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View Diary: Durbin takes Social Security off the table (216 comments)

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  •  Training doctors to care won't help because (3+ / 0-)
    Recommended by:
    VClib, coffeetalk, greenbell

    the problem is simple math.  If the Medicaid payments are less than the actual costs of the treatment (and in most cases, that is true) then there is a hard limit on how many Medicaid patients they can accept without going bankrupt and no amount of training will change that fact.

    You have watched Faux News, now lose 2d10 SAN.

    by Throw The Bums Out on Sun Nov 25, 2012 at 12:00:07 PM PST

    [ Parent ]

    •  TTBO - I have several close frieds who are (2+ / 0-)

      primary care physicians and we talk about practice economics all the time. Given their overhead they lose money, even on a marginal cost basis, on all Medicare patients at current reimbursement rates. They have all stopped taking new Medicare patients. They will keep long term patients who turn 65 and start Medicare, but they won't take new ones. They have long ago stopped taking Medicaid patients where the reimbursement is even lower and the patients are the most expensive to serve.

      "let's talk about that"

      by VClib on Sun Nov 25, 2012 at 12:32:31 PM PST

      [ Parent ]

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