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If they cut some doctor's salary by 5% for accepting Medicare, won't that lead to rationing?
In the Senate version, the 10% of doctors who submit the most reimbursements for Medicare patients will have their pay docked by five percent. This inevitably will lead to rationing of care for seniors, and make "death panels" inevitable as doctors strain to stay below the threshold.
Rep. Michelle Bachmann (R-Minn.) describes the House bill this way: "This 2,000-page bill includes a job-killing employer mandate, an individual mandate that requires Washington bureaucrats to define what kind of coverage is acceptable, burdensome tax increases, Medicare cuts, and a huge expansion of Medicaid that will break already strained state budgets."'
Why is this monstrosity of a bill still alive?
4 Answers
- Anonymous1 decade agoFavorite Answer
It is actually worse than that.
This is done on an annual basis, so that the top 10% each year will get their pay docked.
Assume for a moment that the doctors who get their pay docked will take fewer medicare patients to avoid being docked.
Each year a new pool of doctors will take fewer medicare patients, so that eventually no doctors may be willing to take medicare patients.
The only alternative is to take as many medicare patients as possible, cut the doctor's cost of treating each medicare patient (i.e., reduce the quality of care), and hope volume makes up for the 5% deduction.
- No MoreLv 71 decade ago
There is already rationing of many, not just seniors. Many doctors refuse anyone with any type of medicare. That surely explains it, doesn't it?
I have heard seniors and younger people alike, and their complaints are basically the same.
EDIT: The doctors who will accept medicare, they are true doctors, not just money makers.. but... even they can handle only a certain amount of patients.
Why is that bill alive? More like... why was it ever allowed?
- bikerwoodyLv 61 decade ago
But the doctors who accept patients who don't have to pay will have so many more patients than those who don't, that it won't matter. That's the way it works in Australia. We call it bulk billing. The doctors get a bit less for treating those patients, but more of them present for treatment. There are doctors who will not accept those patients, but by saying you will not help those who can't afford it, you really lose some of your credibility as a doctor, don't you?
- salinderLv 44 years ago
common adequate. Now your turn to respond to: What good will Paul Ryan's $15,000 do me while the expenditures of well-being care upward thrust with inflation and no person will grant me with coverage through fact i'm seventy two and a scientific legal accountability? in fact, if i'm fortunate adequate to get coverage, how many of that voucher will conceal my rates, co-will pay, and medicine expenditures and how plenty will my out of pocket expenditures be? Will I additionally be waiting to have the money for housing, nutrition, utilities, and transportation? What happens if I certainly have a important scientific experience and could have an prolonged stay in the scientific institution, or desire long-term nursing care in a facility and can't have the money for it? I nonetheless have 27 years till now i'm Medicare eligible and 34 years till now i will retire and get all of my reward. when I retire, i will ought to pay a COBRA to maintain some style of possible coverage till i will get admission to the Social protection and Medicare that I certainly have been paying into considering the fact that i substitute into 14. i might think of given the two certainly one of our hypothetical, we will the two be SOL. @CB> in addition they decrease the point of care that they are going to grant. Ryan's plan will provide them carte blanche to do what they desire through fact the coverage companies will administration the industry and could adjust it with the aid of who gets coverage and who would not. we will see approvals for preventative care measures and severe cost strategies would be concern to approval. coverage companies often is the actual dying Panels!