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CHSBears  Texas A&M Fan Baton Rouge Member since Aug 2007 345 posts

| re: I Work In Healthcare (Posted on 11/13/12 at 10:01 am to Rex)
Scroll down and read about Taiwan. I do not know of any U.S. doctor that would be willing to put in those hours and that little of reimbursement. LINK
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TupeloTiger  LSU Fan Tupelo,Ms.[via Bastrop,La.] Member since Jul 2004 2210 posts

| re: I Work In Healthcare (Posted on 11/13/12 at 10:01 am to Rex)
My wife has seen cuts in the BIG hospital here due to Obamacare. Liberals are NOT going to accept this ,but it's a fact, Obamacare is going to add to unemployment big time. My wife is a surgery RN and a Co-ordinator of the Surgery dept.. She buys the supplies and equipment that will be taxed under Obamacare. Her staff has been 5 women under her for years. The hospital Administrator has ordered cuts from 5 women to 2. My wife now has 2 women to help prepare surgery and maintain it from 6am to 6pm. The new tax on equipment has hurt also. They are buying everything now before next years tax kicks in. The medical salesmen are scared to death of their future. My wifes hours are no longer 40 ,but more like 45-48 all the time, but they laid off 3 people. The whole dept. has been cut from 70 to 60 people. The rehab unit and Emergency room has been cut. They are at capacity taking in plenty of money and full rooms, no fewer patients, just more costs. Liberals don't understand business costs. All LPN openings are not being filled. They're leeping RN's only. Many LPN's are going to have to leave for private clinic duty for less pay and benefits. But , Obama is for the people,Geez.
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coondaddy21  LSU Fan Louisiana Member since Oct 2012 619 posts

| re: I Work In Healthcare (Posted on 11/13/12 at 10:01 am to Rex)
quote:
Gee, I don't know... why don't you poll the millions of doctors in the rest of the world who make good livings?
Rex, unless you are a physician and know the cost, the time it takes to become a physician, the debt that you incur, the cost of running a private practice, the drug seekers you have to deal with on a daily basis and the crappy reimbursement you get from government health care, then I suggest you study the MCAT, go to medical school and then you will be qualified to comment. Otherwise, please refrain from commenting on something you know absolutely nothing about!
This post was edited on 11/13 at 10:06 am
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rsande2  LSU Fan Member since Jan 2006 3423 posts

| re: I Work In Healthcare (Posted on 11/13/12 at 10:02 am to buddhavista)
quote:
he was mostly disappointed with obamacare
Most doctors are, only 36% support it, should tell you something....
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notslim99  LSU Fan City of Bossier City Member since Feb 2005 3442 posts

| re: I Work In Healthcare (Posted on 11/13/12 at 10:02 am to Rex)
quote:
More people going to clinics would mean more REVENUE for those providers.
Another stupid quote. More people going to a clinic on a fixed-based cost projection does compute to more profit, but clinics are on Variable-cost models. The more patients you have, the more cost you incur (staff, bigger building, etc...) When the payer is not increasing the payments, but the patients increase, then you make no money.
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coondaddy21  LSU Fan Louisiana Member since Oct 2012 619 posts

| re: I Work In Healthcare (Posted on 11/13/12 at 10:08 am to notslim99)
quote:
Another stupid quote. More people going to a clinic on a fixed-based cost projection does compute to more profit, but clinics are on Variable-cost models. The more patients you have, the more cost you incur (staff, bigger building, etc...) When the payer is not increasing the payments, but the patients increase, then you make no money.
This is absolutely true and Rex will never understand this concept because he has no clue about medical reimbursement.
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Shankopotomus  USA Fan Waiting on my Hornets Team Icon Member since Feb 2009 17102 posts

| re: I Work In Healthcare (Posted on 11/13/12 at 10:13 am to buddhavista)
You make some good points, it is always interesting to hear from a doctor's perspective. Cutting administration costs may help cut the overall cost of healthcare in the future, no doubt, but in the short-term you must agree that the first way to cut administration costs is to cut employees. On a massive scale such as healthcare, this means less jobs and higher unemployment.
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PRK  LSU Fan Member since Sep 2009 8024 posts

| re: I Work In Healthcare (Posted on 11/13/12 at 10:20 am to PBnJ)
quote:
Now we're looking at potentially 1000 layoffs before the end of 2012 in anticipation on Obamacare completely destroying our revenue and profit margins.
So much bull shite 
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Rex  LSU Fan Here, there, and nowhere Member since Sep 2004 48197 posts

| re: I Work In Healthcare (Posted on 11/13/12 at 10:22 am to coondaddy21)
Sorry... I know the difference between REVENUE and COST, and I know better than to accept that health providers would not be paid more for more patients.
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tdt Member since Nov 2012 477 posts

| re: I Work In Healthcare (Posted on 11/13/12 at 10:25 am to Shankopotomus)
cutting employees will absolutely happen to insurance providers, but that's also because some of those administrative costs of healthcare are being ended. for example something that used to take a decent number of human hours was coming up with policies for people with pre-existing conditions. they would have to go through and sort out how sick you were and change your premiums accordingly (or deny you coverage). but aca basically eliminated the existence of this entire profession because you can no longer discriminate against those with pre-existing conditions.
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themunch  LSU Fan USA Member since Jan 2007 5635 posts

