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What Do Doctors Think Of Obamacare?


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That's what happens when you address the coverage side of healthcare without addressing the cost or accessibility.

Oh wait, they did address the cost...by cutting the reimbursement rate to doctors through Medicaid. And they expect to add millions of people to Medicaid. It's going to suck when doctors refuse to accept more Medicaid patients.

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Guest Deisel

That's what happens when you address the coverage side of healthcare without addressing the cost or accessibility.

Oh wait, they did address the cost...by cutting the reimbursement rate to doctors through Medicaid. And they expect to add millions of people to Medicaid. It's going to suck when doctors refuse to accept more Medicaid patients.

They are asking doctors to work FAR more for Far less. The student loans alone for outgoing MDs is stifling. Add the insurance liability costs and this abysml reimbursement chart for medicaide and Doc.s who work their Arses off, don't want any part of it.

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Any doctor who would give up his profession over more people getting healthcare is somebodies hands I wouldnt want my life in.

My dad and older brother complains about it, but they would never give up their job helping people just over a slight decrease(supposedly) in income.

This is a globalized world now anyways. If some spoiled rotten legacy brat over here does not feel making more than 3x the average family by themselves is good enough then they can go be businessmen or accountants and count their money. We can just import more doctors from Asia,South America, Africa, and even Europe who will appreciate making that sum of money.

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Any doctor who would give up his profession over more people getting healthcare is somebodies hands I wouldnt want my life in.

My dad and older brother complains about it, but they would never give up their job helping people just over a slight decrease(supposedly) in income.

This is a globalized world now anyways. If some spoiled rotten legacy brat over here does not feel making more than 3x the average family by themselves is good enough then they can go be businessmen or accountants and count their money. We can just import more doctors from Asia,South America, Africa, and even Europe who will appreciate making that sum of money.

Slight decrease? Have you seen the scheduled cuts in Medicaid reimbursements? A 30% decrease is not a slight decrease.

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Further, the CMS announced yesterday that it wants to cut specialist reimbursements to allow for more money to go to primary care physicians.

http://www.theheart.org/article/1423447.do

Under the CMS proposal, Medicare pay would increase by 7% for family physicians, 5% for internists, and 4% for geriatricians, as well as bump up reimbursement for nurse practitioners and physician assistants. This would be balanced against lower reimbursement for other clinicians, with radiation oncologists taking the biggest hit: a roughly 15% cut. Most reductions, however, are less than 5%, with cardiologists facing a 3% cut.

Less money for specialists means less specialists taking Medicare/Medicaid. This is a perfect example of Obamacare already negatively affecting access for people that currently have health insurance.

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Any doctor who would give up his profession over more people getting healthcare is somebodies hands I wouldnt want my life in.

My dad and older brother complains about it, but they would never give up their job helping people just over a slight decrease(supposedly) in income.

This is a globalized world now anyways. If some spoiled rotten legacy brat over here does not feel making more than 3x the average family by themselves is good enough then they can go be businessmen or accountants and count their money. We can just import more doctors from Asia,South America, Africa, and even Europe who will appreciate making that sum of money.

The biggest danger is that young peopel will not want to go to Medical School anymore. Taking on a quarter million dollars in student loans is becoming a big gamble. I have a daughter who wants to be a doctor, but I think it's a bad move to make unless her rich aunt is going to pay her way.

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The biggest danger is that young peopel will not want to go to Medical School anymore. Taking on a quarter million dollars in student loans is becoming a big gamble. I have a daughter who wants to be a doctor, but I think it's a bad move to make unless her rich aunt is going to pay her way.

A quarter million is just the cost of tuition in Med School. Throw in another 80-100k for living expenses as well.

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Further, the CMS announced yesterday that it wants to cut specialist reimbursements to allow for more money to go to primary care physicians.

http://www.theheart....icle/1423447.do

Under the CMS proposal, Medicare pay would increase by 7% for family physicians, 5% for internists, and 4% for geriatricians, as well as bump up reimbursement for nurse practitioners and physician assistants. This would be balanced against lower reimbursement for other clinicians, with radiation oncologists taking the biggest hit: a roughly 15% cut. Most reductions, however, are less than 5%, with cardiologists facing a 3% cut.

Less money for specialists means less specialists taking Medicare/Medicaid. This is a perfect example of Obamacare already negatively affecting access for people that currently have health insurance.

Some of the salary those specialists make are simply ridiculous, and this is coming from somebody who had the luxury of growing up with the salary of my fathers.

