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Re: A single health care payer for the US ? ( Long)From: RModugno@aol.comSat Jan 22 17:47:25 2000
In a message dated 1/22/00 7:19:33 PM Eastern Standard Time, DoctorJoe@aol.com writes: << Why should there be a single system? So everyone will get underpaid uniformly, and no healthcare givers will be able to shout discrimination... THE (cynical) MAN >> Doctors, nurse practitioners, and other licensed providers would have three options for payment: fee-for-service, salaried positions in hospitals, salaried postions within group practices,or locally-controlled not-for-profit HMO's. Fess would be NEGOTIATED between a representative of the fee-for-service PRACTITIONERS {such as the state medical society with representation from specialties), and a state payment board. ( By the way, in Georgia, Medicaid OB fees are higher than global HMO fees). A government or quasi-governmental body would serve as the administrator. Food for thought! Robert Modugno MD MBA FACOG Marietta, GA
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