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	<title>Comments on: 2008: More TX Docs Opt Out Of Medicare</title>
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	<link>http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare</link>
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		<title>By: MinnesotaRush</title>
		<link>http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156390</link>
		<dc:creator>MinnesotaRush</dc:creator>
		<pubDate>Thu, 30 Jul 2009 15:54:41 +0000</pubDate>
		<guid isPermaLink="false">http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156390</guid>
		<description>&quot;Ya ain&#039;t seen nothin&#039; yet .. ba ba ba baby .. ya ain&#039;t seen nothin&#039; yet.&quot;</description>
		<content:encoded><![CDATA[<p>&#8220;Ya ain&#8217;t seen nothin&#8217; yet .. ba ba ba baby .. ya ain&#8217;t seen nothin&#8217; yet.&#8221;</p>
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		<title>By: Jason Gillman</title>
		<link>http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156366</link>
		<dc:creator>Jason Gillman</dc:creator>
		<pubDate>Thu, 30 Jul 2009 11:38:22 +0000</pubDate>
		<guid isPermaLink="false">http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156366</guid>
		<description>Sure it Does..  http://www.texasembassy.com/ ;o)  Just something I had heard earlier and I had misunderstood apparently.

But now I am curious..  are there other states which have the sheer number of Consulates within them besides NY (NY), IL (Chicago), and .. http://www.sos.state.tx.us/border/intlprotocol/embassies/index.shtml</description>
		<content:encoded><![CDATA[<p>Sure it Does..  <a href="http://www.texasembassy.com/" rel="nofollow">http://www.texasembassy.com/</a> ;o)  Just something I had heard earlier and I had misunderstood apparently.</p>
<p>But now I am curious..  are there other states which have the sheer number of Consulates within them besides NY (NY), IL (Chicago), and .. <a href="http://www.sos.state.tx.us/border/intlprotocol/embassies/index.shtml" rel="nofollow">http://www.sos.state.tx.us/bor.....ndex.shtml</a></p>
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		<title>By: joeblough</title>
		<link>http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156361</link>
		<dc:creator>joeblough</dc:creator>
		<pubDate>Thu, 30 Jul 2009 06:08:46 +0000</pubDate>
		<guid isPermaLink="false">http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156361</guid>
		<description>Yes. Something that nobody ever seems to mention in the public discourse about &quot;health care&quot; ... doctors.

Hmmmmm....  How about that?

Curious don&#039;t you think? Here is the entire rest of the damn country debating what doctors should be allowed to do or not do, what they should get or not get paid for their work, what medical methods they should or should not be &lt;i&gt;&lt;b&gt;allowed&lt;/b&gt;&lt;/i&gt; to use, and for whom. 

&lt;i&gt;&lt;b&gt;As if it were our place or our business to have an opinion about such things!&lt;/b&gt;&lt;/i&gt;

Someone, somewhere, sometime has got to bring up in public the fact that at the core of this &quot;debate&quot; about &quot;health care&quot; is really a discussion about the enslavement of doctors.</description>
		<content:encoded><![CDATA[<p>Yes. Something that nobody ever seems to mention in the public discourse about &#8220;health care&#8221; &#8230; doctors.</p>
<p>Hmmmmm&#8230;.  How about that?</p>
<p>Curious don&#8217;t you think? Here is the entire rest of the damn country debating what doctors should be allowed to do or not do, what they should get or not get paid for their work, what medical methods they should or should not be <i><b>allowed</b></i> to use, and for whom. </p>
<p><i><b>As if it were our place or our business to have an opinion about such things!</b></i></p>
<p>Someone, somewhere, sometime has got to bring up in public the fact that at the core of this &#8220;debate&#8221; about &#8220;health care&#8221; is really a discussion about the enslavement of doctors.</p>
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		<title>By: retire05</title>
		<link>http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156358</link>
		<dc:creator>retire05</dc:creator>
		<pubDate>Thu, 30 Jul 2009 03:39:12 +0000</pubDate>
		<guid isPermaLink="false">http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156358</guid>
		<description>Texas increased its doctor count a few years ago by enacting tort reform in the state.  Small town that have done without a doctor for years now have one.  But still, they refused to take M/M because it takes them as long as six months to get paid here is the really crappy thing:  it&#039;s called Reasonable and Customary.  That is how M/M get out of paying the doctors what they charge.  Example:  doctor&#039;s standard office visit $75.00; M/M has a fee plan that make the R &amp; C set at $50.00 and then M/M pays 80% of that.  So the doctor charges $75.00 but only gets $40.00.

Most doctors I know, when they have a patient that is on only M/M, and the doctor knows that patient is trying to survive on Social Security, will just eat the other $35.00 of their charge.

