Get ready for long lines at family-practice doctors offices

posted at 12:15 pm on March 29, 2010 by Ed Morrissey

How will ObamaCare most impact average Americans?  The bill may have its greatest visibility at the most basic of all medical providers — the family practice clinic.  The US already faces a shortage of family-practice doctors, and the addition of millions to insurance coverages will exacerbate access issues, the AP reports:

Primary care physicians already are in short supply in parts of the country, and the landmark health overhaul that will bring them millions more newly insured patients in the next few years promises extra strain.

The new law goes beyond offering coverage to the uninsured, with steps to improve the quality of care for the average person and help keep us well instead of today’s seek-care-after-you’re-sick culture. To benefit, you’ll need a regular health provider.

Yet recently published reports predict a shortfall of roughly 40,000 primary care doctors over the next decade, a field losing out to the better pay, better hours and higher profile of many other specialties.

This is not a new issue.  Almost a year ago, the New York Times reported on the dearth of family-practice physicians and what it would mean to health-care reform.  The problem does not occur so much with private insurance plans, but with public plans such as Medicare and Medicaid, the very mechanisms used by Congress to expand coverage to the uninsured.  Family-practice physicians had already begun to refuse accepting any new patients, as the Wall Street Journal reported in April 2009, from public plans because of low reimbursement rates.

The cure for that disease is to increase the reimbursement rates.  However, that would make both plans even more prohibitively expensive, and Congress has framed the ObamaCare debate as a means of cost control through price fixing.  In fact, a scheduled reduction of reimbursement rates of 21% is built into the cost structure of ObamaCare as scored by the CBO, while Congress plans to enact a “doc fix” that will rescind the cuts.  But that won’t get doctors back into the business of servicing Medicaid and Medicare patients; it may not even slow the rate at which they’re bleeding out of the system.

The AP’s report includes the strategy of “medical homes” to work around the doctor shortage.  The medical home is what we used to call a clinic, but with a twist.  Instead of a doctor seeing patients, the patients would instead see “a doctor-led team of nurses, physician assistants and disease educators,” with the doctor only seeing patients when absolutely necessary.  Anyone who has had an HMO plan will be familiar with the concept, where PAs began replacing actual doctors for most routine care in the 1980s — and which liberals widely criticized as corporations cutting corners at the expense of patients.

Do these actually save money?  According to initial pilot programs, no:

Pilot tests of medical homes, through the American Academy of Family Physicians and Medicare, are under way around the country. Initial results suggest they can improve quality, but it’s not clear if they save money.

The AAFP was an advocacy group that enthusiastically backed ObamaCare, and Medicare’s bias in pursuit of finding alternatives to doctors is fairly obvious.  Basically, the government has decided to recreate the HMO experience on a national scale.  They’re planning on facing a primary-care physician shortage for the long term, at least in public plans.


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Comment pages: 1 2

Please don’t feed the trolls.

Aviator on March 29, 2010 at 1:10 PM

I hope democrats win prosperity for us young people when they start restricting care for the elderly.

daesleeper on March 29, 2010 at 1:11 PM

I really think my point is obvious. Do not think that 100% coverage really gets you the “best” healthcare.

That is simply untrue.

AnninCA on March 29, 2010 at 1:11 PM

Of course there is a shortage, why become a FP, when you’ll make 150 and top at 200. Many specialists start at 200 and the added expenses to eduction are minimal.

Tim Burton on March 29, 2010 at 1:09 PM

Why go through all the hassle even for 200k when after taxes it’ll barely be 100k?

Might as well skip out on the 10 years of college and make 75K as a government worker who can retire with full benefits at 45 years old.

angryed on March 29, 2010 at 1:11 PM

No, she couldn’t. She was in terrible health condition.

But it wasn’t remotely related to those tests.

