Georgia Babies

s/o question about the healthcare stuff

Why do people say that we will have less dr's?  Where are all these dr's we have now going to go all of a sudden?   

Re: s/o question about the healthcare stuff

  • There's been talk circulating that some huge percentage of physicians in practice now will abandon their careers because of the bill. Supposedly in anger/dismay over future billing practices and less money. This doesn't apparently take into account regular attrition of doctors aging out of practice.

    Nevermind that the AMA supports the bill...

    I've spoken to more than few doctors (friends and my own physicians), and their message has mostly been that they practice medicine to heal and help, not to make money. It's the spirit of the Hippocratic Oath.

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  • That makes sense to me myra.

    it doesn't make sense for highly educated person to quit b/c they are mad about these changes...what will they do?  start over?  Just doesn't make sense.  

     

  • Medical school is expensive and time consuming.  I believe that HCR will make medical training cost prohibitive for most people - at least in the case of primary care doctors.  They will never make back the money they invest so they may choose something that will actually pay the bills instead of BEING a bill for the rest of their life.  Bleeding hearts think everybody wants to use their talents and money for whatever goodness of their hearts they have without regard for supporting themselves or their family.
  • The answers on here are all going to be antectdotal, so I don't think you can get an objective answer. I have talked to several doctors as well who say they won't be able to afford to continue to practice. I am sure there are doctors who love the bill.

    The legislation needs to protect doctors who follow established best practices and implement safe, accountable care models based on the latest scientific evidence. This legislation does not discourage people from suing their doctors so doctors will continue to practice expensive, defensive medicine. 

    My opinions on this are not unbiased, I believe the US needs healthcare reform, but I don't think that what was passed is the right start.

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  • Actually, the bill has legislation to increase payments to primary care physicians under Medicaid thanks to Sen. Charles Grassley, R-Iowa.

    https://news.yahoo.com/s/ap/20100322/ap_on_bi_ge/us_health_overhaul_glance

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  • in my hometown back home (in ontario) they are lacking doctors so much that, they have this contract with medical students now wanting to become doctors, the contract allows the area the guarantee that when that student is finished school they come back to that area and start their practice or work in our hospital. for a certain amount of time.  most doctors that are on the means of retirement will just retire (they have been putting it off or what not) once that doctor retires the patients he had will seek another doctor and that doctor then has a choice to accept or not to accept. and all though it might not seem like a shortage RIGHT now today. but sooner or later its going to happen. thats where you clinics and emergency rooms start having more foot traffic for little likes like common cold. and such things
  • Its not even so much that those currently in practice will leave (although some might)....its more about those who will choose not to pursue the profession.   Why make that investment in time and money if you're not going to be compensated?   
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  • imageMrsBrandiGreene:
    Its not even so much that those currently in practice will leave (although some might)....its more about those who will choose not to pursue the profession.   Why make that investment in time and money if you're not going to be compensated?   

    ok.  this does make sense too.  sad. 

  • There have been several interesting articles lately about the UK having to import doctors because of the huge flight of their physicians outside the country.  I did healthcare consulting for years and we had a huge project with the NHS.....it allowed me to see first hand how unhappy with the system people are and how many had to come to the US to get care without waiting months and months. 

  • I'm not educated enough on the Healthcare bill to give an opinion.

    I do know that my brother who is an anesthesiologist will soon be out of a job here in Florida due to all the medicare spending cuts.  He is in private practice with another doctor who founded the practice.  That doctor told my brother that he won't be able to keep him on and he should start looking for work.

     

  • imagecare99:

    There have been several interesting articles lately about the UK having to import doctors because of the huge flight of their physicians outside the country.  I did healthcare consulting for years and we had a huge project with the NHS.....it allowed me to see first hand how unhappy with the system people are and how many had to come to the US to get care without waiting months and months. 

    Having had my son in the UK on the NHS I can say this is also purely antectdotal. I had some bad experiences with them but I had some okay as well. The wait times were, frankly, horrendous for certain things. We also had private insurance there to subsidize what we couldn't get or had to wait for in the UK. All the doctors did private work as well as NHS work so they could actually make some money. And it is true that a lot of the doctors there (and midwives) came from other countries. 

    Saying that it blows my husbands mind that we have to pay for our healthcare. However he does agree that the care you get here is better than what we got in the UK - we just pay for it. And by saying 'we' I do mean us, since we pay $600 plus a month for individual insurance, no group plan.

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  • imageandrea922:

    My opinions on this are not unbiased, I believe the US needs healthcare reform, but I don't think that what was passed is the right start.

    Same opinion....I think there is room for reform but what was passed is not the correct one!