Also, there is a new thing M/M is doing; making doctors get preapproval for a test.  My stepmother&#039;s doctor recommended her to a cardiologist due to her age (86).  The cardiologist suggested she have a test that would detect any risk of having a stroke due to her age.  M/M denied it.  Two weeks later, she had a stroke.  And wound up in the hosptial for a week.  All of that could have been avoided by the test, and medication like Plavix and Norvasc to prevent the TIA she had.  

Instead of a simple test, that she would have had to pay around $100 for (her share) she now owes the hospital $1,200.00, the part that M/M didn&#039;t cover.

This, my friends, is Obamacare.</description>
		<content:encoded><![CDATA[<p>Texas increased its doctor count a few years ago by enacting tort reform in the state.  Small town that have done without a doctor for years now have one.  But still, they refused to take M/M because it takes them as long as six months to get paid here is the really crappy thing:  it&#8217;s called Reasonable and Customary.  That is how M/M get out of paying the doctors what they charge.  Example:  doctor&#8217;s standard office visit $75.00; M/M has a fee plan that make the R &amp; C set at $50.00 and then M/M pays 80% of that.  So the doctor charges $75.00 but only gets $40.00.</p>
<p>Most doctors I know, when they have a patient that is on only M/M, and the doctor knows that patient is trying to survive on Social Security, will just eat the other $35.00 of their charge.</p>
<p>Also, there is a new thing M/M is doing; making doctors get preapproval for a test.  My stepmother&#8217;s doctor recommended her to a cardiologist due to her age (86).  The cardiologist suggested she have a test that would detect any risk of having a stroke due to her age.  M/M denied it.  Two weeks later, she had a stroke.  And wound up in the hosptial for a week.  All of that could have been avoided by the test, and medication like Plavix and Norvasc to prevent the TIA she had.  </p>
<p>Instead of a simple test, that she would have had to pay around $100 for (her share) she now owes the hospital $1,200.00, the part that M/M didn&#8217;t cover.</p>
<p>This, my friends, is Obamacare.</p>
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		<title>By: Liberals Demise</title>
		<link>http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156356</link>
		<dc:creator>Liberals Demise</dc:creator>
		<pubDate>Thu, 30 Jul 2009 03:27:57 +0000</pubDate>
		<guid isPermaLink="false">http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156356</guid>
		<description>&quot;Obama -Care means waiting in line until you die.&quot; (counselor denied)
There Petronius.........now we can concentrate on our &quot;Over Our Heads&quot; straw business.

SEMPER FIDELIS</description>
		<content:encoded><![CDATA[<p>&#8220;Obama -Care means waiting in line until you die.&#8221; (counselor denied)<br />
There Petronius&#8230;&#8230;&#8230;now we can concentrate on our &#8220;Over Our Heads&#8221; straw business.</p>
<p>SEMPER FIDELIS</p>
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		<title>By: Dug</title>
		<link>http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156349</link>
		<dc:creator>Dug</dc:creator>
		<pubDate>Thu, 30 Jul 2009 02:04:06 +0000</pubDate>
		<guid isPermaLink="false">http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156349</guid>
		<description>&quot;If Obama-Care is going to be simply an expansion of Medicare, how will we have the option of picking our own doctors?
Why should we think that the doctors would be willing to accept new patients with Obama mandated re-imbursements?&quot;

My take on this is (for seniors) as follows:
1) If you have a doctor now and are on medicare or nearing medicare and the doctor continues to accept medicare, you will probably be able to keep the doctor.
2) If the doctor does not accept medicare or decides to no longer have you as a patient on medicare, you will be competing with many other seniors for the few doctors that do accept medicare and will probably be put on a waiting list or your appointment will be 6 or more months out for an office visit... or a doctor will be assigned to you.
3) Eventually, as more and more doctors retire because they no longer want to deal with this and fewer students pursue medical degrees, the situation in item 2 will get worse.
4) Then, eventually, the government will be forced to bring in &quot;doctors&quot; from other countries (see Britain).

