Concierge / private practice recommendations

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:All slimeballs. Pay the insurance AND dr. Slimeball because they want to see 10 vs 30 patients AND earn the same amount. They don’t give a damn about you - you are just a pawn in the game of greed.


I dont know why DCUM has an issue with doctors wanting to make money,,,shouldnt lawyers work for free then too, cpa's, teachers..


Because they're bringing down the healthcare system. I don't see how you could possibly compare a public school teaching working for$65,000 with a gastroenterologist making $500k. Or a radiologist making $600k. Sure, they complain about their pay equally, but they're hardly the same.


Lol, no.

Healthcare policy and the insurance companies it has enabled are doing that. Not doctors.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:All slimeballs. Pay the insurance AND dr. Slimeball because they want to see 10 vs 30 patients AND earn the same amount. They don’t give a damn about you - you are just a pawn in the game of greed.


I dont know why DCUM has an issue with doctors wanting to make money,,,shouldnt lawyers work for free then too, cpa's, teachers..


Because they're bringing down the healthcare system. I don't see how you could possibly compare a public school teaching working for$65,000 with a gastroenterologist making $500k. Or a radiologist making $600k. Sure, they complain about their pay equally, but they're hardly the same.


Lol, no.

Healthcare policy and the insurance companies it has enabled are doing that. Not doctors.

DP I agree with you. But "good" healthcare policy also means less money for doctors.
Anonymous
I don’t have a problem with doctors making more money.

My big question is…..what the heck are you getting for the money? I know some people that pay up to 2k a year. Don’t you still need to go to a specialist if you have a real problem? I’m just confused by it all.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:All slimeballs. Pay the insurance AND dr. Slimeball because they want to see 10 vs 30 patients AND earn the same amount. They don’t give a damn about you - you are just a pawn in the game of greed.


I dont know why DCUM has an issue with doctors wanting to make money,,,shouldnt lawyers work for free then too, cpa's, teachers..


Because they're bringing down the healthcare system. I don't see how you could possibly compare a public school teaching working for$65,000 with a gastroenterologist making $500k. Or a radiologist making $600k. Sure, they complain about their pay equally, but they're hardly the same.


Lol, no.

Healthcare policy and the insurance companies it has enabled are doing that. Not doctors.

DP I agree with you. But "good" healthcare policy also means less money for doctors.

PP, and I probably agree with that.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:All slimeballs. Pay the insurance AND dr. Slimeball because they want to see 10 vs 30 patients AND earn the same amount. They don’t give a damn about you - you are just a pawn in the game of greed.


I dont know why DCUM has an issue with doctors wanting to make money,,,shouldnt lawyers work for free then too, cpa's, teachers..


Because they're bringing down the healthcare system. I don't see how you could possibly compare a public school teaching working for$65,000 with a gastroenterologist making $500k. Or a radiologist making $600k. Sure, they complain about their pay equally, but they're hardly the same.


Lol, no.

Healthcare policy and the insurance companies it has enabled are doing that. Not doctors.

DP I agree with you. But "good" healthcare policy also means less money for doctors.

PP, and I probably agree with that.


Countries that pay their docs less have more concierge practice so the pay evens out for the doctors(sorry dcum) but you end up creating even more a two tier system for the haves and have nots--look at England, eastern Europe, Canada...actually just listened to this happening right now in canada---need elective surgery(it may be medically called elective but when you cant walk because your knee hurts like hell you will probably call it something else)--pay 10 K canadian to have the doc do it next week or waitch 18 months for free
ultimately what DCUM cant understand it is all about supply and demand....we dont have a demand for middle mgmt (most of the DCUM peeps here) but we do always have a demand for someone to fix illness...
Anonymous
I mean I guess you can make a type of 1984 country where doctors would go to jail or loose their gov job if they saw patients outside of the gov workplace...does that sound good to you?
Anonymous
Getting back to the original topic, anyone have recommendations for an internist in the Bethesda, Friendship Heights, Chevy Chase area? We're looking b/c of our doc's retirement, and the pickings are slim. There seem to be tons of specialists, and few primary care types

FWIW I totally agree that the American health care system sucks, and we are all f*cked, even the rich.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:All slimeballs. Pay the insurance AND dr. Slimeball because they want to see 10 vs 30 patients AND earn the same amount. They don’t give a damn about you - you are just a pawn in the game of greed.


I dont know why DCUM has an issue with doctors wanting to make money,,,shouldnt lawyers work for free then too, cpa's, teachers..


Because they're bringing down the healthcare system. I don't see how you could possibly compare a public school teaching working for$65,000 with a gastroenterologist making $500k. Or a radiologist making $600k. Sure, they complain about their pay equally, but they're hardly the same.


