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Message
re: More and more doctors opting out of Obamacare
Posted on 10/29/14 at 8:49 am to WeeWee
Posted on 10/29/14 at 8:49 am to WeeWee
quote:
Congrats that has to be the dumbest thing I have ever read. At point do you want to pick up my $20K/semester med school bill?
They left out sarcasm detection in your curriculum, huh?
1
Posted on 10/29/14 at 8:52 am to lsu13lsu
quote:
I want to stay in school my whole life and take a few years off to find myself in Europe too!
You're talking about funemployment. Many Americans are celebrating freedom from job lock and are finding themselves in writing poetry and honing their street art. Who's gonna pay for their medical insurance?
Posted on 10/29/14 at 9:08 am to onmymedicalgrind
quote:
They left out sarcasm detection in your curriculum, huh?
no that is next semester
Posted on 10/29/14 at 9:15 am to NC_Tigah
quote:
Actually that number of active doctors is slightly high. In 2012 there were 703,872 physicians in active patient care (BLS pegs that number a bit lower at 691,400). But the "over 214,000 doctors who won't participate in the new plans under the Affordable Care Act" is even more significant when you consider those who don't really have a choice (if they're going to continue practicing). Hospital based MDs (ER Docs, Radiologists, Pathologists, Anesthesiologists, Hospitalists, Intensivists) normally are contractually obligated to accept all patients the Hospital does. Those MDs, totaling about 130,000, would not be a part of the non-obamacare pool. Point being, the 214K number is even more ominous when considered against a ~575K denominator
Precisely. Moreover, many of these docs will also not participate in a supposed "single payer" system either.
Question for those that are espousing "single payer"? Is the government going to ban insurance companies? Would people be banned from purchasing insurance, with said insurance being the only for physicians that do not take government "payment"? How do you guys see this working out?
Posted on 10/29/14 at 9:26 am to DeltaDoc
quote:
How do you guys see this working out?
There's a simple solution. Just go to any high school and identify students who want to be Drs, then send them to something like vocational training in the 10th-12th grades. We'll soon have plenty of Drs to fill the gap. We may have to outlaw malpractice suits. After a while, the population will think twice about going to a Dr.
It's important that everyone in a healthcare waiting line have a sense of shared hardships. It will bring us together as a nation.
Posted on 10/29/14 at 9:29 am to son of arlo
quote:
son of arlo
You completely dodged the inherent issues. Nice.
Posted on 10/29/14 at 9:38 am to DeltaDoc
No need to worry about the inherent issues until after the next election.
Posted on 10/29/14 at 9:44 am to son of arlo
quote:
There's a simple solution. Just go to any high school and identify students who want to be Drs, then send them to something like vocational training in the 10th-12th grades. We'll soon have plenty of Drs to fill the gap. We may have to outlaw malpractice suits. After a while, the population will think twice about going to a Dr.
It's important that everyone in a healthcare waiting line have a sense of shared hardships. It will bring us together as a nation.
for the love of all that is Holy, please tell me that you aren't serious.
Posted on 10/29/14 at 9:46 am to WeeWee
quote:
for the love of all that is Holy, please tell me that you aren't serious.
You're going to be kicking yourself after your sarcasm class next semester
Posted on 10/29/14 at 9:52 am to onmymedicalgrind
quote:
You're going to be kicking yourself after your sarcasm class next semester
I have to survive to next semester first.
Posted on 10/29/14 at 9:55 am to WeeWee
quote:
please tell me that you aren't serious.
Are you saying 3 years of vo-tech training is too much to qualify someone as a Dr? Maybe you're right. How about a GED and two years of night school at a Jr college?
Posted on 10/29/14 at 9:58 am to NC_Tigah
quote:Different numbers. Obviously you went to a more relative number of "physicians in active patient care"... however you can't compare that against the larger pool that was used to come up with the 214K doctors. Similarly many of the doctors in the "won't participate" number aren't participating because they were never approached to be in one of these products, which are fairly new. More than 40% according to the study.
Point being, the 214K number is even more ominous when considered against a ~575K denominator.
I don't know if anyone has a solid grasp on where some of the insurance products on the ACA will go yet. As it is the insurance industry in general has been shifting to more complex models of coverage over the last 10-20 years.
Posted on 10/29/14 at 9:59 am to son of arlo
quote:
Are you saying 3 years of vo-tech training is too much to qualify someone as a Dr? Maybe you're right. How about a GED and two years of night school at a Jr college?
I am sure Grambling will just send them in the mail, but you have to vote for Mary and donate to their special athletic fund.
Posted on 10/29/14 at 10:14 am to mmcgrath
quote:Indeed. The >800K number usually includes MDs in training, as well as others not practicing
Different numbers
quote:Ah, so it's your premise that the 214K MDs not participating are folks who don't actually participate in active care anyway. Good for you.
however you can't compare that against the larger pool that was used to come up with the 214K doctors.
Just trying to help you understand your repeated shoot-from-the-hip suppositions about medicine are often well off target. Sometimes it's not clear whether you believe what you're posting in these threads.
If you already know you're FOS though, by all means spin things as you'd like.
This post was edited on 10/29/14 at 10:15 am
Posted on 10/29/14 at 12:11 pm to WeeWee
Why don't know you object to your schools administrations about the egregious tuition Bill you pay? Why don't more medical students have a problem with the buy in? Someone needs to explain to them why some of them pay $80k+ a year to go to school.
I'm sure most docs wouldn't mind a slight paycut if they weren't racking up $200k+ loans by the team they were done.
I'm sure most docs wouldn't mind a slight paycut if they weren't racking up $200k+ loans by the team they were done.
Posted on 10/29/14 at 12:17 pm to NC_Tigah
quote:No. I am saying that some of the 214K are just that. Are you denying that?
Ah, so it's your premise that the 214K MDs not participating are folks who don't actually participate in active care anyway. Good for you.
Most of the number may be doctors who just haven't been asked to join one of the new physician pools yet, as more than 40% have indicated.
This post was edited on 10/29/14 at 12:18 pm
Posted on 10/29/14 at 1:31 pm to mmcgrath
quote:So again not knowing if you are actually serious, is it your understanding that a doc comes to town, and then hopes insurance companies will notice he's arrived, so he can be asked to join one of their insurance plans?
doctors who just haven't been asked to join one of the new physician pools
Posted on 10/29/14 at 1:33 pm to NC_Tigah
quote:
NC_Tigah
On topic, but side conversation:
BCBSTX basically blackmailed us into taking their exchange plans. Said it was "all or nothing". They were the only payer that did that.
You see anything similar?
Posted on 10/29/14 at 1:37 pm to NC_Tigah
quote:What I am saying is that from the study in the OP more than 40% of the doctors specified that one of the reasons they were not participating in one of the plans is that no one contacted them to participate.
So again not knowing if you are actually serious, is it your understanding that a doc comes to town, and then hopes insurance companies will notice he's arrived, so he can be asked to join one of their insurance plans?
Insurance companies have many different doctor pools that they can further divy up and assign to plans. It may really just be that the insurance companies haven't placed doctors in certain plans yet. The new ACA patients are a relatively small percentage of the population so you don't really need to have every doctor covered.
Posted on 10/29/14 at 1:37 pm to lsu13lsu
I didn't know you could "opt out" of the ACA regulations.
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