Comments on: Is The Media Conspiring Agains Rudy Giuliani’s Free Market Approach to Healthcare… http://www.kevinmd.com/blog/2007/08/is-media-conspiring-agains-rudy.html medical blog Sun, 22 Nov 2009 19:59:44 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2007/08/is-media-conspiring-agains-rudy.html/comment-page-1#comment-78821 Anonymous Fri, 10 Aug 2007 15:12:00 +0000 http://clients.emmense.com/kevinmd/2007/08/is-the-media-conspiring-agains-rudy-giulianis-free-market-approach-to-healthcare.html#comment-78821 Oh please, I take cash paying patient's in a heartbeat. That stated, I do expect you to pay your bills. self pay does NOT mean no pay in my practice. Oh please, I take cash paying patient’s in a heartbeat. That stated, I do expect you to pay your bills. self pay does NOT mean no pay in my practice.

]]> By: Anonymous http://www.kevinmd.com/blog/2007/08/is-media-conspiring-agains-rudy.html/comment-page-1#comment-78687 Anonymous Tue, 07 Aug 2007 03:47:00 +0000 http://clients.emmense.com/kevinmd/2007/08/is-the-media-conspiring-agains-rudy-giulianis-free-market-approach-to-healthcare.html#comment-78687 Some of these comments are comical. Here is why we keep signing up for company sponsored health ins. Because once I didn't have ins. and was more than willing to pay cash to a dr. except there wasn't one Dr. in town who you could get an appointment with if you didn't have ins. And yes, they told you that up front..."What kind of ins. do you have?" "none, well sorry we just make it our policy not to see patients who have no ins." Some of these comments are comical. Here is why we keep signing up for company sponsored health ins. Because once I didn’t have ins. and was more than willing to pay cash to a dr. except there wasn’t one Dr. in town who you could get an appointment with if you didn’t have ins. And yes, they told you that up front…”What kind of ins. do you have?” “none, well sorry we just make it our policy not to see patients who have no ins.”

]]> By: Anonymous http://www.kevinmd.com/blog/2007/08/is-media-conspiring-agains-rudy.html/comment-page-1#comment-78685 Anonymous Tue, 07 Aug 2007 03:01:00 +0000 http://clients.emmense.com/kevinmd/2007/08/is-the-media-conspiring-agains-rudy-giulianis-free-market-approach-to-healthcare.html#comment-78685 This article:<br/><br/><a HREF="http://www.john-goodman-blog.com/health-reform-part-iii-sound-and-fury" REL="nofollow">http://www.john-goodman-blog.com/health-reform-part-iii-sound-and-fury</a><br/><br/>addresses the issue of dropping plans, negotiating contracts, etc.<br/><br/>John Goodman asks whether any proposed plan meets the following:<br/><br/><i> 4. Does the plan allow doctors and patients to freely recontract, so that a better, higher-quality bundle of care can be provided for the same or less money?<br/><br/>5. Does the plan allow providers to freely contract with each other to reduce costs or raise quality?<br/><br/>6. Does the plan allow the insured and the insurers to freely recontract in order to change the boundaries between self-insurance and third-party insurance and arrive at more desirable allocations of risk?</i><br/><br/>And points out that not only do none of the currently proposed programs allow the above 3 points, the current system doesn't either.<br/><br/>Good article. This article:

http://www.john-goodman-blog.com/health-reform-part-iii-sound-and-fury

addresses the issue of dropping plans, negotiating contracts, etc.

John Goodman asks whether any proposed plan meets the following:

4. Does the plan allow doctors and patients to freely recontract, so that a better, higher-quality bundle of care can be provided for the same or less money?

5. Does the plan allow providers to freely contract with each other to reduce costs or raise quality?

6. Does the plan allow the insured and the insurers to freely recontract in order to change the boundaries between self-insurance and third-party insurance and arrive at more desirable allocations of risk?

And points out that not only do none of the currently proposed programs allow the above 3 points, the current system doesn’t either.

Good article.

]]> By: Anonymous http://www.kevinmd.com/blog/2007/08/is-media-conspiring-agains-rudy.html/comment-page-1#comment-78680 Anonymous Mon, 06 Aug 2007 23:33:00 +0000 http://clients.emmense.com/kevinmd/2007/08/is-the-media-conspiring-agains-rudy-giulianis-free-market-approach-to-healthcare.html#comment-78680 Negotiate - <br/><br/>I have tried to negotiate. The answer is: "take it or leave it." And when told that, I have left it. The reality is that a solo practitioner has no leverage, unless he is the only one for miles around.<br/><br/>The patients don't stay, know matter how much they say they want to. They find other docs who take their poor paying plans, and call to complain how poor the care is. You get what you pay for. <br/><br/>I guess it's no big deal, after all.<br/><br/>Bye! Negotiate –

I have tried to negotiate. The answer is: “take it or leave it.” And when told that, I have left it. The reality is that a solo practitioner has no leverage, unless he is the only one for miles around.

The patients don’t stay, know matter how much they say they want to. They find other docs who take their poor paying plans, and call to complain how poor the care is. You get what you pay for.

