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New York, NY - State Bureaucrats Fight Doctor's $79 Flat Fee for Uninsured
http://www.vosizneias.com/28392/2009/03/04/new-york-ny-doctor-trying-to-help-uninsured-patients-with ^ | 3/22/09 | anon

Posted on 03/21/2009 11:43:25 PM PDT by genghis

New York, NY - The state is trying to shut down a New York City doctor's ambitious plan to treat uninsured patients for around $1,000 a year.

Dr. John Muney offers his patients everything from mammograms to mole removal at his AMG Medical Group clinics, which operate in all five boroughs.

"I'm trying to help uninsured people here," he said.

His patients agree to pay $79 a month for a year in return for unlimited office visits with a $10 co-pay.

But his plan landed him in the crosshairs of the state Insurance Department, which ordered him to drop his fixed-rate plan - which it claims is equivalent to an insurance policy.

Muney insists it is not insurance because it doesn't cover anything that he can't do in his offices, like complicated surgery. He points out his offices do not operate 24/7 so they can't function like emergency rooms.

"I'm not doing an insurance business," he said. "I'm just providing my services at my place during certain hours."

He says he can afford to charge such a small amount because he doesn't have to process mountains of paperwork and spend hours on billing.

"If they leave me alone, I can serve thousands of patients," he said.

The state believes his plan runs afoul of the law because it promises to cover unplanned procedures - like treating a sudden ear infection - under a fixed rate. That's something only a licensed insurance company can do.

"The law is strict on how insurance is defined," said an Insurance Department spokesman.

A possible solution that Muney's lawyer crafted would force patients to pay more than $10 for unplanned procedures.

They are waiting to see if the state will accept the compromise. Still, Muney is unhappy because, he said, "I really don't want to charge more. They're forcing me."

One of his patients, Matthew Robinson, 52, was furious to learn the state was interfering with the plan.

"The whole point is, he [Muney] found a way of paying his rent, paying his workers, and getting to see patients for the price," said Robinson.

"How can the state dictate you've got to charge more?"


TOPICS: Business/Economy; Culture/Society; Government; News/Current Events; US: New York
KEYWORDS: flatfeedoctor; regulation
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Stop him before he saves someone's life. Regulators as usual, not behaving in the public's interest.
1 posted on 03/21/2009 11:43:26 PM PDT by genghis
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To: genghis

Exactly - they realize that such a plan would destroy their power and then the bureaucrats would be out of a job.


2 posted on 03/21/2009 11:44:43 PM PDT by ikka (Brother, you asked for it!)
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To: genghis

And such regulators are interfering with the free market and a businessman’s ability to set his own fees. This is exactly the kind of price competition American medicine needs desperately. How the hell did we get to this place in America?


3 posted on 03/21/2009 11:47:24 PM PDT by Bernard Marx (Free California from public employee union rule!)
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To: genghis
Government bureaucrats hate the free market and innovation. Especially if it provides uninsured people like yours truly with affordable health care. They have to intervene to put a stop to it!

"Show me just what Mohammed brought that was new, and there you will find things only evil and inhuman, such as his command to spread by the sword the faith he preached." - Manuel II Palelologus

4 posted on 03/21/2009 11:47:40 PM PDT by goldstategop (In Memory Of A Dearly Beloved Friend Who Lives In My Heart Forever)
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To: genghis

Here is a man that is honestly trying to help and has a wonderful idea; and who else; but our crooked government doesn’t like it.


5 posted on 03/21/2009 11:50:42 PM PDT by freekitty (Give me back my conservative vote.)
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To: ikka

I would love that.


6 posted on 03/21/2009 11:51:17 PM PDT by freekitty (Give me back my conservative vote.)
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To: genghis

He’s right. This isn’t insurance. Not even close.

Government officials are becoming more unhinged by the minute. Obama Effect for sure.


7 posted on 03/21/2009 11:51:56 PM PDT by Wiseghy ("You want to break this army? Then break your word to it.")
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To: Bernard Marx
What's funny is they want him to charge his patients MORE! Doesn't that defeat the entire purpose of making health care affordable to more people by lowering the cost of it? Only the government could see something amiss with good old fashioned common sense. I haven't seen a patient complain about the doctor's fixed rate plan!