  • imageMrsBrandiGreene:
    I know its a cultural thing that you get used to how things are, but I cant get over how it would blow someone's mind that you would pay for something you consume.  Nothing is free :

    Honestly? You really don't see how if you spent 33 years not paying anytime you go to the doctor, go to the hospital, or anything that it would seem crazy that you do have to do so here? I don't see how this is that strange. 

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  • Its not a slam to him or anyone who grew up in a cultural norm like that....which is why I said I understand the cultural differences. However, being from this culture I do find that difficult to understand, yes.  My lack of understanding is really no different from his.
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  • There are actually quite a few provisions in the bill for med school loan forgiveness and such to help doctors remain in practice.
    "I
  • I'll just comment on what I know about from our family

    My Dad is a Dr.  He does not take Medicare or Medicaid.  The reason he does not is because it costs him money to see these patients and then the government controls what you can and can not do for these patients as well as others.  This is why Doctors only take in up to I believe 10% of these patients.

    With the new bill in about three years if he sees people on the public plan, not only does he have to pay a lot more in taxes, but the way things are structured he won't make money on these patients either.  He will be 66 at that time.  It is just not worth it.

    And if you think he is in it for the money ...think again.  A large portion of his patients don't pay or pay very little as he is concerned with helping them.  He has also invented the world's most effective splint in helping TMJ without surgery and does not charge a patent to other doctors but publishes the information freely ...why, he thinks everyone in pain should have access to being comfortable.  So others make the big bucks on his knowledge and research.

  • imageMrsBrandiGreene:
    I know its a cultural thing that you get used to how things are, but I cant get over how it would blow someone's mind that you would pay for something you consume.  Nothing is free :

    Do you pay the police? Do you pay your public schools? Do you pay the firefighers? Do you pay the ambulances that come when you call 911? Do you pay the 911 operators?

    "I
  • imagetalltalltrees:

    imageMrsBrandiGreene:
    I know its a cultural thing that you get used to how things are, but I cant get over how it would blow someone's mind that you would pay for something you consume.  Nothing is free :

    Do you pay the police? Do you pay your public schools? Do you pay the firefighers? Do you pay the ambulances that come when you call 911? Do you pay the 911 operators?

    um, yes.  i pay taxes.   

  • imagetalltalltrees:

    imageMrsBrandiGreene:
    I know its a cultural thing that you get used to how things are, but I cant get over how it would blow someone's mind that you would pay for something you consume.  Nothing is free :

    Do you pay the police? Do you pay your public schools? Do you pay the firefighers? Do you pay the ambulances that come when you call 911? Do you pay the 911 operators?

    Uh, yes. Taxes. And  in many areas, you get a bill when you call 911 and they dispatch a unit to your location.

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  • imagelololoco:
    imagetalltalltrees:

    imageMrsBrandiGreene:
    I know its a cultural thing that you get used to how things are, but I cant get over how it would blow someone's mind that you would pay for something you consume.  Nothing is free :

    Do you pay the police? Do you pay your public schools? Do you pay the firefighers? Do you pay the ambulances that come when you call 911? Do you pay the 911 operators?

    Uh, yes. Taxes. And  in many areas, you get a bill when you call 911 and they dispatch a unit to your location.

    And you pay taxes in the UK as well for NHS. I think you (collectively) are missing the point. You don't pay out of pocket every time you walk out of a doctors office in the UK. You don't pay out of pocket when you have a baby or surgery in the UK. And here you don't pay every time they drop off your mail. So if you moved to a place where you had to pay to receive your mail, or if your house was on fire and they came to put it out but asked for a $350 co-pay before they started, wouldn't that blow your mind? You would find it very strange. Same situation.

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  • My father is a retired dentist, and my mom's a physician.  My dad's pretty conservative, so he's beyond fumed at this.  My mom, on the other hand, is very liberal and open-minded.  She has dedicated her life and career to helping the poor and needy.  She works in rural healthcare, and although she rarely practices now (she's a clinical director for the company she worked for as a physicial that provides healthcare to the low-income/no-income and immigrants) she thinks that this is a horrible idea.  I don't think she'd quit her career, but she realizes the effect on the nation this will cause.

    She recently met with Sanjay Gupta and Kathleen Sebelius (and was in the newspaper) to show them what GA is doing with the all the grant money that has been given to their company.  She was even against all the grant money that was given, but tried to make the best of the situation for her company and patients.

  • imageandrea922:
    imagelololoco:
    imagetalltalltrees:

    imageMrsBrandiGreene:
    I know its a cultural thing that you get used to how things are, but I cant get over how it would blow someone's mind that you would pay for something you consume.  Nothing is free :

    Do you pay the police? Do you pay your public schools? Do you pay the firefighers? Do you pay the ambulances that come when you call 911? Do you pay the 911 operators?

