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Message
re: Trump on Healthcare: "Who Knew?"
Posted on 2/27/17 at 3:19 pm to the808bass
Posted on 2/27/17 at 3:19 pm to the808bass
quote:
It's not a literal example. Under single payor, physician compensation would probably be halved (or somewhere in that neighborhood).
It would definitely be a significant decrease, of course there's a decent argument to be made that part of the reason Medical salaries are so high is that the AMA amd other artifically suppress the number of qualified doctors entering the marketplace and that the salaries need to be high because of the absurdly high cost of medical school (German physicians make less than their American counterparts but also gradiate with exponentially less medical school debt so the wage gap only ends up being a net increase after a decade or more).
This post was edited on 2/27/17 at 3:20 pm
2
Posted on 2/27/17 at 3:47 pm to montanagator
quote:
the reason Medical salaries are so high is that the AMA
No.
quote:
Part of the problem stems from the funding mechanism for Graduate Medical Education (GME). Medicare covers the majority of the cost teaching hospitals spend on training medical residents, but the Balanced Budget Act of 1997 capped the number of residency slots the federal government would fund. The shortfall-what is not covered by the Federal government-is paid for by the hospitals where residents train. While it is possible to increase the number of residents they train, to do so, hospitals must fund the entire cost of those training positions.
LINK
Here is the contemporary account dealing with the Feds restricting Medical Training Slots:
quote:
In a plan that health experts greeted as brilliant and bizarre, Federal regulators announced yesterday that for the next six years they would pay New York State hospitals not to train physicians.
Just as the Federal Government for many years paid corn farmers to let fields lie fallow, 41 of New York's teaching hospitals will be paid $400 million to not cultivate so many new doctors, their main cash crop.
The plan's primary purpose is to stem a growing surplus of doctors in parts of the nation, as well as to save Government money. But the payments are manna to New York's cash-starved hospitals, which are struggling to trim the size of their staffs and adapt to the world of managed care.
The plan required no Congressional action and thus was not debated by senators and representatives from other states.
LINK
Posted on 2/27/17 at 3:52 pm to montanagator
You think doctor's compensation is high so that they can pay for medical school?
I'm not so sure that it's really "high." You can go to medical school for approximately the cost of a nice first home. Is that "too high?"
I'm not so sure that it's really "high." You can go to medical school for approximately the cost of a nice first home. Is that "too high?"
Posted on 2/27/17 at 3:56 pm to the808bass
quote:
You think doctor's compensation is high so that they can pay for medical school? I'm not so sure that it's really "high." You can go to medical school for approximately the cost of a nice first home. Is that "too high?"
People are fricking tards when it comes to Health Care.
shite that they know with no problem about economics in every other area, they suspend for health care.
Health care costs are literally not surprising at all. Neither are doctor salaries.
Show me a product where it takes highly trained people to provide it.......where EVERYONE demands it and EVERYONE believes they should have access to the best available and EVERYONE gets subsidized in one way or another if they can't afford it.........
and I'll show you some expensive shite.
You can apply that to any fricking product you want. It will always be true.
Posted on 2/27/17 at 4:07 pm to ShortyRob
quote:Im continually amazed at the misconceptions about what docs earn these days.
People are fricking tards when it comes to Health Care.
My pal says: "______ is loaded, she's a doc!"
Me: "do you have any idea what a pediatrician makes?"
My pal: "a lot! They are specialists and tha means they make A LOT of money!"
It isn't doc salaries that are driving healthcare prices. It's all they "customers" trying to avoid paying that's driving it up for those that do actuallly pay.
This post was edited on 2/27/17 at 4:09 pm
Posted on 2/27/17 at 4:12 pm to Eli Goldfinger
quote:
The government is making it this complicated with the end game of having a single payer.
It has been extremely complicated well before the government got involved.
Posted on 2/27/17 at 5:15 pm to roadGator
quote:
"who knew"? Not Obama apparently although he'd likely gladly tell you that he was so smart that he could see the doubling of premiums and deductibles.
Obama knew and every Dem knew.... They wanted this to be a mess because it is just the next step towards full single payer government run health care. This is exactly what they hoped to accomplish.
Posted on 2/27/17 at 7:32 pm to NC_Tigah
quote:
They are treading water awaiting Trump's proposal. That way they gain some degree of political cover when problems arise.
Solid point. I agree.
Posted on 2/27/17 at 7:48 pm to ForeLSU
quote:
If Trump can't repeal and replace it will be because the globalist faction is far too powerful?
Yes. Redistribution of wealth is paramount to globalization by force.
Posted on 2/27/17 at 10:09 pm to cas4t
quote:
It has been extremely complicated well before the government got involved.
Not really.
Posted on 2/28/17 at 5:56 am to the808bass
quote:
Not really.
Yeah I remember it being fairly complicated and rates always going up before the aca. The ACA didn't help the complications but certainly wasn't the beginning of complications.
Posted on 2/28/17 at 6:33 am to oklahogjr
quote:
rates always going up
Certainly not at the same rate for many Americans, and why wouldn't they go up?
