Careful, your hyperbole is showing.this is what obamacare will do to dr's salaries, too.
but i actually don't know this to be true.
however, my ortho, an ob, & a gp seem to think so, but wtf do they know...
More people insured means more money for MDs, in theory. They're probably old codgers just generally unhappy with the reality of Medicare and insurance bureaucracies.this is what obamacare will do to dr's salaries, too.
but i actually don't know this to be true.
however, my ortho, an ob, & a gp seem to think so, but wtf do they know...
if the premiums are the same or even slightly less, yes. but if you increase the number of MDs to meet the number of insured (which i would hope would happen), then there seems to me to be no significant change. do you see an incentive to increase the number of MDs while not compromising quality of service or care?More people insured means more money for MDs, in theory.
if you mean my contacts, they're about our age, and have been in practice for 50 yrs b/t them. maybe i misunderstood?They're probably old codgers just generally unhappy with the reality of Medicare and insurance bureaucracies.
Corruption in the LRPD...........I'm shocked.....................They should be able to get by if they work some overtime like they do in Arkansas.
http://arkansasmatters.com/fulltext?nxd_id=545792
I see a push for many more NPs and PAs. Residency programs are pretty much maxed out for MDs, and I don't see them increasing in size to crank out a corresponding increased number of attendings, certainly not in primary care.if the premiums are the same or even slightly less, yes. but if you increase the number of MDs to meet the number of insured (which i would hope would happen), then there seems to me to be no significant change. do you see an incentive to increase the number of MDs while not compromising quality of service or care?
I don't see how the ACA affects this at all. We're amply provided with specialists and MRI magnets in the US, increased insured population or not, and there's no govt single payer option that'd probably have increased waits in exchange for cheaper premiums.btw, got checked out for my knee about a month back, got an MRI the next week, a follow up yesterday that also included an electrical nerve test for my right arm, expect to be scheduled for another MRI to focus on just my shoulder some time next week, with a follow up for that end of month...would you see these string of appts being more likely, just as likely, or less likely when the full obamacare mandate kicks in? if it matters, these were civilian appts through my PPO, even though i'm also in the VA system (these recent visits will be put into my VA file for administrative reasons; i have no plans to receive treatment in the VA system)
I'm 30--I thought you were older? People from my med school class (finished in '08) are almost universally supportive of the ACA and health care reform in general.if you mean my contacts, they're about our age, and have been in practice for 50 yrs b/t them. maybe i misunderstood?
my rm age is late teens, but IRL i'm mid-40'sI'm 30--I thought you were older? People from my med school class (finished in '08) are almost universally supportive of the ACA and health care reform in general.
Sounds like $tinkle's doctors are upset that their gravy-train of suckling on the teat of Socialized Medicine (Medicare/Medicaid) might be coming to an end? Seniors 65+ expend 3x as much in medical costs as someone 18-64, and now some doctors are horrified, HORRIFIED that there might be some type of cost-control measures aimed at their most frequent customers....I'm 30--I thought you were older? People from my med school class (finished in '08) are almost universally supportive of the ACA and health care reform in general.
http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/Downloads/2004GenderandAgeTables.pdfAverage health care costs per person per year (2004)
0-18: $2,679
19-64: $4,493
65+: $14,788
Dunno, I'm guessing you didn't ask the ortho or ob how they were going to be affected by ACA when the main cost-controlling measures were controlling Medicare/Medicaid reimbursements or placing a floor on health insurance payout ratios?i'm sure a large portion of that is end-of-life care
not sure how an ortho or ob would be suckling on that teet disproportionately to the other age groups, but feel free to feel free
I know when I think about cutting costs, police and fire are right at the top. They are just overpaid kids pretending to be important, anyway.I say good for the mayor for having the balls to do what should have been done long before his term.
Quit spending what he doesn't have.
have cops burn the libraries to the groundI know when I think about cutting costs, police and fire are right at the top. They are just overpaid kids pretending to be important, anyway.
The mayor isn't getting paid.I think that mayor needs a pay cut. Just think when the calls start coming in on 911 and no one to answer and no one to go to the the crime scene or fire.
I'm curious what else has been cut from budget. Of course cutting pay for cops and firemen is more sensational and would make the national news, but what else has been done to get the budget under control?I know when I think about cutting costs, police and fire are right at the top. They are just overpaid kids pretending to be important, anyway.
He cut EVERYONE across the board on the city payroll, not just fire/police. I can see sensationalizing the fire/police aspect, but theory vs. practice it's a bad move in reality.I'm curious what else has been cut from budget. Of course cutting pay for cops and firemen is more sensational and would make the national news, but what else has been done to get the budget under control?