AnninCA on March 29, 2010 at 1:09 PM

You’re obsessed and trying blame doctors. Sounds to me you have some serious issues you haven’t dealt with. You bring this up every single damn time. We’ve all heard this several times over.

darwin on March 29, 2010 at 1:12 PM

Uh, She could have said ‘NO’ at any time to any of the tests.

Just pointing out the obvious.

PappaMac on March 29, 2010 at 1:06 PM

No, she couldn’t. She was in terrible health condition.

But it wasn’t remotely related to those tests.

AnninCA on March 29, 2010 at 1:09 PM

Then she made a decision. I don’t see where this is the Dr.’s or the Insurance’s fault. They offered her care, she took it.

PappaMac on March 29, 2010 at 1:13 PM

Ed haven’t you heard: Obama has repealed the law of supply and demand.
Ted Torgerson on March 29, 2010 at 12:18 PM

I wish Obama and the rest of the National Socialists would repeal the law of gravity – I want my flying car!

Chip on March 29, 2010 at 1:13 PM

The same exact test, at great cost, in 3 different settings.

And I couldn’t even begin to get a voice that the tests were done at the last place.

The fact is that she had 100% coverage.

They were out to milk her.

And they did.

I do have one comfort. This particular test that “used” the expensive equipment didn’t hurt her.

But the recommendations?

OY vey!

Those of you who want to follow every medical advice?

Go ahead.

Talk about following advice that may be dumb.

AnninCA on March 29, 2010 at 1:06 PM

Obviously you’ll be quite happy with your socialist health care program so why don’t you just drop off this forum and stop punishing yourself by reading the counter arguments of others,

rplat on March 29, 2010 at 1:13 PM

No, she couldn’t. She was in terrible health condition.

But it wasn’t remotely related to those tests.

AnninCA on March 29, 2010 at 1:09 PM

How do you know?

canditaylor68 on March 29, 2010 at 1:13 PM

Never.

AnninCA on March 29, 2010 at 1:00 PM

Oh, shut up, Ann. She could have refused the tests at anytime. We ran into this with my mother when she was dying in the hospital. She was on TennCare (Medicaid to you) and the hospitalists kept wanting to do more tests on her that weren’t doing anything for her. She was dying and we all knew it. We told them “no more tests”. Guess what? NO.MORE.TESTS.

ladyingray on March 29, 2010 at 1:13 PM

So, you’re basically saying 32 million Americans should continue to go without health care because if health care becomes available and affordable to them then they might inconvenience you?
factoid on March 29, 2010 at 12:46 PM

As one of those 32 million I’ll let you in on a dirty secret I don’t go without health care. I practice pay-go. You know paying for those services when I use them.

chemman on March 29, 2010 at 1:15 PM

But at least they are going to hire 6,500 more proctologists….

Wine_N_Dine on March 29, 2010 at 1:16 PM

Please don’t feed the trolls.
Aviator on March 29, 2010 at 1:10 PM

I’d prefer to feed them into a wood Chipper (rhetorically speaking of course)

Chip on March 29, 2010 at 1:16 PM

You won’t be able to keep your doctor.

You won’t be seeing a doctor. You’ll be seeing a PA (Physician’s Assistant) from now on.

Surgery will be done by the SA (Surgeon’s Assistant).

You’ll get your prescriptions from the PhA.

Thanks, Obama!

drjohn on March 29, 2010 at 1:18 PM

So, you’re basically saying 32 million Americans should continue to go without health care because if health care becomes available and affordable to them then they might inconvenience you?
factoid on March 29, 2010 at 12:46 PM

Lack of health insurance does not equal lack of health care. I know you know this. But it is a Kos talking point so you have to lie.

angryed on March 29, 2010 at 1:18 PM

I like democrats because they restrict coice. Choice is hard.

Barak obama needs to restrict more freedom cause i cant keep making decisions for my family. it is so hard.

daesleeper on March 29, 2010 at 1:19 PM

“Soylent Green” can’t be to far behind this communist aberration.

rplat on March 29, 2010 at 1:19 PM

And when did this number magically fall to 32 million BTW? For years I heard the number was 48 million. Magically 16 million people got insurance, huh?

angryed on March 29, 2010 at 1:19 PM

You want to see a physician, then (sorry to say), go to an affluent area.

