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Index » Regional/Local » USA/Canada » Health Care Page: Previous  1, 2, 3 ... 263, 264, 265, 266  Next
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Servo

Servo Avatar

Location: Down on the Farm
Gender: Male


Posted: Oct 30, 2008 - 11:13pm

Alchemist wrote:
My wife is a physician, and I hear no end of the ever increasing paperwork and government mandates that interfere with her ability to help patients.
 
My PCP is leaving private practice for a hospital job.  He is citing similar reasons.  The main difference is that where you wrote "government mandates", he's saying "insurance company antagonism".

The only new government mandates that I can think of from the last decade is HIPAA.  In this age of personal information for sale, HIPAA is well worth the extra work.  But since deregulation, insurance companies seem to serve nobody but themselves.

I want assurances that Medicine is being practiced by skilled, qualified people, and not hacks and poseurs.  I want insurance to be an equitable business relationship, not a hostage situation.  I want my practitioners to see Medicine as a higher calling, and not as the road to riches.

I know that a freshly-minted MD who isn't independently wealthy has a huge tab to pay off.  Maybe that's part of the problem too.  IMHO education is the single best investment that any person or nation can make.  I believe that the society that makes access to knowledge proportional to one's ability to learn, and not one's ability to pay will see a return on investment that far beyond the monetary amount.


OlderThanDirt

OlderThanDirt Avatar

Location: In Transit
Gender: Male


Posted: Oct 30, 2008 - 10:31pm

 BlueHeronDruid wrote:

This is why my physician (and friend) practices without a net. No insurance accepted. Meaning: she can spend time and attention with her patients (who can afford to pay up front) and have only an office assistant. Her practice is growing - but not among Medicare recipients, as you'd imagine. One schedules appts. with her by the quarter-hour or more. Our insurance pays a bit towards this. But her attention is priceless. 
 
Does she also charge an annual "subscription" fee?  The "boutique practice" I referred to earlier works as you describe, also charges an annual fee of up to $15,000, depending on the level of service desired.  Hospital and prescription costs are not included.

BlueHeronDruid

BlueHeronDruid Avatar

Location: planting flowers


Posted: Oct 30, 2008 - 10:24pm

 Alchemist wrote:
My wife is a physician, and I hear no end of the ever increasing paperwork and government mandates that interfere with her ability to help patients.  She says if she had known back in college how bad things would get she would have chosen a different field (and this is from a tireless patient advocate).  She read Hillary's entire health care reform screed and noted not a single clinician (a doctor who sees patients) contributed!  

The government has screwed up medicine, and it will only get worse if they seize more control.

 
This is why my physician (and friend) practices without a net. No insurance accepted. Meaning: she can spend time and attention with her patients (who can afford to pay up front) and have only an office assistant. Her practice is growing - but not among Medicare recipients, as you'd imagine. One schedules appts. with her by the quarter-hour or more. Our insurance pays a bit towards this. But her attention is priceless. 

OlderThanDirt

OlderThanDirt Avatar

Location: In Transit
Gender: Male


Posted: Oct 30, 2008 - 10:17pm

 Alchemist wrote:
My wife is a physician, and I hear no end of the ever increasing paperwork and government mandates that interfere with her ability to help patients.  She says if she had known back in college how bad things would get she would have chosen a different field (and this is from a tireless patient advocate).  She read Hillary's entire health care reform screed and noted not a single clinician (a doctor who sees patients) contributed!  

The government has screwed up medicine, and it will only get worse if they seize more control.

 

It kinda makes you long for the good old days, like 1941.  My mom told me my birth cost my parents $14.

(and that was one of the more expensive vets.
{#Lol}
Alchemist

Alchemist Avatar

Location: San Jose, CA
Gender: Male


Posted: Oct 30, 2008 - 10:06pm

My wife is a physician, and I hear no end of the ever increasing paperwork and government mandates that interfere with her ability to help patients.  She says if she had known back in college how bad things would get she would have chosen a different field (and this is from a tireless patient advocate).  She read Hillary's entire health care reform screed and noted not a single clinician (a doctor who sees patients) contributed!  

The government has screwed up medicine, and it will only get worse if they seize more control.
OlderThanDirt

OlderThanDirt Avatar

Location: In Transit
Gender: Male


Posted: Oct 30, 2008 - 10:00pm

 bokey wrote:

  My dad  pays a little under $300 a month for medicare and Aetna as a supplemental, but he was an uber geek for  defense contractors during the glory days of retirement funds and has some crazy benefits, the likes of which no American will ever see again.I don't know what the same coverage would cost some guy trying to scrape up the payments out of what is left of his IRA.
 
