OB-GYN-L Messages for July, 2009: Re: Health Care

Re: Health Care

From: Charles Bloom

cdsb@bellsouth.net

Fri Jul 31 10:43:53 2009

I've been trying to stay out of the debate. I felt compelled to address Terry's comments and I will respond to your question. Insurance companies have cut reimbursements over the last 20 plus years. The difference is that there are multiple insurances. As a practitioner you are free to increase patients from the better paying insurers and decrease those from the companies that pay less or not at all. Some patients who want you to maintain their care will switch insurances to allow you to do so. This may force the poor paying insurance companies to reimburse more and on time to avoid losing both physicians and clients. This is what happens in a free market. Under a single payer system, none of this applies and your only option if you are unhappy is to quit.

Charles

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From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew Folley Sent: Friday, July 31, 2009 10:22 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Health Care

Charles, How would you feel if the insurance companies decided they were going to cut your reimbursent for OB care by 50% and same for hysterecomies? What are your current "write offs" right now??? Mine are at least 30-40%. agf > Date: Fri, 31 Jul 2009 07:39:34 -0500
> From: cdsb@bellsouth.net
> To: ob-gyn-l@mail.obgyn.net
> Subject: RE: Health Care
>
> Terry,
>
> You've been a salaried sonographer in our current system. And if your
> employer decided to cut your salary by 50%, you'd be free to market your
> skill and attain the same or better salary elsewhere. But what if, under a
> government run system, the government decided that ALL sonographers should
> be paid half of their current salary? How would you feel about that?
>
> Charles
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Terry J
> DuBose
> Sent: Thursday, July 30, 2009 8:35 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: Health Care
>
> >
> > if WE don't do it, no one will. We are not cats, and we are not to be
> > herded; we are physicians who are fighting for our professional lives
> > and future. Slavery is against the law, but Nobamacare wants to shackle
> > us, bind us up in a single payer prison and force us to work for little
> > pay, but all the responsibility and risk that goes into the practice of
> > medicine.
>
> I disagree. I have been a salaried sonographer for over 35 years, and I
> am no slave. Do you consider your staff as slaves? Or do they do piece
> work in the good old capitalistic tradition? No one wants to shackle
> anyone; but your polemical rhetoric is good. Do you write for a
> corporate lobby?
>
> I thought we all got into medicine to make things better, at least I
> did.
>
> Peace, Terry
>

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