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Wednesday, September 19, 2007

Doctors, Money, Salaries, and Similar Unspoken Topics
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This little piggy went to market.
This little piggy stayed home.
This little piggy had roast beef.
This little piggy had none.
This little piggy cried "Wee! Wee! Wee!" all the way home.

I sat here listening to the Fourth movement of Beethoven's 9th Symphony in attempt to see if I can muster the energy to even start this highly charged topic. It didn't help but the music is great anyway. Probably more inspiration from Eminem on the topic of doctors and money..

There is probably no topic I know of that brings more spirited discussion than the payment of doctors. I tried to figure this out. It seems, first of all that insurance companies are really not people, they are nameless and faceless companies. At least a doctor is someone you can actually touch (even though we are God-like :-))

I know no better way to understand the complex economics of doctor reimbursement than the statistically significant analysis using the above nursery rhyme.

This is the first blog entry in the series The Piggy and Medical Reimbursement. The five parts are:

  1. This Piggy Went to Market: What doctors would make of market forces-determined doctor payment

  2. This Piggy Stayed Home: The consequences to medicine when talented men and women choose not to go into medicine due to financial and lifestyle problems in the profession.

  3. This Piggy Had Roast Beef: The private world of high-priced fee-for service medicine with "doctors to the stars" and others who charge huge fees for even the simplest procedure.

  4. This Piggy Had None: The problems of practices going out of business or being forced to join large impersonal medical groups that supply cookbook medicine because they economically can't make it in this environment or simply leave a town leaving it without medical care.

  5. This Piggy Cried "Wee! Wee! Wee!" All the Way Home: Recommendations for a health care payment system that properly rewards doctors for doing the right thing for patients that makes us all happy.


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Posted by: Ira Kirschenbaum, MD at 11:57 PM

7 Comments:

Anonymous Alpha Source said...

The issue of doctor payment as it relates to private practices is interesting. One could say that "impersonal" medical clinics do more good than people think, because they're able to have such a wider reach.

9:20 AM  
Anonymous Doctor K said...

I agree that large medical clinics do a great service. private practice medicine is not the only good model to deliver healthcare. Thank you fo this excellent point.

Dr. K.

10:36 AM  
Anonymous Anonymous said...

If a dentist can charge $70 for a brief, cursory look at your teeth after a "prophy," if a dentist can charge $1300 for a root canal procedure, when a foot doctor can charge $130 for cutting toenails, when a dermatologist can charge $200 for snipping off a skin tag and then charge $300 to examine the tissue...then for sure a family doctor is a bargain at $70, and more, for a visit...as long as the insurance company handles and controls my money, we'll have these inequities...get rid of the insurance companies and give control of my money back to me...

11:31 PM  
Anonymous Anonymous said...

What are we seniors to do since we need the care of a doctor more and more as we age ?

10:17 AM  
Blogger limping anecdote said...

anyone consider that as long as fps accept $70 for payment in full,
ins cos will payi.
what's wrong with doctors?
they shoud all not accept insuranc and charge patients,let them become more proactive and send the bill to the ins co.

2:50 PM  
Blogger limping anecdote said...

doctors should stop charging ins cos
charge patients

2:51 PM  
Anonymous Anonymous said...

Huh? What the heck are you talking about?

7:44 PM  

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