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Post by Deleted on Apr 25, 2020 21:26:20 GMT -5
All of those were eliminated gradually along with switchboard operators and elevator operators. You guys are talking about eliminating a massive industry with one fell sweep. Be realistic. Understood. ALL the other countries were able to manage it, but the USA cannot. One size rarely fits all.
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hoops902
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Post by hoops902 on Apr 25, 2020 22:42:14 GMT -5
All of those were eliminated gradually along with switchboard operators and elevator operators. You guys are talking about eliminating a massive industry with one fell sweep. Be realistic. Understood. ALL the other countries were able to manage it, but the USA cannot. What "all other countries"? The countries who still have insurance industries and achieve "universal healthcare" by making it illegal not to buy insurance? Is that what you think we should do? We should just turn the 9% of people in the US without coverage into criminals?
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haapai
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Post by haapai on Apr 25, 2020 23:41:47 GMT -5
How in the world did this thread become about what doctors are paid or how? What is wrong with you people?
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hoops902
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Post by hoops902 on Apr 25, 2020 23:45:44 GMT -5
How in the world did this thread become about what doctors are paid or how? What is wrong with you people? In case you're new or haven't been around for a while...every thread is about healthcare, hating Trump, or retirement. That's doubly true in cases like this where the premise of the thread is immediately proven to be objectively false, then the thread just meanders everywhere and anywhere.
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haapai
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Post by haapai on Apr 26, 2020 0:05:27 GMT -5
How in the world did this thread become about what doctors are paid or how? What is wrong with you people? In case you're new or haven't been around for a while...every thread is about healthcare, hating Trump, or retirement. That's doubly true in cases like this where the premise of the thread is immediately proven to be objectively false, then the thread just meanders everywhere and anywhere. The premise of this thread has not been proven to be objectively false.
I went back into the grocery store today. I work there. I haven't been there for two weeks.
There was evidence that a whole lot of my coworkers had not been appearing for work for several days. It showed on the schedule that showed absenteeism. It showed on the shelves. I did not recognize many of the people working there. Many of the people that I expected to see working there were not there. I don't live in a place where Covid-19 has hit particularly hard, so I doubt that my coworkers have it, but something has happened where I work. A whole lot of people who ordinarily show up for work are just not there and I don't know why ... yet. My preliminary conclusion is that their nerves just could not take what was being thrown at them.
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MN-Investor
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Post by MN-Investor on Apr 26, 2020 10:30:41 GMT -5
There was evidence that a whole lot of my coworkers had not been appearing for work for several days. It showed on the schedule that showed absenteeism. It showed on the shelves. I did not recognize many of the people working there. Many of the people that I expected to see working there were not there. I don't live in a place where Covid-19 has hit particularly hard, so I doubt that my coworkers have it, but something has happened where I work. A whole lot of people who ordinarily show up for work are just not there and I don't know why ... yet. My preliminary conclusion is that their nerves just could not take what was being thrown at them.
They don't want to get sick and die. They don't want family members to catch the virus from them and get sick and die. They can't find child care for young children so they can't work.
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Lizard Queen
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Post by Lizard Queen on Apr 26, 2020 11:44:41 GMT -5
The reason the conversation went to doctors pay started with the lamentation that so many retail workers have no health benefits through their jobs -->universal healthcare --> costs of healthcare.
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TheHaitian
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Post by TheHaitian on Apr 26, 2020 11:53:05 GMT -5
There was evidence that a whole lot of my coworkers had not been appearing for work for several days. It showed on the schedule that showed absenteeism. It showed on the shelves. I did not recognize many of the people working there. Many of the people that I expected to see working there were not there. I don't live in a place where Covid-19 has hit particularly hard, so I doubt that my coworkers have it, but something has happened where I work. A whole lot of people who ordinarily show up for work are just not there and I don't know why ... yet. My preliminary conclusion is that their nerves just could not take what was being thrown at them.
