Sharpie pens, 5x8 writing pads, blank index cards, metal ruler, mini post-its, Swingline 747 stapler (red, if available), mini mirror for monitor.
- caj needs a haircut
Department of Unanticipated Results: In the next few months, 3,000,000 Californians will qualify for state-funded health insurance as mandated by Obamacare. The result? Many doctors are now leaving the profession, as the mandated payments do not actually cover the costs of caring for these patients.
Doctors would earn less and have to spend huge amounts of time caring for these patients, and many are electing to simply change careers instead. (Source: a neurologist friend of mine sharing some of the back room chatter at a local medical conference.)
- I like big Botts
That's similar to my dad's inability to run his own medical practice profitably due to patients on Medicare and Medicaid who would pay only a % of that which was charged. It's the same story with new names.
- Louis Gray
What about the insurance company's fixed payments system? That seems to continually squeeze the system as well without mandates. Health coverage isn't single payer, even under the new health care law. I'm trying to understand.
- Eric
A doctor doesn't have deal with any of these insurance plans if they don't wish. Just take cash customers. Or barter for chickens like the old days.
- Todd Hoff
Or become a consultant and leave the medical profession, which is what a lot of those top neurologists are doing.
- I like big Botts
There's also a ton of frustration with the bureaucracy as well. For example, if someone comes in with a broken foot, doctors are required to get their full-life smoking history because the feds require it. If they don't get all the forms filled out correctly, then they don't get paid. 20 years ago, my friend spent 5 hours a week on insurance; today, it's closer to 30.
- I like big Botts
Health insurance has always been a crackpot crazy business of trying to squeeze everyone but the insurance company. Just look at my co-pays skyrocketing, premiums, cuts in coverage, and the craziness of trying to get insurance when I was running a small business, and I have all the proof I need. Not allowing poor or unemployed to take part doesn't help much. Just my opinion of course.
- Eric
You just can't reap as much profit from providing health care as you used to. There are a lot easier ways to make money. Like working in health care adminstration or for the insurance companies....
- Victor Ganata
The root problem is threefold: (1) calling it "insurance" when it little of it in most cases is actually insurance against unforeeen risk, it's predictable expenses; (2) tying insurance coverage to employers; (3) political corruption between the insurance industry and lawmakers.
- Tinfoil 2.0
PPACA or not, this was always going to come to a crisis point. The incomes of physicians hasn't changed in the last twenty years or so. If you adjust for inflation that means people finishing med school now make a fraction of what they would have before HMOs came to dominate the state. And student debt has only multiplied. A lot of people in my cohort feel like the only realistic option...
more...
- Victor Ganata
The root problem is that people want something for nothing.
- Victor Ganata
Let's be realistic. The rest of the industrialized world has some form of universal access. People spend a fraction of what we spend and have about the same outcomes. Physicians don't seem to be quitting in droves elsewhere. I suspect plunging the system into free market chaos is not the solution.
- Victor Ganata
I'll be honest about my opinion: anyone going into this field thinking that they're going to make vast sums of money is a moron, a crook, or both. But the old every-man-for-himself model is dead, dead, dead, and whenever paradigms shift, there are going to be lots of casualties. PPACA is just a stopgap measure to make sure it doesn't collapse entirely and all at once, and that we're not reduced to providing health care on par with the average developing nation.
- Victor Ganata
"A human being should be able to change a diaper, plan an invasion, butcher a hog, conn a ship, design a building, write a sonnet, balance accounts, build a wall, set a bone, comfort the dying, take orders, give orders, cooperate, act alone, solve equations, analyze a new problem, pitch manure, program a computer, cook a tasty meal, fight efficiently, die gallantly. Specialization is for insects."
- I like big Botts
A truly Human being wouldn't need to plan an invasion or fight efficiently.
- m9m, Crone of FriendFeed
My high school biology teacher whimsically speculated that one day humans and insects would be the last multicellular non-photosynthesizing organisms on the planet, left to fight for what scraps of food remained. Because of sheer biomass, we could lose, unless we sterilized the planet (in which case we would still lose.) And this totally fed into my recurring nightmares of being devoured alive by insect swarms
- Victor Ganata
from iPhone
As my statistics professor once told me, "Generally speaking, all animals are insects."
- I like big Botts
I don't know how to butcher a hog. I like to think I'd be ok at the rest. I'm most experienced with that diaper one, to be honest.
- Stephen Mack
from iPhone
I don't even know what "conn a ship" means. I'm a disgrace to my seafaring ancestors.
- Victor Ganata