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#12148027 - 07/15/17 Re: Yippee! We got a bailout from folks who don't live here [Re: 458 Lott]  
Joined: Feb 2001
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Sitka deer Offline
Campfire Oracle
Sitka deer  Offline
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Anchorage, AK USA
Originally Posted by 458 Lott
I can see 20, maybe 30% higher for AK, but double or triple is insane.

Might explain why the only people I've met in Anchorage with a full time servant are neurologists.

They gotta lotta nerve!


Mark Begich, Joaquin Jackson, and Heller resistance... Three huge reasons to worry about the NRA.
CMG 300 BP

#12151683 - 07/17/17 Re: Yippee! We got a bailout from folks who don't live here [Re: 458 Lott]  
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las Offline
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las  Offline
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Posts: 17,194
Kotzebue, AK
Originally Posted by 458 Lott
Strange how we wouldn't think of getting something done on our car without a written estimate of parts and labor. But you go in the docs office and have no idea if the bill will be in the 100s, 1000s or more.


Agree on estimates. Even when the bills get in one has no idea....it's all number code, which would be fine with additional language If it was at all patient friendly, the statements would come in with every charge listed in plain English, with recipeints noted, and what was referred to secondary, primary, and not covered. On every statement, even subsequent ones as further charges were paid.

It is not in the medical industry's best interest to allow the sheep to know they are being fleeced.


Whizzer of OTZ
#12151858 - 07/17/17 Re: Yippee! We got a bailout from folks who don't live here [Re: Sitka deer]  
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Pappy348 Offline
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WV, Thank God!
Originally Posted by Sitka deer
Great, why not look a bit closer at the real problem... I hate price controls and such, but I know a number of docs bringing in obscene money for an ordinary practice. Literally over 2 million for a couple different specialists that are absolutely not workaholics.


That's far from the only cause. My father's doctor retired because it was going to cost him about $150K just to digitize his books and records to meet the Obamacare mandates, and he had a relatively small practice. Malpractice insurance is incredibly expensive and the tort system makes doctors order up tons of tests in order to cover their asses. Medical school is so expensive that doctors in their 50s are still paying back their loans. It ain't all Rolexes and BMers. There's a fair number of docs around here that quit their practice to become hospital employees to avoid all that.

Don't know how it works up there, but my doctors agree to accept what the insurance companies pay when they sign on with them (in addition to the copay). If you go outside the network of doctors on your plan, you pay more.




One good thing about getting old is that it gets easier to buy stuff that lasts "forever".
#12152809 - 07/18/17 Re: Yippee! We got a bailout from folks who don't live here [Re: Pappy348]  
Joined: Feb 2001
Posts: 32,718
Sitka deer Offline
Campfire Oracle
Sitka deer  Offline
Campfire Oracle

Joined: Feb 2001
Posts: 32,718
Anchorage, AK USA
Originally Posted by Pappy348
Originally Posted by Sitka deer
Great, why not look a bit closer at the real problem... I hate price controls and such, but I know a number of docs bringing in obscene money for an ordinary practice. Literally over 2 million for a couple different specialists that are absolutely not workaholics.


That's far from the only cause. My father's doctor retired because it was going to cost him about $150K just to digitize his books and records to meet the Obamacare mandates, and he had a relatively small practice. Malpractice insurance is incredibly expensive and the tort system makes doctors order up tons of tests in order to cover their asses. Medical school is so expensive that doctors in their 50s are still paying back their loans. It ain't all Rolexes and BMers. There's a fair number of docs around here that quit their practice to become hospital employees to avoid all that.

Don't know how it works up there, but my doctors agree to accept what the insurance companies pay when they sign on with them (in addition to the copay). If you go outside the network of doctors on your plan, you pay more.

I wish it was that simple... I have spent many hours in the books and know what it looks like...


Mark Begich, Joaquin Jackson, and Heller resistance... Three huge reasons to worry about the NRA.
#12158081 - 07/20/17 Re: Yippee! We got a bailout from folks who don't live here [Re: Sitka deer]  
Joined: Nov 2015
Posts: 197
WRO Offline
Member
WRO  Offline
Member

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Posts: 197
Originally Posted by Sitka deer
Great, why not look a bit closer at the real problem... I hate price controls and such, but I know a number of docs bringing in obscene money for an ordinary practice. Literally over 2 million for a couple different specialists that are absolutely not workaholics.



Do you know what it takes to become a Dr. that actually makes money.. Its about 12-16 years, once in business massive amounts of insurance ETC.

Alpha

#12158111 - 07/20/17 Re: Yippee! We got a bailout from folks who don't live here [Re: WRO]  
Joined: Feb 2001
Posts: 32,718
Sitka deer Offline
Campfire Oracle
Sitka deer  Offline
Campfire Oracle

Joined: Feb 2001
Posts: 32,718
Anchorage, AK USA
Originally Posted by WRO
Originally Posted by Sitka deer
Great, why not look a bit closer at the real problem... I hate price controls and such, but I know a number of docs bringing in obscene money for an ordinary practice. Literally over 2 million for a couple different specialists that are absolutely not workaholics.



Do you know what it takes to become a Dr. that actually makes money.. Its about 12-16 years, once in business massive amounts of insurance ETC.

I very much understand how much it takes to become an MD... I also know that outside they are willing to work for a lot less...


Mark Begich, Joaquin Jackson, and Heller resistance... Three huge reasons to worry about the NRA.
#12158260 - 07/20/17 Re: Yippee! We got a bailout from folks who don't live here [Re: watch4bear]  
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458 Lott Offline
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458 Lott  Offline
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Conundrum, Alaska
Many professions in AK offer "hardship" pay, an extra 20-30% over the lower 48 to attract employees. I have no problem with that for doctors.

But a 20-30% pay bump shouldn't result in a 200-500% bump in the cost of common procedures.


45 Trumps 44, MAGA

Alaska Bush People are neither
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