uninsured are
charged for an aspirin in a hospital? My last routine doctor visit
was billed at $140. I paid $20, the insurance company paid $82.50 and
the doctor ate the rest. It's possible that the doctor can do
something with the unpaid amount as far as her taxes are concerned, I
don't know about that.
I don't either, but I see you have a fertile imagination. Did you know
that some OB/GYNs pay more than $250,000 a year for malpractice
insurance? By my calculations that's more than $150 an hour. I hope
your doctor didn't spend an hour with you, because if he did, he or
she might have lost money.
What does the "fertile imagination" remark refer to?
Well, uh -- the tax deduction comment. Maybe I wasn't being nice. (-8
I'm not surprised that OB/gyns are paying that now. I worked for one
over twenty years ago and he was paying an exorbitant amount then.
The number I quoted was Dade County Florida, which is the worst in the
country. It's still high other places, but less than Dade.
The doctor I refer to is my primary care physician, not an OB/gyn, and
although I've never timed it, I'd be very surprised if she ever spent
more than fifteen minutes with me.
Expect less in the future. One manifestation of a doctor shortage is
time spent per patient.
"Since women doctors work less, it's not surprising that they see
fewer patients too, as revealed in a recent Université de Montreal
study on the effects of women in Quebec's medical workforce. MacIntyre
acknowledges that this was the case in her own family practice. "My
male partner would see a lot more patients than I would in the day,"
she says. On a per hour basis, "female general practitioners saw about
15 per cent fewer patients," the report specifies, before adding,
"which means that they spend a little more time with each patient."
That's the most confounding part. Women physicians' attentiveness is
one reason, says Day, that "there's a demand for female doctors." But
it worsens the shortage - and patient frustration - when female
doctors see fewer patients in a day, and then can't accommodate all
those who want to see them. For patients who do get in, that extra
time can pay off. Women physicians take about 12 minutes per patient
(male doctors only spare about 10), notes the Montreal report.
MacIntyre says the extra time allowed her to get to know those people
who came to see her. "It's very helpful when making decisions
regarding treatment," she says. "Patients will tell you they
appreciate it."
http://www.thecanadianencyclopedia.com/index.cfm?PgNm=TCE&Params=M1ARTM0013191
One bright ray of light, though. Unless something is done to reform
medical malpractice, which seems highly unlikely, we don't need to
worry about a lawyer shortage.
I tend to be supportive of illegal aliens, but I have to draw the lineProblem is, I really don't want a statistician deciding what
level of medical care I am allowed, and not allowed. I also don't want
to see doctor's short changed, to the extent that they quit, retire,
or never become doctors in the first place.
If someone becomes a doctor simply because it's a lucrative
profession, I think we might be better off without them. I suspect
that a good many of them would be happier if they didn't have to hire
two or three people to deal with insurance companies.
It costs up to $400,000 just to make it out of residency, so it had
better be a lucrative profession.
Something is OK -- and it was a lie. The bill as it stood lacked anyI don't want to see
specialist shortages and three month waits for MRIs. Can I believe
Obama and Pelosi when they tell me that I have nothing to worry about
in that regard? Well, Obama lied about the illegal alien issue, and
when he says that no company or individual will be "required" to give
up their current coverage, he is just playing with words in an attempt
to deceive you and me. I have a hard time placing my health in the
hands of someone who lies, and deliberately tries to deceive me.
We disagree about their lying. I don't think you have anything to
worry about. Whatever the final bill on health care looks like, it's
not going to be socialized medicine, squeeze the profit-makers in any
appreciable way, nor pry you from Kaiser. It almost certainly won't
please you, or me, or a lot of other people, but surely you agree that
something has to be done -- don't you?
means of determining citizenship, and repeated attempts by Republicans
to introduce verification and enforcement language were defeated by
Democrats on a party line vote. If I was well aware of that fact when
I turned on the TV to listen to Obama's speech, I have to believe that
he was too.
I fail to see why this illegal alien thing is such a big deal. I
believe we're already paying for them and no matter what happens with
reform, I don't see how that's likely to change, maybe the method but
not the end result. No one seems to be in favor of gathering them up
and dropping them over the border, and even if they were, it appears
to be an impossible task.
at subsidized healthcare for them -- and the families they import from
Mexico. It's true that they get ER care for the usual kinds of ER
things, and I think they should, but free hip and knee replacements,
back surgery for mama, and long term cancer treatment -- it's just
going to add to the already out of control deficit. If they can pay
for health insurance, they should. If they can't pay, then back to
Mexico for treatment.
.
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