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To: SmoothSail who wrote (505915)9/2/2012 6:49:22 AM
From: Tom Clarke  Read Replies (1) | Respond to of 794033
 
Who was the first on this board to predict a decisive Romney win? I think it was me! :)

Message 28163428



To: SmoothSail who wrote (505915)9/2/2012 9:27:36 AM
From: skinowski  Read Replies (1) | Respond to of 794033
 
There is only one thing that I do not like about your "concierge" story - the "experts" who we're helping your doc set up the system. As you could see, there wasn't very much to explain - the idea is very simple. Those people are necessary only in order to make the enterprise legal. For legal reasons the doc must be, technically, their employee, a member of their medical "group", which in reality does not exist. For that "service" they will keep 1/3 or more of the 2K retainer.

This illustrates one of the main reasons why our healthcare is expensive. Way, way too many individuals who do not belong make a living off healthcare.

The concierge system itself I see as an attempt to bring in some market forces (and pricing) into healthcare. Viewed simply, those who signed up decided that the services of that particular doc - with even greater attention and access - were worth to them the additional 2K. Those who did not sign up felt that it was not worth the additional cost. That's the way it should be in a free country.

My mother is signed up with a concierge doc ( 1.5K). That doc practices a brand of medicine which would simply not be possible on Medicare fees alone. So far every time I called him, he picked up the phone, or called me back after a short while. A couple of years ago she was very sick, and he, somehow, managed to keep her in the hospital for a long time - far longer than the "DRG'S" allow. He came to see her twice a day. Basically, he saved her life. Did house calls a few times since then. Those 1.5K were the best money we ever spent.

I don't know much about Kaiser, but they successfully outcompeted a variety of other options, in many parts of the country. They must be doing something right. LB thinks highly of them. Most likely, it's a good idea to try them.



To: SmoothSail who wrote (505915)9/3/2012 1:52:09 AM
From: KLP  Read Replies (1) | Respond to of 794033
 
In addition to your regular Family Practice Doc, did he say what would happen if along the way, you needed specialized Doctors like an endocrinologist, and/or a neurosurgeon, and/or a urologist, and/or a cardiologist, or a specialized foot doctor or an oncologist, etc?????

When one is healthy, one never thinks to ask things like this.....but at some time in our lives, we will need one or more of these speciality Docs to help us get past whatever is wrong......