Yesterday while I was out and about I ran into a doctor that I know casually. He is a general practitioner who is in favor of the law that was signed today. His list of reasons included:
Medicare is losing money by not paying for wellness exams. By paying for these exams they can find things at an earlier stage when it is both easier to treat and less expensive. Ok, I think we can all agree this is a good thing. But, it didn’t take almost 3,000 pages to accomplish this.
His bottom line will increase. As a person in favor of capitalism I am ok with that. He writes off tens of thousands of dollars that he is never paid for. Here we have a bit of a disagreement. When I was sick my issues were not really my treatments, but my prescription costs. I didn’t understand that had I called the pharmaceutical company they could have helped me work out a more reasonable rate. I also must be a complete idiot, as I paid back every dime of debt. Apparently most people can’t be bothered. I made arrangements to pay an affordable amount every month. It took me years, but it was paid. I don’t understand why people don’t pay their debts. I know firsthand that if you work with the doctors, they will work with you. Now, I am not saying there are times that people just can't do it. That absolutely happens. Again, we can put in safety nets for this.
He told me that he is forced to increase the costs of the insured to cover the under-payments for services from Medicare. Medicare is scheduled to be decreased, not increased. This problem will still exist and may actually get worse as the baby boomers hit retirement age.
I asked him if I came into his office and paid cash in full at the time of visit would this decrease his costs. He said that it would require less administrative time which would lower his overhead costs. So I asked doesn’t it stand to reason that if we move away from insurance dependence instead of increasing it costs would be lowered? He said that would lower staff costs. He currently has five people who do nothing but fill out paperwork for insurance companies. This has been proven to lower costs at Safeway, Whole Foods, and the state employees of Indiana. I have a similar plan. I have a high deductible that is supplemented by a HSA. Once my HSA runs out I then use my insurance. This has been very cost effective for me. Almost all HSA’s will now pay doctors directly, so they will be paid the same way that they are right now by conventional insurance.
My final questions were to ask him if he accepted Medicaid. He does not. So we are increasing the role of Medicaid into the healthcare system, who is going to treat them? What we have done is given people access to insurance. This will not translate to improved health. For improved health wouldn’t they actually have to have access to a doctor? His response was that it is not perfect. Really?
Lastly, and there is no way around this, if I am wrong, so what? My bad, I’ll take responsibility for it, and the country will be better off. If he is wrong, what then? The most innovative medical care in the world could be destroyed. Who is going to be responsible for that?
A belief in the written constitution. The belief that we are responsible for ourselves and for our families. The belief that we are allowed to fail. The belief in a strong national defense are a few of the things that make me just a conservative girl.
"Fascism should more properly be called corporatism because it is the merger of state and corporate power." -- Benito Mussolini
"I say this not to the teachers, but to their unions: If education were a war, you would be losing it. If it were a business, you would be driving it into bankruptcy. If it were a patient, it would be dying." Bob Dole
Yes, House Republicans have been in power for 5 hours and they have not passed their entire agenda. The New York Times things they should be canned and Democrats put back in charge. Don Surber
"Our lives begin to end the day we become silent about things that matter." Dr. Martin Luther King, Jr.
"So I say huzzah to the 112th congress for reading the Constitution, for acting like it matters. It does. The Constitution may not be sacred, but the sacred has no better friend than the Constitution." Pat Archibold
"53% of Democrats have a postive view of socialism. 100% of republicans think those 53% are morons." Mark Levin
"Corrupt the young. Get them away from religion. Get them interested in sex. Make them superficial; destroy their ruggedness." First plank of the communist strategy for revolution - confiscated in Dusseldorf, Germany in 1919
"If you believe this isn't going to cost the government anything, you are likely to see leprechauns riding on unicorns with pots of gold circling the capitol" Rep. Devin Nunes, CA-21 on healthcare "reform".
"Liberals claim to want to give a hearing to other views, but then are shocked and offended to discover that there are other views". William F. Buckley, Jr.
"The Republicans were laughing and waving the American flag, and I thought that was ourtrageous behavior" Maxine Waters
"The American people will never knowingly adopt Socialism. But under the name of 'liberalism' they will adopt every fragment of the Socialist program, until one day America will be a Socialist nation, without knowing how it happened." Norman Thomas
I am a Republican, a black, dyed in the wool Republican, and I never intend to belong to any other party than the party of freedom and progress. Frederick Douglas
Don't go around saying that the world owes you a living. The world owes you nothing. It was here first. Mark Twain
I freed thousands of slaves, and could have freed thousands more, if they had known they were slaves. Harriet Tubman
But I think the most important thing I have figured out was how not to lose hope even when things are bad and it feels like it won't get better. It will get better. You just have to keep working at it and moving forward. Homeless & Conservative
The way to crush the middle class is to grind them between the millstones of taxation and inflation. Vladimer Lenin
There is all the difference in the world between treating people equally and attempting to make them equal. F.A. Hayek