| re: I Work In Healthcare (Posted on 11/13/12 at 10:30 am to Rex)
millions of doctors in the rest of the world who make good livings? link?
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Layabout  UNO Fan Baton Rouge Member since Jul 2011 4584 posts

| re: I Work In Healthcare (Posted on 11/13/12 at 10:34 am to notslim99)
quote:
My father-in-law had a medical practice that consisted mainly of elderly sick people on Medicare. By the time he closed his practice, Medicare was paying my father-in-law $29 for an hour visit
I don't know what year he retired, but the Medicare reimbursement is considerably higher now. Medicare does get a discount but it is not out of line with the discounts taken by other insurance companies like Blue Cross. Now Medicaid is another story. The state determines those reimbursement rates and they have been squeezing doctors mercilessly for several years. This has nothing to do with Obamacare.
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bigpapamac  South Alabama Fan Mobile, AL Member since Oct 2007 14345 posts

| re: I Work In Healthcare (Posted on 11/13/12 at 10:34 am to tdt)
quote:
It's not like if we have single payer there just won't be any doctors.
Just a bunch of government employed doctors like Comrade Obama wants.
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TrueTiger  LSU Fan Republic of West Florida Member since Sep 2004 3186 posts

| re: I Work In Healthcare (Posted on 11/13/12 at 10:35 am to buddhavista)
quote:
insurance spending so much on administration.
This is certainly a big driver of the cost. My current doc just shut down his practice my previous doc converted to a concierge practice that accepts no insurance. This model is still the minority but look for it to grow. There will be many doctors who simply won't accept Obamacare insurance for the same reason they are stopping accepting the private stuff. They want to practice medicine, not accounting. If you want and appointment, you pay up front before service out of your own pocket. Then you deal with the reimbursement headache not the doctor.
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wavebreaker  LSU Fan New Orleans Member since Nov 2012 467 posts

| re: I Work In Healthcare (Posted on 11/13/12 at 10:37 am to TupeloTiger)
Libtard ObamaCare Impact Denial Flowchart: 1. Not true. Rumor. Prove it. Out the business 2. If the business is laying off workers to reduce costs, they are inefficiently run and about to go out of business anyway. 3. The CEO is a greedy bastard for putting profits above people. He gets paid too much. Here's a picture of his house. 4. Boycott! Stop doing business with any business that goes public about the impact of ACA. Friendly press bashes them as well. Meanwhile, Kroger is cutting hours for all of its workers as well to avoid the 30 hour full time penalties.
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PBnJ  USA Fan in your lunchbox Member since Aug 2009 2021 posts

| re: I Work In Healthcare (Posted on 11/13/12 at 10:45 am to Rex)
quote:
But your post seems irrelevant to this thread. More people going to clinics would mean more REVENUE for those providers.
Thank you for conforming that you have zero knowledge about government reimbursement rates, costs, and healthcare in general.
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NC_Tigah  LSU Fan Member since Sep 2003 40719 posts

| re: I Work In Healthcare (Posted on 11/13/12 at 10:48 am to tdt)
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but aca basically eliminated the existence of this entire profession because you can no longer discriminate against those with pre-existing conditions.
Good Lord! That's as dense as your arguments for socialized healthcare at forced wage, while at the other end being all for governmental guarantees in your field. Indeed Obamacare did eliminate consideration of pre-existing conditions in issuing insurance. It is the single cost prohibitive mechanism which will drive private carriers from the field. Yet you have the unmitigated gall to regard it as a cost saver to those companies? Wow you are a troll.
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Wolfhound45  LSU Fan WhereverTheArmySendsUs Member since Nov 2009 8080 posts

| re: I Work In Healthcare (Posted on 11/13/12 at 10:51 am to Rex)
quote:
Sorry, unless you're more specific about your position, your company, and its function there's no way to adjudge the veracity of your claim.
Why? Because he is presenting a narrative different than what you want to believe?
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notslim99  LSU Fan City of Bossier City Member since Feb 2005 3442 posts

| re: I Work In Healthcare (Posted on 11/13/12 at 10:51 am to Layabout)
quote:
I don't know what year he retired, but the Medicare reimbursement is considerably higher now. Medicare does get a discount but it is not out of line with the discounts taken by other insurance companies like Blue Cross.
He closed up shop in 2010. I don't know how much more they pay now, but for him to pay himself a salary, he told me that he had to have at least $100 per patient. I'm pretty sure that the reimbursements haven't gone up that much.
quote:
This has nothing to do with Obamacare.
The $700+ billion that Obamacare took from Medicare sure as hell doesn't help.
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notslim99  LSU Fan City of Bossier City Member since Feb 2005 3442 posts

| re: I Work In Healthcare (Posted on 11/13/12 at 10:52 am to coondaddy21)
quote:
This is absolutely true and Rex will never understand this concept because he has no clue about medical reimbursement.
Or business in general, for that matter.
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