A primary care physician explains his decision to drop out of Medicare:
[T]he service won’t pay for phone consultations, won’t pay for email
consultations, barely pays for an office visit, and does not pay nearly
enough to cover a house call.
This is also bad for me as a patient; since it is difficult for
my doctor to deal with me by email or phone, I must spend time going to
his office. It is also never wise to be an undesirable customer
of any business -- if they have a choice, they won't see you. And if they have no choice? Well, one of life's fundamental rules is that you would
rather not have people sorry to see you, especially when your life,
health, or money is in their hands.
Plus:
Medicare has too many regulations and rules; we can’t understand a lot
of them, and frankly, Medicare doesn’t seem to understand them most of
the time either. If I would accept Medicare, then they have the right
to audit our notes and then fine us for non-compliance for infractions
that are not readily clear. Their external auditors get paid for every
infraction they find which means the temptations for fining doctors are
irresistible.
There is more good and thoughtful stuff. Read it all.
Thanks to Instapundit.
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