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. |
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. |
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 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? |
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. |
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. |
Dr. James Long in Merrifield |
-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. |
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 |
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. |
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. |