There will be more of this, the way Obama, Pelosi and Reid handled the Healthcare overhaul is going to turn it into a disaster.
Fla. Doc's Sign Warns Off Obama Supporters
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Quote:
Fla. doc's sign warns off Obama supporters
Democrats should 'seek urological care elsewhere,' says notice on door
http://www.msnbc.msn.com/id/36152956...h-health_care/
Quote from: frawin on April 03, 2010, 04:25:55 AM
There will be more of this, the way Obama, Pelosi and Reid handled the Healthcare overhaul is going to turn it into a disaster.
Fla. Doc's Sign Warns Off Obama Supporters
--------------------------------------------------------------------------------
Quote:
Fla. doc's sign warns off Obama supporters
Democrats should 'seek urological care elsewhere,' says notice on door
http://www.msnbc.msn.com/id/36152956...h-health_care/
Yeah i know. and unfortunately its going to spill over to medicare patients. Its hard enough to find a good doctor that accepts medicare.
Quote from: frawin on April 03, 2010, 04:25:55 AM
There will be more of this, the way Obama, Pelosi and Reid handled the Healthcare overhaul is going to turn it into a disaster.
Fla. Doc's Sign Warns Off Obama Supporters
--------------------------------------------------------------------------------
Quote:
Fla. doc's sign warns off Obama supporters
Democrats should 'seek urological care elsewhere,' says notice on door
http://www.msnbc.msn.com/id/36152956...h-health_care/
Take his license for discriminating.
Quote from: jerry wagner on April 03, 2010, 12:44:16 PM
Take his license for discriminating.
Sorry there Jerry, they can't. There is NO LAW that protects you from not recieving service if your a damocrat
Quote from: srkruzich on April 03, 2010, 12:53:45 PM
Sorry there Jerry, they can't. There is NO LAW that protects you from not recieving service if your a damocrat
Did say they could... said they should... rewrite the law... require them to provide service to grant license
Quote from: jerry wagner on April 03, 2010, 12:56:06 PM
Did say they could... said they should... rewrite the law... require them to provide service to grant license
Oh Forced labor now jerry!? THey did that in the gulags
Quote from: srkruzich on April 03, 2010, 12:57:20 PM
Oh Forced labor now jerry!? THey did that in the gulags
That's not forced labor.... that's requiring people to serve those that come in same as hospital emergency rooms
Quote from: srkruzich on April 03, 2010, 12:57:20 PM
Oh Forced labor now jerry!? THey did that in the gulags
I am well aware of what the Gulags were steve.... nobody said they don't receive payment rather they cannot discriminate against customers other than if they don't receive payment or their insurance takes longer than 90 days to pay.
Quote from: jerry wagner on April 03, 2010, 12:58:48 PM
That's not forced labor.... that's requiring people to serve those that come in same as hospital emergency rooms
Its forced labor there jerry, its also called communism. Government setting the price for what a doctor can charge, and then forcing that doctor to deliver services for that price. Its Anti-american, and downright dispicable that anyone would think that its ok to force someone to preform work. I'm surprised that you would support slavery there jerry.
Quote from: jerry wagner on April 03, 2010, 12:59:51 PM
I am well aware of what the Gulags were steve.... nobody said they don't receive payment rather they cannot discriminate against customers other than if they don't receive payment or their insurance takes longer than 90 days to pay.
The doctor isn't discriminating. Please show us the law that says we cannot deny service to anyone based on their political affiliation!
Quote from: srkruzich on April 03, 2010, 01:42:30 PM
Its forced labor there jerry, its also called communism. Government setting the price for what a doctor can charge, and then forcing that doctor to deliver services for that price. Its Anti-american, and downright dispicable that anyone would think that its ok to force someone to preform work. I'm surprised that you would support slavery there jerry.
Its not anti-american... americans decide what is acceptable not just you.... therefore if Americans decide that they want to Doctors and hospitals to provide service then it isn't anti-American. Arguiing semantics on slavery is irrelevant as you support slavery... you support paying the lowest possible wage to an employee to work a ridiculous number of hours. That is slavery to economics and corporations, no different.
