Concierge / private practice recommendations

[Anonymous]

Love foxhall internists on New Mexico.

[Anonymous]

Good old fashioned American Greed…

[Anonymous]

Anonymous wrote:

Anonymous wrote:

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.

When people talk like this that's when I know to stop listening to them because they clearly have a huge chip on their shoulders and a strong partisan bias.

I've lived in other countries, both first and developing worlds, and have had a range of healthcare experiences. But focusing on the US, what the PP pointed out is correct. A great deal of the problems with health care for poorer Americans is the inability to follow through with recommendations. Not sure why this is so problematic for you to understand or grasp. There's only so much a system or doctors can do if patients blow off appointments or don't keep up with medications or abuse the medications.

Why did you respond if you stopped listening? That makes no sense. We'd all be better off if you had actually stopped listening and went on your merry way.

Here are some facts:
Millions of people in the US have not had access to healthcare at some point in their lives due to lack of insurance.
Health outcomes in the US are worse than in other developed countries despite significantly higher per capita health spending.
Other countries have poor people too. Only here do we deny poor people access to care and then blame them for their poor health.

[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.

Then any half way decent doctor will go concierge. There are enough patients who will pay. And then you wreck the healthcare system more.

[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.

Then any half way decent doctor will go concierge. There are enough patients who will pay. And then you wreck the healthcare system more.

There are things you’re not allowed to sell in this country. Concierge access to physicians could be one of them.

[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.

Then any half way decent doctor will go concierge. There are enough patients who will pay. And then you wreck the healthcare system more.

There are things you’re not allowed to sell in this country. Concierge access to physicians could be one of them.

It used to be prohibited by insurance companies. Most changed their rules about five years ago, which is why you see so many fees now.

[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.

Then any half way decent doctor will go concierge. There are enough patients who will pay. And then you wreck the healthcare system more.

There are things you’re not allowed to sell in this country. Concierge access to physicians could be one of them.

It used to be prohibited by insurance companies. Most changed their rules about five years ago, which is why you see so many fees now.

Lawmakers also make laws.

[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.

Then any half way decent doctor will go concierge. There are enough patients who will pay. And then you wreck the healthcare system more.

There are things you’re not allowed to sell in this country. Concierge access to physicians could be one of them.

It used to be prohibited by insurance companies. Most changed their rules about five years ago, which is why you see so many fees now.

Lawmakers also make laws.

Yes--upstream I though you would say this...even Communist controlled countries let their docs work on the side-so you want to prohibit the free market...I love how ultimately the only answer is let criminals walk the streets but control and jail doctors for wanting to have nomrla working conditions...ahahahaha

[Anonymous]

I go to see my specialist four times/year for a condition that is not due to anything I do or dont do-except genetics and bad luck
my doctor gets paid 130 dollars per visit--so 520 dollars /year by me and my insurance-including all the emails they respond to
my meds cost 150K/year
my labs cost 8K/year

however "as long as we pay the doctors less" will solve all the healthcare problems...OK

[Anonymous]

Anonymous wrote:Love foxhall internists on New Mexico.

ditto. I'm the op of the maybe appendicitis thread, and my foxhall dr got me through ER in literally 5 minutes. They don't take insurance, but will submit claims to blue cross and medicare so if you have either of those you don't have to do the extra paperwork yourself, which helps me because my executive functioning is shit. But yeah, I am absolutely lucky I can just pay out of pocket and don't worry that I might get reimbursed like 30% of the actual cost whenever blue cross decides to process it. (my blue cross plan will reimburse 70% of the "allowed costs" for OON doctors after deductible, which is just 70% of whatever the in-network negotiated rate is. it has no relation to reality.)

[Anonymous]

Anonymous wrote:

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.

Then any half way decent doctor will go concierge. There are enough patients who will pay. And then you wreck the healthcare system more.

There are things you’re not allowed to sell in this country. Concierge access to physicians could be one of them.

It used to be prohibited by insurance companies. Most changed their rules about five years ago, which is why you see so many fees now.

Lawmakers also make laws.

Yes--upstream I though you would say this...even Communist controlled countries let their docs work on the side-so you want to prohibit the free market...I love how ultimately the only answer is let criminals walk the streets but control and jail doctors for wanting to have nomrla working conditions...ahahahaha

It’s fascinating that you assume that doctors are the people I would propose sending to jail.

[Anonymous]

Anonymous wrote:I go to see my specialist four times/year for a condition that is not due to anything I do or dont do-except genetics and bad luck
my doctor gets paid 130 dollars per visit--so 520 dollars /year by me and my insurance-including all the emails they respond to
my meds cost 150K/year
my labs cost 8K/year

however "as long as we pay the doctors less" will solve all the healthcare problems...OK

Wowza. Really curious what meds you're on now.

[Anonymous]

Anonymous wrote:

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.

Then any half way decent doctor will go concierge. There are enough patients who will pay. And then you wreck the healthcare system more.

There are things you’re not allowed to sell in this country. Concierge access to physicians could be one of them.

It used to be prohibited by insurance companies. Most changed their rules about five years ago, which is why you see so many fees now.

Lawmakers also make laws.

Yes--upstream I though you would say this...even Communist controlled countries let their docs work on the side-so you want to prohibit the free market...I love how ultimately the only answer is let criminals walk the streets but control and jail doctors for wanting to have nomrla working conditions...ahahahaha

That's pretty extreme to equate any regulations on allowable charges with communism.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I go to see my specialist four times/year for a condition that is not due to anything I do or dont do-except genetics and bad luck
my doctor gets paid 130 dollars per visit--so 520 dollars /year by me and my insurance-including all the emails they respond to
my meds cost 150K/year
my labs cost 8K/year

however "as long as we pay the doctors less" will solve all the healthcare problems...OK

Wowza. Really curious what meds you're on now.

immunosuppressants -after failing two previous types

[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.

Then any half way decent doctor will go concierge. There are enough patients who will pay. And then you wreck the healthcare system more.

There are things you’re not allowed to sell in this country. Concierge access to physicians could be one of them.

Sorry, what? What are you not allowed to sell that is anything like this?

You crazy.