potential changes to podiatry due to health care reform

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This question is directed towards attendings ( maybe residents), and attendings only. Could you try and offer a nuetral/non-political opinion about how the current health care proposal may impact podiatry?

edit: Could you please do so both from a podiatrist perspective as well as from a business owner perspective

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I'm not really sure it will have a significant impact on most practices. Do you have any specific concerns that I can answer regarding any particular issue?
 
As long a Podiatric Medicine is included in any public options, IMO we will benefit. More insured will be avaliable and many will have chronic foot/ankle problems that will need to be addressed. Once everyone is covered, one strategy would be to open offices in previously neglected areas where previously high numbers of the unisured reside. Overhead should be lower and there will be an immediate demand. This lower overhead may help with the anticipated reduction in fees. Any time the playing field is leveled (military, salaried multispecialty groups) previous unfriendlies refer to DPMs.

But the big question and important point is: Will Podiatry be eliminated as it has in some state Medicaid plans?
 
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A few. Some had excluded us but we eventually gained access. It's not the end of the world since many docs do not take Medicaid voluntarily. I do because I do not like to exclude access or want to force my referral base to find another DPM for Medicaid. I do not think we will be excluded from a public plan but with budget issues people always like to find a quick fix. Some private insurers do not cover care provided by DPMs, pay at a lower rate than they do for MDs for the same procedure, or have a cap on podiatry care. Fortunately these are a few plans and not the norm.
 
Before selling his practice, he watched his income decline over the years to what he calculated to be $22 an hour ($2,100 every two weeks after withholding for taxes, health insurance and malpractice insurance.)



An MD??????!!!
 
On Friday afternoon, June 19, three House committees unveiled a draft reform. While the bill contained favorable provisions such as stopping the 21% Medicare fee cut and scrapping the Medicare SGR formula, it omitted recognition of your services and of you as a physician in Medicaid despite the support and previous commitment of key committee chairs.
 
Would that actually be bad or not? It doesn't sound good for school clinics where many of the patients are Medicare/Medicaid, but in private practice or the hospital setting would this really have a major effect?
 
Would that actually be bad or not? It doesn't sound good for school clinics where many of the patients are Medicare/Medicaid, but in private practice or the hospital setting would this really have a major effect?

It is ONLY significant if the clinic or practice cover a large volume of Medicaid patients.

Here in CA, podiatry along with dentistry, optometry, audiology, and speech therapy are excluded from Medicaid starting July 1.
 
scrlet52, can you provide proof for what you said?

It was copy-pasted from an email that went out today from the APMA.... "
TO: All APMA Members, Podiatric Medical Students, and Component Executive Directors

It is critical that every member of the U.S. House of Representatives receives multiple calls this week from their podiatric physician, student, and association constituents. APMA needs you to help raise the volume immediately about including the recognition of podiatric physicians in Medicaid in a final healthcare reform bill that is being fast-tracked through the U.S. House.

On Friday afternoon, June 19, three House committees unveiled a draft reform. While the bill contained favorable provisions such as stopping the 21% Medicare fee cut and scrapping the Medicare SGR formula, it omitted recognition of your services and of you as a physician in Medicaid despite the support and previous commitment of key committee chairs."


That is the beginning part. Hopefully it doesn't screw up school clinics badly.
 
If you go on and read the rest of the posting, it states that Medicaid exclusions are up to the discretion of state governments. So, in essence what the APMA wants to do, is to get this bill to include podiatric physicians so that individual states don't go around and exclude podiatric physicians due to budget constraints.
 
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A Provision in the senate bill states MD's will be penalized for excessive referrals. I practice in nursing homes and rely on these referrals. What I'm trying to find out is..will this carry over to assisted living facilities (where at this time you do not need one).
 
A Provision in the senate bill states MD's will be penalized for excessive referrals. I practice in nursing homes and rely on these referrals. What I'm trying to find out is..will this carry over to assisted living facilities (where at this time you do not need one).

The only way that referrals will go down is if there is also mal practice reform. The magnitude of referals reflects our litiginous society.
 
