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View Diary: GOP Rep Yoho: Obamacare is racist and if Obama is a Kenyan we can repeal all his laws (85 comments)

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  •  they have no shame (7+ / 0-)

    today I heard some doctor alleging that ACA will result in no doctor accepting MC because MC covers less than half the cost of providing this service.
    For example, he claimed an echocardiogram 5 years ago was reimbursed at $1200 by MC and today is only $260.  However, he did not note that such procedures have a technical and professional component and each must be billed separately.  I have to wonder if he did not do a bait and switch with the fee schedule for each aspect of the service.

    Also, since fewer and fewer doctors are independent practices but are instead corporate employees whose contractual obligations are negotiated by their employers, I have to wonder how many docs are personally making the decision to withdraw from MC?  (this also does not address the problem of publicly funded hospitals which rely upon public funds to operate yet complain that federal reimbursement does not cover the costs of their operations)

    •  Decreasing reimbursement across the board... (0+ / 0-)

      If your pay decreased every year, how long are you going to stay in business. There is a reason why doctors are joining larger practices because they can't continue independently.

      Many doctors are moving towards taking retirement rather than joining larger practices. Eventually you'll see more and more that no longer take any insurance at all.

      "I know the meaning of life. It doesn't help me a bit."

      by dss on Mon Aug 05, 2013 at 02:29:38 PM PDT

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      •  Why they can't continue independently (5+ / 0-)

        Private insurance is a major reason. My doctor wants single payer in preference to under-regulated "free market" insurers.

        Ask anyone: after a few months they've all seen the games like "We 'lost' your EIN, you'll have to resubmit everything".

        Anyone considering a dog for personal safety should treat that decision as seriously as they would buying a gun.

        by Dogs are fuzzy on Mon Aug 05, 2013 at 02:48:06 PM PDT

        [ Parent ]

      •  I would point out that our clinic operated for (0+ / 0-)

        30 years and accepted MCD and MC pts from Day One.  I have found most docs have no idea to even figure out how much each procedure costs them vs how few actually know the cost of producing each service.

      •  That's awful (1+ / 0-)
        Recommended by:

        I have noticed many doctors are only making like 275k a year now. I think the best way to get back over 300k is to limit the amount of patients that can access your services. Most doctors are smart enough to realize that most people have 300-500 dollars laying around for an office visit and some medication.  

        •  People have that much extra cash? (0+ / 0-)

          I don't think so.  There are a whole hell of a lot of people who don't have an extra $300 to $500 extra each month.  I sure don't.  My sole income is from Social Security.  I took it when I turned 62.  I had Medicaid but my $1116.90 in SS income caused a $458 spend-down before I can use it.  I can't pay that every month and still pay my bills and groceries.  I spend around $115 or so on prescription drugs each month alone.  I get a direct deposit the 3rd Wed. of each month.  Since there are 52 weeks in a year, 4 times a year I have to stretch that money that I get over 5 weeks instead of 4.  Needless to say, I can't afford to pay that $458 spend-down.  In order to get any kind of medical treatment I have to go to some clinic that will allow me to pay the bills off gradually.  Come 1/1/14, I'm hoping that I'll have insurance from the affordable care act.  I live in a state that has refused Medicaid expansion.  However, my income is just a little over 135% of the poverty line for one person.  So I'm hoping that I can use the federal insurance exchanges and get a subsidy as well to get a very low rate for my insurance.  I guess I'll know in Oct when the exchanges open and I get a better idea as to what my options are.  There a lot of poor people out there, I'm one of them.  And I sure would like to have some insurance.  

          I'll believe that corporations are people when Texas executes one

          by Arriba on Wed Aug 07, 2013 at 02:24:45 PM PDT

          [ Parent ]

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