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Doctors brace for possible big Medicare pay cuts
http://news.yahoo.com/s/ap/20101113/ap_on_he_me/us_medicare_cuts ^ | 11/19/10 | RICARDO ALONSO-ZALDIVAR, Associated Press Ricardo Alonso-zaldivar, Associated Press

Posted on 11/19/2010 9:37:24 AM PST by Nachum

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To: hoyt-clagwell

“When I mean cuts I don’t want dealth panels but people in the medical community are going to have to tighten their belts just like the rest of America.
A family friend makes $180k per year as a drug sales rep. and we wonder why r/X cost is going up 20% per year.
Cost needs to be contained or the whole system will just collapse in a few years.”

You do know that this is a conservative site that values the free market?

“A few days ago on FR one popular prostrate treatment is $100k. That is insane.”

I don’t know what a prostrate treatment is, but a $100k prostate treatment includes many factors: Hundreds of thousands of $ per year in malpractice insurance, supplies, equipment, office staff, office maintenance, continuing education classes, etc.


21 posted on 11/19/2010 10:24:33 AM PST by goodwithagun (My gun has killed fewer people than Ted Kennedy's car.)
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To: Sacajaweau
FP docs need to generate about $300 per hour in revenue to generate $150 in cash per hour, which would allow them an annual pre tax salary of $150,000 and coverage of practice expenses. A 23% Medicare payment cut would knock out about $12.00 per hour in cash, forcing a cut in provider salary or practice expense. What is not mentioned is that many of the non Medicare payors like Blue Cross peg their fee payments to a percentage of what Medicare pays, so a Medicare reimbursement cut would in effect cut cash flow from other payors.
22 posted on 11/19/2010 10:26:02 AM PST by buckalfa (Confused and Bewildered With a Half Empty Glass)
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To: Mom MD

Would you mind posting what your malpractice insurance is? It would be interesting for others to see what you have to do to protect yourself from losing everything.


23 posted on 11/19/2010 10:27:54 AM PST by goodwithagun (My gun has killed fewer people than Ted Kennedy's car.)
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To: buckalfa

Let’s not forget what happens when the wealthy stop making money. The maid is let go, the car is not traded in as often, no more lawn service, perhaps send the kids to public school instead of private, etc.

If all these docs are going to lose money, many other people will also. Trickle up poverty in action!


24 posted on 11/19/2010 10:30:49 AM PST by goodwithagun (My gun has killed fewer people than Ted Kennedy's car.)
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To: MortMan
Possible?

The left has too much invested in this fight already. It is more than possible.

25 posted on 11/19/2010 10:39:14 AM PST by Nachum (The complete Obama list at www.nachumlist.com)
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To: buckalfa
300 x 40 hrs = 12,000 per week - 50% expenses =

6,000 per week X 52 = $312,000 pre tax

26 posted on 11/19/2010 10:39:48 AM PST by Sacajaweau
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To: Sacajaweau

What is the tax rate for $312,000?


27 posted on 11/19/2010 10:44:51 AM PST by goodwithagun (My gun has killed fewer people than Ted Kennedy's car.)
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To: Sacajaweau
"What are doctors making these days?"

Less than half of what my lawyer makes.

28 posted on 11/19/2010 10:45:37 AM PST by The Good Doctor (Democracy is the only system where you can vote for a tax that you can avoid the obligation to pay.)
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To: goodwithagun
You do know that this is a conservative site that values the free market?

Unfortunately there is almost nothing about American medicine that is free-market based anymore. Sure the government has dorked up all kinds of aspects that we are discussing now, but that lack of free-market principles also extends to aspects that doctors have maintained control over to their benefit.

Check out the "Liaison Committee on Medical Education"--it's the group of doctors who gets to decide how many doctors our accredited med schools are allowed to train. That's right: the supply of medical practitioners in our country is controlled by the people who benefit from their restricted numbers. It is entirely possible to be fully qualified for and have the cash to fund a medical education, but you can still be turned away from training if the quota is already met. That is absurd, and is helping make the problem worse, especially as more docs quit because of how awful the government seems to want to make the doc lifestyle.

29 posted on 11/19/2010 10:50:31 AM PST by krb (Obama is a miserable failure.)
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To: krb

I know, but the poster I was responding to was demanding price caps on meds and med services. He/she also claimed that if Big Government didn’t intervene soon, our children will be doomed. I think our children are doomed because Big Government got involved to begin with.


30 posted on 11/19/2010 10:53:33 AM PST by goodwithagun (My gun has killed fewer people than Ted Kennedy's car.)
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To: goodwithagun
You do know that this is a conservative site that values the free market?

When the baby boomers hit Medicare in great numbers in a few years ..kaboom.

Cost need to be curtailed..as I said everyone in the medical community from nurses, docs, equipment suppliers, drug companies, administrators, insurance co's are going to have to tighten their belts significantly or the system is going to implode.

