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Reply #68: I don't think an argument over semantics is a good use of our time, but ok, I'll play that game. [View All]

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newtothegame Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Dec-29-10 04:12 PM
Response to Reply #63
68. I don't think an argument over semantics is a good use of our time, but ok, I'll play that game.
The term "reimbursement" is appropriate when we get money 90 days+ after providing services. This is common terminology in the medical field. We are not "paid" for anything we do. That would imply that there is an exchange of payment upon services rendered. That, however, is not the case.

We provide a service, at our cost, and the government "reimburses" us a fraction of that cost 2-3 mo. down the road. I'm accepting that fact because I won't walk away from our patients, but I will damn well stand up and shout that MEDICARE FOR ALL would be a disaster if all that means is a current expansion of the reimbursement system to every patient.

As for your other questions, you can read about our salaries in another post of mine above. We do not have an executive director, but a volunteer board who ultimately makes decisions for the center on behalf of the patients in our 30-county service area.

Yes, alot of vendors we work with probably make a profit. Yes, we probably waste. But the medicines we buy from those vendors are CRITICAL for our patients. The government bankrupting us will not make the medicines from the vendor any cheaper.

P.S. I am in favor of single-payer. But single-payer at 51% of costs or worse will close every clinic door in America. So instead of the MEDICARE FOR ALL cries on DU, how about SINGLE-PAYER WITH A WAY TO FUND IT!
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  -The problem with Medicare for all is the false assumption that Medicare is working now. newtothegame  Dec-29-10 10:16 AM   #0 
  - And that means people paying to fully fund Medicare  stray cat   Dec-29-10 10:18 AM   #1 
  - How is my memory on this?  NNN0LHI   Dec-29-10 10:25 AM   #8 
     - Yep. We worked that out several times on the board  Recursion   Dec-29-10 10:28 AM   #10 
     - I think the causes of high health costs need to be tackled  tabbycat31   Dec-29-10 10:31 AM   #11 
     - I'm all for changing ag policy to stop subsidizing unhealthy food  Recursion   Dec-29-10 10:35 AM   #13 
     - I think it will never be done politically  tabbycat31   Dec-29-10 10:48 AM   #23 
        - I hadn't even thought of it that way  Recursion   Dec-29-10 10:53 AM   #24 
     - I love the idea of a $ 1 tax on all things with  truedelphi   Dec-29-10 10:21 PM   #75 
     - so fund it higher  wilt the stilt   Dec-29-10 10:38 AM   #16 
        - Delete  Recursion   Dec-29-10 10:40 AM   #19 
        - Interesting point but I would love to see the math fully done out on this and other options  stevenleser   Dec-29-10 01:22 PM   #59 
     - Healthcare, the entire system, costs about $7000 per person per year.  lumberjack_jeff   Dec-29-10 02:25 PM   #64 
        - does that include the 50 million not  wilt the stilt   Dec-29-10 02:43 PM   #65 
           - Yes.  lumberjack_jeff   Dec-29-10 03:22 PM   #66 
           - 7k per head means per every man, woman, and child period  Recursion   Dec-29-10 04:24 PM   #71 
              - figured it out once i saw the later post  wilt the stilt   Dec-29-10 04:37 PM   #73 
  - They can certainly afford it. They just would rather spend the money on defense  jtown1123   Dec-29-10 10:20 AM   #2 
  - +1  grahamhgreen   Dec-29-10 10:22 AM   #5 
  - Yeah, having just helped hubby give away his medicare in favor of an HMO  tavalon   Dec-29-10 10:20 AM   #3 
  - How does one "give away Medicare" in favor of HMO?  dixiegrrrrl   Dec-29-10 10:31 AM   #12 
  - I think they used to be called Medicare+ Choice or something like that  Recursion   Dec-29-10 10:37 AM   #15 
  - OK, I get it. I actually am on a Medicare Advantage program. One still pays the  enough   Dec-29-10 11:15 AM   #26 
  - Starting in January he will be with Puget Sound Partners  tavalon   Dec-29-10 10:40 AM   #18 
  - Medicare Advantage.  Cleita   Dec-29-10 12:32 PM   #47 
  - i used to be in an HMO, i wouldn't expect to get any care  pitohui   Dec-29-10 04:17 PM   #70 
  - I too am curious what you mean by "give away his medicare in favor of an HMO."  enough   Dec-29-10 10:37 AM   #14 
     - Not to put words in Tavalon's mouth, but that sounds like Medicare Advantage  Recursion   Dec-29-10 10:39 AM   #17 
        - Correct words placed  tavalon   Dec-29-10 10:41 AM   #20 
           - Are the subsidy cuts problematic?  Recursion   Dec-29-10 10:42 AM   #22 
              - Basically, a lot of MA plans were wasteful and those subsidies were being picked  jtown1123   Dec-29-10 01:09 PM   #57 