Although I anticipate continued fee reductions, what we forget if 35 million previously uninsured are now insured there is a potential for increased volume. If the fees still permit a profit margin, some practices will benefit. In my experience over the years (note my experience may be different than yours) Podiatry does better with lower/middle income demographics. Wealthy people seem to go to orthopedics where as lower income patients just want to see "a doctor". Since my guess is these newly insured (many who have pathology) are lower/middle income we may see a spike in patients. Primary care is already concerned they may not be able to handle this increased volume. These previously untreated patients will actually drive costs up in the early years as they seek care. Costs may drop when they are stabilized and do not have catastrophic health events or need to go to the ER for their primary care.

The biggest advantage of a single payor system is although we would see drops in reimbursement overhead in practices would drop significantly. Consider reduction in staff who spend countless hours verifying insurance and collecting balances. Let say reimbursement drops 20% but over head drops the same we stay even. Add that to increased volume and financially it may not be as bad as we think.

The single payor is not likely anytime soon so a moot point.
 
I agree with podfather. It would take the burden off of staff with a single payor system, but I don't see that happening in the near future. Private insurance companies make too much profit to allow that to happen.

I also agree that reform will likely make our practices busier. The burden of all the new patients in the system will be on the PCPs and the last thing they will have time for is foot pathology. It will be turfed to us.

Finally, I also agree about the comments regarding the wealthy and their choice to tend to utilize orthopods. Therefore, the lower or lower middle class that will ultimately be the recipient of health care reform, falls exactly into our patient demographocs. Although we may make less per patient (if that's possible) we should make up for it in volume

Of course this is all wishful thinking and optimism.
 
It means you will have to work 30% harder and see 30% more patients to make the same amount of money.

Then these socialist fools will tax your income higher out of jealousy and envy.

In the end you will be brining home 60k after taxes.

Engineers, nurses, pharmacists will soon make about as much as a podiatric surgeon.

Personally i don't really think that health care is a right. Much of what medicine is does is a quality of life issue.

All those expensive pills should be reserved for people who worked hard so they can live more comfortably.


Enjoy! :D
 
It means you will have to work 30% harder and see 30% more patients to make the same amount of money.

Then these socialist fools will tax your income higher out of jealousy and envy.

In the end you will be brining home 60k after taxes.

Engineers, nurses, pharmacists will soon make about as much as a podiatric surgeon.

Personally i don't really think that health care is a right. Much of what medicine is does is a quality of life issue.

All those expensive pills should be reserved for people who worked hard so they can live more comfortably.


Enjoy! :D

Stop misleading people ! seriously! .... there are residents that get paid that after taxes here in New York and Jersey so chill out with the B.S. !
 
Unfortunately, it's taken me too many posts to figure it out, but Whiskers simply posts to "get a reaction".

And I've bitten too many times and reacted.

If his/her glass is always half empty, and all his/her posts are always going to slam Medicare and discuss the doom and gloom,.....oh well.

In the interim, I'll continue to encourage everyone to stop worrying about things you can not presently control. Worry about providing honest, ethical, quality care and financial rewards WILL eventually follow.
 
It means you will have to work 30% harder and see 30% more patients to make the same amount of money.

Then these socialist fools will tax your income higher out of jealousy and envy.

In the end you will be brining home 60k after taxes.

Engineers, nurses, pharmacists will soon make about as much as a podiatric surgeon.

Personally i don't really think that health care is a right. Much of what medicine is does is a quality of life issue.

All those expensive pills should be reserved for people who worked hard so they can live more comfortably.


