RedDenver Posted November 24, 2020 Share Posted November 24, 2020 Medicare for All and the Myth of the 40% Physician Pay Cut Quote Since for-profit insurers ultimately decide what will be covered, it’s like having a third party in the exam room second-guessing our medical decisions. This process disrupts the doctor-patient relationship that we work so hard to build. And copays and coinsurance (what patients pay out-of-pocket) mean that even smaller practices must employ several full-time staff just to handle payments, billing, and collections. Smaller practices spend an average of $83,000 per year on claims, coverage and billing. Doctors personally spend nine hours each week on billing and admin; that’s time we’re not seeing patients. It’s no surprise that doctors today report unprecedented levels of exhaustion and burnout. Quote In reality, relatively few doctors work in private practice anymore. Due to rampant industry consolidation, most providers actually work on salary for larger health systems or hospitals. Under our current multi-payer system, billing and administration account for one-quarter of U.S. hospital expenditures, twice the level in single-payer nations. Medicare for All would simplify hospital payments by funding them through global budgets (similar to the way fire departments are paid), rather than the current patient-by-patient payments, saving billions more in administrative costs. At the national level, single payer would cut about $504 billion annually in administrative costs. In other words, single payer works by cutting administrative waste and corporate profits, not doctor incomes. Overall, we estimate that average physician incomes would remain unchanged under Medicare for All. Link to comment
RedDenver Posted November 24, 2020 Share Posted November 24, 2020 6 minutes ago, Archy1221 said: An unhinged rant about how the left wants to kill people very not convincing. He then goes on to imply that one of the authors of the ACA is "creepy" and that somehow makes Medicare for All evil. Notice that this doctor never mentions what would happen to his son if he wasn't a doctor who can afford the best healthcare. Link to comment
Archy1221 Posted November 24, 2020 Share Posted November 24, 2020 1 minute ago, RedDenver said: An unhinged rant about how the left wants to kill people very not convincing. He then goes on to imply that one of the authors of the ACA is "creepy" and that somehow makes Medicare for All evil. Notice that this doctor never mentions what would happen to his son if he wasn't a doctor who can afford the best healthcare. St. Jude’s. Mayo also does indigent care. He is actually one of the most respected pediatricians in Chicago. He does mention what would happen to his son in a system run by Ezekiel though. 2 1 Link to comment
knapplc Posted November 24, 2020 Share Posted November 24, 2020 10 minutes ago, RedDenver said: An unhinged rant about how the left wants to kill people very not convincing. He then goes on to imply that one of the authors of the ACA is "creepy" and that somehow makes Medicare for All evil. Notice that this doctor never mentions what would happen to his son if he wasn't a doctor who can afford the best healthcare. So the premise of this guy's schtick is that his child would die in a healthcare system as proposed by AOC? And people believe this guy's opinion because of all the well-sourced links he provides, I suppose? 1 Link to comment