Posted on 2/28/17 at 7:31 am to ForeLSU
I am pretty certain that if Trump had listened to anyone in his own party he would have known that the issue was repealing Obamacare and to hell with any kind of plan other than that which we had prior to Obamacare. Many of his parties members have been trying to come up with a plan since Obamacare was passed to no avail...some have been trying since the GOP blocked Hillary Clinton's plan in the early 90's....hell some of them have been around since Nixon and even Eisenhower tried to come up with a plan'
This is whats going to happen...they are going to appeal Obamacare and replace with the ACA almost in ite sntirety. The reason is simple.....the basic structure is sound and is a bare bones program...not a lot of bells and whistles. they are going to tell their base that they have appealed Obamacare and the replacements is going to be Obamacare...and of course the base will eat that shite with a spoon and ask for more because the kneyan muslim didn't have anything to do with it. It doesnt matter to me or most Americans in the least what it is called as long as it works.
Now for the truly miraculous thing....Obama moved the goal posts on a subject that has plagued this country since at least Eisenhower. in 1992 the GOP was having no part of any sort of "socialized medicine". When the ACA was being debated they were having none of that shite...now they aren't merely going back to where we were in 2008....at the end of the day Americans are going to insist on the basic bones of the ACA being kept intact...and the GOP is going to pretend like that was their plan all along.
The thing for the GOP to have done back in 2008 when this first started was get on board BIGLY....to make this plane theirs...because it is going to be with us from now on in some form or fashion...the basics are going to be here forerver because they are sound...the GOP is no trying to prevent the ACA from becoming another hugely popular program like social security which has been around only because Democrats have seen to its being around...and even Trump won't go near that sacrificial goat...the ACA is going to morph into the same type of situation and is, in fact, doing so as we speak...
This is whats going to happen...they are going to appeal Obamacare and replace with the ACA almost in ite sntirety. The reason is simple.....the basic structure is sound and is a bare bones program...not a lot of bells and whistles. they are going to tell their base that they have appealed Obamacare and the replacements is going to be Obamacare...and of course the base will eat that shite with a spoon and ask for more because the kneyan muslim didn't have anything to do with it. It doesnt matter to me or most Americans in the least what it is called as long as it works.
Now for the truly miraculous thing....Obama moved the goal posts on a subject that has plagued this country since at least Eisenhower. in 1992 the GOP was having no part of any sort of "socialized medicine". When the ACA was being debated they were having none of that shite...now they aren't merely going back to where we were in 2008....at the end of the day Americans are going to insist on the basic bones of the ACA being kept intact...and the GOP is going to pretend like that was their plan all along.
The thing for the GOP to have done back in 2008 when this first started was get on board BIGLY....to make this plane theirs...because it is going to be with us from now on in some form or fashion...the basics are going to be here forerver because they are sound...the GOP is no trying to prevent the ACA from becoming another hugely popular program like social security which has been around only because Democrats have seen to its being around...and even Trump won't go near that sacrificial goat...the ACA is going to morph into the same type of situation and is, in fact, doing so as we speak...
Posted on 2/28/17 at 7:33 am to oklahogjr
quote:
Yeah I remember it being fairly complicated and rates always going up before the aca. The ACA didn't help the complications but certainly wasn't the beginning of complications.
The involvement of the government didn't begin with the ACA.
Posted on 2/28/17 at 7:36 am to cas4t
quote:
It has been extremely complicated well before the government got involved.
What exactly was complicated?
Posted on 2/28/17 at 11:33 am to roadGator
sorry I'm late
if we are talking plans, they have always been complicated. Coinsurance, high deductible plans, FSA, HSA, minimum deductible, max out of pocket, etc were always pretty hard for the average non health insurance trained employee to grasp, especially with so many options. There's a reason why open enrollments are more effective with the broker present to explain the plans to employees.
as for HC in general, it's always been complicated. MCOs, PPOs, HMOs, etc. Folks don't understand it. For instance, within an MCO in general, you have numerous MCOs that operate differently. A group practice without walls for instance is something that directly affects your physician's pay, and something you may or may not care about when deciding on a primary care physician.
Then there's point of service docs, and private fee for service, indemnity plans. It's just a lot. Generally it is dumbed down as most are in a PPO, but the point is that it was just as complicated before ACA as it is today. Not much of that really changed.
if we are talking plans, they have always been complicated. Coinsurance, high deductible plans, FSA, HSA, minimum deductible, max out of pocket, etc were always pretty hard for the average non health insurance trained employee to grasp, especially with so many options. There's a reason why open enrollments are more effective with the broker present to explain the plans to employees.
as for HC in general, it's always been complicated. MCOs, PPOs, HMOs, etc. Folks don't understand it. For instance, within an MCO in general, you have numerous MCOs that operate differently. A group practice without walls for instance is something that directly affects your physician's pay, and something you may or may not care about when deciding on a primary care physician.
Then there's point of service docs, and private fee for service, indemnity plans. It's just a lot. Generally it is dumbed down as most are in a PPO, but the point is that it was just as complicated before ACA as it is today. Not much of that really changed.
This post was edited on 2/28/17 at 11:35 am
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