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How ObamaCare Will Affect Your Doctor
Wall Street Journal ^ | May 12, 2009 | Scott Gottlieb

Posted on 05/12/2009 5:10:11 AM PDT by reaganaut1

At the heart of President Barack Obama's health-care plan is an insurance program funded by taxpayers, administered by Washington, and open to everyone. Modeled on Medicare, this "public option" will soon become the single dominant health plan, which is its political purpose. It will restructure the practice of medicine in the process.

Republicans and Democrats agree that the government's Medicare scheme for compensating doctors is deeply flawed. Yet Mr. Obama's plan for a centrally managed government insurance program exacerbates Medicare's problems by redistributing even more income away from lower-paid primary care providers and misaligning doctors' financial incentives.

Like Medicare, the "public option" will control spending by using its purchasing clout and political leverage to dictate low prices to doctors. (Medicare pays doctors 20% to 30% less than private plans, on average.) While the public option is meant for the uninsured, employers will realize it's easier -- and cheaper -- to move employees into the government plan than continue workplace coverage.

The Lewin Group, a health-care policy research and consulting firm, estimates that enrollment in the public option will reach 131 million people if it's open to everyone and pays Medicare rates, as many expect. Fully two-thirds of the privately insured will move out of or lose coverage. As patients shift to a lower-paying government plan, doctors' incomes will decline by as much as 15% to 20% depending on their specialty.

Physician income declines will be accompanied by regulations that will make practicing medicine more costly, creating a double whammy of lower revenue and higher practice costs, especially for primary-care doctors who generally operate busy practices and work on thinner margins. For example, doctors will face expenses to deploy pricey electronic prescribing tools and computerized health records that are mandated under the Obama plan.

(Excerpt) Read more at online.wsj.com ...


TOPICS: Culture/Society; Front Page News
KEYWORDS: barrycare; bho44; democrats; healthcare; obama; obamacare
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1 posted on 05/12/2009 5:10:11 AM PDT by reaganaut1
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To: reaganaut1
Those are very conservative estimates about doctor salary decline under socialist medicine. In Canada, Britain, France and other industrialized nations where they have socialist medicine doctors salaries are one half and in many cases one third of doctors salaries in the US for the same specialty. There is a reason why doctors from these countries will do everything to come an practice in the US, they make much more money here than in their countries.

Any doctor in the US who wants socialist medicine is a fool.

2 posted on 05/12/2009 5:17:36 AM PDT by jveritas (God Bless our brave troops)
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To: reaganaut1

Splendid!

All around this town I see signs in doctors offices:

“WE DO NOT ACCEPT MEDICARE PATIENTS”

You haven’t seen them yet? You will.


3 posted on 05/12/2009 5:19:07 AM PDT by Daisyjane69 (GO CAVS !!!! No Cleveland championship since 1964. I'm not getting any younger!)
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To: reaganaut1

In France where there is a national “free” Health-care physicians number is quickly decreasing because they have to work a lot for a mediocre income...
And the cost of “free” public Health-care is very high and paid by high taxes...


4 posted on 05/12/2009 5:22:01 AM PDT by Ulysse
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To: reaganaut1
I can't get my doctor to FAX my prescripts cause he say’s the insurance company never responds and “pushes” generics while he INSIST on particular meds. So I wind up arguing over the phone about my meds.
You can see where government run medical issues are going to go.
5 posted on 05/12/2009 5:22:41 AM PDT by Doogle (USAF.68-73..8th TFW Ubon Thailand..never store a threat you should have eliminated))
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To: reaganaut1

Perhaps these doctors will be willing to listen to the cries of the conservative masses in that we, as patients, don’t want this kind of healthcare that puts us at risk of lesser quality treatments.

Maybe we can get the doctors against it, seeing as how these ridiculous pay cuts will make it harder to pay off all of their medical then surgical school loans. I mean, out of all fairness to the doctors, they did not sign on for this when they went through med school and then furthered with a surgical specialty.

What if we can get them to rally with us?


6 posted on 05/12/2009 5:26:25 AM PDT by Atom Smasher
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To: Daisyjane69
"Splendid!

All around this town I see signs in doctors offices:

?WE DO NOT ACCEPT MEDICARE PATIENTS?

You haven?t seen them yet? You will."

Unfortunately, I suspect that Obama will find a way to make it illegal to practice medicine in the USA and not accept Obamacare.

7 posted on 05/12/2009 5:26:39 AM PDT by Truth29
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To: reaganaut1

Newsmax.com

Obama’s Healthcare Numbers Don’t Add Up
Monday, May 11, 2009 6:51 PM

WASHINGTON – The White House trumpeted the news: health care providers taking a $2 trillion scalpel to their costs and pushing the U.S. toward Barack Obama’s vision of health coverage for all. But don’t line up yet for those insurance cards.