    Uh, yes. Taxes. And  in many areas, you get a bill when you call 911 and they dispatch a unit to your location.

    And you pay taxes in the UK as well for NHS. I think you (collectively) are missing the point. You don't pay out of pocket every time you walk out of a doctors office in the UK. You don't pay out of pocket when you have a baby or surgery in the UK. And here you don't pay every time they drop off your mail. So if you moved to a place where you had to pay to receive your mail, or if your house was on fire and they came to put it out but asked for a $350 co-pay before they started, wouldn't that blow your mind? You would find it very strange. Same situation.

    I did, in fact, pay one of those bills for an ambulance when I had my ruptured ectopic pregancy....and honestly I was thrilled to have the opportunity to pay it.  I would have died without that ambulance.

    And no doubt others outside this culture find it strange, but I'm hoping he was aware of the cultural norms prior to moving here?   And yes, talltrees....just like the others, I do pay for 911 dispatchers, fire fighters, etc through taxes.  I even pay for public school...despite my children not being in the school system yet.

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  • imageMrsBrandiGreene:
    imageandrea922:
    imagelololoco:
    imagetalltalltrees:

    imageMrsBrandiGreene:
    I know its a cultural thing that you get used to how things are, but I cant get over how it would blow someone's mind that you would pay for something you consume.  Nothing is free :

    Do you pay the police? Do you pay your public schools? Do you pay the firefighers? Do you pay the ambulances that come when you call 911? Do you pay the 911 operators?

    Uh, yes. Taxes. And  in many areas, you get a bill when you call 911 and they dispatch a unit to your location.

    And you pay taxes in the UK as well for NHS. I think you (collectively) are missing the point. You don't pay out of pocket every time you walk out of a doctors office in the UK. You don't pay out of pocket when you have a baby or surgery in the UK. And here you don't pay every time they drop off your mail. So if you moved to a place where you had to pay to receive your mail, or if your house was on fire and they came to put it out but asked for a $350 co-pay before they started, wouldn't that blow your mind? You would find it very strange. Same situation.

    I did, in fact, pay one of those bills for an ambulance when I had my ruptured ectopic pregancy....and honestly I was thrilled to have the opportunity to pay it.  I would have died without that ambulance.

    And no doubt others outside this culture find it strange, but I'm hoping he was aware of the cultural norms prior to moving here?   And yes, talltrees....just like the others, I do pay for 911 dispatchers, fire fighters, etc through taxes.  I even pay for public school...despite my children not being in the school system yet.

    Since you clearly aren't getting the point that is being made here I will not continue to try to explain it. Yes my husband understood it before he moved here. He is not an idiot. It doesn't mean he has to be less baffled by the fact that he has to pay every time he gets medical attention. I don't begrudge him of that, and it is unfortunate that people of 'other cultures' should have to immediately adapt to the way things are here and not question it.

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  • imageDaisygirl613:
    imagetalltalltrees:

    imageMrsBrandiGreene:
    I know its a cultural thing that you get used to how things are, but I cant get over how it would blow someone's mind that you would pay for something you consume.  Nothing is free :

    Do you pay the police? Do you pay your public schools? Do you pay the firefighers? Do you pay the ambulances that come when you call 911? Do you pay the 911 operators?

    um, yes.  i pay taxes.   

    And that's exactly how healthcare is paid for in those countries too. It's the exact thing. You pay taxes, you receive services. In those countries, they see healthcare as a vital service just like police and firefighters and 911. 

    "I
  • imagetalltalltrees:
    imageDaisygirl613:
    imagetalltalltrees:

    imageMrsBrandiGreene:
    I know its a cultural thing that you get used to how things are, but I cant get over how it would blow someone's mind that you would pay for something you consume.  Nothing is free :

    Do you pay the police? Do you pay your public schools? Do you pay the firefighers? Do you pay the ambulances that come when you call 911? Do you pay the 911 operators?

    um, yes.  i pay taxes.   

    And that's exactly how healthcare is paid for in those countries too. It's the exact thing. You pay taxes, you receive services. In those countries, they see healthcare as a vital service just like police and firefighters and 911. 

    I understand that.....however, I dont WANT to pay for healthcare via taxes...which used to be a CHOICE prior to recent days. 

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  • i think everyone thinks the canadian and or the UK (very similar healthcare) everything is free, well it isnt, everytime i call and ambulance you get billed (hidden cost), we have to pay for doctors notes say if you need a certain time off work and your work needs a doctors note wow 25 bucks there, our hospitals will not prescribe narcotics for pain relief (this includes Tylenol 2's in most cases) oh heaven forbid that you have an appointment for xrays you are looking at spending at least 2 hours there or more even though your appointment was at 9am. oh and dont ever have the need for a fiberglass cast thats 65 extra dollars, and dont forget the crutches you might need that they over charge for. this is just a few examples of the hidden cost we deal with. not only that dont expect a MMR or anything like that anytime soon cuz there is a waiting list.

    lots of canadians come across the border to the US to seek medical care every year. i personally have only seen the doctors here for my pregnancy and so far i am by far more thrilled with the current healthcare then the canadian healthcare.

