No . What specifically do you want to address? Please hone in or stop dancing. Otherwise it is nonsensical to reply at all. No one is under any obligation to reply. Now, please seek clarification regarding what you find is unclear.
Is obamacare really bad for doctors?
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No . What specifically do you want to address? Please hone in or stop dancing. Otherwise it is nonsensical to reply at all. No one is under any obligation to reply. Now, please seek clarification regarding what you find is unclear.
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Yes. Your posts are rambling and mostly incoherent. If you want specifics pick any of your 500 word replies and there you go. I doubt anyone wants clarification as much of what you brought up has nothing to do with anything. 👍
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Who talks like this in real life? Its like one of those satire movie characters who uses large words incorrectly while trying to demonstraterize the magnitudity of their intellectuocity.
Damon wayans had a character like that back in the day... (pretty sure I didn't spell his name right)
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I'm pretty sure that's how it works. Everyone is fine for cutting/banning everything until they need to use it themselves.
Unless you couldn't afford health care in the first place, and thanks to the new bill, now you have insurance.
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We already ration care, it's just that we don't see it. Are we, as a society, okay with letting millions of people have almost no access to healthcare due to their financial status?
That is the fundamental question at hand. If you answer yes, then by default, you are okay with letting millions of people lead shorter, less able, less fulfilling lives. As long as you are okay with that notion, then there's nothing more to debate.
If you answer no to that question, then the PPACA is a good step forward in rectifying the needs of millions of people who have been disenfranchised.
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Exactly. I can't begin to ask specifics, because what jl lin is saying has nothing to do with anything. They just sound like the ramblings of a conspiracy theorist. We're discussing PPACA here. Focus on that with coherent specifics that discuss parts of the bill.
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Hello,
First of all, sorry for my English.
I would like to give my view about Obamacareand private practice.
Obamacare is good for primary care,but I am not sure how Obamacare is good for the rest of business. I expect atleast a little more payment for primary care from Medicare with Obama and lesspayments for others.
My wife has Internal Medicine privatepractice, we work together in town with population about 15.000. It isunderserve area, it means about 10% payment more.
I will tell you what is the mostimportant for primary care private practice.
The most important is to learn coding.It must be done by physician, it is the best way. There are some courses, so bythe time you will be ready to do it byyourself. I know physician who lost about 30% just due to bad coding.
Another is do not use medical software,it is not necessary, MS Office is enough for the business. Just keep stuffs simple.Physician software is not necessary by law for small private practice in thismoment. It will spare you a lot of money.
We do not accept Medicaid, justMedicare, BlueCross, UnitedHealthcare,....What will be in future, we will see, maybe we will accept Medicaid, but Idoubt, depends on payment. We have 60% Medicare and the rest are otherInsurances.
There is software from Cahaba GBA, "PC-ACEPro32", what can be used to ask Medicare for payment. The software isfree. It takes time to learn to use it, but not big deal.
Last, but not the least do not pay fornew office furniture and medical devices (we have only Welch Allyn CP200 newone). Also, do not pay a lot for office rent. We use standard home, $750.00 amonth (yes, 15.000 population, but still cheap even here).
If patients like you, furniture is notso important, but if you are not so liked buy patients furniture will not helpyou at all. Do not force numbers of patients, just quality, after some time (soonerrather than later) you will get more new patients.
Do not allow guys to walk through you officeto see what you need. You know it the best, much better than they know. If theycheck it, you need everything.
Do not employ person to fax, to answerthe phone calls. If you are busy answering machine is solution and call themlater.
With 3 employees, including physician,in our office we do all of it by ourselves. It takes more work than 8 hours aday, but if you think that you have night shifts in hospitals, this is not sobad.
I know private practice who makes grossearns pretty more than we, but they have a lot spending, so their net pay isnot bigger than ours.
We receive at least twice a monthoffer for some IM positions, now even phone calls. The salary goes up, can be $160.000+,but it is not good enough for us, because our net salary is even more than somegross offers.
