Jindal to cut reimbursement to physicians caring for medicaid... - Page 2 - TigerDroppings.com

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junkfunky
LSU Fan
Member since Jan 2011
13307 posts
 Online 

re: Jindal to cut reimbursement to physicians caring for medicaid...


quote:

We really need to shift public funding into prevention. As it stands now, we do a great job at acute care...the best in the world.


Agreed, but that takes extra money to implement and the constitution limits spending ability, so it would be best to make a shift when we have a surplus. In the meantime something has to be done and there aren't many options.






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lsusaintsfan4life
LSU Fan
Member since Mar 2008
840 posts

re: Jindal to cut reimbursement to physicians caring for medicaid...


I agree that an ounce of prevention equals a pound of cure. However it starts from within. Who doesn't know that eating well and exercising are important?

We have a system problem. It will not be fixed until it crumbles. Throwing money at it is a waste without meaningful change. People need to accept responsibility for self.






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meauxjeaux2
Boise State Fan
watson
Member since Oct 2007
45370 posts
 Online 

re: Jindal to cut reimbursement to physicians caring for medicaid...


quote:

"It's not my problem" You're a selfish heartless bastard, turn in your caduceus.

I am. My IQ was bad enough to where I did something so stupid in my younger years and spent 2 1/2 years in the state Penitentiary.
I got out after doing my time and had to slowly creep my way back into the work force,forecd to do odd jobs that I really didn't want to do from tree trimming for Asplundh tree service to oil changes and tire rotations at Simple Simon.
It took me a long arse time to finally get my education and my credit back and now I'm doing ok.

You expect me to feel sorry for those that are just smart enough to game the system? Is that what you meant?






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Jake88
George Mason Fan
Member since Apr 2005
7884 posts
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re: Jindal to cut reimbursement to physicians caring for medicaid...


Spoken like a true enabler.

It doesn't take much to avoid poverty in this country, not even a 90+ iq. Just a bit of self control and self discipline is all thats needed to be lower middle class.






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lsusaintsfan4life
LSU Fan
Member since Mar 2008
840 posts

re: Jindal to cut reimbursement to physicians caring for medicaid...


Exactly Meaux

Who put in the time, energy, effort, and sacrifice to climb your hurdles? You did. I say bravo sir. You don't OWE anyone anything.






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meauxjeaux2
Boise State Fan
watson
Member since Oct 2007
45370 posts
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re: Jindal to cut reimbursement to physicians caring for medicaid...


You know what kind of jobs someone without a job resume in 2 1/2 years and just getting out of the pen qualifies for?





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WildTchoupitoulas
LSU Fan
Member since Jan 2010
14584 posts

re: Jindal to cut reimbursement to physicians caring for medicaid...


quote:

I accept that the world is not FAIR. You obviously are the one who doesn't.

It's not a matter of whether or not you accept the worlds is "fair". (What a simplistic, childish way to look at it), but rather what we do for those for whom life has been unfair (I can't believe I'm even having to explain this shite to someone who considers himself a medical doctor).
quote:

If you decided to not care about your future why should I?

Okay, first of all BECAUSE YOU'RE A DOCTOR. Second of all, just because someone can't raise themselves out of poverty doesn't mean they don't care about their future - they may care VERY much, but nothing they do seems to to work.
quote:

I worked my azz off.

Good for you, what do you want, a cookie? The fact is that there are rich people who have worked their asses off and rich people who've never done a days work in their lives. There are poor people who work their asses off and poor people who've never worked a day in their lives.
quote:

While you were out having fun I worked 3 part time jobs and made straight A's.

Okay, you don't know who the frick I am, or how many jobs I had to work myself through college. You seem to just be a complete narcissist and probably won't be able to understand anything I'm saying.
quote:

I paid for my pwn school.

Oh, aren't you fricking special. NEWSFLASH: So did a lot of other people.
quote:

I don't owe you anything.

I'm not asking for anything from you, personally. There are very few people I wish hardship upon, but it seems like it might do you some good.

You're like the rock start who started playing music to get rich and famous, as opposed to the musician who is compeeled to create art - whereever that may take him. You're the rock star doctor who got into the field for riches and not becuase you wanted to help people. Worthless.

But yeah, you really come across as a self-absorbed prick.






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meauxjeaux2
Boise State Fan
watson
Member since Oct 2007
45370 posts
 Online 

re: Jindal to cut reimbursement to physicians caring for medicaid...


for someone supposedly so educated,you sure do like insulting people when you really don't have any intellectual discussions to bring to the table.
All your posting is feely goody shite about peoples feelings and how we've hurt damn near every one of them.



This post was edited on 1/31 at 1:04 pm


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BugAC
LSU Fan
Baton Rouge
Member since Oct 2007
18273 posts

re: Jindal to cut reimbursement to physicians caring for medicaid...


quote:

What...you want them to have abortions or free birth control?


How does not having kids, equate to abortion or "free" birth control?

Again, flawed idiot logic. P-E-R-S-O-N-A-L R-E-S-P-O-N-S-I-B-I-L-I-T-Y

I don't have abortions or ask for someone else to pay for birth control if i don't want kids. I act like a responsible human, and practice safe sex or don't do it at all. Why is your only option to not have kids equal abortion or taxpayer funded birth control?



This post was edited on 1/31 at 1:07 pm


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Ex-Popcorn
Member since Nov 2005
797 posts

re: Jindal to cut reimbursement to physicians caring for medicaid...


quote:

It's not a matter of whether or not you accept the worlds is "fair"...but rather what we do for those for whom life has been unfair


See, I found your problem. You have a belief system that leads you to a conclusion that "you" would like to do something for them...and you expect everyone else to have your same belief system--hence, the "we" above.

