Uninsured folks starting their own low-cost hospital residency programs?

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Anxs4Residency

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Just throwing out this idea to the World at large- for folks to understand, digest, implement and profit from ... have a look ... there could be a huge potential buried here. You can benefit from it IMHO, if you have the time and the entrepreneurial zest and act properly on it. (Disclaimers: These are purely my opinions. Any coincidence with reality may be just arbitrary. Your mileage may vary. Don't make any solid business decisions based merely on these musings. No advice is given here ... just pure speculations, connected together. May be there is something really profitable and beneficial here to grasp ... may be there is none!)

OFakt-1: 30-to-40% Americans currently either don't have health insurance or what they have is not adequate.
OFakt-2: HMOs, the parasite middlemen, short-change doctors as well as patients on both the ends. To the doctors, they pay the group negotiated rates, much lower than the quote shown on the bill initially. To the patients: Insured-ones- they charge huge premiums. Non-insured-ones: The hospitals extract the full bills from them, that generally cost an arm and a leg (since that is their bulk-profit channel then). Are these HMO middlemen really needed? They just squeeze from both the ends to pay for their own salaries.
OFakt-3: Most uninsured, if you ask them, would be willing to pay, to erect their own low-cost hospital system and get themselves treated with low-salaried docs/residents there, compared with the other choices that they have. The other choices that they have, are- either go untreated (no option or an unwise one) or get closer to a personal bankruptcy against those huge healthcare bills or just work all their life simply to pay their healthcare bills, if they can.

Combine all of the above three OFakts in your cerebrum and mix them together for a while. What insights do you get?

Why not start a new low-cost hospital system to take care of such a massive, unfulfilled need in the society? Such a healthcare chain can use and employ the available excess supply of well-qualified residency candidates in this country. Their brains won't go wasted. Uninsured people will have access to basic health system. Minimal money flow would take place in the system, since the hungry HMO middlemen would be eliminated. Patients would get their care and directly pay the low-cost hospital system, that has a minimal overhead, so that most of the funds would go directly to the doctors' pockets. Bottom-line: patients pay less, many doctors get almost equal or slightly less pay and both the transacting parties become happier, as the middleman is gone.

If you are interested in specific details (e.g. business plans, all of the cost-saving measures etc.) please pm me. Hope you benefit and profit from the implementation of this idea. All the Best.

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Where are you from? Among the many missions of an academic medical center is to treat the poor. What about all the county/city hospitals out there? Anyone who's poor can get treated there.

And there isn't an "excess" supply of well-qualified residency candidates. The excess is mostly IMG's who can't speak the language, etc. Not to mention that they'd need attending-level supervision, which is exactly what occurs in academic centers/public hospitals/etc. every single day.
 
What? Uninsured people would rarely pay as they rarely pay now in public hospitals. And what if somebody doesn't pay? Are you willing to enforce it by banning them from further care at the hospital?

Do you really believe that decreasing MD salaries at these places would be enough to make access to care cheap enough? What about the billions of other people who work there? Good luck getting these guys to take a pay cut.
 
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