Lol, no.

Healthcare policy and the insurance companies it has enabled are doing that. Not doctors.

DP I agree with you. But "good" healthcare policy also means less money for doctors.

PP, and I probably agree with that.


Countries that pay their docs less have more concierge practice so the pay evens out for the doctors(sorry dcum) but you end up creating even more a two tier system for the haves and have nots--look at England, eastern Europe, Canada...actually just listened to this happening right now in canada---need elective surgery(it may be medically called elective but when you cant walk because your knee hurts like hell you will probably call it something else)--pay 10 K canadian to have the doc do it next week or waitch 18 months for free
ultimately what DCUM cant understand it is all about supply and demand....we dont have a demand for middle mgmt (most of the DCUM peeps here) but we do always have a demand for someone to fix illness...

I feel like you are implying the US is not a "two tier" system. Which I guess is correct, there are multiple tiers - the people with no access to any care except emergency care, people with Medicaid, people with high deductible ACA plans, and people with Cadillac PPO plans with out of network bennies.
Anonymous
Dr. James Long in Merrifield
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:All slimeballs. Pay the insurance AND dr. Slimeball because they want to see 10 vs 30 patients AND earn the same amount. They don’t give a damn about you - you are just a pawn in the game of greed.


I dont know why DCUM has an issue with doctors wanting to make money,,,shouldnt lawyers work for free then too, cpa's, teachers..


Because they're bringing down the healthcare system. I don't see how you could possibly compare a public school teaching working for$65,000 with a gastroenterologist making $500k. Or a radiologist making $600k. Sure, they complain about their pay equally, but they're hardly the same.


Lol, no.

Healthcare policy and the insurance companies it has enabled are doing that. Not doctors.

DP I agree with you. But "good" healthcare policy also means less money for doctors.

PP, and I probably agree with that.


Countries that pay their docs less have more concierge practice so the pay evens out for the doctors(sorry dcum) but you end up creating even more a two tier system for the haves and have nots--look at England, eastern Europe, Canada...actually just listened to this happening right now in canada---need elective surgery(it may be medically called elective but when you cant walk because your knee hurts like hell you will probably call it something else)--pay 10 K canadian to have the doc do it next week or waitch 18 months for free
ultimately what DCUM cant understand it is all about supply and demand....we dont have a demand for middle mgmt (most of the DCUM peeps here) but we do always have a demand for someone to fix illness...

I feel like you are implying the US is not a "two tier" system. Which I guess is correct, there are multiple tiers - the people with no access to any care except emergency care, people with Medicaid, people with high deductible ACA plans, and people with Cadillac PPO plans with out of network bennies.


-I work with Medicaid patients every day ---for 99 percent of illnesses they have the BEST insurance.=everything covered and paid for, the only time where their insurance may be not the best is for the 1 percent of illness'that is so rare only a doc at Hopkins can treat it but for example they have VA medicaid-but even then then we send them to UVA(trip also paid for by Medicaid) most of the time poor outcomes are due to lack of keeping appts--OK?
What Cadillac plans are you referring to? this absolutely doesnt exist--and the better the plan the more your coinsurance is, if you make 150K or less you couldnt even afford the coinsurance of you have a complex medical chronic illess
The only people who have it bad is when they only have Medicare-then medications are really unaffordable...
My sibling is poor-just above medicaid so they pay for aca-has great insurance but doesnt use it when they need it--I cant fix that
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:All slimeballs. Pay the insurance AND dr. Slimeball because they want to see 10 vs 30 patients AND earn the same amount. They don’t give a damn about you - you are just a pawn in the game of greed.


I dont know why DCUM has an issue with doctors wanting to make money,,,shouldnt lawyers work for free then too, cpa's, teachers..


Because they're bringing down the healthcare system. I don't see how you could possibly compare a public school teaching working for$65,000 with a gastroenterologist making $500k. Or a radiologist making $600k. Sure, they complain about their pay equally, but they're hardly the same.


Lol, no.

Healthcare policy and the insurance companies it has enabled are doing that. Not doctors.

DP I agree with you. But "good" healthcare policy also means less money for doctors.

PP, and I probably agree with that.


Countries that pay their docs less have more concierge practice so the pay evens out for the doctors(sorry dcum) but you end up creating even more a two tier system for the haves and have nots--look at England, eastern Europe, Canada...actually just listened to this happening right now in canada---need elective surgery(it may be medically called elective but when you cant walk because your knee hurts like hell you will probably call it something else)--pay 10 K canadian to have the doc do it next week or waitch 18 months for free
ultimately what DCUM cant understand it is all about supply and demand....we dont have a demand for middle mgmt (most of the DCUM peeps here) but we do always have a demand for someone to fix illness...

