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View Diary: Durbin takes Social Security off the table (216 comments)

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  •  How about the Medicare chief actuary? (2+ / 0-)
    Recommended by:
    VClib, OleHippieChick

    See here for a video of him testifying before Congress.  

    And Here:  "Medicare’s chief actuary has warned repeatedly that Obama’s cuts to the future growth of payments to hospitals are too deep to be absorbed without adverse consequences."

    According to the Medicare chief actuary, significant provider cuts will impact what providers serve Medicare patients, just as it already affects what providers will see Medicaid patients.  He's on video saying precisely that.  

    •  Apples and Oranges. (3+ / 0-)

      What he is talking about is a sharp drop off in the reimbursement rate as result of failing to pass the doc fix. N obody is proposing that. Nobody has ever proposed a sharp 30% cut. That is the reason they keep doing these doc fixes.

      The point is not to keep doc fixing, but have gradual path downward. That is why the proposals center around phasing out fee for service and going to a Mayo Clinic model.

      Yes that does mean certain doctors offices will close. But it wont be a catastrophe and it will be gradual and most doctors will find a way to cope.

      Dont apply the same anaysis to two different things.

      •  bbb - in some areas, including mine (2+ / 0-)
        Recommended by:
        OleHippieChick, chuckvw

        it is getting difficult to find a primary care physician who will accept a new Medicare patient at the current reimbursement rate and it is nearly impossible to find any who will take a new Medicaid patient. There is already a shortage of primary care physicians in the US so the notion that more will stop serving Medicare or Medicaid patients isn't reassuring.

        "let's talk about that"

        by VClib on Sun Nov 25, 2012 at 12:17:35 PM PST

        [ Parent ]

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