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<blockquote data-quote="tRidiot" data-source="post: 2330797" data-attributes="member: 9374"><p>Not a doubt in the world...</p><p></p><p></p><p></p><p></p><p>Charlie is exactly right about this. I am not saying everything he says is right, but this IS exactly what they will do to FORCE doctors to comply with SUBSTANDARD treatment modalities. It is happening already, folks. </p><p></p><p>The government ALREADY dictates as much about how we care for patients as the medical community does. If you don't think it is going to get worse, you have your head in the sand. Your doctor, who says, "I won't let them tell me how to treat my patients," is either going to toe the line, or go private cash-pay only. EVERY INSURANCE PLAN will soon be required to provide the exact same coverages, dictated by the ACA. And anything above and beyond is double-taxed. So these they are attempting to phase out... by penalty. They want everyone to have exactly the same coverage. Then, switching it over to a .gov-administered system will be a piece of cake.</p><p></p><p>Doctors cannot survive without insurance, unfortunately. A few have been able to manage some cash-only practices, in fact a very good friend of mine started his last year. I need to email him and see what he thinks about how it's going... but the fact is, it's a niche market, and won't work en-masse, because most people aren't going to pay cash out of their pockets. Hell, if we'd just institute the same $3.00 co-pay for adult Medicaid patients to be seen in my ER as they do in the clinic, I think fully 50% of them wouldn't come in... because they're not even going to pay $3.00 to be seen by a doctor. Because they have "the gold card" as we call it. Pays for everything, no cost, no consequences.</p><p></p><p>In fact, that's their "incentive" to overutilize the ER... at a doctor's office you have to make an appointment, sometimes days or weeks out, AND then you have to pay a $3.00 copay. At the ER, it's walk in and take a seat. You'll be seen (at our ER) usually in less time than if you had an appointment at your doctor's office.</p><p></p><p>Downhill slide, folks...</p></blockquote><p></p>
[QUOTE="tRidiot, post: 2330797, member: 9374"] Not a doubt in the world... Charlie is exactly right about this. I am not saying everything he says is right, but this IS exactly what they will do to FORCE doctors to comply with SUBSTANDARD treatment modalities. It is happening already, folks. The government ALREADY dictates as much about how we care for patients as the medical community does. If you don't think it is going to get worse, you have your head in the sand. Your doctor, who says, "I won't let them tell me how to treat my patients," is either going to toe the line, or go private cash-pay only. EVERY INSURANCE PLAN will soon be required to provide the exact same coverages, dictated by the ACA. And anything above and beyond is double-taxed. So these they are attempting to phase out... by penalty. They want everyone to have exactly the same coverage. Then, switching it over to a .gov-administered system will be a piece of cake. Doctors cannot survive without insurance, unfortunately. A few have been able to manage some cash-only practices, in fact a very good friend of mine started his last year. I need to email him and see what he thinks about how it's going... but the fact is, it's a niche market, and won't work en-masse, because most people aren't going to pay cash out of their pockets. Hell, if we'd just institute the same $3.00 co-pay for adult Medicaid patients to be seen in my ER as they do in the clinic, I think fully 50% of them wouldn't come in... because they're not even going to pay $3.00 to be seen by a doctor. Because they have "the gold card" as we call it. Pays for everything, no cost, no consequences. In fact, that's their "incentive" to overutilize the ER... at a doctor's office you have to make an appointment, sometimes days or weeks out, AND then you have to pay a $3.00 copay. At the ER, it's walk in and take a seat. You'll be seen (at our ER) usually in less time than if you had an appointment at your doctor's office. Downhill slide, folks... [/QUOTE]
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