{"id":118,"date":"2010-06-19T23:51:52","date_gmt":"2010-06-20T03:51:52","guid":{"rendered":"http:\/\/www.cheapiv.com\/?p=118"},"modified":"2010-06-20T00:01:47","modified_gmt":"2010-06-20T04:01:47","slug":"medicare-cut-goes-through","status":"publish","type":"post","link":"http:\/\/www.cheapiv.com\/?p=118","title":{"rendered":"Medicare Cut Goes Through"},"content":{"rendered":"<p>Well, it was very depressing news I got this morning: Congress did not back the Doctor fix and went through with the Medicare cut of 21%.\u00c2\u00a0 I wrote on 6\/2 how <a title=\"Fragile Medical System\" href=\"http:\/\/www.cheapiv.com\/?p=92\" target=\"_blank\">this system is very fragile <\/a>and this while not time sensitive to the stock market is the start of something very big.<\/p>\n<p>In a nutshell, this cut is going to hurt all Medicare patients.\u00c2\u00a0 It is going to create a very large problem of access to Doctors.\u00c2\u00a0 Who will get blamed for this&#8230;the Doctors.\u00c2\u00a0 They are in the most difficult position because they have already been squeezed.\u00c2\u00a0 Main street media positions the Doctors as &#8220;rich&#8221; and they have the ability to absorbs the cuts.\u00c2\u00a0 Physicians have\u00c2\u00a0 not had an increase in reimbursement rates for the past 7 years even while the Medical Insurance keeps increasing.\u00c2\u00a0 Meanwhile medical expenses of their staff have gone up just as much as every other business around the country.\u00c2\u00a0 The majority of a physician&#8217;s expenses are tied up with\u00c2\u00a0 their staff.\u00c2\u00a0 Their margins have been squeezed by insurance companies and government lowering of reimbursements through Medicare and Medicaid.<\/p>\n<p><strong>So here is what will happen immediately:<\/strong><\/p>\n<ul>\n<li><strong>Doctors will stop taking new Medicare patients<\/strong>.\u00c2\u00a0 This is what has already happened with Medicaid because the reimbursement levels are too low.\u00c2\u00a0 More on this in a second.<\/li>\n<li><strong>Reduce the amount of Medicare patients they see in one day. <\/strong>This will average out their costs over the day so they can absorb some of the lost reimbursements.<\/li>\n<li><strong>Lay off staff. <\/strong>Unfortunately, the staff are the easiest place for a Physician to cut expenses.\u00c2\u00a0 Almost all other expenses are fixed or necessary to run the practice.<\/li>\n<li><strong>Stop hospital care.<\/strong> This will be dependent on the type of Doctor, but some will stop seeing their patients in the hospital all together.\u00c2\u00a0 The cost and time involved in this is substantial.<\/li>\n<\/ul>\n<p>Combine all of these points above that are forcing cut backs with the extra added burden of more Medicare patients being added.\u00c2\u00a0 They are being added from the aging population and the new Health Care bill that will role people in over the next few years.<\/p>\n<p><strong>New patients will be hard pressed to find a Doctor that will accept them.\u00c2\u00a0 This will affect the aging population the most.<\/strong><\/p>\n<p>The only way that the government can force Physicians to see these patients is through licensing.\u00c2\u00a0 They will have to put some system into place where they have to see &#8220;X&#8221; amount of patient in order for their license to be renewed.\u00c2\u00a0 We can guess how this government intervention will be handled by Doctors: a lot will retire and some will just quit.\u00c2\u00a0 This just reduces the amount of good Doctors available to see.\u00c2\u00a0 Medical schools can not keep up with the demand and less and less students are choosing General or Family Practice because there is no money in it.\u00c2\u00a0 Some specialties make double the income with less hours worked.<\/p>\n<p>I think the important thing to consider here is that every union in this country has fought for pay raises for the past 7 years.\u00c2\u00a0 Some are fighting for 5% raises this year in the worst recession we have seen in a long time.\u00c2\u00a0 Some complain that they have to pay into their health care because the employer can no longer absorb the entire increase.<\/p>\n<p>So on one hand we have no increases for seven years plus a 21% cut now and unions which have kept up with inflation over the past 7 years on average of 2% a year.\u00c2\u00a0 So physicians are now down at least 21% and union workers are up 14%.<\/p>\n<p>The family practice Physician will have to work more hours to make up for the short fall or lay off staff.\u00c2\u00a0 They can not get rid of their Medicare patients because that is illegal.\u00c2\u00a0 The average family Physician already works over 60 hours week and has gone through 4 years of medical school and three years of residency.\u00c2\u00a0 In my opinion it is a pretty lousy job&#8230;people complaining about their health to you all day long&#8230;no thanks.\u00c2\u00a0 You do not go in family practice for the money, that is for sure.<\/p>\n<p>This backbone of the health care system will be broken.\u00c2\u00a0 More patients will be forced to see inferior physician assistants or super nurses.\u00c2\u00a0 When you are truly sick I hope that you are seeing the Doctor that day not an assistant.<a href=\"http:\/\/www.cheapiv.com\/wp-content\/uploads\/projectedspending.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-120\" title=\"projectedspending\" src=\"http:\/\/www.cheapiv.com\/wp-content\/uploads\/projectedspending.jpg\" alt=\"\" width=\"500\" height=\"435\" srcset=\"http:\/\/www.cheapiv.com\/wp-content\/uploads\/projectedspending.jpg 500w, http:\/\/www.cheapiv.com\/wp-content\/uploads\/projectedspending-300x261.jpg 300w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Well, it was very depressing news I got this morning: Congress did not back the Doctor fix and went through with the Medicare cut of 21%.\u00c2\u00a0 I wrote on 6\/2 how this system is very fragile and this while not time sensitive to the stock market is the start of something very big. In a [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[68,67,51,60,52,66],"class_list":["post-118","post","type-post","status-publish","format-standard","hentry","category-cheap-iv","tag-doctor","tag-doctors-package","tag-entitlements","tag-medicaid","tag-medicare","tag-medicare-cut"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"http:\/\/www.cheapiv.com\/index.php?rest_route=\/wp\/v2\/posts\/118","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.cheapiv.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.cheapiv.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.cheapiv.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.cheapiv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=118"}],"version-history":[{"count":0,"href":"http:\/\/www.cheapiv.com\/index.php?rest_route=\/wp\/v2\/posts\/118\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.cheapiv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=118"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.cheapiv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=118"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.cheapiv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=118"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}