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Old 10-29-2013, 10:13 AM   #61
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Originally Posted by 2B
Most people are not knowledgeable enough to question their doctor and the few that are generally won't. I suspect that people that can't afford the high deductibles and copays will decline services. Many of which will be needed.

I personally have a high deductible plan but I'm more interested in the PPO pricing for the medical costs. I'm amazed what the "list price" is for many of the procedures and office visits. It seems that a doctor or hospital should be happy to give people the most favorable prices up front if the person is paying at the time of service.

DW and I met our deductible this year for the first time in whenever. We did have his and hers colonoscopies which definitely pushed us to the limits.
There hasn't been much talk yet of patients rejecting treatment due to high deductibles. But I believe that it's going to be significant. I think we all assumed that the ACA was somewhat thought out prior to passage. Whether you're for it or against it, it's definitely a total wing job.

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Old 10-29-2013, 10:25 AM   #62
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Originally Posted by Gatordoc50 View Post
There hasn't been much talk yet of patients rejecting treatment due to high deductibles. But I believe that it's going to be significant. I think we all assumed that the ACA was somewhat thought out prior to passage. Whether you're for it or against it, it's definitely a total wing job.
It's not that I'm not for the concept of the ACA. I have always been concerned by what I have seen as the obvious (to me anyway) "unintended consequences" that are now being revealed.

The object of life is not to be on the side of the majority, but to escape finding oneself in the ranks of the insane -- Marcus Aurelius
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Old 10-30-2013, 11:34 AM   #63
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Originally Posted by MichaelB View Post
Please, an explanation or snippet so members know what the link leads to.
Apologies, thought the link title was fairly self explanatory.
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Old 11-10-2013, 02:31 AM   #64
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After reading a lot of the comments, I had calmed down a bit on the doctor thing, THEN, went to another doctor - a General Practitioner who told me the same thing, and even added some more. This one said something to the effect that the new exchange stuff was about a large check being written to cover the health care, and that the doctors and hospitals were fighting about who controlled that check, and which one was going to be doing the distribution to the others. Apparently the doctors thought they were losing, so they have decided to not participate in the exchange insurance deal. She was pretty adamant about it, and said she had already elected not to participate. Now I'm worried again. Seems there is more to this story then has been told, just like the lie about "You can keep your present insurance". Just saying that IF this is true, and IF it continues, the ACA may prove to affordable, cause there are only a few, presumably cheap doctors willing to take it, and we all know what will happen with huge demand and few suppliers - Canada style of insurance where you wait for years to get procedures done.
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Old 11-10-2013, 04:28 AM   #65
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Originally Posted by pb4uski View Post
When looking at whether profits are excessive (or not) you really need to look at returns rather than absolute numbers. Laymen and politicians often seem outraged that a company or industry makes billions but totally fail to consider the investments that need to be made to generate those earnings...
At a past megacorp, there was a lot of email circulating within the group regarding politics, just as happened elsewhere I am sure. There was a fellow who was indignant at the billions of profit that Exxon Mobil made. Though I was no advocate of XOM, I had to point out that that profit was made on a huge sale of X billions, and that XOM was a huge company with Y employees. I suggested that he also looked at a well-known high-tech company to see its higher profit margin and also the higher revenue number per employee. Why should he not express indignation at the high cost of the software products of this company?

Well, if a PhD in engineering could make that mistake, what can we expect from a common man in the street?

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