Medicare reimbursements actually vary from state to state...so no...no trend
except for in Texas.

-----Original Message-----
From: Jerry Barnes [mailto:critic...@gmail.com] 
Sent: Wednesday, May 19, 2010 10:11 AM
To: cf-community
Subject: More on Health Care


There's not enough name calling and venom on the list.  A good thread about
health care always gets the vitriol up:)



Faced with soaring costs and budget contraints, Williamson County's health
care district is tightening qualifications for those who apply for its
indigent health care program, requiring proof of
citizenship.<http://www.kxan.com/dpp/news/local/wilco-tightens-indigent-heal
th-care>

This Texas county is going to require a valid SSN  in exchange for indigent
health care program.  Shades of AZ?  Another quote from the article.

The county has doubled in size the past decade, and costs for the indigent
care have soared 142 percent in the past two years. Last year, the program
dealt with 1,500 patients, 330 of whom were undocumented.


Maybe it's related to why AZ is trying to enforce federal immigration laws.



Another Texas related article;

Texas doctors are opting out of Medicare at alarming rates, frustrated by
reimbursement cuts they say make participation in government-funded care of
seniors
unaffordable.<http://www.chron.com/disp/story.mpl/metropolitan/7009807.html>

Two years after a survey found nearly half of Texas doctors weren't taking
some new Medicare patients, new data shows 100 to 200 a year are now ending
all involvement with the program. Before 2007, the number of doctors opting
out averaged less than a handful a year.

More than 300 doctors have dropped the program in the last two years,
including 50 in the first three months of 2010, according to data compiled
by the Houston Chronicle. Texas Medical Association officials, who conducted
the 2008 survey, said the numbers far exceeded their assumptions.


Looks like those greedy doctors aren't satisfied with their pay.  Another
ringing endorsement of government ran health care? Maybe it's just a Texas
thing.

By the way, Wal-green's in WA stopped taking medicare for drug
prescriptions.  A pattern developing here?




Final article

The new healthcare law will pack 32 million newly insured people into
emergency rooms already crammed beyond capacity, according to experts on
healthcare facilities.
<http://thehill.com/business-a-lobbying/98025-health-reform-threatens-to-ove
rwhelm-already-crammed-emergency-rooms>

A chief aim of the new healthcare law was to take the pressure off emergency
rooms by mandating that people have insurance coverage. The idea was that if
people have insurance, they will go to a doctor rather than putting off care
until they faced an emergency.

 
<http://ad.thehill.com/www/delivery/ck.php?n=a9aaece3&cb=INSERT_RANDOM_NUMBE
R_HERE>
 People who build hospitals, however, say newly insured people will still go
to emergency rooms for primary care because they don't have a doctor.

Massachusetts in 2006 created near-universal coverage for residents, which
was supposed to ease the traffic in hospital emergency rooms.

But a recent poll by the American College of Emergency Physicians found that
nearly two-thirds of the state's residents say emergency department wait
times have either increased or remained the same.



I have also read that there is a shortage of general care physicians, which
is leading to higher prices in some areas.  If the government takes over
health care and runs it like it runs medicare, will there be more or less
incentive to go to med school?



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