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On 11/1 the Centers for Medicare and Medicaid Services (CMS) announced that the Medicare reimbursement for physicians would be cut by 27.4% in 2012---instead of the 29.5% that was previously planned. Doctors that get by on federal payment for seeing older folks are SOL. Older folks are likely to be in a pickle too, as fewer docs will stick with them, given the hoop jumping required to get paid diddley in the first place. As a naturopath I won't qualify for medicare payment in the first place, so I have limited sympathy for those physicians who consider this cut to be akin to a death sentence. The medscape article suggests that nearly 13% of family physician practices may have to close due to the decrease in financial viability. There is another way for us to take care of our elders. We just haven't found it yet.

Comments

ford_prefect42
Nov. 4th, 2011 10:00 pm (UTC)
Well, here's how it goes.

1 The marketplace rations by price. Some people don't like that.

so they tried option 2. No rationing, everyone gets everything. The problem with that is that it requires infinite supply, so it's bankrupting everything.

Enter option 3: Rationing by suck. That's what most of the "socialized medicine" nations do, they just make getting medical care *so* inconvenient that people just go home and die instead of putting up with it.

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