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View Diary: Obama just launched single-payer in America (560 comments)

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  •  Wow (2+ / 0-)
    Recommended by:
    ladybug53, paulex

    Doctors and dentists won't be non profit, hospitals and clinics and insurance such as supplemental insurance will be.  

    "It rubs the lotion on its skin" is not effective coalition building.

    by Nada Lemming on Sun Nov 24, 2013 at 07:30:20 PM PST

    [ Parent ]

    •  they won't? (0+ / 0-)

      Aren't they healthcare providers?

      Gondwana has always been at war with Laurasia.

      by AaronInSanDiego on Sun Nov 24, 2013 at 07:31:33 PM PST

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      •  Clinics and hospitals are providers (4+ / 0-)

        Doctors are employee inless they are clinic partners, but they still get to charge fees.

        Providers have been nonprofit in Minnesota for decades.

        "It rubs the lotion on its skin" is not effective coalition building.

        by Nada Lemming on Sun Nov 24, 2013 at 09:08:30 PM PST

        [ Parent ]

        •  Is a doctor's office considered a clinic? (0+ / 0-)

          My primary care doctor is the main doctor ant xxxxx Medical Group, one of two there I believe. Would that medical group be forced to be a nonprofit? A specialist I see has his own medical corporation, which I assume is for-profit. Would that change under the Vermont law? He also worked for a non-profit hospital corporation, so I assume that wouldn't change.

          Gondwana has always been at war with Laurasia.

          by AaronInSanDiego on Sun Nov 24, 2013 at 09:49:06 PM PST

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          •  More likely gobbled up by a large nonprofit corp. (4+ / 0-)

            That's what's happened here in CA everywhere. There are few freestanding doctors. They have their original clinics operating on their own as they did before being financially involved with for example Sutter. Sutter came around and bought my gen prac's group practice. All of a sudden one day it was them by themselves, then all of a sudden Sutter "owned them". Didn't change a whole lot, in fact their pricing was a bit lower, better for the consumer. Don't fear this. This is a long term transition. The doctors and dentists, most will survive. During a transition, some may not or they will move their practice elsewhere. No one will die. Patients will get lower prices, doctors lower salaries (aww, too bad, 60 grand instead 120 sure is a hardship for some, and more likely it's 90 grand instead of 120). The doctors are relieved of the stress of trying to get patients, marketing, competing against giant corporate budgets, doing insurance billing, on and on, a huge relief for them, paid less but less stress and more time to concentrate on patients. Do not fear this, it is not horrible.

            •  The doctors at Kaiser are an example. (1+ / 0-)
              Recommended by:
              doinaheckuvanutjob

              Many of the specialists have been there for a long time. One told me, when I praised the system for its efficient care, "I'm happy to be here."

              The spirit of liberty is the spirit which is not too sure that it is right. -- Judge Learned Hand, May 21, 1944

              by ybruti on Mon Nov 25, 2013 at 07:34:17 AM PST

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              •  Exactly. Kaiser has good points, and some bad, but (1+ / 0-)
                Recommended by:
                ybruti

                everyone I've talked to that I know who is either in mental health or medical treatment likes working there. That's partly because they pay well but they have good accountability and challenge their personell to find best ways to do things and support them doing that, with good benefits, as long as it remains cost effective.

          •  Do they still have doctors offices where you live? (1+ / 0-)
            Recommended by:
            ybruti

            Here, they mostly work out of large HMO clinics.  Mom and pop doctors offices are a rarity in capitation models where doctors get paid a different way.  

            My own doctor unplugged herself from the HMOs and started a small practice.  But get this - she makes LESS money that way.  She thinks she provides better care through making her own decisions.  

            "It rubs the lotion on its skin" is not effective coalition building.

            by Nada Lemming on Mon Nov 25, 2013 at 07:34:05 AM PST

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            •  I'm not in an HMO, and never have been. (0+ / 0-)

              Most doctors appear to be affiliated with the hospitals or larger medical groups, but many have their own private practice as well. Not sure if that has declined.

              Gondwana has always been at war with Laurasia.

              by AaronInSanDiego on Mon Nov 25, 2013 at 07:51:08 AM PST

              [ Parent ]

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