Author Topic: primitives discuss Medicare payment cuts (Read 2853 times)

franksolich · « **on:** February 28, 2010, 06:54:51 PM »

http://upload.democraticunderground.com/discuss/duboard.php?az=view_all&address=389x7813763

Oh my.

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RB TexLa (1000+ posts) Sun Feb-28-10 02:05 PM
THE POLLEN PRIMITIVE, WHO DOESN'T LIKE SMALL-TOWN FOLKS
Original message

The 21% cut in payments to doctors and providers come to a $245B savings

One way the administration could move people from the side of the doctors who feel they deserve to have this tax money to us would be to propose a $245B tax cut for those making under $100K.

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Oregone (1000+ posts) Sun Feb-28-10 02:12 PM
Response to Original message

1. Tax cuts: the magic eternal solution to all our ills

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RB TexLa (1000+ posts) Sun Feb-28-10 02:26 PM
THE POLLEN PRIMITIVE, WHO DOESN'T LIKE SMALL-TOWN FOLKS
Response to Reply #1

5. It's to make people understand that they need to be on their own side instead of the side of the doctors who feel they are entitled to a certain amount of funds from the federal government. But don't worry the doctors will do everything they can to steal the difference from medicare.

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OHdem10 (1000+ posts) Sun Feb-28-10 02:12 PM
Response to Original message

2. The problem here is they underpay the Doctors and therefore, you have Doctors refusing to take Medicare Patients.

If Doctors refuse to see you, the Insurance is not worth the paper it is written on. Cutting them more just means more Doctors will not accept patients.

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RB TexLa (1000+ posts) Sun Feb-28-10 02:22 PM
THE POLLEN PRIMITIVE, WHO DOESN'T LIKE SMALL-TOWN FOLKS
Response to Reply #2

3. Accelerate collection on their federally backed student loans, open visas for doctors to compete with them. Do those two things and instead of refusing to take medicare patients they will be on television advertising for medicare patients.

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madrchsod (1000+ posts) Sun Feb-28-10 03:07 PM
Response to Reply #3

13. of the ten heart doctors i have seen one was from the usa.....they do`t work any cheaper than a usa born doctor...

by the way most of our competitors do`t subject their students and parents to tens of thousands in loans. my wife and i owe 8,000 for my son`s college.do`t worry you won`t get short changed...if we do`t pay they`ll take it out of our social security or our estate when we die..

you should either educate yourself on the world around you or find another spot that is more in line with your ideas...

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stray cat (1000+ posts) Sun Feb-28-10 02:38 PM
Response to Original message

6. Maybe cutting your pay would be more similar to the savings proposed?

Its so easy to call on everyone else to make sacrifices as long as you don't have to make any.

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camio (35 posts) Sun Feb-28-10 02:51 PM
Response to Original message

9. What an astonishingly stupid idea.

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ProgressiveProfessor (1000+ posts) Sun Feb-28-10 02:58 PM
Response to Original message

11. In some cases Medicare reimbursement will now less that the cost to provide

so docs will either have to drop Medicare patients, reduce the time/service they get, or not accept any more of them. Not real smart with an aging population. SOme small hospitals are in a similar position.

Not all the practicing MDs are filthy rich with Park Avenue offices. Family practitioners are in some places hard pressed to provide quality care, decent salaries to their staff, pay their student loans and feed the family.

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nightrain (1000+ posts) Sun Feb-28-10 03:06 PM
Response to Original message

12. RB, sadly it appears that you have little understanding of the greater impact that a decrease in payments will have.

Are you aware that many other non-Medicare payments to many other kinds of practitioners are based on the 20% lower Medicare reimbursement rates?

I don't suppose that makes a difference to you.

Some of us practitioners are NOT 6 figure income earners, but squeak by like most people these days.

HUGE UNREC.

Hmmm. One wonders what kind of "doctor" the primitive is.

Not an M.D., but from one of the auxiliary professions that get Medicare payments?

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RB TexLa (1000+ posts) Sun Feb-28-10 03:12 PM
THE POLLEN PRIMITIVE, WHO DOESN'T LIKE SMALL-TOWN FOLKS
Response to Reply #12

14. That is the goal, to use the federal government's buying power to lower health care costs.

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nightrain (1000+ posts) Sun Feb-28-10 03:23 PM
Response to Reply #14

16. and how does reducing my meagre income help?