First, a reality check for the nation’s 50 million uninsured.

excerpt


8 posted on 05/12/2009 5:28:57 AM PDT by KeyLargo
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To: reaganaut1

Is there any good reason noone is discussing the impact of Tort Law on medical costs?

Ambulance chasing lawyers drive up the cost of healthcare and it is a simple matter to restrict the amount of malpractice awards to minimize this impact.


9 posted on 05/12/2009 5:30:21 AM PDT by G Larry (Obama's plan = "STEALING FROM THOSE WHO CREATE THE JOBS!")
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To: Truth29
Unfortunately, I suspect that Obama will find a way to make it illegal to practice medicine in the USA and not accept Obamacare. That will be a fundamental part of the law.
10 posted on 05/12/2009 5:30:21 AM PDT by nascarnation
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To: reaganaut1
...Mr. Obama's plan for a centrally managed government...

Yeah, all that "centrally managed" stuff worked so well for the former communist states... Why the {expletive} would a western leader try to emulate it? He's either stupid or a socialist/fascist.

11 posted on 05/12/2009 5:31:53 AM PDT by CodeMasterPhilzar (I'll keep my money, my guns, and my freedom. You can keep the "change.")
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To: Atom Smasher

The problem is this socialist group called the AMA (American Medical Association) who has been pushing for socialist medicine for years. I think most doctors who join this socialist group do not have any specialty what so ever they have only 4 years of medical school and cannot get a decent job anywhere because they do not even qualify to be general practitioners.


12 posted on 05/12/2009 5:32:35 AM PDT by jveritas (God Bless our brave troops)
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To: Daisyjane69
All around this town I see signs in doctors offices: "WE DO NOT ACCEPT MEDICARE PATIENTS"

And in this neck of the woods it's damn near impossible to find a Primary Care Physican who is accepting new TRICARE patients.

sw

13 posted on 05/12/2009 5:35:51 AM PDT by spectre (Spectre's wife)
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To: reaganaut1
The 10 to 20% decline number is low compared to the number I heard from a health care professional.

The Obamaton's want to pay a flat fee of $60/hr. when a highly trained doctor like neo-natal care specialist which do not grow on trees are around $180/hr, or so I am told.

The young ones that voted for the Bamster are already asking, how do I pay my student loans...

Med schools will wither do to lack of funding, again from my medical professional.

What a merde sandwich..

14 posted on 05/12/2009 5:38:13 AM PDT by taildragger (Palin / Mulally 2012)
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To: Truth29
Unfortunately, I suspect that Obama will find a way to make it illegal to practice medicine in the USA and not accept Obamacare.

Fortunately, the Obambi administration cannot force people to remain doctors. They will flee, wait and see.

Where will Canadians go for the medical care then? How about Americans?

15 posted on 05/12/2009 5:41:04 AM PDT by meyer (Obama is to the USA as Mugabe is to Zimbabwe.)
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To: G Larry
Is there any good reason noone is discussing the impact of Tort Law on medical costs?

An excellent reason. The tort lawyers are big contributors to the Demonrat Party.
16 posted on 05/12/2009 5:41:19 AM PDT by Cheburashka (Lesson #1 from Battlestar Galactica: Never turn your back on your toaster.)
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To: reaganaut1

My liberal friends don’t like when I point out that big businesses are the biggest winners in a single payer health program.


17 posted on 05/12/2009 5:42:41 AM PDT by Straight Vermonter (Posting from deep behind the Maple Curtain)
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To: jveritas

The problem is this socialist group called the AMA (American Medical Association) who has been pushing for socialist medicine for years. I think most doctors who join this socialist group do not have any specialty what so ever they have only 4 years of medical school and cannot get a decent job anywhere because they do not even qualify to be general practitioners

###########

Yes, you’re probably right here. So, look at how many specialty doctors/surgeons are out there. Perhaps we should try to convince them. I know that 2 of my specialty doctors that I see are not happy with this and said they are not going to stand for it.

Maybe these specialty docs/surgeons have an inside route they are going to take to come out fighting against this...wouldn’t that be great!


18 posted on 05/12/2009 5:43:02 AM PDT by Atom Smasher
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To: G Larry
Is there any good reason noone is discussing the impact of Tort Law on medical costs?

The Trial Lawyer's Association is one of the Dem Party's biggest contributors.