deedsker Posted November 24, 2020 Share Posted November 24, 2020 1 hour ago, Archy1221 said: Apparently we only care about people about to die... Quote Rank Country/territory Continent Hospital beds per 1000 people Change from previous year, average Occupancy (%)[6] ICU-CCB beds /100,000 inhabitants Ventilators 2013 2014 2015 2016 2017 Actual Proportional (%) 1 Japan Asia 13.3 13.21 13.17 13.11 13.05 −0.06 −0.48 75.5 13.5[7] 45.293[8] 2 South Korea Asia 10.92 11.59 11.61 11.98 12.27 0.34 2.85 10.6[9] 9,795[10] 3 Russia Europe 9.07 8.81 8.35 8.16 8.05 −0.26 −3.04 8.3[11] 40,000[12] (27.3 per 100,000 inhabitants[12]) 4 Germany Europe 8.28 8.23 8.13 8.06 8.00 −0.07 −0.86 62.1[13] 38.7[13] 25,000[14] 5 Austria Europe 7.64 7.58 7.54 7.42 7.37 −0.07 −0.90 73.8 21.8[15] 2,500[16] 6 Hungary Europe 7.04 6.98 6.99 7.00 7.02 −0.01 −0.07 65.5 13.8[15] 2560[17] 7 Czech Republic Europe 6.7 6.68 6.67 6.66 6.63 −0.02 −0.26 70.1 11.6[15] 3,529[18] 8 Poland Europe 6.61 6.63 6.63 6.64 6.62 0.00 0.04 6.9[15] 10,100 (26.6 per 100,000 inhabitants) [19][20] 9 Lithuania Europe 7.28 7.22 6.97 6.69 6.56 −0.18 −2.65 73.2 15.5[15] ~1000 [21] 10 France Europe 6.28 6.20 6.13 6.06 5.98 −0.08 −1.23 75.6 11.6[15] 9,236(2006)[22] 7,007 (2009)[23] 11 Slovakia Europe 5.8 5.79 5.75 5.78 5.82 0.01 0.08 67.8 9.2[15] 600[24] 12 Belgium Europe 5.93 5.85 5.83 5.76 5.76 −0.04 −0.73 81.8 15.9[15] Unknown 13 Latvia Europe 5.8 5.66 5.69 5.72 5.57 −0.06 −1.03 71.1 9.7[15] Unknown 14 Hong Kong Asia 5.4 5.4 5.4 0.00 0.00 7.1[9] Unknown 15 Estonia Europe 5.01 5.01 4.96 4.76 4.69 −0.08 −1.68 70.4 14.6[15] Unknown 16 Luxembourg Europe 5.17 5.05 4.93 4.81 4.66 −0.13 −2.63 70.7 24.8[15] Unknown 17 Switzerland Europe 4.68 4.58 4.58 4.55 4.53 −0.04 −0.82 82.0 11.0[15] Unknown 18 Slovenia Europe 4.55 4.54 4.51 4.49 4.50 −0.01 −0.28 69.5 6.4[15] Unknown 19 China Asia 3.31 3.57 3.82 4.05 4.34 0.26 6.55 3.6[9] Unknown 20 Greece Europe 4.24 4.24 4.25 4.20 4.21 −0.01 −0.18 61.6[15] 9.5[25] Unknown 21 Australia Oceania 3.74 3.79 3.82 3.84 0.03 0.88 9.1[26] 1314[27] 22 Norway Europe 3.86 3.84 3.76 3.68 3.60 −0.07 −1.76 80.7 8[15] 800[28] 23 Portugal Europe 3.39 3.32 3.37 3.39 3.39 0.00 −0.01 66.8 4.2[15] 1,400[29] 24 Netherlands Europe 4.18 3.52 3.44 3.32 0.00 0.00 65.4 6.4[15] Unknown 25 Finland Europe 4.87 4.53 4.35 3.97 3.28 −0.40 −10.56 6.1[15] Unknown 26 Italy Europe 3.31 3.21 3.20 3.17 3.18 −0.03 −1.01 78.9 12.5[15] 5,324 (January 2020) [30] 5,000 (8.3 per 100,000 inhabitants)[12] 27 Iceland Europe 3.22 3.16 3.12 3.13 3.06 −0.04 −1.29 9.1[15] Unknown 28 Israel Asia 3.09 3.08 3.03 2.99 3.02 −0.02 −0.58 93.3 Unknown 29 Spain Europe 2.96 2.97 2.98 2.97 2.97 0.00 0.08 75.3 9.7[15] Unknown 30 Ireland Europe 2.56 2.57 2.92 2.97 2.96 0.10 3.43 94.9 6.5[15] Unknown 31 Turkey Europe 2.65 2.68 2.68 2.75 2.81 0.04 1.45 68.0 46.5[31] 17,000[32] 32 United States North America 2.89 2.83 2.80 2.77 −0.04 −1.42 64.0 29.4[33] 177,000[34] 68,000[12] (18.8 per 100,000 inhabitants[12]) https://en.wikipedia.org/wiki/List_of_countries_by_hospital_beds **Good job finding a stat that leaves out the whole picture but helps your argument though.** 1 Link to comment
DevoHusker Posted November 24, 2020 Share Posted November 24, 2020 2 hours ago, RedDenver said: An unhinged rant about how the left wants to kill people very not convincing. He then goes on to imply that one of the authors of the ACA is "creepy" and that somehow makes Medicare for All evil. Notice that this doctor never mentions what would happen to his son if he wasn't a doctor who can afford the best healthcare. He may be wrong (I don't know) but he is definitely not unhinged. Well written and thought provoking. It is nigh on 2 years old, so who knows. Link to comment