Quote from: jerry wagner on April 03, 2010, 02:15:39 PM
. you support paying the lowest possible wage to an employee to work a ridiculous number of hours. That is slavery to economics and corporations, no different.
So do you! Your supporting paying the lowest possible wage for doctors to preform a service. And no you nor anyone else in this country can dictate what someone sells his or her service for using laws to do it. The ONLY way anyone has the power to dictate prices is through the dollar. IF you dont' buy their service, then they will go out of business or drop their prices.
By forcing the doctor with a law to preform services that cost him money, is nothing but slavery with a added twist. They are forcing him to pay to be a slave.
Slavery is preforming work for someone else for no pay. IF you force a doctor to preform a service for free or at a loss, why isn't it slavery??
Quote from: srkruzich on April 03, 2010, 02:21:24 PM
So do you! Your supporting paying the lowest possible wage for doctors to preform a service. And no you nor anyone else in this country can dictate what someone sells his or her service for using laws to do it. The ONLY way anyone has the power to dictate prices is through the dollar. IF you dont' buy their service, then they will go out of business or drop their prices.
By forcing the doctor with a law to preform services that cost him money, is nothing but slavery with a added twist. They are forcing him to pay to be a slave.
Slavery is preforming work for someone else for no pay. IF you force a doctor to preform a service for free or at a loss, why isn't it slavery??
If the doctor is losing money at the medicare rate, then he shouldn't be in business.
Quote from: jerry wagner on April 03, 2010, 05:39:17 PM
If the doctor is losing money at the medicare rate, then he shouldn't be in business.
What a load of crap. YOu want to put the good doctors out of business so that everyone can have crappy health care.
Pretty damn selfish you know.
Knowing how rough medical politics can be, the good doctor's local medical association may have something to say about his actions. They could threaten his hospital privileges and more.
Quote from: srkruzich on April 03, 2010, 09:32:18 PM
What a load of crap. YOu want to put the good doctors out of business so that everyone can have crappy health care.
Pretty damn selfish you know.
Not really, I believe that everybody should have the right to be alive.... not just those with high incomes or fat wallets.
Quote from: jerry wagner on April 03, 2010, 05:39:17 PM
If the doctor is losing money at the medicare rate, then he shouldn't be in business.
And on that note, if a person can't afford a service then they shouldn't get it. Unles of course, the doctor chooses to give it. And that is what this is about, Doctors choice. A doctor who has his own private practice should have the right to choose who he has as patients.
Quote from: Varmit on April 05, 2010, 07:14:36 AM
And on that note, if a person can't afford a service then they shouldn't get it. Unles of course, the doctor chooses to give it. And that is what this is about, Doctors choice. A doctor who has his own private practice should have the right to choose who he has as patients.
I agree, i have never fussed about a doctor not taking medicare. I just thank the ones who do, cause they are doing it from their heart.
Interesting. My own personal Doctor, an internist, has as a boutique practice. We pay a quarterly stipend so he can have fewer patients and we get better service. I even have his personal pager number and home number. For several years blue Cross refused to pay him because they didn't like his business practice. He carried us anyway and I guess they finally relented because the statement of benefits stopped showing a refusal. His Blue Cross patients complained to BC a lot! Insurance Companies can and do get in the way of the doctors!
Quote from: Diane Amberg on April 05, 2010, 09:47:03 AM
Interesting. My own personal Doctor, an internist, has as a boutique practice. We pay a quarterly stipend so he can have fewer patients and we get better service. I even have his personal pager number and home number. For several years blue Cross refused to pay him because they didn't like his business practice. He carried us anyway and I guess they finally relented because the statement of benefits stopped showing a refusal. His Blue Cross patients complained to BC a lot! Insurance Companies can and do get in the way of the doctors!
That is a good idea for doctors. When it comes to doctors treating patients, i'll take quality over quantity every day.
I remember a few years ago, where a group of docs opened up a health care center where you could go get things like broken bones, flu, things like that treated for under 100 bucks. THey even had a price list posted on the wall for the services provided. It was a successful idea but the "states" and "insurance" killed them. Both the state and the insurance companies figured if they could charge under 100 dollars for a proceedure, they could force the clinics to do it for 1/3 the price. I am not sure if any survived it.