Our company is LLC.
My wife does not work in hospital atall, we are completely separated.
Thank you.
All the best.
First of all, sorry for my English.
I would like to give my view about Obamacareand private practice.
Obamacare is good for primary care,but I am not sure how Obamacare is good for the rest of business. I expect atleast a little more payment for primary care from Medicare with Obama and lesspayments for others.
My wife has Internal Medicine privatepractice, we work together in town with population about 15.000. It isunderserve area, it means about 10% payment more.
I will tell you what is the mostimportant for primary care private practice.
The most important is to learn coding.It must be done by physician, it is the best way. There are some courses, so bythe time you will be ready to do it byyourself. I know physician who lost about 30% just due to bad coding.
Another is do not use medical software,it is not necessary, MS Office is enough for the business. Just keep stuffs simple.Physician software is not necessary by law for small private practice in thismoment. It will spare you a lot of money.
We do not accept Medicaid, justMedicare, BlueCross, UnitedHealthcare,....What will be in future, we will see, maybe we will accept Medicaid, but Idoubt, depends on payment. We have 60% Medicare and the rest are otherInsurances.
There is software from Cahaba GBA, "PC-ACEPro32", what can be used to ask Medicare for payment. The software isfree. It takes time to learn to use it, but not big deal.
Last, but not the least do not pay fornew office furniture and medical devices (we have only Welch Allyn CP200 newone). Also, do not pay a lot for office rent. We use standard home, $750.00 amonth (yes, 15.000 population, but still cheap even here).
If patients like you, furniture is notso important, but if you are not so liked buy patients furniture will not helpyou at all. Do not force numbers of patients, just quality, after some time (soonerrather than later) you will get more new patients.
Do not allow guys to walk through you officeto see what you need. You know it the best, much better than they know. If theycheck it, you need everything.
Do not employ person to fax, to answerthe phone calls. If you are busy answering machine is solution and call themlater.
With 3 employees, including physician,in our office we do all of it by ourselves. It takes more work than 8 hours aday, but if you think that you have night shifts in hospitals, this is not sobad.
I know private practice who makes grossearns pretty more than we, but they have a lot spending, so their net pay isnot bigger than ours.
We receive at least twice a monthoffer for some IM positions, now even phone calls. The salary goes up, can be $160.000+,but it is not good enough for us, because our net salary is even more than somegross offers.
Our company is LLC.
My wife does not work in hospital atall, we are completely separated.
Thank you.
All the best.
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I don't know if it's good or bad for doctors but it will certainly harm patients.
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Obamacare increases coverage, not access. There is a big misconception about this.
A major provision is that people with pre-existing conditions can now get insurance. Another major piece is the establishment of health care exchanges. Both of those increase access.
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+1👍👍
I also don't think people realize how we are all connected and what happens to the 30-40 million that are uninsured affects all of us. By increasing the insurance pools and practicing preventative medicine we are helping everyone out. My school has a Nobel laureate who got his prize in economics and he has a book called "The Price of Inequality". It does a pretty good job of outlining how beneficial it is for the nation (rich and poor) to take care of the poor and those who cannot afford things such as healthcare.
Horsetoads. Anyone with any insight can see past this nonsense. It's a form of personal attack.
What have I stated that confuses you? Where's your example related to what was stated or mentioned?
Meanwhile. . .way to get around dealing. Many people are really more insightful than you realize. They know the drill. If they are unclear on a point or two, they seek clarification. If they really don't care, they move on; but they don't waste time attacking the poster, unless their motive is to use adhominem attacks to try and gain points or undermine another.
State your specific beef or move on. It's that simple. Counter or question. Anything else is BS, period.
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"horsetoads" and "butthurt"
I love these new words!
I love these new words!