Doctors in lower income areas will be inundated with patients. The smart ones will move their practices to get away from them, unfortunately, for a chance at decent reimbursement.

Already if you go to an ER in a poor area, you’re in for a four hour wait. It’s not going to get any better under this idiot “reform” effort, lower income/less educated people tend to wait longer to get their health problems tended to and it’s not usually due to lack of insurance, as the myth goes and it will be bourn out now in practice.

NoDonkey on March 29, 2010 at 1:20 PM

Dark-Star on March 29, 2010 at 1:07 PM

I agree, and I don’t yet know what the middle ground is. Our government, unfortunately, does not deal well with ‘middle ground’. I’m just pointing out where I think we’re headed.

joejm65 on March 29, 2010 at 1:20 PM

AnninCA on March 29, 2010 at 1:00 PM

Ever heard of a second opinion???? No one put a gun to her head and forced her to undergo those tests. This is one of the largest problems. No one wants to take responsibility for their own health. A surgeon can recommend surgery that might help fix some pain you are experiencing. However, that may not be the best solution. You get a second opinion and maybe another solution is offered. Either way THE PATIENT agrees or refuses to accept the treatment. One way or another, it is NOT the doctor’s fault or the insurance company’s fault for YOU undergoing a test.

FREE COUNTRY. No gun to your head.

search4truth on March 29, 2010 at 1:24 PM

When there is no money to fund this outrageous government expansion, all of the dismal results of such delusional legislation will be temporary.

The feces is flying toward the fan.

It will hit, BIG TIME, by November, at the latest.

profitsbeard on March 29, 2010 at 1:26 PM

You want to see a physician, then (sorry to say), go to an affluent area.

Doctors in lower income areas will be inundated with patients. The smart ones will move their practices to get away from them, unfortunately, for a chance at decent reimbursement.

NoDonkey on March 29, 2010 at 1:20 PM

Just wait until all the student loans for medical schools are issues by the govt instead of banks. There will be stipulations that in order to receive a loan you have to practice in “low income” and “minority” areas. And since not many people can swing $200K for tuition on their own, they will have no choice but to agree.

Ditto for immigration. Are you a doctor in India? Want to come to America? No problem. But you have to work at a hospital in downtown Detroit for 10 years.

If anything I think it will be the exact opposite. Low income/minority areas will be overflowing with docs.

angryed on March 29, 2010 at 1:26 PM

Those of you who want to follow every medical advice?

Go ahead.

Talk about following advice that may be dumb.

AnninCA on March 29, 2010 at 1:06 PM

Talk about advice that may be dumb! *LOL

AsianGirlInTights on March 29, 2010 at 1:27 PM

I agree, and I don’t yet know what the middle ground is.

While I won’t claim to hate the Ultimate Solution, perhaps we could try something like this: offer special scholarships to budding doctors and subsidized malpracticed insurance…so long as they sign an agreement not to take more than a modest salary for the next 10 years of practice.

Our government, unfortunately, does not deal well with ‘middle ground’. I’m just pointing out where I think we’re headed.

joejm65 on March 29, 2010 at 1:20 PM

Neither does most of our population, which is IMHO even more unfortunate. Just look at the abortion debate for a good example.

Dark-Star on March 29, 2010 at 1:28 PM

Talk about advice that may be dumb! *LOL

AsianGirlInTights on March 29, 2010 at 1:27 PM

*LOL

ladyingray on March 29, 2010 at 1:28 PM

AnninCa–

did you ever consider all the docs did these tests to cover their butts from being sued? That’s the primary reason they do that.

conservative pilgrim on March 29, 2010 at 1:36 PM

There are solutions to the problem:

1. Lower the standards to become a doctor.
2. Allow more foreign doctors into the country even if they can’t speak english.
3. force doctors to see medicare/medicaid patients. Remember, choice is only a reason to do something when it supports a liberals cause. Otherwise, no choice.

