Single Payor Healthcare Questions

[Pospecteer]

After watching the flippant remarks concerning how easy it would be to move to a single payor system, I started wondering how far this has been thought out. I can't find the specifics about the Dem's plan(s) but I have to ask:

• Will healthcare workers be gov. employees?
  • Will physicians get paid like the VA system now does?
  • Will the gov. dictate the medical schools residency programs? Control the placement and spots available for every specialty?
  • Will every gov. physician be forced to provide abortions services or other procedures that go against their religious or moral objections?
  • If all healthcare employee's are gov. employees, the next logical step would be taking control of the educational component and career training moving forward.
• If not, how could any health care provider (HCP) make a profit when gov. reimbursements does not cover the cost to deliver the services? In the current system, CMS sets the minimum cost for all services in healthcare but private insurers pay a value add to gain access to a particular market segment. That value add is the profit that providers now live on.

 

[eerdoc]

After watching the flippant remarks concerning how easy it would be to move to a single payor system, I started wondering how far this has been thought out. I can't find the specifics about the Dem's plan(s) but I have to ask:

• Will healthcare workers be gov. employees?
  • Will physicians get paid like the VA system now does?
  • Will the gov. dictate the medical schools residency programs? Control the placement and spots available for every specialty?
  • Will every gov. physician be forced to provide abortions services or other procedures that go against their religious or moral objections?
  • If all healthcare employee's are gov. employees, the next logical step would be taking control of the educational component and career training moving forward.
• If not, how could any health care provider (HCP) make a profit when gov. reimbursements does not cover the cost to deliver the services? In the current system, CMS sets the minimum cost for all services in healthcare but private insurers pay a value add to gain access to a particular market segment. That value add is the profit that providers now live on.

Go back and watch some of the old "B" western movies where the barber was also the town's doctor/surgeon.
May be seeing the next episode of 'Back to the Future'.

 

[Pospecteer]

Go back and watch some of the old "B" western movies where the barber was also the town's doctor/surgeon.
May be seeing the next episode of 'Back to the Future'.

I never really looked at this way, but last night a candidate pushed back on Bernie comparing Canada to the US. I think it is safe to say that the USA runs the largest gov. funded healthcare system in the world right now when you factor in all of the Medicaid/Medicare participants is much larger than any country that offers a single payor system. And they have access to better care than the other countries, they just refuse to engage until it becomes an acute condition that needs immediate attention.

 

[Boomboom521]

I think the gov needs to aid hospitals and physicians in going after those that do not pay their bills. Assistance for those that cannot afford their bills but want to pay.

And I think we need gov controlled centers that patients without insurance deemed non-critical are sent for care.

But we have to allow Hospitals to refuse care in ER to patients not in critical condition.

Although I do believe that the insurance system needs changed anyway, these issues could help reduce healthcare cost without sacrificing our incredible level of care.

 

[countryroads89_rivals]

After watching the flippant remarks concerning how easy it would be to move to a single payor system, I started wondering how far this has been thought out. I can't find the specifics about the Dem's plan(s) but I have to ask:

• Will healthcare workers be gov. employees?
  • Will physicians get paid like the VA system now does?
  • Will the gov. dictate the medical schools residency programs? Control the placement and spots available for every specialty?
  • Will every gov. physician be forced to provide abortions services or other procedures that go against their religious or moral objections?
  • If all healthcare employee's are gov. employees, the next logical step would be taking control of the educational component and career training moving forward.
• If not, how could any health care provider (HCP) make a profit when gov. reimbursements does not cover the cost to deliver the services? In the current system, CMS sets the minimum cost for all services in healthcare but private insurers pay a value add to gain access to a particular market segment. That value add is the profit that providers now live on.

Will healthcare workers be gov. employees? - WTF? No one has even hinted at this.
Will physicians get paid like the VA system now does? - See post 12 in Bru's thread "Medicare for all..."
Will every gov. physician be forced to provide abortions services or other procedures that go against their religious or moral objections? Overturning the Hyde Amendment is coming, regardless of changes to the healthcare situation regarding single payer, etc. Government physician? There are plenty of physicians out there to provide medical services to women regarding their reproductive health.
If all healthcare employee's are gov. employees - Again, WTF? How did you ever conceive this crazy idea in your mind?
how could any health care provider (HCP) make a profit when gov. reimbursements does not cover the cost to deliver the services? - Again, See post 12 in Bru's thread.

