Thursday, April 9, 2009

Medical socialism... we're already there!

A little less horrendous as in Europe, but none the less, in many ways, we are already there...I'll try to explain.
You see, there is a BIG problem brewing.  It's been brewing now for some time now, and finally it is about time for the taste test.  You see, I work with three bosses all of whom are above the age of 65.  One has just retired, another one is about to retire in September, and our director's love of his life, his sole purpose to keep going, his wife, just passed away two weeks ago.  The reason this is significant is not only because I might be out of a job soon, but the patient population we take care of is predominantly welfare.  Doctors don't get paid to take care of welfare unless you are in a teaching environment and you also have residents to help you keep the volume of patients up in order to make it a profitable business.  The other ENT doctors around town will only take a certain low percentage of their patients as welfare in order to stay afloat fiscally.  It takes a non-urgent/non-emergent patient 6 weeks to even be seen by us in the clinic.  With our current surgery schedule, due to recent events, it will take a person a month to get the deed done.  On welfare?  Expect at least 2 1/2 months till something gets done.  
So, if our doctors call it quits, where will these self-demanding patients go?  And yes, even though they aren't paying for the surgery, they are very demanding.  Like the prophet and apostles said, there is a "Society owes me", mentality out there.  I digress...so, these patients go out and try getting in to the other private ENT doc's in town?  Not very easily they don't.  You see, private doc's can't take more than a low percentage of welfare...say 10-20%.  If they take more, profit margins take a steep drop, so much that they can go into the red if they aren't careful.  The huge overhead, and 50% tax load makes the business daunting.  
It already takes the Indian Health Care system weeks and months to get people through their red tape (very socialistic run system) in order to get their cancer cut out of their head or neck.  We've had several cases where the cancer ate out through their skin before they could see us in the clinic.  We had to admit them through the ER.  By then, it's way too late.  Sound familiar?  That's how Brazil's socialist health system works too.  Don't believe me?  Go talk to some of the docs from down there.  I did, and it was very... again, daunting.  Sure, you can get a free boob job after you get put on the list for 4-6 years.  Just don't have a complication from surgery, or get sick.  You'll be a dead woman/man walking.
Like a wise man told me repetitively over my youthful years, "There is no such thing as a free lunch".  Someone always pays.  In addition to this, if you don't pay for something with money, you pay it in time. 

9 comments:

Melisa said...

Um, say what? Your job is on the line again??

Melisa said...

I'm sending this to Brad, by the way. :o)

Deb's Big Hunk said...

Yup, believe it or not, the program is on the line once again. I bet Brad is glad he didn't come here now. If Brad reads this... spread the word that we need some attendings over here.

Debbie said...

Well written. It's a very scary, scary Obama world out there. Something needs to be done with healthcare but not his way.

Melisa said...

I don't know about that. We miss Tulsa all the time. How soon will you guys gets some answers?

Not that it would help much, but they are still looking for a PGY2 in Philly if you know anyone.

hillary said...

So, my husband is self-employed so we have an individual policy. Talk about duanting. It's fine unless, again, you get sick or need surgery. Then they jack your (already unaffordable) rates higher, or drop you with no power to get insurance elsewhere. So, again, your a dead man/woman walking. (For example, Ben strained his neck playing b-ball, and went to the Dr. ONCE, got a muscle relaxant, was better in a week. Our insurance premiums went up $55 a month.) So, what's the answer for small business owners? I know! Ben needs to get a job with IHS, then we can FREE healthcare! Dang, I knew he should've been a dentist!

Deb's Big Hunk said...

Good point Hillary... Where the government does too much in the wrong places, it needs to do more in the right places. Small businesses, especially self employed should be encouraged by the government and thus given incentives. That would be a true "Stimulus package". One of those incentives SHOULD be medical help. Especially as secondary coverage, to eat up the extra expense that the original insurance doesn't cover. That way, you help the american dream become a realistic goal. Instead of punishing, they need to encourage those who work hard.
The system of punishing/taxing the hard working to pay for the lazy is a diseased mentality held by past and present administrations.

Babbel Family said...

I agree with you 100%. There does need to be reform but lets start with the insurance companies who already reimburse crap. They need to bring the cost of coverage down. It is so wrong that it costs so much.
In countries like Canada and the Britian the mortality rate on things like Colon Cancer and breast cancer is almost double what it is here...why? Because the drugs to treat them are too expensive and the GOVERNMENT won't pay for them. So unless you are rich (which if you were rich you would not be on government healthcare) you can't afford the drugs and you die.
Do you think Obama or congress will use government run healthcare...NOT SO MUCH!!!

Deb's Big Hunk said...

Yeah, wouldn't that be something. Get all of governmental employees to use the Medicaid or Medicare system for that matter. Things would start changing dramatically the moment they or one of their family members became sick.

As far as insurance companies... They base their rates on the Medicare reimbursement rate. So, the battle won just 8 months ago or so against the government cutting physician medicare reimbursement by 15% was ooohhh soooooo triumphant. But one battle won in the war against socialized medicine will not solve the continuous slippery slope. There will be more battles to fight.