Re: Health Care

From: R. Daniel Braun (rd.braun@gmail.com)
Fri Jul 31 11:05:26 2009


--0016364ed2d4fa310a0470029586 Content-Type: text/plain; charset=windows-1252 Content-Transfer-Encoding: quoted-printable

In my experience the patient goes to a Dr. who will accept their insurance. Few of those with insurance have any choice in what company they are with. Their employer decides based on lower premiums. If employer switches insurer, the patient changes to a Dr. who accepts that new insurer. (Not all, but the vast MAJORITY)

Dan

On Fri, Jul 31, 2009 at 11:46 AM, Charles Bloom <cdsb@bellsouth.net> wrote:

> Andrew,
>
> 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
>
> ------------------------------
>
> ------------------------------
> *From:* ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] *On Behalf Of *And=
> ------------------------------

rew > 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
> >
> ------------------------------
>
> ------------------------------
> Windows Live=99 Hotmail=AE: Search, add, and share the web=92s latest spo=
> ------------------------------

rts > videos. Check it out.<http://www.windowslive.com/Online/Hotmail/Campaign/QuickAdd?ocid=TXT_TAGLM_WL_QA_HM_sports_videos_072009&cat=sports>
>

--
--
R. Daniel Braun, MD  FACOG(L)  ABMP  CMTh #20900069
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine

R. Daniel Braun

“Science without Religion is LAME; Religion without Science is BLIND" Einstein 1941

--0016364ed2d4fa310a0470029586 Content-Type: text/html; charset=windows-1252 Content-Transfer-Encoding: quoted-printable

In my experience the patient goes to a Dr. who will accept their insurance. Few of those with insurance have any choice in what company they are with. Their employer decides based on lower premiums. If employer switches insurer, the patient changes to a Dr. who accepts that new insurer. (Not all, but the vast MAJORITY)<br> <br>Dan<br><br><div class="gmail_quote">On Fri, Jul 31, 2009 at 11:46 AM, Charles Bloom <span dir="ltr"><<a href="mailto:cdsb@bellsouth.net">cdsb@bellsouth.net</a>></span> wrote:<br><blockquote class="gmail_quote" style="border-left: 1px solid rgb(204, 204, 204); margin: 0pt 0pt 0pt 0.8ex; padding-left: 1ex;">

<div link="blue" vlink="blue" lang="EN-US">

<div>

<p><font color="navy" size="2" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: navy;">Andrew,</span></font></p>

<p><font color="navy" size="2" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: navy;"> </span></font></p>

<p><font color="navy" size="2" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: navy;">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. <u>Some</u> 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.</span></font></p>

<p><font color="navy" size="2" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: navy;"> </span></font></p>

<p><font color="navy" size="2" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: navy;">Charles</span></font></p>

<p><font color="navy" size="2" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: navy;"> </span></font></p>

<div>

<div style="text-align: center;" align="center"><font size="3" face="Times New Roman"><span style="font-size: 12pt;">

<hr align="center" size="2" width="100%">

</span></font></div>

<p><b><font size="2" face="Tahoma"><span style="font-size: 10pt; font-family: Tahoma; font-weight: bold;">From:</span></font></b><font size="2" face="Tahoma"><span style="font-size: 10pt; font-family: Tahoma;"> <a href="mailto:ob-gyn-l@obgyn.net" target="_blank">ob-gyn-l@obgyn.net</a>

[mailto:<a href="mailto:ob-gyn-l@obgyn.net" target="_blank">ob-gyn-l@obgyn.net</a>] <b><span style="font-weight: bold;">On Behalf Of </span></b>Andrew Folley<br> <b><span style="font-weight: bold;">Sent:</span></b> Friday, July 31, 2009 10:22 AM<div class="im"><br> <b><span style="font-weight: bold;">To:</span></b> Multiple recipients of list OB-GYN-L<br> </div><b><span style="font-weight: bold;">Subject:</span></b> RE: Health Care</span></font></p>

</div>

<p><font size="3" face="Times New Roman"><span style="font-size: 12pt;"> </span></font></p>

<p style="margin-bottom: 12pt;"><font size="2" face="Verdana"><span style="font-size: 10pt; font-family: Verdana;"><div class="im">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 &quot;write offs&quot; right now??? Mine are at least 30-40%. agf <br> > Date: Fri, 31 Jul 2009 07:39:34 -0500<br> > From: <a href="mailto:cdsb@bellsouth.net" target="_blank">cdsb@bellsouth.net</a><br></div><div class="im"> > To: <a href="mailto:ob-gyn-l@mail.obgyn.net" target="_blank">ob-gyn-l@mail.obgyn.net</a><br></div><div><div></div><div class="h5"> > Subject: RE: Health Care<br> > <br> > Terry,<br> > <br> > You've been a salaried sonographer in our current system. And if your<br> > employer decided to cut your salary by 50%, you'd be free to market your<br> > skill and attain the same or better salary elsewhere. But what if, under a<br> > government run system, the government decided that ALL sonographers should<br> > be paid half of their current salary? How would you feel about that?<br> > <br> > Charles<br> > <br> > -----Original Message-----<br> > From: <a href="mailto:ob-gyn-l@obgyn.net" target="_blank">ob-gyn-l@obgyn.net</a> [mailto:<a href="mailto:ob-gyn-l@obgyn.net" target="_blank">ob-gyn-l@obgyn.net</a>] On Behalf Of Terry J<br> > DuBose<br> > Sent: Thursday, July 30, 2009 8:35 PM<br> > To: Multiple recipients of list OB-GYN-L<br> > Subject: Re: Health Care<br> > <br> > ><br> > > if WE don't do it, no one will. We are not cats, and we are not to be<br> > > herded; we are physicians who are fighting for our professional lives<br> > > and future. Slavery is against the law, but Nobamacare wants to shackle<br> > > us, bind us up in a single payer prison and force us to work for little<br> > > pay, but all the responsibility and risk that goes into the practice of<br> > > medicine.<br> > <br> > I disagree. I have been a salaried sonographer for over 35 years, and I<br> > am no slave. Do you consider your staff as slaves? Or do they do piece<br> > work in the good old capitalistic tradition? No one wants to shackle<br> > anyone; but your polemical rhetoric is good. Do you write for a<br> > corporate lobby?<br> > <br> > I thought we all got into medicine to make things better, at least I<br> > did.<br> > <br> > Peace, Terry<br> > </div></div></span></font></p>

<div style="text-align: center;" align="center"><font size="2" face="Verdana"><span style="font-size: 10pt; font-family: Verdana;">

<hr align="center" size="2" width="100%">

</span></font></div>

<p><font size="2" face="Verdana"><span style="font-size: 10pt; font-family: Verdana;">Windows Live™ Hotmail®: Search, add, and share the web’s latest sports videos. <a href="http://www.windowslive.com/Online/Hotmail/Campaign/QuickAdd?ocid=TXT_TAGLM_WL_QA_HM_sports_videos_072009&cat=sports" target="_blank">Check it out.</a></span></font></p>

</div>

</div>

</blockquote></div><br> FACOG(L)  ABMP  CMTh #20900069<br>Professor Emeritus<br>Dept. of Obstetrics and Gynecology<br>Indiana U. School of Medicine<br><br><br>R. Daniel Braun<br> <br>       “Science without Religion is LAME; Religion without Science is BLIND&quot;<br>                        Einstein 1941<br>

--0016364ed2d4fa310a0470029586--





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Mon Nov 2 05:15:21 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.