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But…if we cut doctor reimbursements, won’t fewer doctors be willing to do the work?
Written By : TrogloPundit

And won’t that then lead to waiting lists, or even patients unable to find a doctor? Unable to get the medical care they need?

I thought government-run health care was the solution!

The Senate adjourned Thursday evening without voting to prevent a 21.3 percent cut to the payments doctors receive under Medicare. The payment is scheduled to take effect June 1.

A 21.3% cut in payments, from a program that already underpays, and requires a boondoggle of paperwork.

Fortunately, the cut might not take place:

The federal agency that oversees Medicare is asking its contractors to postpone for 10 days processing claims for services provided on or after June 1. The move is intended to give lawmakers time to retroactively freeze the rate cut.

They’ve done that before. But:

If the House and Senate approve the House language, lawmakers would have to tackle the problem all over again in 2012, at which point physicians would face a 33 percent cut.

So be good, all you physicians. Don’t piss us off, or make us look bad. Don’t you go badmouthing our pet legislation. Or, y’know, else.

And in case anyone thinks Medicare is the only government health care program having trouble providing services…well, you should probably ask a poor person in Wisconsin why he can’t find a dentist.

Not to mention:

Great Britain’s government-run health care agency, the National Health Service, is expanding its program of rationing. The first victims? Kids.

So: when a private insurance company fails to provide health care, that’s obscene, and proof we need more government. But when government fails to provide…well, that’s…okay?

Oops: I repeated a fallacy, there. I said: “when the government fails to provide.” But that’s not what the government does. That’s not what Medicare, or BadgerCare, or ObamaCare do. They don’t “provide” care. They don’t treat illness and injury; they don’t hire doctors; they don’t run hospitals.

They’re health insurance. They offset the cost of health care.

I won’t go into the whole Supply and Demand argument here. You, the reader, either understand it already, or will dismiss it as irrelevant and probably a lie and, anyway, people need help.

The problem with being an insurance company is: you can’t control your own costs. You’ve promised to pay a certain portion of certain medical costs for your customers, but you don’t get to set those costs yourself. You’re totally at the mercy of the people who do set those costs. That’s the truth, whether you’re a private company or a government.

Oh, sure, you can tell providers: we’ll only pay this much. We’ll only pay 90%, or 80%, or 50% of what you normally charge. Any company is perfectly free to do that.

And any provider is then free to tell that company: pound sand. And then they’re free to stop providing. For your customers, at least. And that’s a damn fine way for you to go out of business.

The reason Medicare is cutting reimbursements, and the reason BadgerCare can’t attract dentists, and the reason the UK’s NHS is cutting back, is: it’s expensive. They can’t afford to pay more. So people will go without.

Go without! The exact same situation that led so many people to demand government health care in the first place!

The difference being: under the free market, one can improve one’s own situation. Under government care, that’s not as easy to do. And the greater the scope of that government care, the harder caring for oneself becomes.

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  • blkdragon

    Oh, why do you insist on confounding the liberals feel good legislation with sound logical proof it won't work? It just confuses them.

  • Power_System_Oper

    There is a free enterprize conservative solution. The answer is to let anyone hang out a shingle to provide health care services without having to go through medical school. Boiled down to its essentials, the arguement that governing bodies must make sure that only the “best and brightest” well trained indviduals are licensed to put the knife to the citizenry of the nation is an elitist liberal arguement which presupposes that the individuls are not capable of judging for themselves as to whom might be best able to provide health care services.

    Remove the controls which maintain the artificial short supply of health care providers and health care costs will come down. That would be real supply side economics in action.

    • kingofsiam

      Nice straw man PSO, but conservatives are not anarchists, and are not opposed to all government legislation. We just have limits in mind, which liberals, as far as I can, just keep pushing for more control.