Grover Norquist would be proud. Just wait till a court forces residents taxes to increase.There was a budget passed last year that would have fixed it but when the current council took office they threw it out because it raised taxes.
grover norquist lives in virginia. here's why:Grover Norquist would be proud. Just wait till a court forces residents taxes to increase.
http://www.nytimes.com/2012/06/26/business/surprised-taxpayers-are-paying-for-bonds-they-did-not-vote-on.html?pagewanted=1&smid=tw-share
It's times like this that I'm happy that I bought a house in a sleepy 7,500 person "city" that's actually completely surrounded by Madison. Our only debt is a few well-performing TIFs and a road reconstruction, we've got $1m in cash savings and an AA S&P bond rating. The most heated discussions at the city council meetings in the past couple years were whether to allow backyard chickens and the width of the sidewalk on one side of the road in the above-mentioned road reconstruction....Grover Norquist would be proud. Just wait till a court forces residents taxes to increase.
http://www.nytimes.com/2012/06/26/business/surprised-taxpayers-are-paying-for-bonds-they-did-not-vote-on.html?pagewanted=1&smid=tw-share
But you have no Freedom®!It's times like this that I'm happy that I bought a house in a sleepy 7,500 person "city" that's actually completely surrounded by Madison. Our only debt is a few well-performing TIFs and a road reconstruction, we've got $1m in cash savings and an AA S&P bond rating. The most heated discussions at the city council meetings in the past couple years were whether to allow backyard chickens and the width of the sidewalk on one side of the road in the above-mentioned road reconstruction....
What is most likely to happen is the city is going to file bankruptcy, but in the state of PA cities can't file bankruptcy so the state will take over. The state is controlled by one of the most anti tax governors out there so the taxes wont go up but they will have to sell off the cities assets and the workers will get pay cuts, just not as severe as the one the mayor is trying to give them.Grover Norquist would be proud. Just wait till a court forces residents taxes to increase.
http://www.nytimes.com/2012/06/26/business/surprised-taxpayers-are-paying-for-bonds-they-did-not-vote-on.html?pagewanted=1&smid=tw-share
my rm age is late teens, but IRL i'm mid-40's
thanks for the reminder.
jerk.
Orthos make a killing on spine surgery (+/- indicated or ultimately helpful) and joint replacements. Guess which age group gets the vast majority of both procedures, but especially the latter?i'm sure a large portion of that is end-of-life care
not sure how an ortho or ob would be suckling on that teet disproportionately to the other age groups, but feel free to feel free
i was under the impression that if proper procedures are followed, municipalities can file bankruptcy. Harrisburg tried but did not follow procedure and is considered a 3rd class city so the bankruptcy filing was thrown out by a judge.What is most likely to happen is the city is going to file bankruptcy, but in the state of PA cities can't file bankruptcy so the state will take over.
http://www.thefiscaltimes.com/Articles/2012/07/11/Scrantons-Fiscal-Mess-May-Lead-to-Bankruptcy.aspx#page1“Harrisburg and Scranton have some similarities. Both cities have been scrambling to fix holes – but those holes are all across Pennsylvania,” said Neil A. Grover, an attorney and founder of Debt Watch Harrisburg, a taxpayers advocacy group. “There’s no system in place to address failing cities in this state and other places as well. Policies that were put in place a long time ago are coming home to roost, in Scranton and every place else.”
Grover says that Scranton is “free under the law to seek bankruptcy protection, but Harrisburg – a third-class city – is not. Only third-class cities in Pennsylvania are barred from seeking bankruptcy protection.” He adds, “I expect to see Scranton in bankruptcy before the month is out.”
This is really simple. It's one of two things happening:not sure how an ortho or ob would be suckling on that teet disproportionately to the other age groups, but feel free to feel free
I was just home in ohio for my brother's wedding. The town (technically "village," pop 1,500) ran a surplus this year so there is brand new 5' sidewalk on my parent's street. Waste of taxpayer money. When I was a child we walked in the middle of the goddamn road to get to school in the morning. How else do you think I developed these cat-like reflexes and permanent limp?It's times like this that I'm happy that I bought a house in a sleepy 7,500 person "city" that's actually completely surrounded by Madison. Our only debt is a few well-performing TIFs and a road reconstruction, we've got $1m in cash savings and an AA S&P bond rating. The most heated discussions at the city council meetings in the past couple years were whether to allow backyard chickens and the width of the sidewalk on one side of the road in the above-mentioned road reconstruction....
Not possible anymore with battery powered vehicles silently terrorizing the streets.When I was a child we walked in the middle of the goddamn road to get to school in the morning. How else do you think I developed these cat-like reflexes and permanent limp?