They don't want to get sick and die. They don't want family members to catch the virus from them and get sick and die. They can't find child care for young children so they can't work. No frozen order yesterday, spoke to the driver: 7 of them drove to the warehouse and only 2 had load ready. 80 people called out yesterday. Every shift the past week 50-100 people are calling out of the warehouse. Having similar issue on a lower scale at store level : 2 people quit, 2 stop coming because they cannot deal with the stress/worrying about catching COVID. The one case we had called last Monday, that is more than a month later; she cannot return to work yet because her Dr saw some lung damage. So would prefer her to be fuller recovered from that before letting her get back, been out since 3/17.
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Rukh O'Rorke
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Post by Rukh O'Rorke on Apr 26, 2020 13:15:23 GMT -5
How in the world did this thread become about what doctors are paid or how? What is wrong with you people? people - chatting - is offensive?
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Miss Tequila
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Post by Miss Tequila on Apr 26, 2020 14:16:56 GMT -5
How in the world did this thread become about what doctors are paid or how? What is wrong with you people? people - chatting - is offensive? In today’s world, everything is offensive.
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NoNamePerson
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Post by NoNamePerson on Apr 26, 2020 14:52:53 GMT -5
people - chatting - is offensive? In today’s world, everything is offensive. X 5000.
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thyme4change
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Post by thyme4change on Apr 26, 2020 15:41:46 GMT -5
Do, we should still have blacksmiths, carriage makers and the typewriter industry? So people don't lose their jobs? Sorry, but life moves on. You can complain or move with it. All of those were eliminated gradually along with switchboard operators and elevator operators. You guys are talking about eliminating a massive industry with one fell sweep. Be realistic. I could see a 20 - 30 year transition. One person said that if they do a public option and then put every baby born on new Medicare, it would be a 6 decade transition. That would really smooth things out.
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teen persuasion
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Post by teen persuasion on Apr 26, 2020 16:19:38 GMT -5
All of those were eliminated gradually along with switchboard operators and elevator operators. You guys are talking about eliminating a massive industry with one fell sweep. Be realistic. I could see a 20 - 30 year transition. One person said that if they do a public option and then put every baby born on new Medicare, it would be a 6 decade transition. That would really smooth things out. Or the reverse - open up Medicare as an option for 55+, then down another decade, then another.
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Deleted
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Post by Deleted on Apr 26, 2020 16:38:42 GMT -5
But thyme4change and teen persuasion , understand that most people still have to buy supplemental insurance when they are on Medicare. That 20% can be substantial with a severe illness and/or hospitalization. And Medicare doesn't cover prescription drugs without a supplemental drug plan. And that supplemental drug plan has a doughnut hole that can be a killer. Medicare for all (in stages as you guys suggest) is an option, but it isn't a cure-all. eta: DH was on a Medicare Advantage plan sponsored by my state teacher retirement when he started spiraling downward. It was an enormous help, but we paid Medicare premiums + $200 a month for the state's version. I ended up paying $1200 OOP not including prescription co-pays before he went on hospice for those truly awful five months. It is not a huge amount, but our Advantage plan was generous, again because it was sponsored by the Public Education Employees Health Program. It is atypical, trust me, in price if not coverage.
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thyme4change
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Post by thyme4change on Apr 26, 2020 16:47:45 GMT -5
But thyme4change and teen persuasion , understand that most people still have to buy supplemental insurance when they are on Medicare. That 20% can be substantial with a severe illness and/or hospitalization. And Medicare doesn't cover prescription drugs without a supplemental drug plan. And that supplemental drug plan has a doughnut hole that can be a killer. Medicare for all (in stages as you guys suggest) is an option, but it isn't a cure-all. eta: DH was on a Medicare Advantage plan sponsored by my state teacher retirement when he started spiraling downward. It was an enormous help, but we paid Medicare premiums + $200 a month for the state's version. I ended up paying $1200 OOP not including prescription co-pays before he went on hospice for those truly awful five months. It is not a huge amount, but our Advantage plan was generous, again because it was sponsored by the Public Education Employees Health Program. It is atypical, trust me, in price if not coverage. I'm not advocating for Medicare only. Very few people really want that.
