Health care in our county the USA is so fuckked up wtf insurance doctors cancer no cu - Page 2

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  1. #11
    It has its issues, but the latest numbers I'm seeing are 16+ million people have signed up for the program. That number climbs every day. It's not perfect, but it's a step in the right direction nationally.


  2. #12
    Quote Originally Posted by deadheadskier View Post
    It has its issues, but the latest numbers I'm seeing are 16+ million people have signed up for the program. That number climbs every day. It's not perfect, but it's a step in the right direction nationally.
    I have 2 friends who lost there Insurance as a result of the AHCA ,I'm sure that statistic is buried somewhere.
    The new law makes it extremely difficult for the independent Docs to continue , herding them into groups.
    The governments long term goal is Single payer system . I have no faith in the ablilty of Government to improve the system .

  3. #13
    Sorry to hear about your friends. I have not met anyone who has lost coverage. I've met some who have had their rates go up. I know many many people who are self employed and have insurance for the first time in their lives.

    It's not a perfect system, but those against it offer only to abolish it, not improve it.

    Access to affordable health insurance should be a basic civil right.......just like the rest of the 1st world nations figured out long ago.

    The consolidation of doctors started LONG before ACA.

  4. #14
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    Quote Originally Posted by Siliconebobsquarepants View Post
    I have 2 friends who lost there Insurance as a result of the AHCA ,I'm sure that statistic is buried somewhere.
    The new law makes it extremely difficult for the independent Docs to continue , herding them into groups.
    The governments long term goal is Single payer system . I have no faith in the ablilty of Government to improve the system .
    The only way independent physicians can make it is to refuse Medicaid and Medicare patients. All the group practices had to sell themselves to hospital groups. Unless the bill comes from a hospital, doctors lose money on every Medicaid patient they see and barely break even on Medicare patients.

    I think "insurance" needs to be 100% risk-based. Young, healthy people should have dirt cheap insurance because they're low risk. Right now, young people just getting started are getting screwed subsidizing older, unhealthy people. I think people who can't afford private insurance because their risk is too high should be able to participate in a single payer system with means-tested premiums, deductibles, and co-pays. We can then have the rational discussion about how to ration the single payer system and how much we're willing to pay for it. It will never happen because those who benefit from the status quo will scream about death panels.

  5. #15
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    The Aca has made it extremely difficult for rural and small community and small city hospitals to have a positive margin . The regulatory creep and the denial management practices of many insurance companies only exacerbate the situation .

    That said , coverage hasbeen extended to many and pre existing conditions no longer legally can be a barrier to coverage.

    Moreover , it IS the law of the land andi have YET to hear any substantive methodolgies offered as replacemnt . Oh the PACS make noise but offer little in the way of progress ONLY repeal , no alternative plan . So it is white noise and U nlikely to to do much morethan tinker aroundthe edges of policy.

    Reality i have yet to see any politician with the will to offer reasonable alternatives NOR face the wrath of those who under any repeal attempt would lose personal coverage ,

    As a 22 yr hospital board member and board officer who has receuited physicians , the culture for physicians changed several years ago .

    DOCS want to be employed now. The " new generation " DOC no longer wants t o assume either the overhead nor the time committments that the MARK WELBY generation practitioners did . This phenomena is NOT limited to the medical profession . Many institutions most notably higher education , nonprofits and other industries have been morphing as a result of teh cultural mores of the "New Generation Workforce "
    Surround yourself with Positivity , Live Life , Collect Friends not Stuff and Avoid Negative Nuts

  6. #16
    Well said Warp. We're on the same page.

  7. #17
    Quote Originally Posted by Warp Daddy View Post
    Moreover , it IS the law of the land andi have YET to hear any substantive methodolgies offered as replacemnt . Oh the PACS make noise but offer little in the way of progress ONLY repeal , no alternative plan . So it is white noise and U nlikely to to do much morethan tinker aroundthe edges of policy.
    That's what I keep saying, if you don't like it, propose something better!!

  8. #18
    Quote Originally Posted by Warp Daddy View Post
    The Aca has made it extremely difficult for rural and small community and small city hospitals to have a positive margin . The regulatory creep and the denial management practices of many insurance companies only exacerbate the situation .

    That said , coverage hasbeen extended to many and pre existing conditions no longer legally can be a barrier to coverage.

    Moreover , it IS the law of the land andi have YET to hear any substantive methodolgies offered as replacemnt . Oh the PACS make noise but offer little in the way of progress ONLY repeal , no alternative plan . So it is white noise and U nlikely to to do much morethan tinker aroundthe edges of policy.

    Reality i have yet to see any politician with the will to offer reasonable alternatives NOR face the wrath of those who under any repeal attempt would lose personal coverage ,

    As a 22 yr hospital board member and board officer who has receuited physicians , the culture for physicians changed several years ago .

    DOCS want to be employed now. The " new generation " DOC no longer wants t o assume either the overhead nor the time committments that the MARK WELBY generation practitioners did . This phenomena is NOT limited to the medical profession . Many institutions most notably higher education , nonprofits and other industries have been morphing as a result of teh cultural mores of the "New Generation Workforce "
    Most Docs want to be employed, until they find out what being " employed" by a corporation means to their view of practice.

    I have many MD friends who at first loved the notion of being an employee of one of the local hospital based healthcare groups, with essentially the same $$ and less managerial responsibility, just to find that the often loss of autonomy was beyond frustrating
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  9. #19
    Quote Originally Posted by Quietman View Post
    That's what I keep saying, if you don't like it, propose something better!!
    Yes ! A certain amount of the population has no insurance , deal with those people , don't replace the whole system.

    An ROTC type program were education is free and the physcians are committed to a time frame of service.

    VA program is not a good model.

  10. #20
    There are already programs that reimburse doctors some of the cost of their education if they agree to working in certain geographic locations for a set period of time.

    My understanding is that the real challenge resulting in doctor shortages is the lack of available residencies.

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