Enjoy! :D


Godfather; hate to burst your bubble, but Whiskers was right except he or she was being kind. In the end, after personal taxes and expenses, business overhead and taxes, if you work for your self you will bring home maybe 1K a month after 10 years--I don't care how good you are. That is today's reality. Nurse practitioners will make more than you (far less med-mal and regulaton plus they take a check and go home). Gov't is looking for cheaper route...they are giving NP's total freedom. You on the other hand with student loans, fee cuts, inflation, skyrocketting board, med mal, and CME fees will have to work 50% harder, and see 50% more patients with 50% less help (if you can afford an employee at all). What the hell is wrong with you guys? You want a single payor system.???#@#. ? That's a great idea..why not get rid of competition all together so they can dwindle our fees to 2 bucks an hour-- Leave ourselves with no other option so the govt can finally finish us off? It's a no brainer. Accept redistribution of wealth, or Join the Tea Party. All Race, Religion, and Parties welcome as long as you are for Smaller Govt, Lower Taxes, More Freedom. Stop rationalizing and get out there. Stop funding your own demise! Oh, and yes I can prove what I say. Im living it.
 
It means you will have to work 30% harder and see 30% more patients to make the same amount of money.

Then these socialist fools will tax your income higher out of jealousy and envy.

In the end you will be brining home 60k after taxes.

Engineers, nurses, pharmacists will soon make about as much as a podiatric surgeon.

Personally i don't really think that health care is a right. Much of what medicine is does is a quality of life issue.

All those expensive pills should be reserved for people who worked hard so they can live more comfortably.


Enjoy! :D


Godfather; hate to burst your bubble, but Whiskers was right except he or she was being kind. In the end, after personal taxes and expenses, business overhead and taxes, if you work for your self you will bring home maybe 1K a month after 10 years--I don't care how good you are. That is today's reality. Nurse practitioners will make more than you (far less med-mal and regulaton plus they take a check and go home). Gov't is looking for cheaper route...they are giving NP's total freedom. You on the other hand with student loans, fee cuts, inflation, skyrocketting board, med mal, and CME fees will have to work 50% harder, and see 50% more patients with 50% less help (if you can afford an employee at all). What the hell is wrong with you guys? You want a single payor system.???#@#. ? That's a great idea..why not get rid of competition all together so they can dwindle our fees to 2 bucks an hour-- Leave ourselves with no other option so the govt can finally finish us off? It's a no brainer. Accept redistribution of wealth, or Join the Tea Party. All Race, Religion, and Parties welcome as long as you are for Smaller Govt, Lower Taxes, More Freedom. Stop rationalizing and get out there. Stop funding your own demise! Oh, and yes I can prove what I say. Im living it.
 
Godfather; hate to burst your bubble, but Whiskers was right except he or she was being kind. In the end, after personal taxes and expenses, business overhead and taxes, if you work for your self you will bring home maybe 1K a month after 10 years--I don't care how good you are. That is today's reality. Nurse practitioners will make more than you (far less med-mal and regulaton plus they take a check and go home). Gov't is looking for cheaper route...they are giving NP's total freedom. You on the other hand with student loans, fee cuts, inflation, skyrocketting board, med mal, and CME fees will have to work 50% harder, and see 50% more patients with 50% less help (if you can afford an employee at all). What the hell is wrong with you guys? You want a single payor system.???#@#. ? That's a great idea..why not get rid of competition all together so they can dwindle our fees to 2 bucks an hour-- Leave ourselves with no other option so the govt can finally finish us off? It's a no brainer. Accept redistribution of wealth, or Join the Tea Party. All Race, Religion, and Parties welcome as long as you are for Smaller Govt, Lower Taxes, More Freedom. Stop rationalizing and get out there. Stop funding your own demise! Oh, and yes I can prove what I say. Im living it.

Having grown up with my mother's family staunch Republicans and my father's staunch Democrats I saw and experienced political debate frequently. I loved it and it is what makes our country special. In the day these debates led to common sense compromise and the country benefited by it. Today neither side debates, they name call, make up facts, and use fear. I would love to engage you politically but this is not the place for it.

What I believe in is not a single government run system. I believe in competition but let's face it the third party payors have everyone fighting with each other and make record profits as they cut our fees and the patient's benefits. I believe anyone should buy whatever plan they desire and can afford. However, I believe that a government option that is paid for by the individual should exist. Medicare available to everyone with the third party still available for those who choose it makes the most sense to me.

For those who claim government run healthcare is terrible and Medicare is the pits, I have just one question......... Do you plan to reject Medicare when you turn 65? I think not.