19 posted on 05/12/2009 5:43:05 AM PDT by Rummyfan (Iraq: it's not about Iraq anymore, it's about the USA!)
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To: Truth29

I didn’t know until today that Medicare patients are not permitted to pay “over and above” to doctors, if those doctors don’t accept Medicare as payment in full. I was shocked.

I was talking to my 87 year old neighbor tonight. She said she was fearful that this guy was going after the beginning of life, while going after the end of life (of which she is one)

With age comes great wisdom. And sometimes (like right now)..fear.

One thing I’m convinced of, is that Zero’s thoughts on health care are due to his mother’s death at a relatvely young age. He is angry that his mom died so young with so many medical bills. He is behaving as an angry and vengeful human being. But it’s important to remember that his mother would have NOT been covered by Medicare when she was dying....SHE WAS NOT A U.S. Citizen. By law, she was a foreigner!

She painted her own portrait. But he’s going to make US pay for it.


20 posted on 05/12/2009 5:45:07 AM PDT by Daisyjane69 (GO CAVS !!!! No Cleveland championship since 1964. I'm not getting any younger!)
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To: CodeMasterPhilzar
Yeah, all that “centrally managed” stuff worked so well for the former communist states... Why the {expletive} would a western leader try to emulate it? He's either stupid or a socialist/fascist.

He's both. The government control freaks always are. As well as those who vote for them.
21 posted on 05/12/2009 5:45:43 AM PDT by Cheburashka (Lesson #1 from Battlestar Galactica: Never turn your back on your toaster.)
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To: G Larry

People say that malpractice insurance is only about 5% of a doctor’s costs and dismiss the issue. What they don’t say is that doctor’s order lots of tests to confirm what they already know just to cover their butts. We all pay more because of this.


22 posted on 05/12/2009 5:46:19 AM PDT by Straight Vermonter (Posting from deep behind the Maple Curtain)
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To: Rummyfan

Q- Is there any good reason noone is discussing the impact of Tort Law on medical costs?
A- The Trial Lawyer’s Association is one of the Dem Party’s biggest contributors.

Yes, that is the point!
Conservatives should make an issue of the impact of Trial Lawyers, not to mention Obama’s new “Duty to Die” policy, which is the result of restricted access to healthcare.


23 posted on 05/12/2009 5:50:34 AM PDT by G Larry (Obama's plan = "STEALING FROM THOSE WHO CREATE THE JOBS!")
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To: Daisyjane69

I was just about to ask how the gov’t planned on forcing doctors to take this insurance.

I guess we would end up with two levels of health care. The good doctors who only take certain insurances and those who want to make a quick buck by turning over gov’t insurance patients as quickly as they can, quality be damned.


24 posted on 05/12/2009 5:54:08 AM PDT by CriticalJ
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To: reaganaut1

In short - the future is a bunch of pissed off patients waiting forever to see an ever diminishing pool of pissed of doctors.


25 posted on 05/12/2009 5:58:16 AM PDT by 2 Kool 2 Be 4-Gotten
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To: 2 Kool 2 Be 4-Gotten
i.e. pissed off doctors
26 posted on 05/12/2009 5:58:49 AM PDT by 2 Kool 2 Be 4-Gotten
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To: Ulysse

In France where there is a national “free” Health-care physicians number is quickly decreasing because they have to work a lot for a mediocre income...
And the cost of “free” public Health-care is very high and paid by high taxes...

////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////

I told my wife just last night that I have a very hard time trying to imagine why a young person today would want to commit to attending medical school, I think the quality of medical care in this country is about to take a nosedive.


27 posted on 05/12/2009 6:06:56 AM PDT by RipSawyer (Change has come to America and all hope is gone.)
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To: Daisyjane69
One thing I’m convinced of, is that Zero’s thoughts on health care are due to his mother’s death at a relatvely young age. He is angry that his mom died so young with so many medical bills. He is behaving as an angry and vengeful human being. But it’s important to remember that his mother would have NOT been covered by Medicare when she was dying....SHE WAS NOT A U.S. Citizen. By law, she was a foreigner!

I have not heard, read, or seen any evidence that Obama's mother was not a U.S. citizen. His father, of course, was a Kenyan. But his mother was a U.S. citizen, to my knowledge.

Please provide an authoritative link for evidence of this assertion.

Oh, and welcome to Free Republic.

28 posted on 05/12/2009 6:10:57 AM PDT by MortMan (Power without responsibility-the prerogative of the harlot throughout the ages. - Rudyard Kipling)
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To: Straight Vermonter

What they don’t say is that doctor’s order lots of tests to confirm what they already know just to cover their butts. We all pay more because of this.
////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////

I am also told that, at least in my area, many “independent” testing labs are actually owned largely by the same doctors who send samples to them for testing. Isn’t this an incentive to order unneccessary testing to pad the doctor’s income?


