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Politics : Arnold for Governor! -- Ignore unavailable to you. Want to Upgrade?

To: Dr. Voodoo who wrote (552)	10/9/2003 6:53:52 PM
From: Original Mad Dog	Respond to of 773

You make some valid points and some I disagree with (I'm related to several doctors as well and helped one set up an office and billing system). But why is $100 for a 15-minute follow up excessive? You are paying for years of hard study and sacrifice and difficult study so they will know what they need to know to conduct the follow up properly. As Royko put it: "[Doctors] must (a) get excellent grades and a fine educational foundation in high school in order to (b) be accepted by a good college and spend four years taking courses heavy in math, physics, chemistry and other lab work and maintain a 3.5 average or better, and (c) spend four more years of grinding study in medical school, with the 3rd and 4th years in clinical training, working 80 to 100 hours a week, and (d) spend another year as a low-pay, hard-work intern, and (e) put in another 3 to 10 years of post-graduate training, depending on your specialty and (f) maybe wind up $100,000 in debt after medical school and (g) then work an average of 60 hours a week, with many family doctors putting in 70 hours or more until they retire or fall over?" That's worth 100 bucks to me. If it's not worth 100 bucks to you, find somebody willing to go through all that and charge less. If you can't find anybody, consider not going to the doctor (since it clearly isn't worth it). And consider also that if the rewards are less, ultimately the caliber of people willing to go through all of that training will be lower. If you don't like the care now, you sure won't like it then.

To: Dr. Voodoo who wrote (552)	10/10/2003 10:13:14 AM
From: 10K a day	Read Replies (3) \| Respond to of 773

Voodoo you have no clue about the costs of doing business. Your numbers are JUST PLANE wrong. Why don't you go talk to a medical biller. You are pulling your numbers out of the air. (California) Work Comp has a set fee schedule . I can tell you it is not 200 dollars for an hour of Physical Therapy. It is 66-69 dollars. If you do electrical stim it's an extra 9 dollars. Yippee. (i don't believe reimbursment rates have gone up in 13-14 YEARS, BELIEVE IT OR NOT...WHAT OTHER INDUSTRY CAN SAY THAT? HELLO?) Medi-cal in fact reimburses 28 dollars. You will go broke. Trust me. You wait 90 days for 28 dollars. Wow. For a 1300 square foot office your electrical bill alone is 500 dollars. Your phone bill just to have a yellow page ad is 600. You pay 3-8 percent for work comp. You pay .0751 percent for your portion of FICA/Medicare You pay another 3 percent or so towards Unemployemnt Ins Almost 1 percent towards SDI. Payroll is your biggest expense. You create jobs but who cares. You wait 90 days for your money. Sometimes with medicare you might wait a year and a half or two years. You may pay 10 grand to upgrade your software to abide by privacy legislation. You may pay 150 grand in school loans. But who really cares. Give those guys a visit cap too. Pardon my sarcasm. But your just talking out your backside.