It&#039;s called rationing. Eventually, for seniors, it means death/life termination counseling.</description>
		<content:encoded><![CDATA[<p>&#8220;If Obama-Care is going to be simply an expansion of Medicare, how will we have the option of picking our own doctors?<br />
Why should we think that the doctors would be willing to accept new patients with Obama mandated re-imbursements?&#8221;</p>
<p>My take on this is (for seniors) as follows:<br />
1) If you have a doctor now and are on medicare or nearing medicare and the doctor continues to accept medicare, you will probably be able to keep the doctor.<br />
2) If the doctor does not accept medicare or decides to no longer have you as a patient on medicare, you will be competing with many other seniors for the few doctors that do accept medicare and will probably be put on a waiting list or your appointment will be 6 or more months out for an office visit&#8230; or a doctor will be assigned to you.<br />
3) Eventually, as more and more doctors retire because they no longer want to deal with this and fewer students pursue medical degrees, the situation in item 2 will get worse.<br />
4) Then, eventually, the government will be forced to bring in &#8220;doctors&#8221; from other countries (see Britain).</p>
<p>It&#8217;s called rationing. Eventually, for seniors, it means death/life termination counseling.</p>
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		<title>By: canary</title>
		<link>http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156348</link>
		<dc:creator>canary</dc:creator>
		<pubDate>Thu, 30 Jul 2009 01:54:06 +0000</pubDate>
		<guid isPermaLink="false">http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156348</guid>
		<description>retire05, I believe doctor&#039;s in the U.S. can all  insist you pay upfront and file your insurance yourself.  It used to be common. The new fad is doctor&#039;s charging large new patient fee&#039;s, in otherwise you pay a fee for them to take you on as a patient.  Now my regular office is doing it, and am glad I am already a patient.  I&#039;ve been running into these charges more and more. I think it&#039;s a way of doctor&#039;s to take on more wealthy patients. It does not mean better health care. One place a spin off clinic from a hospital, did not even tell me of a 400 dollar for being new patient, even though they allready had all my information in their computer from the head facility, and charged high just as their regular ER. And messed up my injury, messed up the billing. It&#039;s just the way it is these days. We need more doctors and nurses, and threatening them with lower pay, isn&#039;t going to help.</description>
		<content:encoded><![CDATA[<p>retire05, I believe doctor&#8217;s in the U.S. can all  insist you pay upfront and file your insurance yourself.  It used to be common. The new fad is doctor&#8217;s charging large new patient fee&#8217;s, in otherwise you pay a fee for them to take you on as a patient.  Now my regular office is doing it, and am glad I am already a patient.  I&#8217;ve been running into these charges more and more. I think it&#8217;s a way of doctor&#8217;s to take on more wealthy patients. It does not mean better health care. One place a spin off clinic from a hospital, did not even tell me of a 400 dollar for being new patient, even though they allready had all my information in their computer from the head facility, and charged high just as their regular ER. And messed up my injury, messed up the billing. It&#8217;s just the way it is these days. We need more doctors and nurses, and threatening them with lower pay, isn&#8217;t going to help.</p>
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		<title>By: BillK</title>
		<link>http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156342</link>
		<dc:creator>BillK</dc:creator>
		<pubDate>Thu, 30 Jul 2009 00:53:05 +0000</pubDate>
		<guid isPermaLink="false">http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156342</guid>
		<description>&lt;blockquote&gt;And Jason, no the State of Texas doesn’t have embassies.&lt;/blockquote&gt;

Hey, Texas did on the television show &lt;i&gt;Jericho&lt;/i&gt;! :-)

(Texas also came off looking really, really good at the end of that show&#133;)</description>
		<content:encoded><![CDATA[<blockquote><p>And Jason, no the State of Texas doesn’t have embassies.</p></blockquote>
<p>Hey, Texas did on the television show <i>Jericho</i>! :-)</p>
<p>(Texas also came off looking really, really good at the end of that show&#8230;)</p>
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		<title>By: retire05</title>
		<link>http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156338</link>
		<dc:creator>retire05</dc:creator>
		<pubDate>Thu, 30 Jul 2009 00:19:16 +0000</pubDate>
		<guid isPermaLink="false">http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156338</guid>
		<description>I live in a central Texas county that has a population over 50K.  We have a lot of retired due to the fact that it is a) basically rural and b) real estate prices have remained steady over the last 5 years.  

We have two doctors, TWO, that will accept M/M patients that don&#039;t have secondary insurance.  Many retired people who have moved here in the last few years have to drive 40 miles to a major city for routine medical care.  Some of the doctors are refusing to take insurance assignments while simply means; you pay up front, you get a receipt and the doctor&#039;s office fills out insurance paperwork for you and you send it in and the insurance company sends you what they cover.