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sesfw
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Post by sesfw on Apr 26, 2020 17:00:56 GMT -5
We pay both medicare premiums and supplemental insurance through our SS reimbursement.
The biggest thing wrong with Obamacare is no regulation of premiums from insurance companies. First year of Obamacare our premiums went up $41 each and co-pay nearly doubled ...... and our SS reimbursement stayed the same.
Net loss: $41 per month for each of us and higher co-pay for Dr visits.
I am now back working wearing a face mask and social distancing with my coworkers ..... I work in electronic assembly so can't work from home.
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jerseygirl
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Post by jerseygirl on Apr 26, 2020 17:03:42 GMT -5
We pay both medicare premiums and supplemental insurance through our SS reimbursement. The biggest thing wrong with Obamacare is no regulation of premiums from insurance companies. First year of Obamacare our premiums went up $41 each and co-pay nearly doubled ...... and our SS reimbursement stayed the same. Net loss: $41 per month for each of us and higher co-pay for Dr visits. Obama care does nothing to reduce medical bills
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pulmonarymd
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Post by pulmonarymd on Apr 26, 2020 17:08:35 GMT -5
We pay both medicare premiums and supplemental insurance through our SS reimbursement. The biggest thing wrong with Obamacare is no regulation of premiums from insurance companies. First year of Obamacare our premiums went up $41 each and co-pay nearly doubled ...... and our SS reimbursement stayed the same. Net loss: $41 per month for each of us and higher co-pay for Dr visits. I am now back working wearing a face mask and social distancing with my coworkers ..... I work in electronic assembly so can't work from home. Did you get your insurance through an exchange. If you had Medicare or Medicare advantage, the cost was not based on Obamacare. Completely separate issues. In addition, change will not happen overnight. And costs will not come down quickly, just look at the discussion above about job losses
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MN-Investor
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Post by MN-Investor on Apr 26, 2020 18:19:42 GMT -5
We pay both medicare premiums and supplemental insurance through our SS reimbursement. The biggest thing wrong with Obamacare is no regulation of premiums from insurance companies. First year of Obamacare our premiums went up $41 each and co-pay nearly doubled ...... and our SS reimbursement stayed the same. Net loss: $41 per month for each of us and higher co-pay for Dr visits. Obama care does nothing to reduce medical bills The ACA required insurance companies to cover pre-existing conditions without charging more for that insurance. That was a true game changer for many people.
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pulmonarymd
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Post by pulmonarymd on Apr 26, 2020 19:12:26 GMT -5
And it was watered down. It was only the start of the necessary reforms. But since republicans have done nothing productive since the aca was passed, it is no surprise that costs have not improved, although medical inflation did slow down for a while after its oassage
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jerseygirl
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Post by jerseygirl on Apr 26, 2020 21:09:37 GMT -5
And it was watered down. It was only the start of the necessary reforms. But since republicans have done nothing productive since the aca was passed, it is no surprise that costs have not improved, although medical inflation did slow down for a while after its oassage Do you think the ruling that hospitals must publish costs for procedures will help bring costs down ( eg ultrasounds, uncomplicated hip replacement). Also no ‘surprise ‘ bills from ED doctors not covered by insurance plan that does cover the ED department? I really liked the proposal that pharma companies must state cost of drugs in ads but courts disapproved. Wish pharma ads could be eliminated
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pulmonarymd
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Post by pulmonarymd on Apr 26, 2020 21:30:45 GMT -5
And it was watered down. It was only the start of the necessary reforms. But since republicans have done nothing productive since the aca was passed, it is no surprise that costs have not improved, although medical inflation did slow down for a while after its oassage Do you think the ruling that hospitals must publish costs for procedures will help bring costs down ( eg ultrasounds, uncomplicated hip replacement). Also no ‘surprise ‘ bills from ED doctors not covered by insurance plan that does cover the ED department? I really liked the proposal that pharma companies must state cost of drugs in ads but courts disapproved. Wish pharma ads could be eliminated No, because it is impossible to know what you will be charged with the way coding is done. Patients think that the amount of time I spend is how we charge. Sometimes that’s true, but complexity of medical decision making is also a factor. They have no way to know differential diagnosis, how many x rays need to be reviewed, how many different people you need to consult. A sore throat can be leukemia. It is sort of like taking your car in because it doesn’t start. Can be easy or can be hard. If your insurance will not cover a hospital or physician group, why should they suffer. You have an agreement with your insurance, not them. A patient should understand their insurance. If you call 911, and they bring you to an uncovered ED, I understand your point, but otherwise, a patient is responsible for their decision. Pharmaceutical ads should be banned
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mollyc
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Post by mollyc on Apr 26, 2020 21:36:54 GMT -5
Damn your system is complicated.