"Show me just what Mohammed brought that was new, and there you will find things only evil and inhuman, such as his command to spread by the sword the faith he preached." - Manuel II Palelologus

8 posted on 03/21/2009 11:52:39 PM PDT by goldstategop (In Memory Of A Dearly Beloved Friend Who Lives In My Heart Forever)
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To: genghis

If they’re that worried about illegal insurance rackets, they should go after Big Mike, who offers pizzeria owners a great deal on fire insurance. A thousand a month guarantees that their businesses won’t burn down.


9 posted on 03/21/2009 11:54:40 PM PDT by Mr Ramsbotham (What's Black and White and Red all over?)
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To: genghis

“That’s something only a licensed insurance company can do.”

Name one insurance company worker that ever graduated medical school.


10 posted on 03/21/2009 11:54:59 PM PDT by NoLibZone (To save our nation a Strongly Worded e-mail may be in order.)
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To: genghis
...runs afoul of the law because it promises to cover unplanned procedures - like treating a sudden ear infection - under a fixed rate. That's something only a licensed insurance company can do...

Why is there a law that prevents this doctor from doing this? Who is it designed to protect? The doctors? Patients? Or the insurance companies?

11 posted on 03/21/2009 11:56:15 PM PDT by jeffc (They're coming to take me away! Ha-ha, hey-hey, ho-ho!)
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To: NoLibZone
You mean the state is protecting the insurance company monopoly? No wonder they can't allow a precedent to be set. It might give people dangerous ideas and then the entire system will come tumbling down!

"Show me just what Mohammed brought that was new, and there you will find things only evil and inhuman, such as his command to spread by the sword the faith he preached." - Manuel II Palelologus

12 posted on 03/21/2009 11:58:05 PM PDT by goldstategop (In Memory Of A Dearly Beloved Friend Who Lives In My Heart Forever)
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To: genghis
A classic example of government, once again, blocking the benefit of it's citizenry. I saw an interesting quote yesterday...

When the people fear their government, there is tyranny; when the government fears the people, there is liberty. - Thomas Jefferson

13 posted on 03/21/2009 11:58:30 PM PDT by highlander_UW (The only difference between the MSM and the DNC is the MSM sells ad space in their propaganda)
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To: genghis

Hero doctor versus sub-human democrat party power mad cockroachs.


14 posted on 03/21/2009 11:59:57 PM PDT by FormerACLUmember (When the past no longer illuminates the future, the spirit walks in darkness.)
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To: jeffc
The insurance companies, I bet. The law wasn't written to protect doctors or the interests of patients. That's why health care costs are so high. No one has an incentive to seek good quality care at the lowest possible price because an insurance company pays the entire bill.

"Show me just what Mohammed brought that was new, and there you will find things only evil and inhuman, such as his command to spread by the sword the faith he preached." - Manuel II Palelologus

15 posted on 03/22/2009 12:00:47 AM PDT by goldstategop (In Memory Of A Dearly Beloved Friend Who Lives In My Heart Forever)
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To: genghis

Boy those are dumb bureaucrats. An insurance company is regulated because it promises to late pay for something for you that it does not have. This MD in fact is an MD, so he certainly can provide care.

It is the MD’s business how he prices his services. He can in fact deliver these services. Thus he is not insuring patients, he is merely selling his services using a two part pricing scheme.


16 posted on 03/22/2009 12:12:01 AM PDT by JLS
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To: genghis; John Semmens

Are you sure this wasn’t written by John Semmens....


17 posted on 03/22/2009 12:18:43 AM PDT by aquila48
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To: JLS
I'd love to see the law that forbids him from setting pricing for his own services and making his own payment arrangements with his patients for those services rendered. Who is harmed here? Certainly not the State Of New York!

"Show me just what Mohammed brought that was new, and there you will find things only evil and inhuman, such as his command to spread by the sword the faith he preached." - Manuel II Palelologus

18 posted on 03/22/2009 12:20:08 AM PDT by goldstategop (In Memory Of A Dearly Beloved Friend Who Lives In My Heart Forever)
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To: genghis
The government has gotten too big for their own good.. The longer they go unwatched, the further they put their finger into every aspect of a civilian's life they can. There is no stopping it

bookmark.
19 posted on 03/22/2009 12:20:56 AM PDT by aetheraddict
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To: goldstategop

Right and again the key difference is an insurance company is not offering medical services, it is promising to pay for your use of them. This MD is in fact promising to deliver these services. That is what makes it not insurance.


20 posted on 03/22/2009 12:28:39 AM PDT by JLS
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