Go ahead and keep canoing up your river denile. I work for one of the largest insurers in the country and we have done all we can to cut cost back. (i.e. PPO's, HMO's, Medical Savngs accounts etc. There is nothing else that can be imposed the will drastically lower cost to make a significant impact.

31 posted on 11/19/2010 10:58:41 AM PST by hoyt-clagwell (5:00 AM Gym Crew)
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To: goldstategop

Make sure to send out a letter to all medicare patients:

“We’re sorry that we can no longer accept you as a patient due to 0bamacare. Have a nice day.”


32 posted on 11/19/2010 11:01:01 AM PST by MrB (The difference between a (de)humanist and a Satanist is that the latter knows who he's working for.)
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To: goodwithagun
demanding price caps on meds and med services

Yeah, that's stupid, but it's the typical collectivist response to these situations. When you empower a group or government in any way over something, you then have to deal with the consequences of giving it that power.

33 posted on 11/19/2010 11:05:19 AM PST by krb (Obama is a miserable failure.)
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To: hoyt-clagwell

“There is nothing else that can be imposed the will drastically lower cost to make a significant impact.”

“Imposed” is the problem. If Big Government were not involved, none of this would be happening. Big Government needs to “tighten their belts,” not hard working people who provide invaluable services to me and my family. What you are suggesting is called trickle up poverty. When those who make money have to “tighten their belts,” they cut the fat from their lives in the form of conveniences that supply others with jobs. No more lawn service, no more maid, much fewer vacations, etc. Those things cost other people their jobs.

Big Government needs to tighten its belt, not doctors and nurses unless they are CHOOSING to live on less.


34 posted on 11/19/2010 11:08:24 AM PST by goodwithagun (My gun has killed fewer people than Ted Kennedy's car.)
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To: goodwithagun
I know, but the poster I was responding to was demanding price caps on meds and med services. He/she also claimed that if Big Government didn’t intervene soon, our children will be doomed. I think our children are doomed because Big Government got involved to begin with.

Gov't mandates is not the biggest thing that is causing medical cost to rise. #1 is utilization. People are just plain unhealthy mainly obesity. Record amounts of obesity leading to record amounts of HBP, diabetes, joint problems, sleeping problems, gastric diseases, some cancers, pregnancy problems etc on and one. #2 problem is the unisured. As the rates increase each year the young healthy people drop off leaving only the older and the sick. It's called adverse selection in the insurance business.It's a catch 22 situation In my state for every actual dollar you receive in service, the hospitals have to bill out private insurance $1.77 to make up for all the unisureds.

I never said gov't is the answer.

35 posted on 11/19/2010 11:09:04 AM PST by hoyt-clagwell (5:00 AM Gym Crew)
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To: MrB

Until obama and his minions make that illegal. Wish this was a sarcasm post : (


36 posted on 11/19/2010 11:10:16 AM PST by goodwithagun (My gun has killed fewer people than Ted Kennedy's car.)
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To: goodwithagun

When “discussing” this issue before it passed, or even before 0bama was elected, with a lib,

I brought up the fact that Hillarycare had provisions for jailing doctors who treated patients outside the system.

“That won’t be in this one.”

Seriously, how can it not be, eventually? They will HAVE to stop people from going around the system or there will be no doctors IN the system.


37 posted on 11/19/2010 11:16:30 AM PST by MrB (The difference between a (de)humanist and a Satanist is that the latter knows who he's working for.)
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To: goodwithagun
I know, but the poster I was responding to was demanding price caps on meds and med services.

I never said that either. I said cost needs to be cut significantly or the system is going to implode in a few years. The medical community is going to have to cut tighten their belts.

Again, you are canoing up the river denile if you think otherwise. The gravy train is over.

My wife is a veterinarian. Why is the drugs she prescribes for dogs cost a 1/4 of what the exact same drug cost to people? Same exact drug made by the exact same company-she writes the R/X at the local Wal-mart- somes out of the same bottle that is prescribed for humans. Gov't does not set that price but the drug companies do.

38 posted on 11/19/2010 11:19:08 AM PST by hoyt-clagwell (5:00 AM Gym Crew)
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To: MrB

“That won’t be in this one.”

Did you tell him/her that nobody knows if that is true? After all, we had to pass the bill to find out what was in it!


39 posted on 11/19/2010 11:19:45 AM PST by goodwithagun (My gun has killed fewer people than Ted Kennedy's car.)
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To: goodwithagun

You know how libs “think” - if I feel it, it must be true.

It’s why so many of them buy into post-modernism,
but don’t live consistently with this espoused belief.

They claim truth is relative yet live as though it is objective.


40 posted on 11/19/2010 11:23:06 AM PST by MrB (The difference between a (de)humanist and a Satanist is that the latter knows who he's working for.)
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