I have a few Tea party friends (obviously we have some great discussions over drinks) so perhaps you have met them at one of your rallies? I am happy that a few DPMs are in the movement since Sarah Palin will need her nails busted someday even though it will not be a covered service LOL.......
 
Our state society, along with the help of the APMA, were successful in stopping Medicaid from ejecting us from coverage. Podiatrists in 5 other states were not so lucky. Sad but true.
 
For those who claim government run healthcare is terrible and Medicare is the pits, I have just one question......... Do you plan to reject Medicare when you turn 65? I think not.

I have to humbly disagree. I grew up in Canada and the socialized system is so broken its terrible. Gov't run health care is the pits. Its one of the reasons I didn't go back.

We have a family friend who waited 9 months for a triple bypass due to the OR back up. My mother in law, who still lives in Montreal, has stage 2 breast cancer and recently had a biopsy. It took A MONTH to get the results of the biospy. She was told she needs to have her axial lymph nodes removed and that she is on the waiting list for the procedure. She will most likely not get this done for two more months. What about radiation therapy? They can't get her in for it. I can go on and on.

Some of my friends growing up are doctors in that system and they are in awe at how its going. Its so bad now, that Canada is starting to privatize medicine. You know what that means? It means if you're in highest tax bracket you're paying close to 50% income tax AND you now have to pay for private insurance too because it seems like every day, the socialized system is dropping coverage.
 
I have to humbly disagree. I grew up in Canada and the socialized system is so broken its terrible. Gov't run health care is the pits. Its one of the reasons I didn't go back.

We have a family friend who waited 9 months for a triple bypass due to the OR back up. My mother in law, who still lives in Montreal, has stage 2 breast cancer and recently had a biopsy. It took A MONTH to get the results of the biospy. She was told she needs to have her axial lymph nodes removed and that she is on the waiting list for the procedure. She will most likely not get this done for two more months. What about radiation therapy? They can't get her in for it. I can go on and on.

Some of my friends growing up are doctors in that system and they are in awe at how its going. Its so bad now, that Canada is starting to privatize medicine. You know what that means? It means if you're in highest tax bracket you're paying close to 50% income tax AND you now have to pay for private insurance too because it seems like every day, the socialized system is dropping coverage.

From the patient's perspective most do not have issues with traditional Medicare. I have no experience with Canada but that system is much different than our Medicare system. That is why my choice is a Medicare available for all as long as people have the choice of purchasing other private insurance. I have nothing against a competitive even tiered system but do believe Medicare should be available ( at the individuals not governments cost) for any age.
 
From the patient's perspective most do not have issues with traditional Medicare. I have no experience with Canada but that system is much different than our Medicare system. That is why my choice is a Medicare available for all as long as people have the choice of purchasing other private insurance. I have nothing against a competitive even tiered system but do believe Medicare should be available ( at the individuals not governments cost) for any age.

That a can agree with. The question is how you would separate those that get Medicare before the age of 65 and how that would affect our taxation. Would the "young" Medicare participants pay for it themselves out of pocket or would it be integrated into some kind of extra taxation system for those individuals to avoid using post tax dollars to pay for a federal system?
 
That a can agree with. The question is how you would separate those that get Medicare before the age of 65 and how that would affect our taxation. Would the "young" Medicare participants pay for it themselves out of pocket or would it be integrated into some kind of extra taxation system for those individuals to avoid using post tax dollars to pay for a federal system?


I would prefer they pay for it like any other insurance. Either through their employers or out of pocket. I believe that an influx of younger paying people ultimately helps the entire Medicare system. Medicare care now handles the sickest patients and the expensive (70% of all costs) end of life issues. Young healthy people would now be paying in and costing much less. A win-win.

BTW how convenient that the privates now do not have to deal with the sickest/dying older population and reap profits on the younger demographic (until they get sick then they dump them or previously the pre-existing clause). I believe behind closed doors they are supporters of Medicare for the seniors!
 
I would prefer they pay for it like any other insurance. Either through their employers or out of pocket. I believe that an influx of younger paying people ultimately helps the entire Medicare system. Medicare care now handles the sickest patients and the expensive (70% of all costs) end of life issues. Young healthy people would now be paying in and costing much less. A win-win.