 

[Pospecteer]

Will healthcare workers be gov. employees? - WTF? No one has even hinted at this.
Will physicians get paid like the VA system now does? - See post 12 in Bru's thread "Medicare for all..."
Will every gov. physician be forced to provide abortions services or other procedures that go against their religious or moral objections? Overturning the Hyde Amendment is coming, regardless of changes to the healthcare situation regarding single payer, etc. Government physician? There are plenty of physicians out there to provide medical services to women regarding their reproductive health.
If all healthcare employee's are gov. employees - Again, WTF? How did you ever conceive this crazy idea in your mind?
how could any health care provider (HCP) make a profit when gov. reimbursements does not cover the cost to deliver the services? - Again, See post 12 in Bru's thread.

Do you realize that if a HCP, clinic or hospital only had Medicare/Medicad patients they would have to shut their doors? A providers payor mix (% of private pay, medicaid, medicare, self pay) is formula that everyone uses to gauge the health of their business. If a HCP's payor mix is is too heavy on Medicare and Medicaid, they either go out of business or ask the federal gov. for additional funds to keep their doors open. In the hospital world this is referred to as their DSH share. I am pretty sure that every non-profit hospital in WV is designated a DSH hospital and receive additional funds over and beyond what they receive from treating Medicare and Medicaid patients. If it were not for those additional funds, every hospital in WV would close their doors!

The WTF remark is really funny, In the UK and Spain all providers are gov. employees! The UK is by far the largest single payor program in the world and most likely the one the US would have to mirror in some form or fashion.

In Canada, physicians are paid via FFS, which means they bill the gov. for every patient they see and make money on every test they run. So, if you want to make more money, you have to see more patients. Does that sound like something that is good for all patients?

Right now universities and colleges are having a hard time attracting medical students to go into GP/FP programs. Why is that? Well, who would want to go $200,000 in debt to make $180,000 year and work 60 hours a week in a high risk environment? In some offices, physicians are ask to see 40-60 patients a day or they don't get their performance bonus! They are intelligent people, who would want to sign up for that when they could go into business and make the same if not more working less hours in a cushy office or at home!

Medicare for all is not sending out new insurance cards to everyone and life goes on, it is much more complicated than that.

 

[Shirley Knott]

Go back and watch some of the old "B" western movies where the barber was also the town's doctor/surgeon.
May be seeing the next episode of 'Back to the Future'.

My friend "The witch doctor" he tell me what to say, My friend "The witch doctor" he tell me what to do .....

 

[countryroads89_rivals]

Do you realize that if a HCP, clinic or hospital only had Medicare/Medicad patients they would have to shut their doors? A providers payor mix (% of private pay, medicaid, medicare, self pay) is formula that everyone uses to gauge the health of their business. If a HCP's payor mix is is too heavy on Medicare and Medicaid, they either go out of business or ask the federal gov. for additional funds to keep their doors open. In the hospital world this is referred to as their DSH share. I am pretty sure that every non-profit hospital in WV is designated a DSH hospital and receive additional funds over and beyond what they receive from treating Medicare and Medicaid patients. If it were not for those additional funds, every hospital in WV would close their doors!

The WTF remark is really funny, In the UK and Spain all providers are gov. employees! The UK is by far the largest single payor program in the world and most likely the one the US would have to mirror in some form or fashion.

In Canada, physicians are paid via FFS, which means they bill the gov. for every patient they see and make money on every test they run. So, if you want to make more money, you have to see more patients. Does that sound like something that is good for all patients?

Right now universities and colleges are having a hard time attracting medical students to go into GP/FP programs. Why is that? Well, who would want to go $200,000 in debt to make $180,000 year and work 60 hours a week in a high risk environment? In some offices, physicians are ask to see 40-60 patients a day or they don't get their performance bonus! They are intelligent people, who would want to sign up for that when they could go into business and make the same if not more working less hours in a cushy office or at home!

Medicare for all is not sending out new insurance cards to everyone and life goes on, it is much more complicated than that.

I read the first sentence and quit there. Like I said, read post 12 in Bru's thread. You are trying to argue against what you think I said when I actually said some of the Dems are proposing a solution that addresses exactly what you posted.

 

[Pospecteer]

I read the first sentence and quit there. Like I said, read post 12 in Bru's thread. You are trying to argue against what you think I said when I actually said some of the Dems are proposing a solution that addresses exactly what you posted.

I will type slower next time if that helps.

 

[countryroads89_rivals]

I will type slower next time if that helps.

Just read the post that I referred you to. And it's payer, not payor. I don't know why you keep repeating your spelling error, especially when you are supposedly in the "health care field?" Like I said in an earlier post, I think you are a janitor in a hospital.

 

[Pospecteer]

Just read the post that I referred you to. And it's payer, not payor. I don't know why you keep repeating your spelling error, especially when you are supposedly in the "health care field?" Like I said in an earlier post, I think you are a janitor in a hospital.

Don't know why you keep doing this. In the medical field they refer to payments from/to as payor...I was young once and make mistakes also, but don't worry, some day you might be able to sit at the adult table during Thanksgiving.