They still exist here. Usually there are in a little shopping center so the overhead is very low. Some are free standing clinics,some are associated with a hospital. We call them a "Doc in a box". Sometimes serious things show up there and the ambulance is called to take them on to the hospital for admission or specialized care like a hand surgeon or gall bladder surgery. Some share space in a store such as Walmart or a drug store and are on a cash only basis, no insurance.
As a health care practioner who has tried for 32 years to help my patients in anyway I could only to be restricted more and more by the government and indeed, although not directly, but by their and laws and attitudes; threatened by them.... I am so disturbed by Jerry's attitude that I cannot even comment. To say if we cannot make it on what Medicare covers that we shouldn't be in business is just ignorance as to what all is involved in trying to maintain a license, a practice, equipment, treat patients and walk through an ever growing mine field that just sucks precious time and energy that we would all like to be using personally with our patients.
Thank you to all the rest of you who have stood up for our right to try to survive as individual practitioners. The Gulag ultimately will not be happy until we are all working for it. Your doctor's will work for the man, and your visits will be timed from beginning to end and the doctor will be docked if they go over. I could go on and on. This is already happening in the medical field in my community because the big hospitals here have become corporations themselves and also offer their own insurance. Many of the medical people here are working for them. They control health care for miles around here. The independents what few there are trying to hang on.
I am a Medicare provider, but frankly I don't feel like anyone appreciates it, just complains about what chiropractic services aren't covered.
My gynecologist just did that. She couldn't afford the sky rocketing obstetric insurance any more, so she closed her OB practice and went to work for Christiana Hospital, our big trauma center. I think they are covering all or part of her insurance, so she will still be able to deal with babies and she was nice enough to take us GYN older clients with her. This whole health care issue has gotten so complicated I don't know how anybody can figure it out.
Quote from: Diane Amberg on April 05, 2010, 02:29:21 PM
This whole health care issue has gotten so complicated I don't know how anybody can figure it out.
Me either.......it boggles my mind just how much insurance company's and government have doctors in a choke hold...
And if it is your private practice?? Darn tooting, you can doctor who you want... it is called Private practice for a reason..
Part of the fear and frustration is that the rules are constantly changing in some form or another until it drives you crazy trying to figure it out. If you are wrong it can cost you in a big way. Maybe not, but it is knowing that something is always hanging over your head.
Here it is April and congress still can't decide what we should charge a Medicare patient. I e-mailed my state association the other day and said I don't know what to do, what should I be charging the Medicare patient's for their co-pays. There response was, we don't know, we will try to find out and get back to you. I haven't heard anything and I don't blame them, we are in limbo. This forces us in some ways to be in noncompliant, because we can't fully comply until they make up their minds and vote on it. The big hospitals and clinics can afford to hire people to keep up with the details and then do the training procedures for the hired doctors. If someone screws up they have a legal department and the insurance to write the check and cover it. The rest of us are just laying a wake at night trying to figure out what to do with the rest of our lives. And once more, when they finally decide everyone will have to go back through and apply the new amount and do the bookkeeping and then file the claims which we will all be behind on. SCREAM!!!
Is there a medicare copay? My Doc didn't charge one when I was there for a check up last week. Oh, maybe because he's my primary? Roma Jean would you be considered a specialist? Whew, I really do feel bad for you.
Quote from: Diane Amberg on April 05, 2010, 11:14:39 AM
They still exist here. Usually there are in a little shopping center so the overhead is very low. Some are free standing clinics,some are associated with a hospital. We call them a "Doc in a box". Sometimes serious things show up there and the ambulance is called to take them on to the hospital for admission or specialized care like a hand surgeon or gall bladder surgery. Some share space in a store such as Walmart or a drug store and are on a cash only basis, no insurance.
well thats how they survived then. good for them. At least the people can submit it to their insurance for reimbursement.
It is a great business model. And keeps healthcare costs down to boot.