General practitioners do most of the work(on the ground at least), and they are screwed over salary-wise compared to the rest. I think even Nurses make almost what they make. Giving specialist a cut, where they will still make more than the vast majority of people on this Earth, is something that should make no one quit their job.

The biggest danger is that young peopel will not want to go to Medical School anymore. Taking on a quarter million dollars in student loans is becoming a big gamble. I have a daughter who wants to be a doctor, but I think it's a bad move to make unless her rich aunt is going to pay her way.

Its always been a big gamble. You could flunk the boards and be screwed after dropping in tons of money. Everything in life is a gamble.

And there will always be people in the medical profession. Most people I have met(including myself) didnt even have a say about whether or not we were going to do this.

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Some of the salary those specialists make are simply ridiculous, and this is coming from somebody who had the luxury of growing up with the salary of my fathers.

General practitioners do most of the work(on the ground at least), and they are screwed over salary-wise compared to the rest. I think even Nurses make almost what they make. Giving specialist a cut, where they will still make more than the vast majority of people on this Earth, is something that should make no one quit their job.

Its always been a big gamble. You could flunk the boards and be screwed after dropping in tons of money. Everything in life is a gamble.

And there will always be people in the medical profession. Most people I have met(including myself) didnt even have a say about whether or not we were going to do this.

Specialists train longer, train harder, and need higher scores just to qualify.

Family Medicine (aka general practitioners) is a 3 year residency.

Cardiology residencies are at least 7 years and as high as 9 (require a 1 year internship, 4-5 year general surgery residency, and 2-3 year cardio fellowship), Want to specialize further? Add another 2 years.

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Doctors have historically been the most vocal opponents to any and all healthcare reform throughout history. They likewise always lose and eventually come to accept the reforms.

The reason for this is that doctors don't have a lobby that represents them.

And before you bring up the AMA, less than 20% of doctors belong to AMA.

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Julian, serious question.. did your parents and your girlfriend's parents arrange y'alls relationship?

Lol I wouldnt say that.

I vaguely knew of them, but I checked her dads blood pressure one day at the clinic and we made small-talk. He said I didnt look the same without long hair and he said his daughter always talked about how good it looked. I made a joke about him bringing her in for a checkup(the joke doesnt quite work in Arabic so nothing perverted) and he took it literally and brought her in.

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My doctor hates it. He said that so far all it's done is increase the amount of paperwork and red tape he has to go through which means longer hours, increased administrative costs which means.......

wait for it....

His rate has to go up! Pair that with more and more companies going with HRA's and it eventually equates to more money out of the consumer's pockets!

Great job government! rolleyes.gif

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Its always been a big gamble. You could flunk the boards and be screwed after dropping in tons of money. Everything in life is a gamble.

And there will always be people in the medical profession. Most people I have met(including myself) didnt even have a say about whether or not we were going to do this.

That's sad man, sorry to hear that.

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Specialists train longer, train harder, and need higher scores just to qualify.

Family Medicine (aka general practitioners) is a 3 year residency.

Cardiology residencies are at least 7 years and as high as 9 (require a 1 year internship, 4-5 year general surgery residency, and 2-3 year cardio fellowship), Want to specialize further? Add another 2 years.

Interest vs incentive.

You dont think enough people care about the heart to do it without an insane increase in money?

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The reason for this is that doctors don't have a lobby that represents them.

And before you bring up the AMA, less than 20% of doctors belong to AMA.

They should probably start joining the AMA then and lobby for changes more beneficial to them. Do what the specialists did in Britain before the NHS was implemented: Lobby for beneficial changes in the system for their constituents while general practice doctors took up the impossible task of trying to sink it. The specialists got what they wanted while GP doctors had to comply with the system as it was.

Edited by Psychic Gibbon
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Lol I wouldnt say that.

I vaguely knew of them, but I checked her dads blood pressure one day at the clinic and we made small-talk. He said I didnt look the same without long hair and he said his daughter always talked about how good it looked. I made a joke about him bringing her in for a checkup(the joke doesnt quite work in Arabic so nothing perverted) and he took it literally and brought her in.

That's cool. So what sorta dowry is your fam looking at if you wife her?

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They should probably start joining the AMA then and lobby for changes more beneficial to them. Do what the specialists did in Britain before the NHS was implemented: Lobby for beneficial changes in the system for their constituents while general practice doctors took up the impossible task of trying to sink it. The specialists got what they wanted while GP doctors had to comply with the system as it was.

It's not that simple. The problem is that the current system pits doctors against each other. So you end up getting a bunch of smaller lobbys based on what field of medicine they are in, and they all go to Washington and vie for the same pot of money.

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