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	<title>Comments on: What happens if the safety net clinics start refusing to see Medicare or Medicaid patients?</title>
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	<link>http://www.kevinmd.com/blog/2009/02/what-happens-if-safety-net-clinics.html</link>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2009/02/what-happens-if-safety-net-clinics.html/comment-page-1#comment-90037</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 03 Mar 2009 00:36:00 +0000</pubDate>
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		<description>Boulder community that only serves medicare patients had to close last month.</description>
		<content:encoded><![CDATA[<p>Boulder community that only serves medicare patients had to close last month.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2009/02/what-happens-if-safety-net-clinics.html/comment-page-1#comment-90001</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 27 Feb 2009 18:18:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2009/02/what-happens-if-the-safety-net-clinics-start-refusing-to-see-medicare-or-medicaid-patients.html#comment-90001</guid>
		<description>So the employed PA thinks it&#039;s terrible.  &lt;br/&gt;&lt;br/&gt;It&#039;s easy to be sanctimonious when you have a steady paycheck from a clinic that is subsidized by profits from elsewhere in the medical center or from direct subsidies from the feds.  &lt;br/&gt;&lt;br/&gt;Maybe this PA should invest his or her savings in a small business and see what happens with a large percentage of money losing accounts.</description>
		<content:encoded><![CDATA[<p>So the employed PA thinks it&#8217;s terrible.  </p>
<p>It&#8217;s easy to be sanctimonious when you have a steady paycheck from a clinic that is subsidized by profits from elsewhere in the medical center or from direct subsidies from the feds.  </p>
<p>Maybe this PA should invest his or her savings in a small business and see what happens with a large percentage of money losing accounts.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2009/02/what-happens-if-safety-net-clinics.html/comment-page-1#comment-89999</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 27 Feb 2009 17:12:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2009/02/what-happens-if-the-safety-net-clinics-start-refusing-to-see-medicare-or-medicaid-patients.html#comment-89999</guid>
		<description>If physicians refuse to accept substandard payment for their services, and patients who can&#039;t find doctors get frustrated, and complaints go to legislators and media outlets write articles about it, maybe payment levels will increase to appropriate levels to address the increasing public outrage.  &lt;br/&gt;&lt;br/&gt;Imagine that.  &lt;br/&gt;&lt;br/&gt;Or we could just pass a law forcing docs to take medicare/medicaid and watch physicians stop taking insurance completely.  Don&#039;t think that helps things much.</description>
		<content:encoded><![CDATA[<p>If physicians refuse to accept substandard payment for their services, and patients who can&#8217;t find doctors get frustrated, and complaints go to legislators and media outlets write articles about it, maybe payment levels will increase to appropriate levels to address the increasing public outrage.  </p>
<p>Imagine that.  </p>
<p>Or we could just pass a law forcing docs to take medicare/medicaid and watch physicians stop taking insurance completely.  Don&#8217;t think that helps things much.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2009/02/what-happens-if-safety-net-clinics.html/comment-page-1#comment-89998</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 27 Feb 2009 14:27:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2009/02/what-happens-if-the-safety-net-clinics-start-refusing-to-see-medicare-or-medicaid-patients.html#comment-89998</guid>
		<description>This is a big problem&lt;br/&gt;I do not know of any physician colleagues who went into medicine to NOT take care of people.&lt;br/&gt;It is bad enough how private insurance treats those of us in primary care.&lt;br/&gt;However, the &quot;safety net&quot;, ie medicare and medicaid is outright abusive when it comes to primary care.&lt;br/&gt;Although recently increased to, I think, 37 dollars, the reimbursement from New York State medicaid for a 99213 was barely 30 dollars for many years.  And to make matters worse, it takes an average 120 days to get that money.&lt;br/&gt;It is outright obscene.&lt;br/&gt;&lt;br/&gt;A FAMILY PRACTITIONER</description>
		<content:encoded><![CDATA[<p>This is a big problem<br />I do not know of any physician colleagues who went into medicine to NOT take care of people.<br />It is bad enough how private insurance treats those of us in primary care.<br />However, the &#8220;safety net&#8221;, ie medicare and medicaid is outright abusive when it comes to primary care.<br />Although recently increased to, I think, 37 dollars, the reimbursement from New York State medicaid for a 99213 was barely 30 dollars for many years.  And to make matters worse, it takes an average 120 days to get that money.<br />It is outright obscene.</p>
<p>A FAMILY PRACTITIONER</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2009/02/what-happens-if-safety-net-clinics.html/comment-page-1#comment-89992</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 27 Feb 2009 11:59:00 +0000</pubDate>
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		<description>Atlas Shrugs.</description>
		<content:encoded><![CDATA[<p>Atlas Shrugs.</p>
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