HAOLE

Click here But seriously, What business is it of yours what any doctor makes? Do I worry about what the mechanic down the street makes per year? No! IMHO, when I go to the doctor, I want him to be very well paid for what he does. I dont want to go to a doc that makes 40K per year.

40% is a good deal. Keeping overhead that low is very tough.

Interesting read. http://www.foxnews.com/politics/2010/03/22/irs-serve-health-reform-enforcer-lacks-authority-enforce/

Here is how I solve the Thorne issue http://i84.photobucket.com/albums/k25/straightchiro/Screenshot2010-03-22at93740PM.png

yes...

no, I am the guy attorneys call when they need an expert witness.

That is exactly what I am looking at. I am in the process of putting together a program that teaches spinal mechanics of motor vehicle collision, accident reconstruction, expert testimony. I certainly make less than I did 6-10 years ago, and I have the busiest practice in the county.

Haters

We agree!!!!

I know you were not being sarcastic. November will be very interesting!

And how long do you think it will take until you are taxed on that as straight income?

I prefer real buttons also. I guess I could get used to a touch screen, but dont want to.

That is why this is the original title to the bill: The bill is not about health care, it is a taxation bill. Stupid people think it is a health care bill.

You just dont get it do you..... the rich are getting richer, the poor are getting handouts. The middle class is getting screwed.

The devil will be in the details. I have not been able to find out if doctors will be able to "opt out" of the networks. We may be forced to accept all insurance that the government approves or face civil or criminal penalties.

The short answer is no. What will continue to happen will be a free fall of reimbursement. Since the 1980's reimbursement rates drop hence doctors and hospitals make far less than they used to. More people on the insurance rolls will mean more services, the total cost of health care will skyrocket in the next few year at a pace that make the last 20 years look like child's play. To control the rising cost, reimbursement will be cut even further.

perfect!!!

The sad thing is he may ruin the chances for another black president for a very long time. He has been so radical, people may think "no way am I going to vote for another black president"

The unintended consequences of this bill are enormous!

+1000

The only way to fix this system is to have a cash system. A way to do this is to not allow the doctors to accept assignment of the claims. Doctors bill insurance and wait to get paid. Pre 1960's/70's when you went to the doctor you paid the man for his service, and you submit the receipt to the insurance company. This system worked for decades and allowed natural price controls. Now we have system that artificial inflates rates and adds cost due to the billing systems that must be in place just to get paid. Cash is the only sustainable system. Third party pay will always inflate prices and drive down quality. We could still maintain insurance but yet control prices because consumers will be more aware of cost and shop around for lower cost. This will drive down cost dramatically. Big pharma cant sell drugs that cost 3k per month if people had to pay the cost up front. The prices will quickly drop. Too many people in america afford cell phones at $100 per month cable tv at $100 per month and then complain they cant pay for healthcare. I agree we should have a safety net for those that cannot provide for themselves ( I see too many people that should not be on that system because they are lazy). Medicaid/mediucare should remain in effect and the fees should be paid to the doctors should be slightly higher than the average cash fees to compensate for the cost of billing.

3.What will happen is someone will say the Government has the right to force me to buy something because of the commerce clause. The commerce clause can only be used when a person is purchasing something across state lines. What If I choose not to by a product? Therefore I would not be subject to the the clause. The clause only applies to those that are engaging in a voluntary transaction, it does provide for forced economic activity. The Sixteenth Amendment allows an income tax. An income tax is imposed only on earnings, but people would have to pay this tax even if they had no income. I fail to buy insurance I will have to pay a tax. That oversteps the bounds of the constitution. 4. Only in washington do we spend a trillion to save a few billion. 5. Do you really think Uncle Sam is going to put this machine into gear and not have larger OIG enforcement? What to you think Obama means buy cutting fraud? The act of fraud in healthcare does not have to be an act that you commit on purpose, the government will prosecute you for being unaware of regulation. In other words, if I submit a bill to the insurance for an exam code and I forgot to write in my note for the day one of the components of that exam into the record. Bam, we now have fraud, I can be prosecuted for a mistake. There are many good doctors that are in jail now for this type of issue with medicare. 7. This same approach to healthcare has been tried in Mass. thanks to Mitt Romney. The premiums for health insurance in Mass. are now the highest in the nation. Since I may have to buy insurance for my employee that is government approved that cost has to come from somewhere. I only have a limited amount of funds to spend and if I am forced to provide insurance I may have to cut a job in our office to pay for the cost. I cant print money like the government does. I cant run my business like uncle sam runs the country. I would be broke, or in jail.

I completely agree we need to fix the system. But within the confines of the constitution, and without bankrupting our country. There are ways to do it, but I dont think anyone has the nutz to do it. Good night, I have to go work at the BMV tomorrow.

The US government is a government of limited jurisdiction. Unless a specific provision in the constitution allows a particular law, the law is unconstitutional.

1. Being told I must by something I don't want. 2. Placing larger bureaucracies in healthcare. 3. Overstepping the bounds of the Constitution. 4. Place huge debts for my kids on their backs. 5. The creation of more people looking to put doctors in jail 6. Putting into motion a system that will artificially inflate healthcare cost even more. 7. Possibly have to lay off an employee because I cant afford to pay for government approved healthcare for everyone that works for me. Just off the top of my head.