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View Diary: Perspective On Health Care Reform (166 comments)

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  •  Not so sure (1+ / 0-)
    Recommended by:
    RickMassimo

    Many of them become partners in private hospitals.

    I will make them have it. I will stuff their mouths with Gold!--Aneurin Bevan (on the NHS)

    by Salo on Fri Jan 25, 2008 at 08:06:01 AM PST

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    •  My family doctor's wife (7+ / 0-)

      is uninsurable now. Some years ago, she ended up in intensive care for a respiratory infection, and that was it for her as far as the insurance companies were concerned.
      Now she has breast cancer and he has to pay for her treatments out-of-pocket. That is thousands of dollars per treatment, sometimes two or three times per week, plus extra medications to try to keep her from vomiting up her toenails, and radiology and studies to keep track of progress, if any.
      Some doctors invest in private hospitals. That is not exactly a new phenomenon. Remember the Mayo Clinic?

      I could have been a soldier... I had got part of it learned; I knew more about retreating than the man that invented retreating. --Mark Twain

      by NogodsnomastersMary on Fri Jan 25, 2008 at 08:12:20 AM PST

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    •  Is this true? (1+ / 0-)
      Recommended by:
      RickMassimo

      or do you mean in freestanding surgical units? Many hospitals forbid their medical staff from investing in any competitive endeavour.

      •  Only for a tiny minority (0+ / 0-)

        Surgeons and large multipractice groups have realized that not only can they get their own reimbursement, they can become owners of the facilities and double dip (into the facility reimbursement pool). Now they will claim that there is financial risk that demands this reward, but, eh, not so much.

        [Pete] Stark rules do a lot to prevent self referral and such, but thee are always new inventive ways of milking this cash cow.

        Cheers,

    •  Got some numbers to back that up pal? (1+ / 0-)
      Recommended by:
      DemFromCT

      There are a goodly number of proceduralists who are partners in their outpatient surgery or radiology centers. Because, golly, if you're already making a million a year, pretty soon you can afford your own CT scanner.

      But the vast majority of primary care docs are labor, not management. We're living paycheck to paycheck just like the plumber who comes to fix my office sink. I would gladly sign up for a system of universal Medicare if it meant I could see every patient without worrying that the tests I order might bankrupt them, that I wouldn't waste long stretches of time trying to get a necessary test "authorized" (which sure doesn't mean the same thing as paid for), and that 25% of my patients' hard-earned premium dollars weren't being plowed off into the pockets of a millionaire insurance CEO and his shareholders.

      Just sayin.

      •  despite this sub-thread (0+ / 0-)

        it's really not about the docs. My natural sympathies are with primary care, but everyone is busting their butt these days, even the PM&R people.

        It's about the system, something that individual docs have little power to change.

        Another aspect is who gets to be gatekeeper. Right now, it's insurance and we all hate that, but there aren't enough health dollars to pay for everything, so who will decide that the botox and tummy tuck is unnecessary but flu and maningitis vaccine is?

        Just' sayin.

        "Politics is the art of looking for trouble, finding it everywhere, diagnosing it incorrectly and applying the wrong remedies." - Groucho Marx

        by Greg Dworkin on Sat Jan 26, 2008 at 06:16:48 AM PST

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