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RB TexLa (1000+ posts) Sun Feb-28-10 03:47 PM
THE POLLEN PRIMITIVE, WHO DOESN'T LIKE SMALL-TOWN FOLKS
Response to Reply #16

17. Lowering government costs and overall health care costs pale in comparison to what it does to you?

wow, really, wow. Let me guess, your three favorite words are "Me, Me, and Me."

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nightrain (1000+ posts) Sun Feb-28-10 07:32 PM
Response to Reply #17

52. I asked a serious question, and you dish out junk.

Try being real.

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bobbolink (1000+ posts) Sun Feb-28-10 04:25 PM
THE BOBBLING PRIMITIVE, #02 TOP PRIMITIVE OF 2009
Response to Reply #12

24. Oh, I think the "understanding " is there... its a move to kill off those of us considered "extraneous" and "worthless".

Interestingly, this is proposed by those who call themselves "prolife".

Yet, they want us to kill ourselves, rather than being honest and providing us with the means to have a painless exit.

Hypocrits.

Damned hypocrits.

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mmonk (1000+ posts) Sun Feb-28-10 04:26 PM
THE MAD FRIAR PRIMITIVE
Response to Reply #21

25. I understand what you are trying to say.

However, what is an elderly person on fixed income to do?

The American Medical Association said that starting Monday, the 21% cut will force doctors to "consider the difficult decision to limit the number of Medicare and TRICARE patients they see in order to keep their practice doors open."

"Our message to the U.S. Senate is stop playing games with Medicare patients and the physicians who care for them," said AMA President J. James Rohack, MD, in a statement. "It is shocking that the Senate would abandon our most vulnerable patients, making them the collateral damage of their procedural games."

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bobbolink (1000+ posts) Sun Feb-28-10 04:28 PM
THE BOBBLING PRIMITIVE, #02 TOP PRIMITIVE OF 2009
Response to Reply #25

27. Thank you for that link. Good quote. Yet many here obviously wouldn't give a rip what happened to many of us.

In fact, doubtless many would cheer the deaths of what they see as "useless garbage".

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RB TexLa (1000+ posts) Sun Feb-28-10 04:33 PM
THE POLLEN PRIMITIVE, WHO DOESN'T LIKE SMALL-TOWN FOLKS
Response to Reply #27

29. It's the doctors that are telling them they are not worth treating for 20% less.

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bobbolink (1000+ posts) Sun Feb-28-10 04:47 PM
THE BOBBLING PRIMITIVE, #02 TOP PRIMITIVE OF 2009
Response to Reply #29

32. I only have this to say to you, since you refuse to hear anything....cut us out, and then YOU are responsible for seeing to it that we can die a painless and dignified death.

What you want is for us to die out of sight.

THAT is hypocritical.

edited to say... it's also irresponsible.

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RB TexLa (1000+ posts) Sun Feb-28-10 04:56 PM
THE POLLEN PRIMITIVE, WHO DOESN'T LIKE SMALL-TOWN FOLKS
Response to Reply #32

36. I don't know who "us" is but I don't want people to die out of sight.

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bobbolink (1000+ posts) Sun Feb-28-10 05:05 PM
THE BOBBLING PRIMITIVE, #02 TOP PRIMITIVE OF 2009
Response to Reply #36

42. "WE" are the ones you are so casually dismissing as inconsequential.

No, I suppose you would like our deaths to be a public spectacle, like a hanging.... as a warning to others, right?

After which a WHOLE lot of appearances by the "Name removed" primitive.

The bobbling primitive sure knows how to mess up a campfire, doesn't she?

The Village Idiot · « **Reply #1 on:** February 28, 2010, 07:23:46 PM »

21% cut in reimbursements will make it very hard to find a doctor who accepts it in some cities.

thundley4 · « **Reply #2 on:** February 28, 2010, 07:27:56 PM »

Quote from: FGL on February 28, 2010, 07:23:46 PM

21% cut in reimbursements will make it very hard to find a doctor who accepts it in some cities.