BTW how convenient that the privates now do not have to deal with the sickest/dying older population and reap profits on the younger demographic (until they get sick then they dump them or previously the pre-existing clause). I believe behind closed doors they are supporters of Medicare for the seniors!

Run for president after the next election so I can vote for you:D!
 
I would prefer they pay for it like any other insurance. Either through their employers or out of pocket. I believe that an influx of younger paying people ultimately helps the entire Medicare system. Medicare care now handles the sickest patients and the expensive (70% of all costs) end of life issues. Young healthy people would now be paying in and costing much less. A win-win.

It's a gate way to complete government healthcare. What happens when people can't afford to buy insurance? The gov't will pay for it. Instead of food stamps, it will be healthcare stamps.

The issue is not access to healthcare, it's the cost. Making everyone on medicare doesn't lower the cost of healthcare, it merely shifts the burden of payment from private insurance to the gov't. It's pretty much impossible with society today but you have to lower the cost curve. Sadly, all evidence points to the recent reform bill passing that it actually increased the cost curve.

Everything the gov't has touched has gone down the crapper. Heck, medicare doesn't even work well (from many different perspectives: cost, etc.) so we want to model something after that?

Why not do away with insurance all together? Let the gov't run the hospitals so if you are in a life threatening car crash, have cancer, etc. you are taken care of. But for a H&P or ingrown, etc. people pay cash. Imagine the money saved on overhead from reduction in payroll, coding and billing nonsense and headaches.

Why will people go put a new set of tires on their care for $500 but balk at the possibility of paying anything more than a $20 copay at the doctor?

I see it now...physical: $100, ingrown toe nail: $75, x-ray: $20...

As long as society thinks healthcare is a right (which is 100% wrong) there will always be a healthcare "crisis"
 
When people have to actually pay for medical services, the utilization will go down. No more going to the ER as your primary care.

When utilization goes down, the healthcare cost curve goes down. A win win for everyone.
 
Run for president after the next election so I can vote for you:D!

Regardless, with of all of the scare rhetoric. "Offering Medicare will lead to complete Government control, they are going to kill Grandma, etc" no matter what either side proposes the other will reject. Sad but true. The health insurance lobby has dumped millions on both sides of the aisle and hence why we are where we are. While everyone blames each other the companies and CEOs make huge profits while denying care and cutting our fees.

Buckeye is right cost is an issue. But the American people all demand immediate state of the art care regardless if needed. End of life care eats up the majority of cost but good luck raising options for that issue as a politician. Only in this country can you wake up with a new mild toe pain , get an appointment within a day, obtain an MRI, and by the time you get the results your toe pain is gone.

Healthcare (IMO Buckeye) is a right. I am OK with cash but many people (I believe 60 % of Americans make less than 50,000/year) live check to check. What is a family to do if the wife finds a lump in her breast and they have have a 5,000/deductable, credit cards maxed to pay for a family of four, and the hospital wants cash up front? She has to wait until it metastasizes then go to the ER. What costs us more?

Let's give all Americans access to the health plans our congressmen have .
 
It's a gate way to complete government healthcare. What happens when people can't afford to buy insurance? The gov't will pay for it. Instead of food stamps, it will be healthcare stamps.

The issue is not access to healthcare, it's the cost. Making everyone on medicare doesn't lower the cost of healthcare, it merely shifts the burden of payment from private insurance to the gov't. It's pretty much impossible with society today but you have to lower the cost curve. Sadly, all evidence points to the recent reform bill passing that it actually increased the cost curve.

Everything the gov't has touched has gone down the crapper. Heck, medicare doesn't even work well (from many different perspectives: cost, etc.) so we want to model something after that?

Why not do away with insurance all together? Let the gov't run the hospitals so if you are in a life threatening car crash, have cancer, etc. you are taken care of. But for a H&P or ingrown, etc. people pay cash. Imagine the money saved on overhead from reduction in payroll, coding and billing nonsense and headaches.