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Thanks for your clarification about how SDN is used. Keep up with the conspiracy talk. It is a good thing that no one else on here has agreed that your writing rambles and never makes much of a point. 🙄
Wow, the lack of comprehension is astounding.
Let's simplify, OK? Put up, or shut up. What's you beef? Name even one point of confusion.
If you can't, then shut up with the ad hominems. It's blatantly obvious. Unramble then. Pose a question concerning one point of confusion or lack of clarity. Where is that? Not seeing it, b/c you're not interested in seeking clarification, which would be fine if you then shut up with the personal attacks.
No one has time for such lame antics. Put up or shut up. Can you understand that? Is that clear enough for you?
Probably not. State your question or whatever it is that I said that you don't get or that is not clear. That's the only intelligent way to move forward. Are you open to intelligently moving forward, or are you only interested in childish personal attacks???? Hmmmm? Think carefully how you respond, it may be, as your other responses toward me have been, quite telling.
Either way, it's of no consequence to me or anyone else.
See, when you don't ask a specific question or seek a specfic point of clarification, yet you continue to merely attack a person, it is very evident what you are about.
This brings us back to put up or shut up.
No more attacks without a specific question. I mean unless you are looking to cause undue tension and get a thread closed, which, again is of no consequence to me Stinger. 😉
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Our beef is that your way of articulating thought resembles the ramblings of a homeless patient.
That's some serious horsetoads right there man.
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Because homeless people all ramble
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Just spit out some coffee onto my syllabus, well down sir/ma'am.
Thanks for clearing that up and proving what some of us have been thinking--what is clearly obvious--it's just childish ad hominem attacks.
Good job. Walk proud paragons of intellect! My point has been achieved thanks to you!
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Thanks for clearing that up and proving what some of us have been thinking--what is clearly obvious--it's just childish ad hominem attacks.
Good job. Walk proud paragons of intellect! My point has been achieved thanks to you!
Still not an ad hominem. Google "ad hominem fallacy fallacy" and click the first link. Read up
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Correct. You haven't made an argument or sought clarification on any one, partial, or just any points I've previously made at all. You have FAILED to do so on any specific point, period.
No. Think for a second. I am talking about ad hominem not in terms of "ad hominem fallacy" or "ad hominem argumentation." What is really going on is ad hominen in terms of what it is--its etymology; i.e., its nature and as it is being used. It is clearly used here as attacks of the person. The is the nature of ad hominem, and how it is being used.
ad hominem c.1600, Latin, lit. "to a man," from ad "to" (see ad-) + hominem, accusative of homo "man" (see homo- (2)).
Or in this case, a woman. LOL.
Let's see. . .accusation of being a homeless rambler or whatever. lol
BTW, I think some misunderstand what is going on with a fair number of homeless people, but that's beside the point--using that as a "cut" against a person just adds to the appearance of ignorance--and it seems quite hypocritical in light of what some of the attackers have said about helping others that need healthcare and aren't getting it. More hypocrisy from that side of the street.
Since there has been a failure to get to any specific point I have made--in terms of honest argumentation or clarification,
and since if what was stated was so unclear that some can by no means find a point or points from which to argue or seek clarification,
it's illogical that the personal attacks go on---unless some are seeking to bully or discredit someone without building a logical case from which to debate or question what they have said.
In short, if it made no sense at all and was of no consequence to the discussion, why would you go on in attacking the person or accusing them of being "out there," "rambling"...whatever?
It simply makes no sense. The motives are clear. Without an argument or at least seeking clarification through which to debate, it is only petty and childish--else, you'd simply bypass the post and move on. So your only motive is to attack the person.
End of story.
res ipsa loquitur--as in the Latin term's orgin. . .just as I use the term ad hominen, in terms of it's original meaning.
¿Putasne intelligis?
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I keep coming back to this thread just to see how much more butthurt jl lin can get.
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That isn't how that works. It is not synonymous with insult. Don't try to stretch it to that either. It makes you look more foolish (still not ad hominem). What you are doing is using a face value interpretation of the phrase ignoring the common use and meaning. That is asinine.