I feel like you are implying the US is not a "two tier" system. Which I guess is correct, there are multiple tiers - the people with no access to any care except emergency care, people with Medicaid, people with high deductible ACA plans, and people with Cadillac PPO plans with out of network bennies.


-I work with Medicaid patients every day ---for 99 percent of illnesses they have the BEST insurance.=everything covered and paid for, the only time where their insurance may be not the best is for the 1 percent of illness'that is so rare only a doc at Hopkins can treat it but for example they have VA medicaid-but even then then we send them to UVA(trip also paid for by Medicaid) most of the time poor outcomes are due to lack of keeping appts--OK?
What Cadillac plans are you referring to? this absolutely doesnt exist--and the better the plan the more your coinsurance is, if you make 150K or less you couldnt even afford the coinsurance of you have a complex medical chronic illess
The only people who have it bad is when they only have Medicare-then medications are really unaffordable...
My sibling is poor-just above medicaid so they pay for aca-has great insurance but doesnt use it when they need it--I cant fix that


Wow, none of what you are saying matches the reality.

People on DCUM love to think Medicaid is "the best" insurance and it does have some advantages, but people with Medicaid often have trouble finding providers because the reimbursement rates are lower and the administrative hassle is better.

Cadillac plans do exist. They are great for the people who have them. Low copays, low coinsurance, good reimbursement rates for out of network. Often available for local government workers.

And are you really pretending uninsured people don't exist, or that health outcomes are better in the US than other places? Seriously? GTFOOH.
Anonymous
well apparently then I have your Cadillac plan-oon is not covered well at all-if I pay 200 for a kids therapy session I get 70 dollars back--is that good? my coinsurance is 15% I pay over 10k/ year after two FSA plans are used up with pretax money--so 20K a year or a mix of pre and post tax cash-now agreeably I do have some conditions that most people dont.
do you have a cadillac plan? LOL

please tell me who doesnt take medicaid? all of inova docs take medicaid
Anonymous
Anonymous wrote:
Mocomom23 wrote:In order of ideal location… Bethesda/Rockville, NW DC or McLean (if needed)

Dr. Adam Possner in North Bethesda but he usually has a waiting list.


I highly recommend Dr Possner. He cares for my older loved one I have healthcare POA for. He has such a wonderful bedside manner, pays attention to the details and has great follow-up. He’s reached out to me unsolicited on numerous occasions when he had concerns or just wanted to check in. If I could afford his fees, I would not hesitate to use him.
Anonymous
Anonymous wrote:well apparently then I have your Cadillac plan-oon is not covered well at all-if I pay 200 for a kids therapy session I get 70 dollars back--is that good? my coinsurance is 15% I pay over 10k/ year after two FSA plans are used up with pretax money--so 20K a year or a mix of pre and post tax cash-now agreeably I do have some conditions that most people dont.
do you have a cadillac plan? LOL

please tell me who doesnt take medicaid? all of inova docs take medicaid


Yes I do have a Cadillac plan and it pays $160 for a $200 OON session. It sounds like you don't have a Cadillac plan. Bummer.

My kid's therapist has people sign a contract that specifically says Medicaid won't reimburse for services. She is one of only a few people qualified to treat my kid's condition. There is research showing people with Medicaid have trouble finding providers. Not that there aren't any providers that take it. But when you need something specific it might not be available.
Anonymous
Anonymous wrote:
Anonymous wrote:well apparently then I have your Cadillac plan-oon is not covered well at all-if I pay 200 for a kids therapy session I get 70 dollars back--is that good? my coinsurance is 15% I pay over 10k/ year after two FSA plans are used up with pretax money--so 20K a year or a mix of pre and post tax cash-now agreeably I do have some conditions that most people dont.
do you have a cadillac plan? LOL

please tell me who doesnt take medicaid? all of inova docs take medicaid


Yes I do have a Cadillac plan and it pays $160 for a $200 OON session. It sounds like you don't have a Cadillac plan. Bummer.

My kid's therapist has people sign a contract that specifically says Medicaid won't reimburse for services. She is one of only a few people qualified to treat my kid's condition. There is research showing people with Medicaid have trouble finding providers. Not that there aren't any providers that take it. But when you need something specific it might not be available.


Well apparently your Cadillac is fully loaded while mine isn't-satisfied now?. I did make the 1 % disclaimer about Medicaid so it stands. BTW we found an out of the DMV therapist in network who is also MUCH better than the local OON one--so find and you shall seek for most everything.
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