  • imageberrybuzz:

    i think everyone thinks the canadian and or the UK (very similar healthcare) everything is free, well it isnt, everytime i call and ambulance you get billed (hidden cost), we have to pay for doctors notes say if you need a certain time off work and your work needs a doctors note wow 25 bucks there, our hospitals will not prescribe narcotics for pain relief (this includes Tylenol 2's in most cases) oh heaven forbid that you have an appointment for xrays you are looking at spending at least 2 hours there or more even though your appointment was at 9am. oh and dont ever have the need for a fiberglass cast thats 65 extra dollars, and dont forget the crutches you might need that they over charge for. this is just a few examples of the hidden cost we deal with. not only that dont expect a MMR or anything like that anytime soon cuz there is a waiting list.

    lots of canadians come across the border to the US to seek medical care every year. i personally have only seen the doctors here for my pregnancy and so far i am by far more thrilled with the current healthcare then the canadian healthcare.

    First of all, no one said it is free in Canada or the UK. You pay in taxes, you just don't pay at the time of service. Please, don't include the UK in these examples. This is not correct for the UK. You don't get billed for an ambulance, you get the pain medicine you need, and you don't get charged for doctors notes. 

    And, in the US, you also pay for crutches, you pay for the pain medicine, you pay for every last thing.  You wait for appointments here as well.

    It is not perfect anywhere.

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  • imageMrsBrandiGreene:
    imagetalltalltrees:
    imageDaisygirl613:
    imagetalltalltrees:

    imageMrsBrandiGreene:
    I know its a cultural thing that you get used to how things are, but I cant get over how it would blow someone's mind that you would pay for something you consume.  Nothing is free :

    Do you pay the police? Do you pay your public schools? Do you pay the firefighers? Do you pay the ambulances that come when you call 911? Do you pay the 911 operators?

    um, yes.  i pay taxes.   

    And that's exactly how healthcare is paid for in those countries too. It's the exact thing. You pay taxes, you receive services. In those countries, they see healthcare as a vital service just like police and firefighters and 911. 

    I understand that.....however, I dont WANT to pay for healthcare via taxes...which used to be a CHOICE prior to recent days. 

    You've already been paying for Medicare for probably as long as you've been working - do you not want to pay for that either?

    "I
  • How about if you agree with the bill then you pay the taxes for it.  If you don't agree with the bill you don't pay a dime. 

    Elect Danielle!

  • imagedbryson:

    How about if you agree with the bill then you pay the taxes for it.  If you don't agree with the bill you don't pay a dime. 

    Elect Danielle!

    Danielle Bryson for PRESIDENT!

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  • imageMrsBrandiGreene:

    I even pay for public school...despite my children not being in the school system yet.

    This is the exact thinking that baffles me.   Your kids will be in school soon.  Do you only want to pay taxes when your kids are aged 5-18?     I am not trying to flame you Brandi, I just don't understand when people say things like this.   I've never once called the fire department.  Should I not have to pay taxes? 

    I've heard people say they want to pay for their own kids education instead of paying taxes for others too.    If you CAN afford it (healthcare, private schooling, etc) then good for you.  I am so happy for you.  But so many people cannot afford it.   Like the 19 year old waitress who never even realized she didn't have health insurance because she took her parents coverage for granted.      Not a slacker, just not thinking of it. 

    Or how about the fact the we have government plans in place but people like me couldn't get on it when I was pregnant because even though my husband and I were unemployed, we had too much money in the bank.   (Not any more!!)  

    There are so many people who would not be able to send their kids to school or go to the doctor or call the fire department if we didn't PAY TAXES for SOCIAL SERVICES.

  • imagedonna&ed:
    imageandrea922:

    My opinions on this are not unbiased, I believe the US needs healthcare reform, but I don't think that what was passed is the right start.

    Same opinion....I think there is room for reform but what was passed is not the correct one!

    I agree there is need for reform.  I'm not sure how I feel about what's been passed because up to this point all there has been is alot of talk. It's too soon to see real results for this country. I guess once I see people dying in the streets....oh wait, they already are.  Maybe once I try to get an appointment or referral and it gets tied up in government redtape then I'll feel qualified to post about how shitty I think it is.  I do know that I'm not a huge fan of government run programs.  I can't think of one that isn't abused and corrupted.  But, with that said, I do believe we've got to start somewhere. 

     

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