Why will people go put a new set of tires on their care for $500 but balk at the possibility of paying anything more than a $20 copay at the doctor?

I see it now...physical: $100, ingrown toe nail: $75, x-ray: $20...

As long as society thinks healthcare is a right (which is 100% wrong) there will always be a healthcare "crisis"

Health care costs will go down when there is Tort reform. Period.

I've had Medicaid patients roll up in their Humvees and refuse to pay their $1 copay. WTF??
 
It's a gate way to complete government healthcare. What happens when people can't afford to buy insurance? The gov't will pay for it. Instead of food stamps, it will be healthcare stamps.

The issue is not access to healthcare, it's the cost. Making everyone on medicare doesn't lower the cost of healthcare, it merely shifts the burden of payment from private insurance to the gov't. It's pretty much impossible with society today but you have to lower the cost curve. Sadly, all evidence points to the recent reform bill passing that it actually increased the cost curve.

Everything the gov't has touched has gone down the crapper. Heck, medicare doesn't even work well (from many different perspectives: cost, etc.) so we want to model something after that?...

...As long as society thinks healthcare is a right (which is 100% wrong) there will always be a healthcare "crisis"
A man after my own heart^

Only thing that could possibly be clairified is that "gov't" money and healthcare payments are actually other citizens' money which the government took from hardworking people who contribute to society... a "spreading the wealth," if you will.
 
A man after my own heart^

Only thing that could possibly be clairified is that "gov't" money and healthcare payments are actually other citizens' money which the government took from hardworking people who contribute to society... a "spreading the wealth," if you will.

Not if the Medicare for all portion of a multiplan option is paid for by the subscribers directly just like a BC/BS plan. BTW traditional Medicare has been paid for by the enrollee through their payroll taxes throughout their working life. If the Republicans and Democrats stole from the fund that is a issue for them not the enrollee who contributed to social security and Medicare for 40 years.
 
Not if the Medicare for all portion of a multiplan option is paid for by the subscribers directly just like a BC/BS plan.

It won't be. And that's not just rheortic. I see people on food stamps or medicaid coming to be seen by doctors while talking on an iphone or wearing $200 shoes, etc. Everyone in the medical field has seen this. People are on food stamps buy driving a lexus. Really?

The healthcare for a vast portion of society will become paid for by another portion of society.

On top of that, medicare is bankrupt, it won't be fixed by adding millions more people.

no matter what either side proposes the other will reject. Sad but true.

Maybe, but I don't think so. No effort for compromise has been made by either side and neither is willing too. But there is always a middle. Look at medicare and SS, both of which are "hated" in today's society. When the bills were put forth, both passed with over 80% of congressmen voting in favor, gop and dems both voted for it in droves.

Healthcare (IMO Buckeye) is a right.

I hate to pick on you podfather because you are so often right on so many things. But it is fine for you to have whatever opinion you want, just realize your opinion is based solely on emotion and not on fact or logic.

The American rights impose no obligations on other people, merely the negative obligation to leave you alone. The system guarantees you the chance to work for what you want -- not to be given it without effort by somebody else. The right to life, e.g., does not mean that your neighbors have to feed and clothe you.

Literally and in theory, health care cannot be a right. Do you feel access to food should be a right? Surely everyone deserves to eat.

While everyone blames each other the companies and CEOs make huge profits while denying care and cutting our fees.

Just class warfare. I 100% agree that insurance needs to be reform/regulated better. People should not be dropped because they get sick, etc. But let us not forget what insurance is really for. It's for costs that you cannot incur yourself. Imagine what car insurance would cost if you expected All-State to pay for your oil change, new tires, etc. It would be out of control. Life expectancy has increased drastically over the years yet no one wants to pay for it.

What is a family to do if the wife finds a lump in her breast and they have have a 5,000/deductable, credit cards maxed to pay for a family of four, and the hospital wants cash up front? She has to wait until it metastasizes then go to the ER. What costs us more?

