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ACA Threatens Promise of Concierge Medicine
The American Interest ^ | 04/12/2014 | Walter Russell Mead

Posted on 04/13/2014 10:00:28 AM PDT by Rusty0604

click here to read article


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To: Rusty0604

exactly... you will have to go docs that Ocare declares to be ‘acceptable’


21 posted on 04/13/2014 12:01:34 PM PDT by Nifster
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To: Still Thinking
i'm talking about the VAST MAJORITY of what IS, not what should be... and if you have insurance, as most people do, but don't use it, well, then you are in effect paying twice
22 posted on 04/13/2014 12:08:44 PM PDT by Chode (Stand UP and Be Counted, or line up and be numbered - *DTOM* -vvv- NO Pity for the LAZY - 86-44)
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To: Rusty0604

I agree, the difference in cost for vet care and people care is amazing, yet essentially it is the same product. And my cat’s vet certainly drives a very nice care.


23 posted on 04/13/2014 12:13:24 PM PDT by erkelly
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To: erkelly
i bet your Vet malpractice insurance is prolly 5% of what a human Doc pays too...
24 posted on 04/13/2014 12:29:39 PM PDT by Chode (Stand UP and Be Counted, or line up and be numbered - *DTOM* -vvv- NO Pity for the LAZY - 86-44)
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To: erkelly

At my last job we had very good health insurance, and our copays were $5 for Dr. visit, $5 for any medication, and $0 for any tests. It was 100% paid for (dependents too) by our ER. Some people in my office were at the Dr. office almost everyday for any little thing. They would chide me because I only went if I felt I needed it. I bet if they had to actually pay (or at least pay more) for their healthcare they wouldn’t be running up the demand curve and policy price.


25 posted on 04/13/2014 12:41:05 PM PDT by Rusty0604
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To: Chode

You’re off the track.

I said — You can pay him cash and file for reimbursement yourself, so in effect, yes he does take insurance.

You said — the paperwork is nothing, the real cost is that without insurance, the cost is going to be high. (So even if you do the paperwork yourself you still end up paying more)

I said — No, these docs are cheaper. So, yes you can do the paperwork yourself without coming out paying more.

You said — something I don’t follow about paying for insurance but then not using it, which has nothing to do with the train of the conversation as far as I can see.


26 posted on 04/13/2014 1:23:08 PM PDT by Still Thinking (Freedom is NOT a loophole!)
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To: Still Thinking
after rereading you first post, i see missread it the first time through to mean if a doc doesn't accept YOUR ins, not doesn't accept ins at all... in which case you are right

my bad, there was another thread about people having ins but having a hard time finding doc's that take it

You said — something I don’t follow about paying for insurance but then not using it, which has nothing to do with the train of the conversation as far as I can see.

i guess my point there was i don't think i know anybody that doesn't have ins, so going to a doc that doesn't take ins seems like paying twice, once for ins that other docs will take to goto a doc that doesn't take ins/or your regular PCP goes to not taking ins, but if you think the doc is worth it, then he IS worth it... it's your health on the line and all

27 posted on 04/13/2014 1:50:14 PM PDT by Chode (Stand UP and Be Counted, or line up and be numbered - *DTOM* -vvv- NO Pity for the LAZY - 86-44)
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To: blackdog

How does the lack of admitting privileges by the doctor affect admission of a patient?


28 posted on 04/13/2014 2:00:42 PM PDT by tbw2
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To: tbw2
It's a big deal. A really big deal.

"Admitting privilege is the right of a doctor, by virtue of membership as a hospital's medical staff, to admit patients to a particular hospital or medical center for providing specific diagnostic or therapeutic services to such patient in that hospital. Each hospital maintains a list of health care providers who have admitting privileges in that hospital. Admitting privileges granted to a non physician is limited to treatment of patient independently, and admission of such a patient to hospital requires a physician’s order. Admitting privileges of some physicians are limited to consultative services only.

Access to diagnostic testing will not happen. MRI's, etc...

29 posted on 04/13/2014 2:28:03 PM PDT by blackdog (There is no such thing as healing, only a balance between destructive and constructive forces.)
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To: tbw2
A fee for service physician will not have access to CT scans, ultrasounds of organ function, most radiology services beyond an Xray, dialysis, lab testing, surgery, and so on. Also nobody will insure for malpractice liability if the doctor has no admitting priveleges.

It's like hiring a lawyer who is not allowed to practice law before the court, only instead of a civil matter of well being, it's your life.

30 posted on 04/13/2014 2:40:19 PM PDT by blackdog (There is no such thing as healing, only a balance between destructive and constructive forces.)
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To: Chode

Actually, let me rephrase my original post. I may not have been clear. Assuming that you have insurance, and that it is not network-only, then even if you go to a doctor who accepts no insurance at all, he will give you a receipt once you pay him and you can go through the hassle of collecting from your insurance to pay for some or all of his bill. That’s what I was trying to say. That the doctor policy, no matter what it is, doesn’t stop you from getting reimbursed by your insurance, supposing your plan covers doctors not pre-affiliated and that you’re willing to do the legwork. Ergo, there is no paying twice. There, hope that’s clear.


31 posted on 04/13/2014 6:38:58 PM PDT by Still Thinking (Freedom is NOT a loophole!)
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To: blackdog

You do realize you can walk into a test lab and get all that stuff, and FAR more inexpensively than if provided through whatever practice or hospital the doctor works at.


32 posted on 04/13/2014 6:40:12 PM PDT by Still Thinking (Freedom is NOT a loophole!)
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To: Rusty0604

And that’s EXACTLY why that isn’t “good” insurance. HSA’s for everybody!


33 posted on 04/13/2014 6:41:59 PM PDT by Still Thinking (Freedom is NOT a loophole!)
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To: Still Thinking
yes, you are right as i completely misread your original post... but i am happy my PCP, who i wouldn't trade for anybody, and local hospitals all except my ins
34 posted on 04/13/2014 6:51:34 PM PDT by Chode (Stand UP and Be Counted, or line up and be numbered - *DTOM* -vvv- NO Pity for the LAZY - 86-44)
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To: Mike Darancette

The AMA did, but most Medical Prof. Specialty Orgs. were must less enthusiastic.


35 posted on 04/13/2014 8:58:34 PM PDT by az wildkitten (8 years 'til I retire)
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