Even a janitor at a hospital knows this!

form the Medical Dictionary

payor

Also found in: Dictionary, Thesaurus, Legal, Financial, Wikipedia.
payor
Medical practice. A company or an agency that purchases health services

The person paying the bill, satisfying the claim, or settling a financial obligation.
Medical Dictionary for the Health Professions and Nursing © Farlex 2012

 

[DvlDog4WVU]

Don't know why you keep doing this. In the medical field they refer to payments from/to as payor...I was young once and make mistakes also, but don't worry, some day you might be able to sit at the adult table during Thanksgiving.

Even a janitor at a hospital knows this!

form the Medical Dictionary

payor

Also found in: Dictionary, Thesaurus, Legal, Financial, Wikipedia.
payor
Medical practice. A company or an agency that purchases health services

The person paying the bill, satisfying the claim, or settling a financial obligation.
Medical Dictionary for the Health Professions and Nursing © Farlex 2012

Lol

 

[Shirley Knott]

Don't know why you keep doing this. In the medical field they refer to payments from/to as payor...I was young once and make mistakes also, but don't worry, some day you might be able to sit at the adult table during Thanksgiving.

Even a janitor at a hospital knows this!

form the Medical Dictionary

payor

Also found in: Dictionary, Thesaurus, Legal, Financial, Wikipedia.
payor
Medical practice. A company or an agency that purchases health services

The person paying the bill, satisfying the claim, or settling a financial obligation.
Medical Dictionary for the Health Professions and Nursing © Farlex 2012

Kuntree " I keep trying to pull my head outta my *** and prospecteer keeps kicking me in the nose" waaaaaaaaaaaaaaaaaaaaaaaaaaaa....

 

[WVUBRU]

Payer and payor are interchangeable.

 

[79eer]

Just read the post that I referred you to. And it's payer, not payor. I don't know why you keep repeating your spelling error, especially when you are supposedly in the "health care field?" Like I said in an earlier post, I think you are a janitor in a hospital.

My goodness, Someone please hide all the shovels. Hell, hide ANYTHING that can be used to dig a hole.

 

[Pospecteer]

Payer and payor are interchangeable.

not really in the medical field. Even the Federal gov. uses payor...

 

[dave]

Just read the post that I referred you to. And it's payer, not payor. I don't know why you keep repeating your spelling error, especially when you are supposedly in the "health care field?" Like I said in an earlier post, I think you are a janitor in a hospital.

In the future when you correct someone you might want to be correct yourself. It really does make you look stupid.

 

[WVUBRU]

not really in the medical field. Even the Federal gov. uses payor...

If you say so. Only thing dumber than claiming one way or the other is arguing about it. But go ahead.

 

[atlkvb]

Don't know why you keep doing this. In the medical field they refer to payments from/to as payor...I was young once and make mistakes also, but don't worry, some day you might be able to sit at the adult table during Thanksgiving.

Even a janitor at a hospital knows this!

form the Medical Dictionary

payor

Also found in: Dictionary, Thesaurus, Legal, Financial, Wikipedia.
payor
Medical practice. A company or an agency that purchases health services

The person paying the bill, satisfying the claim, or settling a financial obligation.
Medical Dictionary for the Health Professions and Nursing © Farlex 2012

That was beautiful. country will go change into Blackface now and claim racially insensitive treatment from you.

Nice job![thumbsup]

 

[atlkvb]

In the future when you correct someone you might want to be correct yourself. It really does make you look stupid.

country doesn't have to try to look stupid or wrong. It comes as naturally as country changes races to try to keep from getting embarrassed during arguments.

 

[dave]

country doesn't have to try to look stupid or wrong. It comes as naturally as country changes races to try to keep from getting embarrassed during arguments.

Yes but it had been hours since he had exposed himself.

 

[Pospecteer]

If you say so. Only thing dumber than claiming one way or the other is arguing about it. But go ahead.

OK, like arguing about a single payor system and only using Canada as a comparator.

 

[atlkvb]

Yes but it had been hours since he had exposed himself.

Country needs mental reparations

 

[dave]

Country needs mental reparations

He should sue his parents. If the court will let him.

 

[atlkvb]

OK, like arguing about a single payor system and only using Canada as a comparator.

Pospecteer once you start trying to explain economic realities to Leftists you are bound to hit some level of resistance to reality. They normally turn into zombies, unable to process the difference between the economic world as they see it, and the real economic world as it sees them.

An economically brain-dead Zombie Leftist

 

[atlkvb]

He should sue his parents. If the court will let him.

Maybe they'll exercise their "Pro choice" reproductive rights and decide to perform a post birth abortion to save country from ignorance?