Archy1221 Posted November 25, 2020 Share Posted November 25, 2020 4 hours ago, deedsker said: Apparently we only care about people about to die... https://en.wikipedia.org/wiki/List_of_countries_by_hospital_beds **Good job finding a stat that leaves out the whole picture but helps your argument though.** The US has more than plenty hospital bed capacity. That isn’t an issue here. the more important component is Critical Care Beds. One big reason Italy was such a mess. If you would like to argue otherwise, feel free 1 Link to comment
RedDenver Posted November 25, 2020 Share Posted November 25, 2020 16 hours ago, DevoHusker said: He may be wrong (I don't know) but he is definitely not unhinged. Well written and thought provoking. It is nigh on 2 years old, so who knows. It's a twitter rant where he appeals to authors of bills being "creepy". It's some of the dumbest sh!t I've read about healthcare. 1 Link to comment
Archy1221 Posted November 25, 2020 Share Posted November 25, 2020 56 minutes ago, RedDenver said: It's a twitter rant where he appeals to authors of bills being "creepy". It's some of the dumbest sh!t I've read about healthcare. Ezekiel literally suggests to take potential health care resources away from those who hit 70+ years old because their value to society isn’t as great as the working age group. Ya that’s kinda “creepy”. This guy’s “rant” about his own child’s experience with the current healthcare system that saved his life would not be considered dumb s#!t by normal human standards. 2 Link to comment
RedDenver Posted November 25, 2020 Share Posted November 25, 2020 4 minutes ago, Archy1221 said: This guy’s “rant” about his own child’s experience with the current healthcare system that saved his life would not be considered dumb s#!t by normal human standards. I'm guessing the normal humans that can't afford the care that his son got would consider his rant dumb sh!t. 1 Link to comment
Archy1221 Posted November 25, 2020 Share Posted November 25, 2020 13 minutes ago, RedDenver said: I'm guessing the normal humans that can't afford the care that his son got would consider his rant dumb sh!t. I’ve posted where people can go for free Healthcare, you just choose to put your head in the sand and ignore it. So ya it’s dumb s#!t 1 Link to comment
RedDenver Posted November 25, 2020 Share Posted November 25, 2020 19 minutes ago, Archy1221 said: I’ve posted where people can go for free Healthcare, you just choose to put your head in the sand and ignore it. So ya it’s dumb s#!t The Americans dying because they can't afford medical care More than 26 000 Americans die each year because of lack of health insurance 'Kids are falling off': Why fewer children have health insurance now (From before ACA passed) New study finds 45,000 deaths annually linked to lack of health coverage: Uninsured, working-age Americans have 40 percent higher death risk than privately insured counterparts Key Facts about the Uninsured Population 1 Link to comment
Archy1221 Posted November 25, 2020 Share Posted November 25, 2020 1 hour ago, RedDenver said: The Americans dying because they can't afford medical care More than 26 000 Americans die each year because of lack of health insurance 'Kids are falling off': Why fewer children have health insurance now (From before ACA passed) New study finds 45,000 deaths annually linked to lack of health coverage: Uninsured, working-age Americans have 40 percent higher death risk than privately insured counterparts Key Facts about the Uninsured Population Want Obamacare sold as giving insurance to everyone in the country? 1 Link to comment
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