That's comparable (times 2) to what we pay, and for what it's worth to us, I guess it's warranted.  I think I said this before, so stop me if you've heard it - my last procedure at Stanford was an outpatient thing.  Into the OR at 8am, on my way home at 1pm.  I still don't know how they justified charging almost $47k for that, but it only cost me something like $213.  And because of it, I get to live for a few more years.  I guess I shouldn't complain.


bokey

bokey Avatar

Gender: Male


Posted: Oct 30, 2008 - 9:49pm

 OlderThanDirt wrote:

There are many doctors in our area who will not take new Medicare patients, even those with private, supplemental "Medigap" policies.   L's doctor left the group with which she had practiced for several years to start her own "boutique" practice.   L discovered that finding a new doctor that would take her was not easy, and practically impossible without the supplement.   Our cost for the supplement plus Medicare part B is about $650 per month.   Makes me wonder what all those MC deductions from our salaries are being used for.
 
  My dad  pays a little under $300 a month for medicare and Aetna as a supplemental, but he was an uber geek for  defense contractors during the glory days of retirement funds and has some crazy benefits, the likes of which no American will ever see again. I don't know what the same coverage would cost some guy trying to scrape up the payments out of what is left of his IRA.

OlderThanDirt

OlderThanDirt Avatar

Location: In Transit
Gender: Male


Posted: Oct 30, 2008 - 9:43pm

 ScottFromWyoming wrote:




Wouldn't surprise me.  {#Lol}
ScottFromWyoming

ScottFromWyoming Avatar

Location: Powell
Gender: Male


Posted: Oct 30, 2008 - 9:39pm

OlderThanDirt wrote:

There are many doctors in our area who will not take new Medicare patients, even those with private, supplemental "Medigap" policies. L's doctor left the group with which she had practiced for several years to start her own "boutique" practice. L discovered that finding a new doctor that would take her was not easy, and practically impossible without the supplement. Our cost for the supplement plus Medicare part B is about $650 per month. Makes me wonder what all those MC deductions from our salaries are being used for.




OlderThanDirt

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Location: In Transit
Gender: Male


Posted: Oct 30, 2008 - 9:18pm

 bokey wrote:

 It's abused by doctors and is difficult for the elderly to understand.

 It's far from perfect, but is a heck of a lot better then the VA ,IRS or SSA in my experience.
 
There are many doctors in our area who will not take new Medicare patients, even those with private, supplemental "Medigap" policies.  L's doctor left the group with which she had practiced for several years to start her own "boutique" practice.  L discovered that finding a new doctor that would take her was not easy, and practically impossible without the supplement.  Our cost for the supplement plus Medicare part B is about $650 per month.  Makes me wonder what all those MC deductions from our salaries are being used for.

bokey

bokey Avatar

Gender: Male


Posted: Oct 30, 2008 - 9:00pm

 rosedraws wrote:

This is so well said.

My questions:

- Isn't Medicare a totally successful program?

- Is it really not feasible to run a National Health Care that way?

- What are the current costs to the government, brought on by the uninsured?
 
 It's abused by doctors and is difficult for the elderly to understand.

 It's far from perfect, but is a heck of a lot better then the VA , IRS or SSA in my experience.

rosedraws

rosedraws Avatar

Location: close to the edge
Gender: Female


Posted: Oct 30, 2008 - 8:52pm

ScottN wrote:

United Health Care, located here in the Minneapolis/St.Paul metro. pays it CEO about $100 Million/year. Yes, I have my zeroes correctly counted. Start there. I am a capitalist; a small business owner. I believe in a free market, generally. I believe the source of the problem here lies in the inherent contradiction of having a vendor whose interest is in minimizing costs and maximizing income and profits be the source of care. No system works everywhere, and the free market has not worked here. We have public schools, libraries, roads, bridges, and on. Health care should be available to all. Gov't can legislate proscriptions and rules to avoid abuse. The idea that a free market, and competition that comes with it, will inevitably benefit the consumer has been completely co-opted in the case of health care....and we are all paying.

This is so well said.

My questions:

- Isn't Medicare a totally successful program?

- Is it really not feasible to run a National Health Care that way?

- What are the current costs to the government, brought on by the uninsured?

cc_rider

cc_rider Avatar

Location: Bastrop
Gender: Male


Posted: Aug 4, 2008 - 11:28am

sherbeari wrote:


There is very select list of generic prescription drugs that you may be able to fill at Walmart and Target for $4 each. If you have trouble paying, "needy meds" may be able to help. If you live in CA, you can also get a "California Rx card" .

Just thought I would throw that out there for you.