Based on the way this country is headed, any of the three are plausible.

iamsaved on March 29, 2010 at 1:39 PM

In other news: Doctors planning to continue their practice are building expanded waiting rooms and bathrooms. In addition, several fast food chains are considering building adjacent to these offices to accomodate hungry patients waiting for an expected 8-16 hours for a routine visit.

darwin on March 29, 2010 at 1:40 PM

angryed on March 29, 2010 at 1:26 PM

What will happen is that word will get out and Americans will stop enrolling in medical school.

Be a lawyer instead. School is a snap, it’s only three years and you can make tons of money.

Why be a sap and waste eight years studying so you can make $10 a patient?

“Have you been hurt in an accident” guys make more than a primary care physician now.

NoDonkey on March 29, 2010 at 1:40 PM

Change you can believe in has finally arrived. Is your life better?
It has been clear to me that the best way to cure America of it’s problem with entitlement addiction is either stop them outright or to do what the progressives advocate cut benefits to older folks causing them to expire faster. This has the advantage of naturally depleting the requests for social security benefits as well as medicare benefits which in the long run trim the costs of those two entitlements.

The sneaky progressive bastards have been screaming for years that over population will kill mother Earth because of the demands of the popultion is more than SHE can handle. Abortion on demand, forced abortion and now the reduction of health care to the sick will provide the needed Star Trek necessary involuntary life span adjustment that progressives demand. If it were simply about money, the progressives would just print more of it as they always do but contrary to this argument, it’s really about population reduction.

I know this ony scratches the surface, but can we see any other way?

larvcom on March 29, 2010 at 1:42 PM

What will happen is that word will get out and Americans will stop enrolling in medical school.

Be a lawyer instead. School is a snap, it’s only three years and you can make tons of money.

Why be a sap and waste eight years studying so you can make $10 a patient?

“Have you been hurt in an accident” guys make more than a primary care physician now.

NoDonkey on March 29, 2010 at 1:40 PM

Why go to school at all? The government will take most of what you make and give it to someone else.

In the US today … the harder you work, the less you get. The less you work, the more you get.

darwin on March 29, 2010 at 1:45 PM

Like I said during the Clinton years–sick call for the nation.
In the interest of fairness and full disclosure I had excellent dental care but G*d-awful healthcare in the Army in the early 80′s

gstep58 on March 29, 2010 at 1:46 PM

darwin on March 29, 2010 at 1:45 PM

True, except if you’re a lawyer, politician, union member, singer or actor.

In other words, a member of the absolutely worthless, corrupt and incompetent Democrat power structure.

NoDonkey on March 29, 2010 at 1:47 PM

True, except if you’re a lawyer, politician, union member, singer or actor.

In other words, a member of the absolutely worthless, corrupt and incompetent Democrat power structure.

NoDonkey on March 29, 2010 at 1:47 PM

Yep

darwin on March 29, 2010 at 1:48 PM

Why go to school at all? The government will take most of what you make and give it to someone else.

In the US today … the harder you work, the less you get. The less you work, the more you get.

darwin on March 29, 2010 at 1:45 PM

Absolutely. The difference between the quality of life received by working vs. not working is negligible.

If you work, you pay 1/2 the money earned to the govt.

If you don’t work you get a free house, free health care, free food, free utilities, free high speed internet (coming soon thanks to BHO), a free cell phone. Sure the qualify of housing, phone may not be top notch. But it’s free and you don’t have to wake up until noon every day.

angryed on March 29, 2010 at 1:52 PM

I have news for everyone. People who have spent their entire lives waiting until they are sick to go to the doctor are not going to change their habuts because of this legislation. Millions of people who have health insurance never see a doctor until they are sick, nor do their kids unless the school they attend requires a physical. The notion that Barack Obama is magically going to change our culture into a super-responsibale nation of people who always schedule regular checkups and follow their doctor’s orders religiously is hilarious.

rockmom on March 29, 2010 at 1:53 PM

The notion that Barack Obama is magically going to change our culture into a super-responsible nation of people who always schedule regular checkups and follow their doctor’s orders religiously is hilarious.

rockmom on March 29, 2010 at 1:53 PM

+1. A frustrated pharmacist once told me that taking one’s medication ‘religiously’ meant something like ‘once a week on Sunday’.

