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View Diary: Having a tough time countering certain conservative arguments.. (47 comments)

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  •  #3 Planned to Happen - ACA or Not (1+ / 0-)
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    chrismorgan

    The ACA has nothing whatsoever to do with the planned, phased reduction in reimbursement to physicians, particularly by Medicare and Medicaid.  Those reductions have been in the works for the last 15 years.  It's those reductions which result in the regular passage of legislation to defer the implementation of the law, usually referred to as the "doc fix" by the legislative cognoscenti, as exemplified by Kaiser.  The right-wingers just glommed onto the ACA passage to blame it for the planned reductions in physician reimbursement.  Because Medicare comprises such a large portion of the reimbursement market, any Medicare reduction tends to depress physicians' rates.

    Regarding the training issues, all physicians are required to take a minimum of continuing education per year.  That's why so many get invited to education seminars held in places like Hawaii and the Caribbean islands.  It's good for business and society.

    The biggest changes in health care will address the issues associated with fee for service.  The ACA will push primary care, which gets reimbursed terribly now, in order to reduce the outsize payouts the specialists receive later because of our lousy healthcare delivery system.  Specialist surgeons may see a reduction in their incomes down the road not because their rates have been cut but because better primary care will offer up fewer patients for their particular services.  What person wants to sacrifice another's life just so that some physician can maintain their lifestyle?  Ask that question some time.

    "Love the Truth, defend the Truth, speak the Truth, and hear the Truth" - Jan Hus, d.1415 CE

    by PrahaPartizan on Sat Nov 17, 2012 at 01:42:47 PM PST

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