If I were one of their patients, whose insurer, in this case Medicare, I'd be worried about how the doctor is going to treat me, knowing that he is being cheated out his money.

Traveshamockery · « **Reply #3 on:** February 28, 2010, 07:46:35 PM »

Is there anything in this world that makes Bobblehead happy?

The Village Idiot · « **Reply #4 on:** February 28, 2010, 07:55:17 PM »

Quote from: Traveshamockery on February 28, 2010, 07:46:35 PM

Is there anything in this world that makes Bobblehead happy?

roadkill?

Duchess · « **Reply #5 on:** February 28, 2010, 08:00:09 PM »

Why does the Boobylink primitive think that EVERY thing ANYONE proposes is a conspiracy to do HER in? No wonder she can't keep a roof over head even when it's given to her-for all her protestation, she IS as crazy as a bedbug.

kenth · « **Reply #6 on:** February 28, 2010, 08:15:53 PM »

Quote from: Traveshamockery on February 28, 2010, 07:46:35 PM

Is there anything in this world that makes Bobblehead happy?

She is a nasty one. Like a rabid ankle biter, she attacks everyone in reach. Gotta wonder if she's a brilliant mole.

I'm disappointed in the dummies though. Shouldn't the DU solution be to jail the doctors if they refuse medicare patients?

Duchess · « **Reply #7 on:** February 28, 2010, 08:28:01 PM »

Quote from: kenth on February 28, 2010, 08:15:53 PM

She is a nasty one. Like a rabid ankle biter, she attacks everyone in reach. Gotta wonder if she's a brilliant mole.

I'm disappointed in the dummies though. Shouldn't the DU solution be to jail the doctors if they refuse medicare patients?

I've wondered if she's a mole too, just a little. She's so belligerent and trigger-happy, metaphorically speaking. She attacks EVERYONE for EVERYTHING.

jukin · « **Reply #8 on:** February 28, 2010, 08:57:05 PM »

I might just see why the insurance company here in kalifornia raised rates. Doctors in individual practices can just not see the government insured. However, hospitals will have to and then that 21% has to be made up somewhere...and guess what it is for the payers in private insurance.

Think of all the money we could save if minimum wage got cut by 21%? Don't think a single DUchebag would like that.

Lord Undies · « **Reply #9 on:** February 28, 2010, 09:27:34 PM »

This explains the sign I saw in my heart doctor's office. The sign said as of march 1st, they would no longer be treating Parkland referred Medicare patients.

My doctor is Chinese. I guess the Little Goons think she will work for rice.

Lacarnut · « **Reply #10 on:** February 28, 2010, 10:41:04 PM »

I am having elective out patient surgery on March 18. I am concerned about my Medicare Advantage plan that these lunatics in Congress want to eliminate.

The Village Idiot · « **Reply #11 on:** February 28, 2010, 11:53:55 PM »

Quote from: jukin on February 28, 2010, 08:57:05 PM

I might just see why the insurance company here in kalifornia raised rates. Doctors in individual practices can just not see the government insured. However, hospitals will have to and then that 21% has to be made up somewhere...and guess what it is for the payers in private insurance.

Think of all the money we could save if minimum wage got cut by 21%? Don't think a single DUchebag would like that.

It'll be like Massataxes with RomneyCare, it has become very hard to find a specialist.

debk · « **Reply #12 on:** March 01, 2010, 08:24:08 AM »

Frank...the non-MD that receives medicare payments could be a physical therapist.

Unless I'm reading incorrectly...looks like some of the DUmmies are starting to realize that the health care bill is not going to be a good thing for them....

USA4ME · « **Reply #13 on:** March 01, 2010, 08:38:01 AM »

Quote from:

RB TexLa

Accelerate collection on their federally backed student loans, open visas for doctors to compete with them. Do those two things and instead of refusing to take medicare patients they will be on television advertising for medicare patients.

So doctors don't want to take medicare patients because it costs more to treat them than what they receive in reimbursements, but you want to punish them by forcing them to lose money by taking the patients or by accelerating their debt? Either way, they lose. This is a classic example of liberal economic theory.