People are ignoring the carrots and there aren’t any sticks until their health is truly degrading.

Dark-Star on March 29, 2010 at 2:00 PM

Millions of people who have health insurance never see a doctor until they are sick, nor do their kids unless the school they attend requires a physical

Agree – Prince George’s County Maryland, full of feds who work in DC, notified parents months in advance that their kids would need immunizations, come that fall.

The day before school and the day after school began, there was a line a mile long, of parents with their kids in tow, to get them their shots.

And these were mostly parents with health insurance.

This idiot reform will not make any more responsible.

NoDonkey on March 29, 2010 at 2:12 PM

Those of us living in rural areas have been experiencing this for a long time.
PAs have become the regular provider w/ a MD rotating around the various clinics.
So if you want to see a real Dr, plan on waiting, just like we have been doing for years.
I don’t mind a PA for routine stuff.
But they do not have the education or experience necessary to diagnose real problems.
So as an advocate for my own health, I am not extremely worried for myself.
I recently had to switch female Drs bcs I wasn’t satisfied with the level of care my OB/GYN dr was giving me.
So luckily I had the choice to switch to a more involved (& better educated & open minded) Dr & I have been able to take care of some problems.
I am way happier with my choice.
But my Dr is 100miles away.
What is going to happen NOW?
This will destroy our rual clinics.
I am PO’d.

Badger40 on March 29, 2010 at 2:23 PM

Doctors in lower income areas will be inundated with patients. The smart ones will move their practices to get away from them, unfortunately, for a chance at decent reimbursement.

NoDonkey on March 29, 2010 at 1:20 PM

Look for a new term in the Racist Wars:

“White-coat flight”

BobMbx on March 29, 2010 at 2:40 PM

There are solutions to the problem:

2. Allow more foreign doctors into the country even if they can’t speak english.

Based on the way this country is headed, any of the three are plausible.

iamsaved on March 29, 2010 at 1:39 PM

Probably not. Qualified doctors of whatever nationality will want to go where the money and freedom to practice is most attractive. You will start seeing medical clinics popping up all over the world as is already happening in places like Costa Rica and India where the rich will get the best medical care, and the rest of us schlubs will just have to pound sand if we get sick. Thanks, Dems. Brilliant. Just brilliant. What was once the most egalitarian system in the world will now only be accessible to the very wealthy.

If I had a lot of risk capital, I would be trying to identify where these medical outposts are going to be placed, and buy as much real estate as possible in those locales. It will pretty much be like offshore banking where, once again, we have incentivized the flight of capital to the detriment of ordinary persons.

ObjectionSustained on March 29, 2010 at 2:44 PM

If we still have the same supply of medical resources, and they add 30 million more patients into the system, then each person who is currently insured will receive less care. Thus, rationing and death panels will be more widespread under this new system.

Obama’s New Health-Care Bill Does Not Fund More Health-Care, It Only Funds New Bureaucrats

garyganu on March 29, 2010 at 2:45 PM

My family doctor has sent me a letter saying he will take no medicare patients unless you have been a patient of his for 20 years without medicare. And so has my endocrinologist.

THE FUN BEGINS.

Dhuka on March 29, 2010 at 2:46 PM

The White House solution – demonization of “greedy” doctors.

I mean, wanting $20.00+ per patient. Come on.

Whereas I talked to a lawyer about writing a will for me. He wanted $1,000.

The lawyers have their racket covered, guess the doctors are learning what happens when you’re not the group leading in Democrat donations.

