Founding fathers liked taxed government health care

[Antitrust32]

Originally Posted by hi_im_god

i try to stay away from this discussion because there's so much misinformation passed off as fact. but given that very little in the bill goes into effect before 2014, your company might not be entirely truthful if they're actually telling you the healthcare bill is responsible for all reductions in coverage and increases in employee costs in 2011.

i'm not taking any position on the bill itself. you can like or dislike it. but if someone is telling you that changes taking effect 3 years from now affects the cost of your coverage today you should be skeptical.

I have no choice... its the only thing offered through work and it is way cheaper than purchasing it privately still.

of course the insurance company is shady, but Obamacare gave them a reason to become shadier. they site the cadallac tax, which doesnt even come into effect until like 2018 or something.. and my plan is more like a 1995 dodge intrepid instead of a damn caddy!

[Riot]

Originally Posted by Antitrust32

I have no choice... its the only thing offered through work and it is way cheaper than purchasing it privately still.

of course the insurance company is shady, but Obamacare gave them a reason to become shadier. they site the cadallac tax, which doesnt even come into effect until like 2018 or something.. and my plan is more like a 1995 dodge intrepid instead of a damn caddy!

And the above is why I wish there was a public option, that would put pressure on everyone to keep costs low and competitive.

[Antitrust32]

Originally Posted by Riot

They will just make more doctors. It's easy to make more doctors. .

Originally Posted by Riot

You said "it's not that easy" to make more doctors. I agreed and offer my thoughts on how to help do it.
.

okay i think i figured out the multi quote post thing now.

I think my turning embryo's into doctors plan might work. maybe trackrat can bring up that idea? it is easy.

[Riot]

Originally Posted by Antitrust32

okay i think i figured out the multi quote post thing now..

No, you didn't. What I agreed with Trackrat about was that there is predicted a doctors shortage.

[timmgirvan]

the shortage of Drs will be exacerbated by the experienced Docs leaving their practices. The bill shows a 231 bil deficit in what Docs are to be paid for their services by Big Brother.

[Riot]

the shortage of Drs will be exacerbated by the experienced Docs leaving their practices.

As doctors get paid more fairly, as insurance companies lose their current control over dictating the practice of medicine, there will be more doctors.

The bill shows a 231 bil deficit in what Docs are to be paid for their services by Big Brother.

Don't quite understand what you are talking about in the above sentence. Try again.

Do you think that a possible doctors shortage would be a reason to not try and get an additional 30 million Americans insured?

[timmgirvan]

Originally Posted by Riot

As doctors get paid more fairly, as insurance companies lose their current control over dictating the practice of medicine, there will be more doctors.



Don't quite understand what you are talking about in the above sentence. Try again.

Do you think that a possible doctors shortage would be a reason to not try and get an additional 30 million Americans insured?

There is a 231 bil shortfall in the monies proposed to pay Drs.
No

[Riot]

Originally Posted by timmgirvan

There is a 231 bil shortfall in the monies proposed to pay Drs.
No

Again, what are you talking about - what monies are missing. Are you saying the bill promises reimbursements (I assume Medicare? but I don't know) that there will not be money to pay for? When? If so, that's too general a statement, please quote where you got it from.

[Antitrust32]

Originally Posted by Riot

As doctors get paid more fairly, as insurance companies lose their current control over dictating the practice of medicine, there will be more doctors.
?

are you f-ing kidding me????

there is nothing that doctors hate more than having to accept medicare.

Medicare = government insurance

Doctors hate it because reimbursement rates are too low and paperwork is too much of a hassle.

I asked my friend and dentist awhile back if he takes medicare/medicade.

He said no and explained: Compare my service to buying a burger. It costs $1 for the materials to make it. it costs another $1 to pay the employees to make it. It costs $2 to maintain the resteraunt and by insurance for the resteraunt. The final $1 is for profit.

So I need to sell the burger for $5 to have a business that can make it. Now the government comes in and says I can only be reimbursed $1 for that burger... so I'm out $4.

If you think this bill will encourage young bring minds to become doctors, you are more clueless than ever thought before.

But then again you think its "easy to make" doctors.

[Nascar1966]

Originally Posted by Antitrust32

are you f-ing kidding me????

there is nothing that doctors hate more than having to accept medicare.