{#Hug}



Thanks. My pharmacy checks for generic substitutes already. Of course none of mine are generic yet. I'm not hurting THAT bad yet, it's just one more straw, y'know?

c.

sherbeari

sherbeari Avatar

Location: Oak Park, CA
Gender: Female


Posted: Aug 4, 2008 - 9:55am

 cc_rider wrote:
I am planning to leave my current employer in a few months, maybe less. It is very likely I will just go 'bare' for the foreseeable future. I will TRY to put money aside, maybe create another account for the purpose, but I will have $200-$300/month prescription expenses without insurance. Still, it'll be a fraction of what health insurance would cost. My employer pays all of it right now, which is a huge reason I have not had a raise as long as I can remember.

I have arrived at the conclusion health insurers are some of the worst bunch of crooks ever to come down the pike. Besides the brain trusts in Washington, of course.

c.


 

There is very select list of generic prescription drugs that you may be able to fill at Walmart and Target for $4 each. If you have trouble paying, "needy meds" may be able to help. If you live in CA, you can also get a "California Rx card" .

Just thought I would throw that out there for you.

{#Hug}
bokey

bokey Avatar

Gender: Male


Posted: Aug 4, 2008 - 9:51am

 cc_rider wrote:

I am planning to leave my current employer in a few months, maybe less. It is very likely I will just go 'bare' for the foreseeable future. I will TRY to put money aside, maybe create another account for the purpose, but I will have $200-$300/month prescription expenses without insurance. Still, it'll be a fraction of what health insurance would cost. My employer pays all of it right now, which is a huge reason I have not had a raise as long as I can remember.

I have arrived at the conclusion health insurers are some of the worst bunch of crooks ever to come down the pike. Besides the brain trusts in Washington, of course.

c.



 
 It's a great system they have.  " They" add the shit to our food that clogs our arteries and pollutes our bodies, then "they" charge us astronomical amounts to fix (or better yet, control) the damage  if we want to live .

cc_rider

cc_rider Avatar

Location: Bastrop
Gender: Male


Posted: Aug 4, 2008 - 9:47am

bokey wrote:
Health care just keeps getting more and more out of reach for average Americans{#Fire}.
.

Prescription Data Used To Assess Consumers
Records Aid Insurers but Prompt Privacy Concerns
By Ellen Nakashima
Washington Post Staff Writer
Monday, August 4, 2008


"When an insurer makes an online query about an applicant, Ingenix or Milliman's servers scour the data and within minutes or less return reports to a central server at the company. The server aggregates the information going back as far as five years, including the drugs and dosages prescribed, dates filled and refilled, the therapeutic class and the name and address of the prescribing doctor.

Then comes the analysis.

Ingenix's MedPoint tool provides insurers a "pharmacy risk score," or a number that represents an "expected risk" for a group of people, such as 30- to 35-year-old women who have taken prescription drugs, Stenson said. Higher scores imply higher medical costs."
(click here)


I am planning to leave my current employer in a few months, maybe less. It is very likely I will just go 'bare' for the foreseeable future. I will TRY to put money aside, maybe create another account for the purpose, but I will have $200-$300/month prescription expenses without insurance. Still, it'll be a fraction of what health insurance would cost. My employer pays all of it right now, which is a huge reason I have not had a raise as long as I can remember.

I have arrived at the conclusion health insurers are some of the worst bunch of crooks ever to come down the pike. Besides the brain trusts in Washington, of course.

c.


bokey

bokey Avatar

Gender: Male


Posted: Aug 4, 2008 - 9:13am

Health care just keeps getting more and more out of reach for average Americans{#Fire}.
.

Prescription Data Used To Assess Consumers
Records Aid Insurers but Prompt Privacy Concerns
By Ellen Nakashima
Washington Post Staff Writer
Monday, August 4, 2008


  "When an insurer makes an online query about an applicant, Ingenix or Milliman's servers scour the data and within minutes or less return reports to a central server at the company. The server aggregates the information going back as far as five years, including the drugs and dosages prescribed, dates filled and refilled, the therapeutic class and the name and address of the prescribing doctor.

Then comes the analysis.

Ingenix's MedPoint tool provides insurers a "pharmacy risk score, " or a number that represents an "expected risk" for a group of people, such as 30- to 35-year-old women who have taken prescription drugs, Stenson said. Higher scores imply higher medical costs. "
  (click here)


Zukiwi

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Location: Montreal's suburb
Gender: Female


Posted: Apr 7, 2008 - 5:20am

laozilover

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Location: K Town (Kenosha, Wisconsin)
Gender: Male


Posted: Jun 9, 2007 - 10:49am

laozilover

laozilover Avatar

Location: K Town (Kenosha, Wisconsin)
Gender: Male


Posted: May 14, 2007 - 9:26am

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