Of course, this whole cutting of Medicare costs completely escapes the primtives when it comes to their beloved univeral/single payer system. Other countries around the globe with universal/single payer have drastically cut and/or reduced the services for which they're willing to pay, but they somehow have either convinced themselves it won't happen here, or they lie to themselves and pretend it hasn't happened elsewhere, or they're lying because they know it will but they want it anyway.

.

Lacarnut · « **Reply #14 on:** March 01, 2010, 10:42:38 AM »

What is so screwed up with these moonbats that want Universal/Single payer EU type health care are the following facts:

1. in the US, I can see a doctor within a couple of days. Other countries might take weeks. Scheduled surgery takes a few days to a week here. In the EU or Canada, 6 months minimum
2. The cancer and heart recovery rate in the US is 2 to 4 times greater than in those socialistic health care countries because of immediate care rather than go home and we can schedule you for an operation 6 months from now. If you die between now and then, that's just tough shit and less of a strain on the pathetic care that Europeans have.

Our health care delivery system is far superior to socialized med; most people don't want an overhaul. A little tweaking is ok.

delilahmused · « **Reply #15 on:** March 01, 2010, 11:34:24 AM »

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bobbolink (1000+ posts) Sun Feb-28-10 04:25 PM
THE BOBBLING PRIMITIVE, #02 TOP PRIMITIVE OF 2009
Response to Reply #12

24. Oh, I think the "understanding " is there... its a move to kill off those of us considered "extraneous" and "worthless".

Interestingly, this is proposed by those who call themselves "prolife".

Yet, they want us to kill ourselves, rather than being honest and providing us with the means to have a painless exit.

Hypocrits.

Damned hypocrits.

I don't get it...what does any of this have to do with bobo the angry clown and it's fellow travelers? But if it truly is interested in the "means to have a painless exit", I'm sure we could take up a collection. Everybody pony up your unused painkillers, prescription sleeping pills, etc.

Cindie

GOBUCKS · « **Reply #16 on:** March 01, 2010, 11:41:04 AM »

Quote from: delilahmused on March 01, 2010, 11:34:24 AM

I don't get it...what does any of this have to do with bobo the angry clown and it's fellow travelers? But if it truly is interested in the "means to have a painless exit", I'm sure we could take up a collection. Everybody pony up your unused painkillers, prescription sleeping pills, etc.

Cindie

This DUmbass lives in a car. All she needs is a piece of a garden hose. I hope someone at the DUmp reminds her of that.

Carl · « **Reply #17 on:** March 01, 2010, 11:42:16 AM »

Quote from: USA4ME on March 01, 2010, 08:38:01 AM

So doctors don't want to take medicare patients because it costs more to treat them than what they receive in reimbursements, but you want to punish them by forcing them to lose money by taking the patients or by accelerating their debt? Either way, they lose. This is a classic example of liberal economic theory.

Of course, this whole cutting of Medicare costs completely escapes the primtives when it comes to their beloved univeral/single payer system. Other countries around the globe with universal/single payer have drastically cut and/or reduced the services for which they're willing to pay, but they somehow have either convinced themselves it won't happen here, or they lie to themselves and pretend it hasn't happened elsewhere, or they're lying because they know it will but they want it anyway.

.

In a DUmmies mind only the outcome they desire is allowed..no matter what all the evidence in the world shows otherwise they will always believe that only what they want will be what happens.

AllosaursRus · « **Reply #18 on:** March 01, 2010, 02:02:13 PM »

Quote from: Lacarnut on March 01, 2010, 10:42:38 AM

What is so screwed up with these moonbats that want Universal/Single payer EU type health care are the following facts:

1. in the US, I can see a doctor within a couple of days. Other countries might take weeks. Scheduled surgery takes a few days to a week here. In the EU or Canada, 6 months minimum
2. The cancer and heart recovery rate in the US is 2 to 4 times greater than in those socialistic health care countries because of immediate care rather than go home and we can schedule you for an operation 6 months from now. If you die between now and then, that's just tough shit and less of a strain on the pathetic care that Europeans have.

Our health care delivery system is far superior to socialized med; most people don't want an overhaul. A little tweaking is ok.

I'd be happy if they just took the lawyers out of the equation!

News:

Author Topic: primitives discuss Medicare payment cuts (Read 2853 times)