Medicare = government insurance

Doctors hate it because reimbursement rates are too low and paperwork is too much of a hassle.

I asked my friend and dentist awhile back if he takes medicare/medicade.

He said no and explained: Compare my service to buying a burger. It costs $1 for the materials to make it. it costs another $1 to pay the employees to make it. It costs $2 to maintain the resteraunt and by insurance for the resteraunt. The final $1 is for profit.

So I need to sell the burger for $5 to have a business that can make it. Now the government comes in and says I can only be reimbursed $1 for that burger... so I'm out $4.

If you think this bill will encourage young bring minds to become doctors, you are more clueless than ever thought before.

But then again you think its "easy to make" doctors.

This is an interesting point you have brought up about Medicare. Can you blame the Doctors for not wanting to take Medicare? I sure wouldn't take Medicare? Alot of these Doctors have a enormous amount of student loans to be paid for.

[GenuineRisk]

Originally Posted by Antitrust32

are you f-ing kidding me????

there is nothing that doctors hate more than having to accept medicare.

Medicare = government insurance

Doctors hate it because reimbursement rates are too low and paperwork is too much of a hassle.

I asked my friend and dentist awhile back if he takes medicare/medicade.

He said no and explained: Compare my service to buying a burger. It costs $1 for the materials to make it. it costs another $1 to pay the employees to make it. It costs $2 to maintain the resteraunt and by insurance for the resteraunt. The final $1 is for profit.

So I need to sell the burger for $5 to have a business that can make it. Now the government comes in and says I can only be reimbursed $1 for that burger... so I'm out $4.

If you think this bill will encourage young bring minds to become doctors, you are more clueless than ever thought before.

But then again you think its "easy to make" doctors.

Antitrust, there are some inaccuracies in the above post-

First of all, Medicare and Medicaid are not the same program and should not be lumped together, in the same way that Social Security is not funded the same way Medicare is, and should not be lumped in when discussing gov't debt (are you hearing me, mainstream media?). Medicare is a federal funded program for the elderly and certain long-term disabled people and Medicaid is shared between the federal and state gov'ts to provide care for the poor.

Reimbursement for doctors is generally not great with Medicare, however, reimbursement rates for hospitals are generally pretty good. Most hospitals would have to close without Medicare patients. The breakdown of where Medicare money goes is:

Acute care hospitals: 48%
Physicians: 20%
Home health: 9%
Outpatient services: 8%
Skilled nursing home care: 6%
Hospice care: 1%
Admin overhead: 0.7%
Profit: 0%

So, taking a dentist's opinion on Medicare as the complete truth is a rather limited sample size and I suspect would not get you a passing grade in a statistics class. And again, it's not the same thing as Medicaid and many doctors take Medicare and won't take Medicaid, of which only 6% of the money goes to doctors (25% goes to nursing homes and 19% to inpatient hospitals, 10% to home health care, to give you some frame of reference). Medicare also reimburses teaching hospitals at a higher rate, so in fact, many doctors have their education partly subsidized by Medicare.

The big issue with Medicare reimbursement rates, if we're talking long-term reduction of costs, is that more specialized procedures get reimbursed at a better rate than basic services. So, if it's harder to find a GP who accepts Medicare, you're more likely to put off getting care until something that might have been minor, becomes major.

And this is a very, very important point. Our current system essentially penalizes people for tending to water dripping through the ceiling, but pays up when the roof finally collapses from years of accumulated water damage. Requiring insurance companies to cover wellness visits will save them and us money in the long run.

The shortage issue is not doctors entirely, it's GPs specifically. Lord knows it's not dentists. GPs are the ones who need to be recruited. In my perfect world, the gov't would subsidize tuition, in return for a certain number of years of work in underserved areas. I have a relative who got her midwife certification under a program like that- tuition paid for; in return she works in inner city facilities for 5 years. Make tuition affordable and you'll see people eager to become doctors.

[Riot]

Originally Posted by Antitrust32

are you f-ing kidding me????

there is nothing that doctors hate more than having to accept medicare.

Medicare = government insurance

Doctors hate it because reimbursement rates are too low and paperwork is too much of a hassle. .

What are you talking about? We're not talking about Medicare, we're talking about increasing the number of doctors in the health care system The PPACA will increase the insured by 32 million, but no, they will not be on Medicare, they will be insured by private insurance companies.