NoDonkey on March 29, 2010 at 2:50 PM

Look for a new term in the Racist Wars:

“White-coat flight”

BobMbx on March 29, 2010 at 2:40 PM

And this time the term will have NO legitimate background.

Dark-Star on March 29, 2010 at 2:51 PM

I seem to remember that this HCR bill allocates billions of dollars solely for the education of blacks and hispanics to become doctors, and that there is nothing for Jews or Asians or whites to pay for medical school.

Thus will the doctor shortage be solved with a cadre of affirmative action doctors — who cannot be trusted to be good doctors simply because of the stigma of affirmative action racism.

Dhuka on March 29, 2010 at 2:51 PM

The same exact test, at great cost, in 3 different settings.

And I couldn’t even begin to get a voice that the tests were done at the last place.

Then don’t blame to doctors if you couldn’t get a word in.

Again, spent my adult life in and out of hospitals. I’ve had more tests done in that (relatively) short span of time than most people will have in a lifetime.

You know what my first question is after a doctor recommends a test?

“What’s the point? What are we looking for? Why are we doing that?”

If it’s the same test done before, I will immediately speak up. “I have test results from . Unless you think my physical condition changed enough between that time, doing that test is a waste of time. What else can we do?”

What you were doing (or your family) was just following blindly. That’s not how you relate with your doctor. You work with your doctor. They may have decades of medical experience under their belt, but only you (or your mother, in this case) knows her body better than anyone else. The doctor can advise–but he cannot force.

The fact is that she had 100% coverage.

They were out to milk her.

And they did.

And you let them. Congrats to you.

By the way, the other night, a waiter overcharged me when I took my wife out for a meal. Clearly, they were trying to milk me. I wanted to say something, but I couldn’t get a voice in as we left the tip and walked out the door.

I do have one comfort. This particular test that “used” the expensive equipment didn’t hurt her.

But the recommendations?

OY vey!

Yes, if you don’t actually listen to the doctor, or just blindly follow….bad things will happen.

Based on another post of yours, Ann, it’s pretty clear that you take no responsibility of your actions for yourself.

Those of you who want to follow every medical advice?

Go ahead.

And I do. Of course, I will press my doctor on every detail. I remind them of my history, I tell them of anything I felt was unusual (weird pain, odd skin blemish, etc). The advice I get is as worthwhile as what input I give him.

And, being a diabetic, that’s an instant-out for any doctor. If I was a mindless patient, I might accept it–unless that doctor has ruled out anything other (or has proof that a side-effect of my diabetes in indeed causing a given issue), I press further, and even seek another doctor if I felt that that doctor wasn’t working in my best interests. (And, yes, I’ve left a few doctors in the past, when their office or the doctor themselves were not looking out for my best interest. I will give the given office / doctor as many chances as possible, but, if, at the end of the day, I wouldn’t recommend said doctor to my wife, I will take my business elsewhere.)

As we say in the computer biz, Garbage In, Garbage Out. If you don’t give the doctor any input, don’t expect the best of advice to come forth.

CatsGodot on March 29, 2010 at 2:53 PM

Well now that they’ve taken over student loans can’t they just mandate what the student studies? Really, why should a student have a choice when we’re paying for their education? It’s the patriotic thing to do.

rockhead on March 29, 2010 at 2:56 PM

Hey,I know – The government can not only forgive all student loans for MD graduates, but they can also enforce heavy affirmative action quotas to make sure there are enough unqualified, sub-par MDs to staff the government hospitals when they do “graduate”. Awesome!

Fishoutofwater on March 29, 2010 at 2:57 PM

No, she couldn’t. She was in terrible health condition.

But it wasn’t remotely related to those tests.

AnninCA on March 29, 2010 at 1:09 PM

Since you want to personalize things, I’lll ask- where were you?

Patients who are alert & competent are generally asked about tests, or at least are not forced to have tests while being pushed down the hall screaming “No, Stop!”