And Jason, no the State of Texas doesn&#039;t have embassies.  We did when we were an independent nation, but they were closed when we became a state.</description>
		<content:encoded><![CDATA[<p>I live in a central Texas county that has a population over 50K.  We have a lot of retired due to the fact that it is a) basically rural and b) real estate prices have remained steady over the last 5 years.  </p>
<p>We have two doctors, TWO, that will accept M/M patients that don&#8217;t have secondary insurance.  Many retired people who have moved here in the last few years have to drive 40 miles to a major city for routine medical care.  Some of the doctors are refusing to take insurance assignments while simply means; you pay up front, you get a receipt and the doctor&#8217;s office fills out insurance paperwork for you and you send it in and the insurance company sends you what they cover.</p>
<p>And Jason, no the State of Texas doesn&#8217;t have embassies.  We did when we were an independent nation, but they were closed when we became a state.</p>
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		<title>By: Jason Gillman</title>
		<link>http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156324</link>
		<dc:creator>Jason Gillman</dc:creator>
		<pubDate>Wed, 29 Jul 2009 22:39:03 +0000</pubDate>
		<guid isPermaLink="false">http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156324</guid>
		<description>If I am not mistaken..  Texas is a Free Republic with embassies in several countries.  Just a tidbit.</description>
		<content:encoded><![CDATA[<p>If I am not mistaken..  Texas is a Free Republic with embassies in several countries.  Just a tidbit.</p>
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		<title>By: canary</title>
		<link>http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156322</link>
		<dc:creator>canary</dc:creator>
		<pubDate>Wed, 29 Jul 2009 21:53:03 +0000</pubDate>
		<guid isPermaLink="false">http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156322</guid>
		<description>This can lead to doctor&#039;s not accepting insurance coverage too. 
 Doctors already have to give discounts to patients on Medicare.  They already give discounts to insurance company providers too.  This idea that Obama wants things done at the snap of his fingers, when he&#039;s not busy 
in make-up dept getting ready for the cameras and teleprompt.

Obama&#039;s wife is an example to go by. Hospital paying her for work she did not do. Holding on to charity money, sending patients away.  Laying off workers at one company.</description>
		<content:encoded><![CDATA[<p>This can lead to doctor&#8217;s not accepting insurance coverage too.<br />
 Doctors already have to give discounts to patients on Medicare.  They already give discounts to insurance company providers too.  This idea that Obama wants things done at the snap of his fingers, when he&#8217;s not busy<br />
in make-up dept getting ready for the cameras and teleprompt.</p>
<p>Obama&#8217;s wife is an example to go by. Hospital paying her for work she did not do. Holding on to charity money, sending patients away.  Laying off workers at one company.</p>
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		<title>By: neocon mom</title>
		<link>http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156315</link>
		<dc:creator>neocon mom</dc:creator>
		<pubDate>Wed, 29 Jul 2009 19:58:34 +0000</pubDate>
		<guid isPermaLink="false">http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156315</guid>
		<description>&quot;If Obama-Care is going to be simply an expansion of Medicare, how will we have the option of picking our own doctors?&quot;

I don&#039;t know Steve, but if they found a way to force banks to give home loans to unqualified people, surely this is something the government, in its infinite wisdom, will figure a way to do sooner or later.</description>
		<content:encoded><![CDATA[<p>&#8220;If Obama-Care is going to be simply an expansion of Medicare, how will we have the option of picking our own doctors?&#8221;</p>
<p>I don&#8217;t know Steve, but if they found a way to force banks to give home loans to unqualified people, surely this is something the government, in its infinite wisdom, will figure a way to do sooner or later.</p>
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		<title>By: Petronius</title>
		<link>http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156308</link>
		<dc:creator>Petronius</dc:creator>
		<pubDate>Wed, 29 Jul 2009 18:41:02 +0000</pubDate>
		<guid isPermaLink="false">http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156308</guid>
		<description>Working definition of Obama-Care:   Obama-Care means waiting in line to see your death counselor.</description>
		<content:encoded><![CDATA[<p>Working definition of Obama-Care:   Obama-Care means waiting in line to see your death counselor.</p>
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		<title>By: proreason</title>
		<link>http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156305</link>
		<dc:creator>proreason</dc:creator>
		<pubDate>Wed, 29 Jul 2009 18:28:44 +0000</pubDate>
		<guid isPermaLink="false">http://sweetness-light.com/archive/2008-tx-doctors-opting-out-of-medicare#comment-156305</guid>
		<description>Oh, you&#039;ll get to pick your doctor all right.

There just won&#039;t be any left to pick from.

In some Canadian communities they have lotteries to get a doctor.

But when the ex-Acorn community organizers get through med school, that problem should disappear.

Then you will be enjoying a socially just form of medical care.

And if your health is ruined, you will have the sweet consolation of knowing you are a patriot.</description>
		<content:encoded><![CDATA[<p>Oh, you&#8217;ll get to pick your doctor all right.</p>
<p>There just won&#8217;t be any left to pick from.</p>
<p>In some Canadian communities they have lotteries to get a doctor.</p>
<p>But when the ex-Acorn community organizers get through med school, that problem should disappear.</p>
<p>Then you will be enjoying a socially just form of medical care.</p>
<p>And if your health is ruined, you will have the sweet consolation of knowing you are a patriot.</p>
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