Quote from: Roma Jean Turner on April 05, 2010, 01:45:46 PM
I am a Medicare provider, but frankly I don't feel like anyone appreciates it, just complains about what chiropractic services aren't covered.
Well I don't complain thats for sure. I know how hard it is to find someone who takes medicare. :(
I complain more about medicare itself.
Quote from: Diane Amberg on April 05, 2010, 03:56:46 PM
Is there a medicare copay? My Doc didn't charge one when I was there for a check up last week. Oh, maybe because he's my primary? Roma Jean would you be considered a specialist? Whew, I really do feel bad for you.
Yes there is copay its 20% of the bill. You probably will get billed for it.
There is a 20% copay if Medicare is your primary coverage. You are responsible for that if you don't have a supplemental insurance. If you do have the supplemental insurance, it is automatically billed and pays the doctor the 20%, if Medicare covers the other 80%, depending of course on diagnosis, etc. If you have an Advantage plan, then you would pay the copay that the Advantage plan stipulates, usually 30 or 35 copay for a specialist which I would be considered in most Advantage plans. Of course I can't charge you more than I would any other Medicare patient, so it is still back to what the rate is for my area of the country, that Medicare will allow me to charge. (leaving out some of the other factors, but this is the gist of it).
I'm so new to Medicare I don't have it all figured out yet. Haven't even gotten my first statement of benefits, but I used to help my parents so I think I'll know what I'm looking at. I do have a supplemental policy which pays second (I hope) My Medicare is not one of the advantage plans.They were too much like HMOs for my liking
Roma Jean, it has been my experience that a doctor enters charges to medicare, and medicare allows just so much for that treatment. Then they pay 80%, and if you carry a medigap policy, that policy picks up the rest. The difference between what medicare pays and what the doctor charges must be written off if the doctor has agreed to accept medicare before treatment. That is, a doctor charges $100.00 for a certain treatment, medicare only allows $75.00 for that treatment. They will then pay $60.00 (80% of $75.00). Then it is up to the patient to pay the other 20%, either with cash or with a medigap policy. These policies are nice because usually they cover the deductible at the beginning of each year, that helps too. I do have a little problem with some of the ways that medicare pays. For instance, Ted had an infection for which he was getting an infusion every day. M-F we went to the local clinic, and on weekends we went to a local hospital. He had an appointment with the infection doctor in Kansas City, and arrangements were made for his infusion that day at a local hospital there. Medicare paid them $800.00 for that infusion, but would only pay the local clinic $75.00 for the same infusion. I am still scratching my head over that one. :-X :-X It certainly is not a perfect situation, but thank God we have it. And Diane, I too do not like the looks of Advantage, HMO all the way.
I agree, I am thankful that we have it, but it does have its hoops to jump through and that was really my point. Chiropractic coverage has its on hoops as well with regards to what qualifies. Anyway, enough of my complaining. I am grateful that I have a way to support myself.
I was told one time,don't know how true it is that the hospital gets more from medicare because their overhead is much higher and they carry the ER which is open all the time.The usual clinic supposedly doesn't have as much staff and they aren't open except for some hours a day. If their costs aren't as high then they would get less.
Don't know specifically about hospitals but that makes sense. The limiting fees are based on statistics for the areas. For instance the fees that can be collected, at least for my profession, in Kansas City and St. Louis, are higher than what I can charge in Springfield. I'm guessing that there may be differences in smaller towns, but haven't researched that.
Quote from: jerry wagner on April 03, 2010, 09:54:20 PM
Not really, I believe that everybody should have the right to be alive.... not just those with high incomes or fat wallets.
It has been widely reported that this doc is NOT refusing service to anyone. He has been quoted as saying as much. He's simply engaging in protected freedom of speech. Jerry, your 'belief' and views, while nice, seem to be in opposition to the good doctor's 2nd Amendment rights. Which, unlike your invented 'right', is a codified right.
The doc is a citizen first and a doc second. IMHO, you can take your belief to any number of other countries who are already forcing medical mediocrity on all of their citizens. I hear Cuba is nice this time of year. Maybe your utopia exists there.
Roma Jean, thank you for your input. I found it to be very interesting and informative.
Thank you so much.