I guess it’s no big deal, after all.

Bye!

]]> By: Anonymous http://www.kevinmd.com/blog/2007/08/is-media-conspiring-agains-rudy.html/comment-page-1#comment-78677 Anonymous Mon, 06 Aug 2007 22:48:00 +0000 http://clients.emmense.com/kevinmd/2007/08/is-the-media-conspiring-agains-rudy-giulianis-free-market-approach-to-healthcare.html#comment-78677 "But if you keep your head in the sand long enough, you'll find that we are all unavailable when you need us."<br/><br/>Well, since you all say you're leaving anyway because of declining reimbursements, what's the big deal?<br/><br/>You're not much on negotiation, are you? No wonder you keep selling yourself to the govt. at a cheaper rate every year. “But if you keep your head in the sand long enough, you’ll find that we are all unavailable when you need us.”

Well, since you all say you’re leaving anyway because of declining reimbursements, what’s the big deal?

You’re not much on negotiation, are you? No wonder you keep selling yourself to the govt. at a cheaper rate every year.

]]> By: Anonymous http://www.kevinmd.com/blog/2007/08/is-media-conspiring-agains-rudy.html/comment-page-1#comment-78666 Anonymous Mon, 06 Aug 2007 19:32:00 +0000 http://clients.emmense.com/kevinmd/2007/08/is-the-media-conspiring-agains-rudy-giulianis-free-market-approach-to-healthcare.html#comment-78666 I am done wasting my breath/fingertips. It is clear that YOU (whoever you are, anon) have made up your mind, and it is not open for a differing viewpoint. While I understand your presmises, you seem to disregard the stark reality that makes your positions less than credible. They are great in a textbook, but ignore some serious realities, such as a extreme degrees of regulation, that make such arguments as "don't pariticpate" equivalent to "don't practice medicine," at least for the overwhelming majority if us. <br/><br/>But if you keep your head in the sand long enough, you'll find that we are all unavailable when you need us. I am done wasting my breath/fingertips. It is clear that YOU (whoever you are, anon) have made up your mind, and it is not open for a differing viewpoint. While I understand your presmises, you seem to disregard the stark reality that makes your positions less than credible. They are great in a textbook, but ignore some serious realities, such as a extreme degrees of regulation, that make such arguments as “don’t pariticpate” equivalent to “don’t practice medicine,” at least for the overwhelming majority if us.

But if you keep your head in the sand long enough, you’ll find that we are all unavailable when you need us.

]]> By: Anonymous http://www.kevinmd.com/blog/2007/08/is-media-conspiring-agains-rudy.html/comment-page-1#comment-78663 Anonymous Mon, 06 Aug 2007 18:31:00 +0000 http://clients.emmense.com/kevinmd/2007/08/is-the-media-conspiring-agains-rudy-giulianis-free-market-approach-to-healthcare.html#comment-78663 Well, the public certainly hasn't made any big moves or protests regarding Iraq or oil prices, so I guess it is all OK. The only thing I hear is the bleating of sheep. Let the politicos figure out what the issues should be. No need to sprain your brain. Well, the public certainly hasn’t made any big moves or protests regarding Iraq or oil prices, so I guess it is all OK. The only thing I hear is the bleating of sheep. Let the politicos figure out what the issues should be. No need to sprain your brain.

]]> By: Anonymous http://www.kevinmd.com/blog/2007/08/is-media-conspiring-agains-rudy.html/comment-page-1#comment-78653 Anonymous Mon, 06 Aug 2007 10:14:00 +0000 http://clients.emmense.com/kevinmd/2007/08/is-the-media-conspiring-agains-rudy-giulianis-free-market-approach-to-healthcare.html#comment-78653 What is the public doing to stop their elected officials from doing something they do not want?<br/><br/>Are they rallying against the persidentail candidate who is the number one proponent of universal, socialized healthcare? Is that person leading or trailing in the polls? What is the public doing to stop their elected officials from doing something they do not want?

Are they rallying against the persidentail candidate who is the number one proponent of universal, socialized healthcare? Is that person leading or trailing in the polls?

]]> By: Anonymous http://www.kevinmd.com/blog/2007/08/is-media-conspiring-agains-rudy.html/comment-page-1#comment-78638 Anonymous Mon, 06 Aug 2007 02:12:00 +0000 http://clients.emmense.com/kevinmd/2007/08/is-the-media-conspiring-agains-rudy-giulianis-free-market-approach-to-healthcare.html#comment-78638 It is the "do good" politicians, not the public. It is the “do good” politicians, not the public.

]]> By: Anonymous http://www.kevinmd.com/blog/2007/08/is-media-conspiring-agains-rudy.html/comment-page-1#comment-78625 Anonymous Sun, 05 Aug 2007 19:57:00 +0000 http://clients.emmense.com/kevinmd/2007/08/is-the-media-conspiring-agains-rudy-giulianis-free-market-approach-to-healthcare.html#comment-78625 "The public is not as unhappy as you is the deal."<br/><br/>Then who is it exactly that is clamoring for universal health care? “The public is not as unhappy as you is the deal.”

Then who is it exactly that is clamoring for universal health care?

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