It would be like me requesting a sombrero in a novelty shop and then getting offended when they don't hand me the baseball cap because technically I asked for "hat". Don't be that guy
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It would be like me requesting a sombrero in a novelty shop and then getting offended when they don't hand me the baseball cap because technically I asked for "hat". Don't be that guy
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Excuse me, but wow you are daft.
You said ad hominem argument or fallacy. You are addressing a formal usage, and I am addressing the nature of the term AND HOW YOU ARE USING IT HERE.
You can't be that dense. . .well. . .
OK, you don't get etymology.
Your intent is to insult and attack the person not to address any points or statements or to pose any questions regarding what has been said.
LOL. You are utterly ridiculous.
Since you continue to play this foolish game, and you have nothing of substance with which to address me, you have now achieved "ignore list" status.
See ya. Big😍 to ya! 😉
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you..... you DO know that the term "ad hominem" ONLY applies to logical arguments, right? It was a term coined by an Englishman to describe such fallacies. Etymology?
Yes yes, because since it is latin it means that little Plato was obvliously ran after being bullied to mommy and screamed "Mom! Prometheus just Ad Hominemed me!" 🙄 I recognize the blaring historical problems with my post, but so long as you are allowed to do such I think I am too 👍The fun part is that in my alleged "denseness" and your immense "intelligence" you seemed to have completely missed the fact that only a few posts ago I was calling out the guy who compared you to a homeless person. In a completely unrelated matter, how many rows of seats did your schoolbus have as a child?
If we want to actually talk about my point: it is within that article I told you to look up. The ad hominem fallacy fallacy discusses people who throw out "ad hominem" in an argument towards a statement that, yes, is insulting, but also makes specific counterpoints. Just as you did here, you cry foul and then ignore every other point that was made. This is in fact an ad hominem because you attack the person (claiming that they are only using insults) in order to shirk all other points. It also just so happens to be a major pet peeve of mine around here because people routinely use it as you did which only demonstrates a severe misunderstanding of the phrase and the ridiculous belief that you can use big latin words in order to make yourself look more intelligent than you really are 👍 stick to plain speech and once you can form coherent statements you can graduate to 3 syllable words again.
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Didn't bother with your jpg, but I will say this;
I'm beginning to wonder how many angels could dance on your head? Sorry if that is not clear enough for you.😀
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That is not one that I am familiar with.
I'm starting to wonder how many woodchucks it would take to sell sea shells under a lightbulb 👍
I can feel my brain cells committing suicide reading your posts. Must go do something intellectual.
I'm starting to wonder how many woodchucks it would take to sell sea shells under a lightbulb 👍
I can feel my brain cells committing suicide reading your posts. Must go do something intellectual.
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First you try to impress us with your grade school Latin, then you try a clever "angles on head of pin" quote.
I can feel the butthurt from here.
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You hush. Clearly you don't understand etymio... eth... ethy.... the origin of words!
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i agree, i think out of 5 pages, only 3 was spent on the topic of ppaca...
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You hush. Clearly you don't understand etymio... eth... ethy.... the origin of words!
Lol!
Obamacare is bad for doctors. Obamacare is good for hospital CEOs, hospital profits, trial lawyers, and little nurses and other little mid-levels.
Ron Paul said that Obamacare will damage the doctor patient relationship. He is RIGHT. In fact Ron Paul has been right about pretty much everything. He predicted the way America would head from the year 2002-2012 with complete accuracy.
Watch this 5 min video as he predicts the world's and America's fate in 2002-2012
Ron Paul said that Obamacare will damage the doctor patient relationship. He is RIGHT. In fact Ron Paul has been right about pretty much everything. He predicted the way America would head from the year 2002-2012 with complete accuracy.
