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View Diary: Doctors Like Public Option, Especially As A Choice (126 comments)

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  •  If I understood correctly the Medical profession (6+ / 0-)

    fought like hell to stop Medicare but once it was a reality they realized it wasn't that bad for them from an income perspective.

    •  some of those "fought like hell" (6+ / 0-)

      types are long retired, and most practicing docs do not belong to the AMA.

      "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 Mon Sep 14, 2009 at 07:11:10 PM PDT

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      •  Very Interesting results (0+ / 0-)

        I can't figure out, though, how physicians were interpreting the options. From the appendix:

        Respondents were asked to indicate which of three options they would most strongly support:

        1. Public and Private Options: Provide people under age 65 the choice of enrolling in a new public health insurance plan (like Medicare) or in private plans.
        1. Private Options Only: Provide people with tax credits or low-income subsidies to buy private insurance coverage (without creating a public plan option).
        1. Public Option Only: Eliminate private insurance and cover everyone in a single public plan like Medicare.

        Did they interpret option 1 to mean that the public option is "like" Medicare in being government-run, but unlike Medicare in having to negotiate rates, keep reserves, pay its way through premiums, and be independent so that a physician that accepts Medicare does not have to accept the public plan? I suspect so.

        If that is the case, a public plan is welcomed because it is no more threatening than a co-op. In fact, some physicians might be imagining a public plan that has to pay rates close to those of private plans, but has almost no utilization controls like Medicare (best of both worlds from the physician perspective, and worst of both worlds from the paying public's perspective).

        But if this survey lets the public plan be less controversial and lets us get closer to getting a bill passed, great. As I've said before, getting the bill passed with universal coverage is the key achievement for 2009. Grab any cost control measures we can get, but the lobbies are too strong for us to expect more than a minor dent in the cost trend now. Almost all the hard work on cost cutting can and will come later.

        Ein Mißverständnis ist es, und wir gehen daran zugrunde.

        by jd in nyc on Mon Sep 14, 2009 at 09:35:58 PM PDT

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      •  Well said! (0+ / 0-)

        Most practicing docs do not belong to the AMA.

        And for good reason, too.

    •  From an income perspective it gave them a (1+ / 0-)
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      guaranteed paycheck. I wonder how many doctors who went unpaid during, for example, during the Great Depression?

      it tastes like burning...

      by eastvan on Mon Sep 14, 2009 at 07:13:04 PM PDT

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