  - We will do it the same way it is done in the rest of the civilized world.  grahamhgreen   Dec-29-10 10:21 AM   #4 
  - Then we have to do A LOT of things  Recursion   Dec-29-10 10:24 AM   #7 
     - You make fine points, and I would add...  TreasonousBastard   Dec-29-10 11:52 AM   #29 
     - How about fewer lawsuits  customerserviceguy   Dec-29-10 12:30 PM   #46 
        - That's the GOP's line, but I'll grant them that  Recursion   Dec-29-10 12:33 PM   #49 
           - There are ways to effectuate tort reform without caps  customerserviceguy   Dec-29-10 12:45 PM   #53 
              - One of the great things about Medicare for All is that all claims relating to future medical costs  grahamhgreen   Dec-29-10 01:17 PM   #58 
  - Maybe single payer isn't enough. Maybe our system is so fucked up we need to do national health...  JVS   Dec-29-10 10:22 AM   #6 
  - It's simple, if not easy:  Ron Green   Dec-29-10 10:26 AM   #9 
  - No it is not simple.  county worker   Dec-29-10 10:56 AM   #25 
     - You didn't even read the title of my post.  Ron Green   Dec-29-10 01:00 PM   #55 
  - Big pharmacy and outrageous mark ups for medical services  Lint Head   Dec-29-10 10:41 AM   #21 
  - That's it, blame the old, the indigent and the government.  iamtechus   Dec-29-10 11:44 AM   #27 
  - approximately how much is "barebones pay"?  hfojvt   Dec-29-10 11:46 AM   #28 
  - I can't speak for all my colleagues but I am an oncology nurse and I do the billing as well. $31k.  newtothegame   Dec-29-10 12:09 PM   #36 
  - Data-base of free/low cost med clinics in USA:  dixiegrrrrl   Dec-29-10 11:57 AM   #30 
  - Don't forget FQHCs!!!  Recursion   Dec-29-10 12:05 PM   #34 
     - Bookmarked, with thanks.  dixiegrrrrl   Dec-29-10 01:54 PM   #61 
     - Sanders managed to sneak a huge increase in funding for them into HCR  Recursion   Dec-29-10 01:59 PM   #62 
     - Thank you so much for this link! My son-in-law is uninsured and though he's very healthy,  enough   Dec-29-10 03:44 PM   #67 
        - I have no idea why this isn't more widely advertised  Recursion   Dec-29-10 04:25 PM   #72 
  - This is part of the problem.  area51   Dec-29-10 11:59 AM   #31 
  - Yep, you've nailed it. In fact, just the other day on DU,  truedelphi   Dec-29-10 10:23 PM   #76 
  - Got to love the hit and run posts. nt  Javaman   Dec-29-10 12:00 PM   #32 
  - Like yours? nt  ItNerd4life   Dec-29-10 12:20 PM   #41 
     - Thank you. I'm actually right here reading and appreciating people's thoughts and comments.  newtothegame   Dec-29-10 12:23 PM   #43 
     - Yup. Like mine. :)  Javaman   Dec-30-10 08:26 AM   #78 
  - The only way is to have a cramdown  shimmergal   Dec-29-10 12:04 PM   #33 
  - Understood. But why is Medicare's reaction to underfund us instead of regulating those prices? nt  newtothegame   Dec-29-10 12:21 PM   #42 
     - Quite honestly I think it's because the gov't is afraid of big corporations  Dappleganger   Dec-29-10 12:25 PM   #44 
  - VA Care for all has also been suggested. From my perspective VA medical care is phenomenal.  qb   Dec-29-10 12:08 PM   #35 
  - It depends on what you need  Recursion   Dec-29-10 12:10 PM   #37 
  - Bankrupting, or cutting into profits?  rucky   Dec-29-10 12:11 PM   #38 
  - OP said "non-profit"  Recursion   Dec-29-10 12:14 PM   #39 
     - ...which really makes no sense  bhikkhu   Dec-29-10 09:36 PM   #74 
        - The former  Recursion   Dec-30-10 08:19 AM   #77 
  - I notice many posts are only insulting to you  ItNerd4life   Dec-29-10 12:18 PM   #40 
  - Thanks for your reply. To your questions:  newtothegame   Dec-29-10 01:24 PM   #60 
  - You make an important point  customerserviceguy   Dec-29-10 12:28 PM   #45 
  - Yes. That's the "hidden subsidy" to Medicare  Recursion   Dec-29-10 12:35 PM   #50 
  - I think when people say "Medicare for all" they mean use the basis  Vinca   Dec-29-10 12:32 PM   #48 
  - Well said Vinca.  Cleita   Dec-29-10 12:42 PM   #52 
  - Look at it this way.  Cleita   Dec-29-10 12:37 PM   #51 
  - Medicare is failing because health care can never work as a for profit enterprise...  JCMach1   Dec-29-10 12:51 PM   #54 
  - I don't think you should necessarily blame Medicare as a whole. Cancer treatment is pretty different  jtown1123   Dec-29-10 01:03 PM   #56 
  - I need to see the math before I can agree with you.  lumberjack_jeff   Dec-29-10 02:23 PM   #63 
  - I don't think an argument over semantics is a good use of our time, but ok, I'll play that game.  newtothegame   Dec-29-10 04:12 PM   #68 
     - Re: Medicare-for-all vs. single payer with a way to fund it  eomer   Dec-30-10 08:29 AM   #79 
  - it's working better than not treating people at all for their cancer  pitohui   Dec-29-10 04:14 PM   #69 

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