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Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?


To: Lane3 who wrote (23905)6/29/2012 2:53:19 PM
From: i-node  Read Replies (1) | Respond to of 42652
 
>> This is short term, though, doctors who grew up in the old system. Doctors coming in more recently will have different expectations and be more inured to government involvement. Kind of like the frog in the boiling water.

True, but in the meantime I suspect the physician shortage is going to be exacerbated by it.

However, it is very much counterproductive to have busy people mired down in government bureaucracy, no matter whether it is now or later.

My perception is that Medicare, in particular, is unmovable at this point. When I dealt with IRS as a CPA, I thought that about them, but they turned things around significantly IMO. But Medicare is a much larger organization with a lot of huge moving parts in the form of the regional contractors.

A lot of people just give up. I recently worked with a new clinic that opted out of Medicare altogether. So, it isn't just older docs. If they look at it with cold, hard analysis, there is literally no reason to accept Medicare as a payer, and many docs would be better off without them.



To: Lane3 who wrote (23905)6/29/2012 4:34:10 PM
From: TimF  Read Replies (1) | Respond to of 42652
 
There is the change factor, people not wanting to deal with what they are not used to, and find uncomfortably different; but it isn't the only factor. There is also the cost and hassle of dealing with the paperwork (even for someone who has had to deal with it from the beginning), and the lower payouts (perhaps to the point of making treating them unprofitable) for these patients, which will impact new doctors as well.