www.wsj.com
Big Nonprofit Hospitals Expand in Wealthier Areas, Shun Poorer Ones
Despite lucrative tax breaks for serving needy communities, many large systems focus growth on higher-income neighborhoods.
Met with admin a few weeks ago and again last week.
perhaps they need to make more slots in the doc parking lot, there should be enough spots for as many doctors have access.
Agree it seems like a waste of everyone's time. At most it should have been an email - "Dear Dr Lobel, please make sure you use your assigned parking area. Thank you"
you do not remember nor have you chosen to look at history of "healthcare" prior to Medicare, particularly for the elderly.
Medicare: 35 Years of Service
www.ncbi.nlm.nih.gov
if course, i am not that old to know first hand what it was like prior to Medicare, but when i was a teen, it was common knowledge that Medicare made such a big difference to the lives of the elderly.
here is another interesting read.
Health Care in the Early 1960s
oh yes, and Medicare was a bipartisan program with roughly 50% of the house Republicans voting for it.
U.S. Senate: Medicare Signed into Law
1964: Medicare Signed Into Law -- July 30, 1965www.senate.gov
Would have been 15 min.
People also don't seem to get that Medicare is changing and, by law, will become vastly Medicare Advantage plans, ie. managed by insurance companies. I doubt that's what most "progressives" have in mind when they demand "Single Payer".
its still better than the alternative (not being able to afford care)
Everything about your plans, including for the wealthy, incorporates further entrenchment of insurance companies - the biggest parasites in the US healthcare system. There is no possible way to have a high quality, widely accessible, and affordable healthcare system that does this.
Certain areas of healthcare require insurance. This is just a fact.
If we eliminated all health insurance from the equation, do you think these costs would go up or down or remain the same?
Agree with this.
i guess you missed the part where i said "crappy"
Fair enough. But not you or anyone else will be satisfied with crappy, overpriced care.
sounds like medicaid
Probably go down, but not to being affordable for the average person.
I agree completely, but “not quite Medicaid for all” isn’t politically expedient.
Just to reiterate, I am in favor of universal healthcare, at the state level, with federal funding, in a VA-lite model. $20 copays for pts, employed civil servant staff and govt owned facilities. No insurance needed. If you have a credit card and you choose to go private, you still don't need insurance.
Of course it would. There aren't enough people willing to pay cash for services to keep us all where we're currently sitting. Some people would do fine, but not all of us. We just have to look at the UK to see the truth of this.
if its crappy, it wont be overpriced
Do we have evidence that physician salaries in UK, prior to NHS, were as high as their American counterparts?
Couple reasons.
Idk man VA is 350k/yr salary, 30 days vacation, 40 hrs/wk, and way more chill. Not a bad gig.
The VA doesn’t pay below market rate, they just compensate differently. Sure, the dollars per hour are lower, but government benefits, very slow pace, and basically can’t be sued. I don’t think it’s a particularly apt comparison to a possible national medical system though.
To your first point, the VA in my area, if you consider productivity and benefits, is roughly equivalent to Kaiser in terms of pay and benefits. It's not exactly equal but you have to also consider job security, the structure of pension and health benefits, etc. And that's a good comparison bc the Kaiser model is what most Medicare is transitioning to.
Sounds great. How do we do it?
Politically, the only path I see is calling this "Medicaid reform" because Medicare is a third rail. The basic gist is that Medicaid gets converted to a VA-type model with no profit incentive and no insurance company middlemen.
So I'm FM. I make about double what I would at the VA but I only work 36h/week. I took 34 days off this year. Granted I'm busier than your average VA doc but I prefer it, otherwise I get bored at work.
Interesting screen name choice!
I was in college in Virginia when I joined SDN 18 years ago.
worked in the VA for 6 years. Now making double what I made there and I wouldn't say I'm working any harder, although while at the VA I worked much harder than the average VA doc (most productive clinic in the entire hospital). Was doing 50+ procedures per week including stim and kypho. the rest of my time was in clinic seeing primarily new patients and a some follow ups
kudos to you for staying busier than you had to at the VA!
yep. I'll use it to your face too. Arrest me. Sue me.
Must suck to be self righteous, complacent, naïve and deluded. If you aren't pissed about how much money the government steals from you, you haven't achieved some higher level of nirvana. You're just a *****. My 2c. At least im not deluded enough to play into the pandering and BLATANT lying coming from the left in order to capture your vote. The right is far from perfect I have no delusions, but given the current choice, I wouldnt vote democrat today if you put a gun to my head.
I'm a lover and not a fighter. I can referee.
careful bro.....you will get a very nice message saying you arent allowed to have an opinion anymore. Libtards are in power right now.
I figure with all the fighting going on through these threads it's getting pretty close to a boxing match anyway. Might as well keep it in a controlled environment and have some fun with it.
this is pretty benign compared to previous. Looking through my icloud pics from few years ago i found some screenshots i took of not so nice messages from lonelobo to dodocs on his personal page i think. He deleted it and denied it, but screenshots proved his charming personality. And he was banned later for similar "jabs".
