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southernmd wrote: No - in my opinion that encourages what is already a problem - low reimbursements. I don't think anyone should have to see any percentage. I'm not a huge fan of socialism. I think if people aren't able to see them due to cost - then reimbursements should be higher. Physicians' time needs to be valued. It isn't right now. Plus, I've heard physicians on the phone arguing with Medicaid insurance for their patients to get certain treatment courses, because they hardly approve anything. Medicaid costs way more than just an office visit.
There was a professor who decided one day to teach his class a lesson. He said that everyone would get the average grade of the class for a test. So the first test, the A students brought everyone up, and the F brought everyone down. Everyone got a C. The A students were pissed and said they weren't going to work so hard if they got something so average for all their work. The F students said - well, this isn't bad, I got a C for doing nothing. So the second test, the grades went down to a D. The F students said, well this is still better than nothing, so I'll continue to do nothing. The A students were even angrier, and they did even less next time, because no matter what they did - they didn't get a return on their investment. So the next test - everyone got an F.
Socialism doesn't work. I don't think you can just say - everyone let's just see 20% Medcaid for the good of the people. If you want people to invest in this population, just pay them what it is worth. What's the harm in actually reimbursing someone fairly for their time and effort?
I'm also a libertarian, and apparently we are a minority in this country. Actually, I really should say I'm a Republican that is developing a libertarian problem. LOL.
PS - there are several physicians in the rural town I'm precepting in right now that have gone without a salary this past year, because they see too many Medicaid patients, and they decided to pay their office staff and had to forego paying themselves this year bc they didn't earn enough money.