29 posted on 05/12/2009 6:14:36 AM PDT by RipSawyer (Change has come to America and all hope is gone.)
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To: reaganaut1
How ObamaCare Will Affect Your Doctor

Most likely, your doctor will start looking for another career.

30 posted on 05/12/2009 6:16:57 AM PDT by dfwgator (1996 2006 2008 - Good Things Come in Threes)
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To: Atom Smasher
Maybe these specialty docs/surgeons have an inside route they are going to take to come out fighting against this...wouldn’t that be great!

I hope so.

31 posted on 05/12/2009 6:24:23 AM PDT by jveritas (God Bless our brave troops)
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To: reaganaut1
Response to Bush's Social Security Reform:
"AAAAIIIIIAAAAAARRRRRGGGGGHHHHHHHH!!!!!! NOOOOOOOOOOOOOO!!!!!!"

Response to Obama's Health Care Reform:
"OOOOOOOO. BAAAAAA. MAAAAAAA...OOOOOOOO. BAAAAAA. MAAAAAAA...OOOOOOOO. BAAAAAA. MAAAAAAA..."

32 posted on 05/12/2009 6:25:20 AM PDT by Mad_Tom_Rackham (What did Obama's Teleprompter know, and when did it know it...)
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To: taildragger
The Obamaton's want to pay a flat fee of $60/hr. when a highly trained doctor like neo-natal care specialist which do not grow on trees are around $180/hr, or so I am told.

That will not even cover my wife's staff. Forget about malpractice and office overhead. Figure on a receptionist, nurse, and one billing person as overhead and you can figure real fast what $60hr will get you.
33 posted on 05/12/2009 6:28:48 AM PDT by PA Engineer (Liberate America from the occupation media.)
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To: RipSawyer
I told my wife just last night that I have a very hard time trying to imagine why a young person today would want to commit to attending medical school, I think the quality of medical care in this country is about to take a nosedive.

Routine medical care will be performed by nurse practitioners and physician assistants. The physician role will become primarily consultative. Frankly, for the most part, that will not mean a major reduction in quality.

The real "savings" of the programme will be in programmatic death.

34 posted on 05/12/2009 6:37:30 AM PDT by Carry_Okie (There are people in power with a passion for evil.)
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To: G Larry

You are so right. The healthcare costs went skyhigh when we first started seeing these multimillion dollar lawsuits.

The blame lies on the shoulders of the lawyers who got super rich (John Edwards?) from just one case. Their malpractice insurance is very costly.

I know one doctor who says it’s too expensive and too time consuming to run private practice so he just works in the ER. He has more time with his family and less stress this way.


35 posted on 05/12/2009 6:39:14 AM PDT by IceAge
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To: meyer
(snip)

Fortunately, the Obambi administration cannot force people to remain doctors. They will flee, wait and see.

Never underestimate the inventiveness of an evil Administration combined with a supportive legislature and compliant court system. Laws could be passed that would extend a mandatory public service requirement to any doctor who had ever taken any public funding or loan for their education, for instance. Continuing accreditation could be made conditional on meeting government standards and any doctor moving to another country could lose their US accreditation, for instance, etc. etc.

36 posted on 05/12/2009 6:40:13 AM PDT by Truth29
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To: CodeMasterPhilzar
Centrally-managed health care requires a huge government bureaucracy to administer it. Thousands (actually, hundreds of thousands) of new government UNION jobs means thousands of votes for Democrats. To them, the evil rich doctors can go to h**l!
37 posted on 05/12/2009 6:40:37 AM PDT by REPANDPROUDOFIT
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To: KeyLargo

“50 million uninsured.”

When you strip away the illegals, along with those in between jobs and those wealthy enough to not seek health care insurance, the remaining estimates have shown somewhere in the 17-19m range. The libtards like to trumped that 47-50m number.


38 posted on 05/12/2009 7:04:41 AM PDT by ScottinVA (Impeach+President+Soros!!!)
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To: jveritas

Most of the docs I know are planning to retire in the next five years. not all boomers either...just tired of the garbage.


39 posted on 05/12/2009 7:05:51 AM PDT by Chickensoup ("Patriotism is supporting your country all the time, and your government when it deserves it.")
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To: dfwgator

“Most likely, your doctor will start looking for another career.”

Thereby creating severe limits on available care, and resultant rationing. Anyone with active brain cells knows this; unfortunately, too many in this country are enamoured by the idea of “free” stuff.