      • Mr. EMT

        Actually, I was recently informed that I am more of an anarchist than a conservative.
        Which when pointed out to me how I was, I can not disagree with.
        Too often I find myself standing on the right of people who say they are conservative.
        I do believe in law enforcement, to a much smaller extent than we have now.
        I think corporations should be broken into small business.
        People should have the right to do with as they want with their property so long as they are not breaking basic fundamental laws or harming society.

        • Christopher_Taylor

          Anarchists are the true right wing extreme, not Nazis (who were socialists). Small government is distorted into no government by people on the extreme right. Some libertarians fall into this category, mostly because they want to do drugs without worrying about police.

          • Mr. EMT

            However, I do believe in some government.
            But I would enjoy something resembling government at the turn of the 19th century verses what we have now.

    • Mr. EMT

      Fine with me as long as they go to jail for criminal offenses including assault, battery, kidnapping, homicide, fraud, theft and any other applicable law that can be thrown at them when they mess up.

    • King Homer

      Do yourself a favor when someone dresses you, make sure the yellow stains are in front and the brown stains are in the back. That way when you compete for the Darwin award and find yourself in the emergency room the people there won't think you are a COMPLETE imbecile!

      Not trying to be unkind…. just some friendly advice.

  • OH_DR

    Listen, these social and economic lessons were ALREADY available to all Americans before the last round of elections, during the “healthcare bill” passage in the US, and are only now gaining some attention.

    Let me be clear: “socialized medicine” will never EVER compete with privatized medicine. It can't. For the exact same reasons that Soviet farms (which were 4-10x larger than American farms) produced LESS than American farms. The Soviets had more land and more workers and produced less. The same will happen in healthcare for nearly the same reasons. You'll have to increase the staff, but you'll get less care (which will cause actual costs to skyrocket). You simply cannot even compare the two systems.

    Capitalism will always outpace socialism with respect to efficiency and reduced costs (in healthcare it has been called “access”). We need to lax the specific regulations to increase competition amongst insurers, move to health savings accounts coupled with high deductible insurance and provide the poor with access to simple preventative medicine and trauma care (which we already did).

    There is absolutely no reason for the government to “run” healthcare or to set up exchanges. Just stop regulating the insurance industry into the ground and inhibiting competition (which will control costs and increase “access”). Of course, if we were REALLY serious about true ACCESS we'd switch to HSAs.

    But don't listen to me, I only work in medicine.

    • Power_System_Oper

      While we are at it, lets relax the specific regulations which now limit the supply of health care providers. Let anyone who so desires to do so, offer their services as a health care provider. Oh yeah, I can hear the self serving crys about needing to make sure that the public is not duped by quacks. That is just arrogant talk by those who believe that individuals are stupid and are not capable of deciding who can best provide their health care services.

      • mightysamurai

        Stop spamming the thread.

      • http://conservativebootcamp.com Martin Hale

        Hoggo, I suspect you wrote that as cynical bait to try to get someone on the conservative/libertarian side to bite and agree with you, at which point you would turn on them and “expose” their callous disregard for their fellow man.

        Go back to responding to your own posts, or whinging about people “attacking the messenger not the message” – those pursuits are better suited to your intellectual level and your personality.

        • http://profiles.yahoo.com/u/C2UYYYSPBB7S3NC3NQ7NOJFLME Peter

          You are being mocked, and it's seriously funny to see.

  • Christopher_Taylor

    I think the fact that congress has to continually tax people to pay doctors back to get them to take medicare is painfully obvious proof that this program is a debacle.

  • King Homer

    I'm in the process of being treated for glaucoma and I get regular copies of statements from Tricare (military healthcare insurance. hahahaha what a joke)

    I've had two major surgeries on the right eye and I'm amazed when reading the bill that the doc submits a bill for about $4700 and the gov't reimburses just over $700. I talked with him about my concerns about whether or not he was going to drop me as a patient (he's been working on me for over a year in November). His reply was that he wasn't in it for the money necessarily he wanted to help people. He also said he treated people that didn't have any insurance at all.

    So take from that what you will but we shall see what we shall see if this socialized medicine crap doesn't get rescinded.

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