Watch this 5 min video as he predicts the world's and America's fate in 2002-2012
Every doctor wants universal access to healthcare. Who wouldn't want all patients to have access? People disagree on how to provide that access. Obama's plan will hurt doctors in that it will drop salaries. Some think the bill is important enough to support it anyway. Others want to keep searching for a different solution or at least wait until their is meaningful tort reform so that the decline in reimbursements is offset by a decline in malpractice rates.
I will use the example of cardiology (which I am most familiar) to explain the effect of Obamacare. To help pay for his very expensive plan, Obama cut reimbursement for most outpatient cardiology procedures, in some cases almost by up to one third. As a result, Cardiology salaries plummeted. To try to survive, up to 50% of private practice cardiology groups had to sell ownership to hospitals, especially in the northeast where the cuts were the greatest. Obama is calling for another 15% cut for Medicare reimbursement on January 1. This will close the doors of even more private groups and make most cardiologists hospital employed, where their salaries are usually capped. As has been mentioned, reimbursement for inpatient procedures has not been affected that much. Now that the cardiologist works for the hospital he will admit his otherwise stable patient so that the testing will be reimbursed better. This is very anti small business and will change the way much of healthcare will be delivered. It has already started to happen.
Now some will say that he is increasing reimbursement or primary care docs. But the PCP's that are the most successful are those that are in multi specialty groups involving more lucrative fields (such as cardiology) with a profit sharing model. If the cardiologist's salary goes own, his partner the primary care docs salary will go down to.
I will use the example of cardiology (which I am most familiar) to explain the effect of Obamacare. To help pay for his very expensive plan, Obama cut reimbursement for most outpatient cardiology procedures, in some cases almost by up to one third. As a result, Cardiology salaries plummeted. To try to survive, up to 50% of private practice cardiology groups had to sell ownership to hospitals, especially in the northeast where the cuts were the greatest. Obama is calling for another 15% cut for Medicare reimbursement on January 1. This will close the doors of even more private groups and make most cardiologists hospital employed, where their salaries are usually capped. As has been mentioned, reimbursement for inpatient procedures has not been affected that much. Now that the cardiologist works for the hospital he will admit his otherwise stable patient so that the testing will be reimbursed better. This is very anti small business and will change the way much of healthcare will be delivered. It has already started to happen.
Now some will say that he is increasing reimbursement or primary care docs. But the PCP's that are the most successful are those that are in multi specialty groups involving more lucrative fields (such as cardiology) with a profit sharing model. If the cardiologist's salary goes own, his partner the primary care docs salary will go down to.
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This is true and it is scary. Private practice docs are a thing of the past. I think they will dissolve at a particularly fast rate. Faster than was thought before. Why do you think investing in all these chain healthcare hospitals was a good investment move if Obama got elected. Whatever, the American people will get what they want. Be careful what you wish for.
This is the problem with the Internet right here. If you guys could just punch each other in the nose this argument would be over and solved. Instead, though we have to get off topic on a bunch of crap that doesn't really matter.
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Solid contribution. 8/10. I'm glad that a solid half of your posts on this forum are of such outstanding quality and utility 👍
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But this is the problem right? Who decides how much an echo or catherization is worth? You say he heartlessly cuts reimbursements. They say they were paying too much for those procedures in the first place. They'll also say that cardiologists were ordering echos for every patient who walked in the door (which isn't too far from untrue) so since they can't control the number of echos performed they can control how much they pay for each one.
Is the loss of private cardiology practices such a loss? Why did they come about in the first place? What let them keep their doors open (hint: If they're crying about decreased echo/nuclear and cath reimbursements we have a clue)? Is it really a valid argument to say that the government should keep reimbursing them at that level so they can keep their private practices open? If Medicare reimbursement basically created that "small business" in the first place, then why shouldn't it be able to close it?
These are all questions we have to think about when looking at a situation like this where the argument is basically "The government is cutting how much it's gonna pay me so I'm gonna have to close shop and go work for a hospital!"
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