You either: (1) completely ignore that other people may have an opinion that's different than yours; or (2) believe that your opinion is better than anyone else's opinion. Either way, that's pretty pompous, doc.






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BugAC
LSU Fan
Baton Rouge
Member since Oct 2007
18273 posts

re: Jindal to cut reimbursement to physicians caring for medicaid...


quote:

See, I found your problem.


Who are you responding to, that is not my quote.






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meauxjeaux2
Boise State Fan
watson
Member since Oct 2007
45370 posts
 Online 

re: Jindal to cut reimbursement to physicians caring for medicaid...


quote:

Who are you responding to, that is not my quote.







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WildTchoupitoulas
LSU Fan
Member since Jan 2010
14584 posts

re: Jindal to cut reimbursement to physicians caring for medicaid...


(no message)


This post was edited on 2/1 at 9:19 am


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WildTchoupitoulas
LSU Fan
Member since Jan 2010
14584 posts

re: Jindal to cut reimbursement to physicians caring for medicaid...


quote:

You either: (1) completely ignore that other people may have an opinion that's different than yours

I don't ignore that other people may be of the opinon that they are under no obligation to help others when they have the means to, but I can still believe that they are selfish and wrong for that opinion.
quote:

(2) believe that your opinion is better than anyone else's opinion

When my opinion is to help others when I have the means to, and the other opinion is to be selfish, yes, my opinion is better. I'm sorry if you've bought into all that objectivism crap, but I do believe in Values and Virtue.
quote:

Either way, that's pretty pompous

I'm only being pompous at this point in response to the severe arrogance and selfishness I've encountered in this thread. Forgive me, but I don't want to go to my doctor and have him tell me that he doesn't think I've been taking good enough care of myself, and now he doesn't care if I live or die - "See the cashier on your way out. Thank you."






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BugAC
LSU Fan
Baton Rouge
Member since Oct 2007
18273 posts

re: Jindal to cut reimbursement to physicians caring for medicaid...


quote:

. I'm saying there are people out there who, through no fault of their own, are at a disadvantage and the humane thing to do is to offer them help.


At what cost? At the cost of the economy and my economic freedom?

Medicare/medicade reform is one thing, but the abortion that is Obamacare is a completely different thing. It's using these same "heart felt" emotions that got us this bull shite of obamacare. Obama was given plenty of feedback on amending obamacare to where it wasn't as horrible as it was, and he ignored everyone and pushed it through. Forced charity is not charity, its theft.






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NukemVol
Tennessee Fan
Atlanta
Member since Jan 2010
1431 posts

re: Jindal to cut reimbursement to physicians caring for medicaid...


I prefer actual charity, not government coerced charity.





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lsusaintsfan4life
LSU Fan
Member since Mar 2008
840 posts

re: Jindal to cut reimbursement to physicians caring for medicaid...


With all do respect sir you are an idiot.

I help those that want to help themselves. That is why I went into medicine. I do not care if you don't. Period.






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MDcajuntiger
LSU Fan
Denonvilliers' and parts outlying
Member since Sep 2007
998 posts

re: Jindal to cut reimbursement to physicians caring for medicaid...


Going to see lots of people stop seeing Medicaid. Already happening. Regionalization of care with a big sucking sound in the vicinity of NOLA and Shreveport.

With regards to the back and forth within this thread. One thing that has to be realized is that there are only so many hours in the day to deliver quality care.

Most physicians (even jaded ones), still want to do what is best for the patient. In my anecdotal experiences, medicaid patients utilize disproportionate amounts of resources (clinic visits, discussions, trips to ER, calls to office, etc). This group is also more likely to no-show or not comply with your recommendations/treatment plans. This means more time spinning your wheels on someone who exists in direct opposition to Darwinian selective forces and less time to deliver care to other patients who are likely more willing to understand and comply with your recommendations. It is easy to see how providers would rationalize that ceasing to see Medicaid patients will improve overall care delivered to their patients as a whole.

Some will argue that this is inappropriate rationale for people sworn to take care of others. One thing to consider is that I can think of few professions that require a person with an advanced degree/training to interact with all socioeconomic strata of our culture. These may be generalizations, but PhDs mainly interact with people of likened pedigree/academia. Advanced degrees are for the most part sheltered from this. Perhaps JDs who represent the underserved? My point is that some of the educated posters on this board may have preconceptions about what doctors should do/be, but do not hold themselves nor most professions to the same standard









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WildTchoupitoulas
LSU Fan
Member since Jan 2010
14584 posts

re: Jindal to cut reimbursement to physicians caring for medicaid...


quote:

I prefer actual charity, not government coerced charity.

The problem is that there are too many like the Narcisisstic Doctor who think it's none of their business.

Before anyone thinks that I'm condoning the current welfare systems, I do NOT. We need a new way of looking at solutions to the problems. What we are doing now is doing more harm than good in many ways.

But the good doctor wasn't really arguing that, just that if someone id disadvantaged, it's their fault and he's not going to do anything about it - because HE worked 'hard'.

But a society is not served when too many are impoverished. We ALL suffer in that case. Look at the French Revolution, or the Russian Revolution. When wealth is too concentrated in too few people at the top, BAD things go down. Hell, look at Mexico today.






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prplhze2000
LSU Fan
Parts Unknown
Member since Jan 2007
31068 posts

re: Jindal to cut reimbursement to physicians caring for medicaid...


EQ Health Solutions. Check them out.





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