That’s what has happened in medicine. Small private practices in any specialty are very difficult to sustain because of government rules and unfunded mandates.
That’s what has happened in medicine. Small private practices in any specialty are very difficult to sustain because of government rules and unfunded mandates.
The real problem with medical care is the insurance companies.
As a medical provider to receive reimbursement from Medicare, Medicaid or Tricare, you have to sign a contract and accept the terms. They then send you a check, from which services provided are deducted.
It is all voluntary. I have Tricare as a secondary. I am happy with my PCP who works for a medical center that has contracted with Medicare, Medicaid and Tricare.
My wife was not happy with her PCP, and sees an independent who has contracted with Medicare but not Tricare.
The real problem is private insurance, be it employer provide, self paid or Medicare disAdvantage.
These insurance companies, especially HMO's, require approval on practically all procedures and have financial caps, when your care runs over the cap, they cut you off, and you die.
Six years ago, I, a diabetic, was diagnosed with stage 4 brain and lung cancer, I was placed in pallative care, six years later, after millions of dollars immunotherapy, radiation, surgery, quarterly and then semi annual CT Scans and MRI's. I am still here, and because of Medicare and a Group Insurance , I haven't paid a dime. Forgot to mention the cataract surgery I had last year and new glasses, which also did not cost me anything (surgery or glasses).
My doctors who work for a medical center are doing just fine, and love their jobs, so is my wifes doctor.
And maybe the expectation that has arisen that doctors will be among the wealthiest people in their communities is part of it, too, so while people may once have gone into medicine based on an interest in the practice or the science or the helping or whatever, these days they are taught that they are running a business, and they may go into it enamored of the practice, but also expecting to get very rich.
I’d like us to have a medical industry that hires doctors {for a very good salary, perhaps }— or perhaps encourages cooperative medical groups people can subscribe to— and the doctors get paid through our taxes, a certain amount for each patient each year, perhaps some more for extraordinary procedures. But we mostly belong to a group and pay for it through taxation and everybody gets excellent care, and insurance companies go to hell.
Won't argue with you, don't know enough of internal practices, but I do know that the very best hospital/Medical center in the country, is a non profit owned by the City of Kirland, WA named Evergreen Medical center, even the food they serve patients is gourmet.
I spend a month in the hospital, because of brain cancer and then pneumonia, and honestly didn't want to leave, when the discharged me.
The care was so good, that the brain tumor was removed on Oct 4, 2017, then 10 daily bouts of radiation, and I''ve had an MRI of the head, every three months till recently and now it is semi annual, and the cancer has not grown back. My surgeon was from India on an H1b visa, as was his back up.
If Black Rock or some private equity manages to acquire it or bits of it, like they have done with Peace Health,which was started and owned by the Sisters of St Joseph, everything is down hill from there.
You are correct about insurance companies, they exist for one purpose only and that is to produce a positive return for their owners/investors, and that mean cutting expenses in the form of personnel, salaries, medical supplies,drugs, and denying services.
Unless you are fortunate to have a Cadillac plan, and they are pricey.
That’s what has happened in medicine. Small private practices in any specialty are very difficult to sustain because of government rules and unfunded mandates.
The real problem with medical care is the insurance companies.
As a medical provider to receive reimbursement from Medicare, Medicaid or Tricare, you have to sign a contract and accept the terms. They then send you a check, from which services provided are deducted.
It is all voluntary. I have Tricare as a secondary. I am happy with my PCP who works for a medical center that has contracted with Medicare, Medicaid and Tricare.
My wife was not happy with her PCP, and sees an independent who has contracted with Medicare but not Tricare.
The real problem is private insurance, be it employer provide, self paid or Medicare disAdvantage.
These insurance companies, especially HMO's, require approval on practically all procedures and have financial caps, when your care runs over the cap, they cut you off, and you die.
Six years ago, I, a diabetic, was diagnosed with stage 4 brain and lung cancer, I was placed in pallative care, six years later, after millions of dollars immunotherapy, radiation, surgery, quarterly and then semi annual CT Scans and MRI's. I am still here, and because of Medicare and a Group Insurance , I haven't paid a dime. Forgot to mention the cataract surgery I had last year and new glasses, which also did not cost me anything (surgery or glasses).
My doctors who work for a medical center are doing just fine, and love their jobs, so is my wifes doctor.
Insurance companies are the problem.
And maybe the expectation that has arisen that doctors will be among the wealthiest people in their communities is part of it, too, so while people may once have gone into medicine based on an interest in the practice or the science or the helping or whatever, these days they are taught that they are running a business, and they may go into it enamored of the practice, but also expecting to get very rich.
I’d like us to have a medical industry that hires doctors {for a very good salary, perhaps }— or perhaps encourages cooperative medical groups people can subscribe to— and the doctors get paid through our taxes, a certain amount for each patient each year, perhaps some more for extraordinary procedures. But we mostly belong to a group and pay for it through taxation and everybody gets excellent care, and insurance companies go to hell.
Won't argue with you, don't know enough of internal practices, but I do know that the very best hospital/Medical center in the country, is a non profit owned by the City of Kirland, WA named Evergreen Medical center, even the food they serve patients is gourmet.
I spend a month in the hospital, because of brain cancer and then pneumonia, and honestly didn't want to leave, when the discharged me.
The care was so good, that the brain tumor was removed on Oct 4, 2017, then 10 daily bouts of radiation, and I''ve had an MRI of the head, every three months till recently and now it is semi annual, and the cancer has not grown back. My surgeon was from India on an H1b visa, as was his back up.
If Black Rock or some private equity manages to acquire it or bits of it, like they have done with Peace Health,which was started and owned by the Sisters of St Joseph, everything is down hill from there.
You are correct about insurance companies, they exist for one purpose only and that is to produce a positive return for their owners/investors, and that mean cutting expenses in the form of personnel, salaries, medical supplies,drugs, and denying services.
Unless you are fortunate to have a Cadillac plan, and they are pricey.