Family members of incompetent patients have the right, and obligation, to discuss care with medical staff as decisions are made.

Are some doctors pushy? Sure. Do many of them come in with an agenda/plan? Absolutely. (Psst- sometimes they’re even right about why they want a particular test done, or repeated).

I have around healthcare for years, and have yet to see a patient wheeled in for a diagnostic test with a concerned family member yelling in the hallway “No! You can’t do that!”

Sorry if my comment is too blunt, but your repetitive BS threadjacking is getting pretty old.

cs89 on March 29, 2010 at 3:14 PM

I should really post my own feelings here to be honest.

AnninCA on March 29, 2010 at 1:00 PM

http://www.youtube.com/watch?v=KDwODbl3muE

Del Dolemonte on March 29, 2010 at 3:17 PM

Maybe Obama can do what Mao did and simply hand out doctor bags to random people and say they’re now doctors.

emerson7 on March 29, 2010 at 3:25 PM

emerson7 on March 29, 2010 at 3:25 PM

Or he can do the same with Congressional seats, random people (or even stray dogs) would be a guaranteed upgrade to who we have occupying the Democrat seats.

NoDonkey on March 29, 2010 at 3:51 PM

Is Hope and Change a synonym for HMOs?

Spot on. But the difference is that the retard looking at a chart/matrix that decides what services can and cannot be rendered will be a Federally-employed stooge rather than a privately-employed one.

Dr. ZhivBlago on March 29, 2010 at 4:01 PM

Ann in Central Arkansas:

Don’t you worry, sweetie; When the economy implodes, Obama’s minions (IRS agents) come and confiscate your computer (subversive communication device), stainless utensils and cookware (weapons), and you get a splinter in your butt from using the out house, then an infection that is resistant to antibiotics and puts you in the intensive care unit, Obama Care will remove that splinter, and you can still say “Well; Things could be worse!”
It’s really Bush’s fault; If he’d passed healthcare, we wouldn’t have to deal with the Obama version!

Cybergeezer on March 29, 2010 at 4:07 PM

Thanks for getting on board Associated Press. It’s a tad bit late…but…thanks. No, really, thanks.

labrat on March 29, 2010 at 4:19 PM

Only a liberal could believe that an individual has the “right” to another’s labor

Bevan on March 29, 2010 at 4:22 PM

Ed haven’t you heard: Obama has repealed the law of supply and demand.

Ted Torgerson on March 29, 2010 at 12:18 PM

Obambi is late to the party. Third-party payment effectively stops the law of supply and demand in its tracks.

“He who pays the piper, calls the tune.” In medicine, the payer is not the patient, but an insurance carrier, or the government (or both).

What the Great Pretender wants is just one payer: the Federal Government. We’re almost there.

MrLynn on March 29, 2010 at 5:37 PM

I just

Franklyn on March 29, 2010 at 6:16 PM

How does a doctor make money from ordering unnecessary tests?

Enquiring minds want to know.

justltl on March 29, 2010 at 7:21 PM

Any docs out there get a kickback when they order a test?
C’mon, ‘fess up, you evil, greedy bastards.
I know there are some of you on here.
You can’t hide.

justltl on March 29, 2010 at 7:30 PM

AnninCA

Learn from this guys, they are telling you the truth. As a nurse, if a patient or their families wanted to know , I will answer their question as best I know how and If I can’t I’ll have the Attending talk to them. You have the right to say no, you have the right to say my mother does not need any more test, you can say no and we would respect that. What we don’t like this when patients and their families are giving us mixed messages in their medical treatment. And oh yes, we can smell BS a mile away.

You have to understand this, MDs and other health care professionals want your input, we would even want you to have a second or third opinion if you have any doubts about your or your love one’s diagnosis or plan of care.

CatsGoDot is doing you a service here , it your life and your health or in most cases, your family’s life is at stake. Take control and try to work with the health team to reach a common health goal.

DinobotPrime on March 29, 2010 at 10:43 PM

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