The High Price of Nickel-and-Diming Doctors

  • Posted by a hidden member.
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    Nov 24, 2012 5:30 PM GMT
    Unintended but predictable consequences that were ... predicted (an issue that is also playing out in Ontario).

    http://www.businessweek.com/articles/2012-11-21/the-high-price-of-nickel-and-diming-doctors
  • musclmed

    Posts: 3279

    Nov 24, 2012 6:32 PM GMT
    yes........ it is much easier to control a big organization than many individuals. The way the government will control costs is through mandates like meaningful use , clinical care guidelines , ACO's and reduced reimbursement. These financial carrots and sticks are put in place to achieve whatever the "social justice" flavor of the month is in Washington.

    Ex the 2009 change in breast cancer screening. I know 0 doctors that changed the way they practice based on this "recommendation" .

    Basically this panel of clinicians setup by government said

    "Mammography screening at any age is a tradeoff of a continuum of benefits and harms. The ages at which this tradeoff becomes acceptable to individuals and society are not clearly resolved by the available evidence."

    But they tried to change the age that mammogram screening starts from 40 to 50 anyway. The reason why mammogram screening still starts at 40 across the country is the few physicians believe or respect this government panel.

    [url]http://www.jacr.org/article/S1546-1440%2809%2900659-0/abstract[/url]

    I believe patients will figure this out and there will always be a vibrant "private" health system. Hopefully a libertarian Supreme Court will block efforts to "ban" Concierge medicine, but you never know nowadays the ends justify the means.

    http://finance.townhall.com/columnists/paulhsieh/2011/12/30/who_will_your_doctor_work_for_under_obamacare/page/full/
  • thadjock

    Posts: 2183

    Nov 24, 2012 6:56 PM GMT
    I"m an obama supporter but i have no respect for the PPACA .

    its a half measure solution that not only left most of the cost issues in place, it exacerbated them. it's healthcare reform only in name.

    granted the administration admits it was just a starting point and there are further reforms necessary but I dont' believe anyone will have the balls or political weight to wrest the $$$ away from the Insurance co. lobbyists who control healthcare now, so where does that leave us?

    People need to realise they have the ability to control their own healthcare costs individually, but they continue to eat like swine, rely on perscription drugs to regulate what could be managed with diet and lifestyle, and want government to pay for it all.