40 posted on 05/12/2009 7:07:00 AM PDT by ScottinVA (Impeach+President+Soros!!!)
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To: Atom Smasher

Doctors especially psychiatrists are leftists.


41 posted on 05/12/2009 7:07:03 AM PDT by Chickensoup ("Patriotism is supporting your country all the time, and your government when it deserves it.")
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To: taildragger

<The young ones that voted for the Bamster are already asking, how do I pay my student loans...

That’s what I was wondering. Unless they are going to change the whole process of medical education, why would students go into medicine if they don’t have the hope of paying back their loans? If they make higher ed free or almost free,then that’s one thing (and of course we can argue over the definition of ‘free’), but if the ed pricing system stays the same, then medicine becomes much less attractive an option, resulting in fewer doctors, longer waits, poorer service.


42 posted on 05/12/2009 7:07:29 AM PDT by radiohead (Buy ammo, get your kids out of government schools, pray for the Republic.)
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To: ScottinVA

trumped=trump


43 posted on 05/12/2009 7:07:45 AM PDT by ScottinVA (Impeach+President+Soros!!!)
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To: ScottinVA

trumped=trump-TRUMPET

sheesh


44 posted on 05/12/2009 7:08:12 AM PDT by ScottinVA (Impeach+President+Soros!!!)
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To: Straight Vermonter

“What they don’t say is that doctor’s order lots of tests to confirm what they already know just to cover their butts.”

Not true in my case. I had had pain in my side/back for a while. My doctor sent me for xrays. Showed a very enlarged kidney so I was sent (insurance wanted) for a cat scan. Doctor wanted immediate surgery but the insurance wanted yet another test (nuclear scan). Finally got cleared for the surgery after 6 weeks. In the mean time, kidney was so enlarged, had I taken a fall or gotten hit in the side, it could have killed me.


45 posted on 05/12/2009 7:16:02 AM PDT by AirForceMom (Locked and loaded, and sharpening wooden stakes.)
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To: Daisyjane69
I didn’t know until today that Medicare patients are not permitted to pay “over and above” to doctors, if those doctors don’t accept Medicare as payment in full. I was shocked.

A doctor can charge a fee 20% above what Medicare pays. It is called the "excess". Most Medicare Supplement plans pay for that 20% excess.

46 posted on 05/12/2009 7:17:59 AM PDT by tc45a
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To: reaganaut1
Fully two-thirds of the privately insured will move out of or lose coverage. As patients shift to a lower-paying government plan, doctors' incomes will decline by as much as 15% to 20% depending on their specialty.

Doctors will lose 15 to 20% but Democrats will still make sure patients can SUE them. All those trial attorney's supporting dems are going to win the doctor lotto!

47 posted on 05/12/2009 7:18:46 AM PDT by GOPJ (If Nixon had been a Democrat, Woodward and Bernstein would have been Linda Tripp.)
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To: RipSawyer
I am also told that, at least in my area, many “independent” testing labs are actually owned largely by the same doctors who send samples to them for testing. Isn’t this an incentive to order unneccessary testing to pad the doctor’s income?

The doc's in my area get a kickback bonus from the local hospitals for all the lab work they send to them.

That being said they are ordering the test because they don't want to get sued and are covering their bases.

48 posted on 05/12/2009 7:21:38 AM PDT by tc45a
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To: IceAge
I always tell anyone willing to listen:

What 2 sectors, outside government itself, have increased pricing well beyond the rate of inflation the last 30 years?

Higher education and health care.

In what 2 sectors has the government assumed the biggest role in subsidizing prices?

Higher education and health care.

The fact that the answers to these two questions are the same is hardly a coincidence. Despite Pres__ent 0's rhetoric to the contrary, we can expect more of the same in health care, the greater government involvement becomes, with the only antidote available to the payer (government) being ruthless, arbitrary rationing. Those that are elderly or with serious medical issues should prepare themselves for rough days ahead.

49 posted on 05/12/2009 7:25:56 AM PDT by Emile ("If you don't stand for something, you'll fall for anything" -- Unknown)
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To: reaganaut1

What we should fear most about Obamacare is these outcome based decision making on health care treatment. Using Daschle’s book as a blueprint, government bureaucrats will develop clinical “guidelines” that may deny large numbers of patients treatments. For example an 80 year old woman currently living independently, but with diabetes and a history of breast cancer could easily be denied further cancer treatment because the guidelines say statistically she has no chance of surviving but a few more years. The nation’s elderly will get reduced treatments and fill nursing homes and even us baby boomers with the typical ailments of people our age may be denied life saving treatments like cardiac bypass surgery.


50 posted on 05/12/2009 7:33:43 AM PDT by The Great RJ (chain.)
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