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pulmonarymd
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Post by pulmonarymd on Apr 26, 2020 21:48:07 GMT -5
Damn your system is complicated. Yes, part of the reason it costs so much. In addition, we are criminally liable if we bill incorrectly, but the billing is so complicated that it is almost impossible to not make mistakes
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pulmonarymd
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Post by pulmonarymd on Apr 26, 2020 21:48:19 GMT -5
Damn your system is complicated. Yes, part of the reason it costs so much. In addition, we are criminally liable if we bill incorrectly, but the billing is so complicated that it is almost impossible to not make mistakes
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jerseygirl
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Post by jerseygirl on Apr 26, 2020 22:21:08 GMT -5
Damn your system is complicated. Yes, part of the reason it costs so much. In addition, we are criminally liable if we bill incorrectly, but the billing is so complicated that it is almost impossible to not make mistakes [ It’s a horrible system Does anyone know when it became so convoluted? I remember simple times. When I was first married (60s) we had insurance through my husband’s employer but it was called major medical. Really only covered hospital costs, doctors visits were out of pocket and maybe $25. No coding Then insurance started to cover doctor visits but people had to fill out insurance forms themselves (just cost of visit) and submit claim. Then the doctors office took over sending claims - disaster followed We went to family doctor who just had one nurse and I think she also made appointments and billed. Now a physician with a practice would probably need 5 people to deal with insurance
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countrygirl2
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Post by countrygirl2 on Apr 26, 2020 23:08:41 GMT -5
Medicare and our supplements are serving us well. Hubs went to Plan G because he doesn't get sick. I kept Plan F because it pays the deductibles, drug coverage is separate, of course. They stopped offering it this year. My premiums went up on it $40 a month this year. I don't know how long I can afford to keep it, all my premiums increased. If it keeps up like this, we will say 20 years, I doubt I'm around that long. But say I am, it will eat my whole SS check. Now almost all of mine goes for hubs and I both. I had to quit so many years early, mine is based on about 35 years I guess. People aren't going to afford a supplement in most cases. I was paying for drugs in a store and had to pay the deductible, the clerk was older, she said she didn't have any drug coverage or a supplement, she couldn't afford it. I imagine she is the norm anymore. Though many have Medicaid which costs them nothing.
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weltschmerz
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Post by weltschmerz on Apr 26, 2020 23:39:33 GMT -5
Damn your system is complicated. Fig 1. US Healthcare Claims System Infrastructure
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thyme4change
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Post by thyme4change on Apr 27, 2020 10:45:35 GMT -5
We pay both medicare premiums and supplemental insurance through our SS reimbursement. The biggest thing wrong with Obamacare is no regulation of premiums from insurance companies. First year of Obamacare our premiums went up $41 each and co-pay nearly doubled ...... and our SS reimbursement stayed the same. Net loss: $41 per month for each of us and higher co-pay for Dr visits. Obama care does nothing to reduce medical bills I'm still waiting for both parties to present ideas on how to do this. The only one who did was Bernie. But abruptly making private insurance illegal would cause chaos in our economy - among other things.
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pulmonarymd
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Post by pulmonarymd on Apr 27, 2020 10:48:35 GMT -5
I outlined the issues in a post above. Tackling this requires having mature discussion, and everyone will have to sacrifice something. Also will require compromise. I am not holding my breath, and I will be retired before it happens
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