Read my previous post. Let the gov't run the hospitals. Cancer, life threatening car injuries, etc. can be covered by the gov't. Consider it a gov't backed catastrophic policy. It is not my ideal plan but I would consider that a fair compromise. Do you think the gov't would be treating non-life threatening conditions (bloody noses, etc.) in an ER for patients that don't want to go to a doctor? Nope, and thus those patients would be forced to utilize less healthcare or pay for what they want.
 
It won't be. And that's not just rheortic. I see people on food stamps or medicaid coming to be seen by doctors while talking on an iphone or wearing $200 shoes, etc. Everyone in the medical field has seen this. People are on food stamps buy driving a lexus. Really?

The healthcare for a vast portion of society will become paid for by another portion of society.

On top of that, medicare is bankrupt, it won't be fixed by adding millions more people.



Maybe, but I don't think so. No effort for compromise has been made by either side and neither is willing too. But there is always a middle. Look at medicare and SS, both of which are "hated" in today's society. When the bills were put forth, both passed with over 80% of congressmen voting in favor, gop and dems both voted for it in droves.



I hate to pick on you podfather because you are so often right on so many things. But it is fine for you to have whatever opinion you want, just realize your opinion is based solely on emotion and not on fact or logic.

The American rights impose no obligations on other people, merely the negative obligation to leave you alone. The system guarantees you the chance to work for what you want -- not to be given it without effort by somebody else. The right to life, e.g., does not mean that your neighbors have to feed and clothe you.

Literally and in theory, health care cannot be a right. Do you feel access to food should be a right? Surely everyone deserves to eat.



Just class warfare. I 100% agree that insurance needs to be reform/regulated better. People should not be dropped because they get sick, etc. But let us not forget what insurance is really for. It's for costs that you cannot incur yourself. Imagine what car insurance would cost if you expected All-State to pay for your oil change, new tires, etc. It would be out of control. Life expectancy has increased drastically over the years yet no one wants to pay for it.



Read my previous post. Let the gov't run the hospitals. Cancer, life threatening car injuries, etc. can be covered by the gov't. Consider it a gov't backed catastrophic policy. It is not my ideal plan but I would consider that a fair compromise. Do you think the gov't would be treating non-life threatening conditions (bloody noses, etc.) in an ER for patients that don't want to go to a doctor? Nope, and thus those patients would be forced to utilize less healthcare or pay for what they want.

Hey Buckeye do not feel like you are picking on me. We all are entitled to our opinions. I disagree with some of your ideas and "facts" but respect them.

I do not feel food is a right but in the US we do owe to people who are trying and not scamming certain things. A beautiful car, cell phone, cable? No but if someone is working, frugal, and does right by their children, how can I deny them access to affordable healthcare. Imagine the single mom who maybe has 2 jobs, has done a great job raising her kids, and now one of her children comes down with a high fever. She waits 12 hours at the ER and is provided tax payer free care (because the odds say she will not be able to pay the bill) but now is handed a prescription that costs a 100 dollars. She somehow raises the money (maybe cuts back on food) and buys the meds. She awakes and the next day her other child comes down with the same problem. Imagine the stress. Or worse she has a medical problem like hypertension or diabetes and defers her meds to feed her kids.

I have seen people who are taking advantage of the system. It also annoys me. However, most of the people I see struggling (and BTW never complain) are hardworking people. My immigrant roots worked hard, sacrificed, and made a better life for me. I certainly came from little but we truly had a village that helped each other during the "tough" times. Today the village is an island. I try to remember when I am complaining about reimbursement, patients who do not have their co-pay (usually at the bar of a resort where I am attending or lecturing at a conference) that none of us know what the future may bring. We are all one catastrophic illness/injury away from financial ruin. Then we may be the single mother.

I'll stop my liberal babbling. Look we need your opinion and mine. Only with that can we reach a conclusion through compromise. We both think we are right. Our only difference is that I know we both are neither right nor wrong.

I am a student of politics. I miss the days when Barry Goldwater and Ted Kennedy (two who were polar opposites politically) would go to the basement alone have some drinks (Ted more than Barry) and worked together to come up with something that would be good for the country. That's the system our forefathers designed and they would be disappointed if they saw what is going on now.
 
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