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Thread: Obamacare Revolt: Physicians Fight Back Against the Bureaucratization of Health Care

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    Re: Obamacare Revolt: Physicians Fight Back Against the Bureaucratization of Health C

    Quote Originally Posted by Homer. View Post
    So you paid $1800 for the operation on top of the insurance payments? That's very expensive.
    That was not bad at all in my opinion. I sure beats the hell out of universal health care cost in places like Canada and probably your area when you figure the whole cost

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    Re: Obamacare Revolt: Physicians Fight Back Against the Bureaucratization of Health C

    Quote Originally Posted by Rocketman View Post
    What I did and this may not be for you is I took my companies lowest offering reducing my premiums 80%. I then found a hospital and doctor in a neighboring town that reduceds cost 70-80% if payment is received day of service. I had what was a 30k operation at my local hospital for 9k at the neighboring hospital, filing with my own insurance and recovering $7200.

    I admit it is not as handy as before Obamacare but it makes the most economical sense in the current market we have.
    Good for you, Rocketman!

    I think we're going to see a lot people who think as you do before too long. Americans are resilient and resourceful when necessary, and most thinking people just want to be left alone to make their own decisions about how to live their lives! "One size fits all" usually results in an unflattering garment in the retail industry, and we have certainly seen the problems in education using the same criteria. Again, Kudos!

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    Re: Obamacare Revolt: Physicians Fight Back Against the Bureaucratization of Health C

    Quote Originally Posted by polgara View Post
    Good for you, Rocketman!

    I think we're going to see a lot people who think as you do before too long. Americans are resilient and resourceful when necessary, and most thinking people just want to be left alone to make their own decisions about how to live their lives! "One size fits all" usually results in an unflattering garment in the retail industry, and we have certainly seen the problems in education using the same criteria. Again, Kudos!
    Thanks, when i was making less money back in the 90's I carried a high deductable and paid cash for everything. Now thanks to ACA (Obamacare) I will be making the same economic decision again.

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    Re: Obamacare Revolt: Physicians Fight Back Against the Bureaucratization of Health C

    Quote Originally Posted by Rocketman View Post
    Dr. Ryan Neuhofel, 31, offers a rare glimpse at what it would be like to go to the doctor without massive government interference in health care. Dr. Neuhofel, based in the college town of Lawrence, Kansas, charges for his services according to an online price list that's as straightforward as a restaurant menu. A drained abscess runs $30, a pap smear, $40, a 30-minute house call, $100. Strep cultures, glucose tolerance tests, and pregnancy tests are on the house. Neuhofel doesn't accept insurance. He even barters on occasion with cash-strapped locals. One patient pays with fresh eggs and another with homemade cheese and goat's milk.

    "Direct primary care," which is the industry term for Neuhofel's business model, does away with the bureaucratic hassle of insurance, which translates into much lower prices. "What people don't realize is that most doctors employ an army of people for coding, billing, and gathering payment," says Neuhofel. "That means you have to charge $200 to remove an ingrown toenail." Neuhofel charges $50.

    He consults with his patients over email and Skype in exchange for a monthly membership fee of $20-30. "I realized people would come in for visits with the simplest questions and I'd wonder, why can't they just email me?" says Neuhofel. Traditional doctors have no way to get paid when they consult with patients over the phone or by email because insurance companies only pay for office visits.

    Why did he choose this course? Neuhofel’s answer: “I didn’t want to waste my career being frustrated.”

    This model is growing in popularity. Leading practitioners of direct primary care include Seattle, Washington-based Qliance, which has raised venture capital funding from Jeff Bezos, Michael Dell, and comedian (and Reason Foundation Trustee) Drew Carey; MedLion, which is about to expand its business to five states; and AMG Medical Group, which operates several offices in New York City. Popular health care blogger Dr. Rob Lamberts has written at length about his decision to dump his traditional practice in favor of this model.

    "Since I started my practice, I seem to hear about another doctor or clinic doing direct primary care every other week." says Neuhofel.

    Direct primary care is part of a larger trend of physician-entrepreneurs all across the country fighting to bring transparent prices and market forces back to health care. This is happening just as the federal government is poised to interfere with the health care market in many new and profoundly destructive ways.

    Obamacare, which takes full effect in 2014, will drive up costs and erode quality—and Americans will increasingly seek out alternatives. That could bring hordes of new business to practitioners like Neuhofel, potentially offering a countervailing force to Obamacare. (One example, the Surgery Center of Oklahoma's Dr. Keith Smith, profiled for Reason TV in September, is doing big business offering cash pricing for outpatient surgery at prices about 80 percent less than at traditional hospitals.)

    The Obamacare Revolt: Physicians Fight Back Against the Bureaucratization of Health Care - Reason.com
    I love this idea.
    Hope it catches on here in the fort!!

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    Re: Obamacare Revolt: Physicians Fight Back Against the Bureaucratization of Health C

    Quote Originally Posted by Rocketman View Post
    That was not bad at all in my opinion. I sure beats the hell out of universal health care cost in places like Canada and probably your area when you figure the whole cost
    I would pay £0 upfront for that operation, and the average Brit pays 2-3 times less tax for healthcare than the average American for their healthcare insurance.

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    Re: Obamacare Revolt: Physicians Fight Back Against the Bureaucratization of Health C

    Quote Originally Posted by Rocketman View Post
    What I did and this may not be for you is I took my companies lowest offering reducing my premiums 80%. I then found a hospital and doctor in a neighboring town that reduceds cost 70-80% if payment is received day of service. I had what was a 30k operation at my local hospital for 9k at the neighboring hospital, filing with my own insurance and recovering $7200.

    I admit it is not as handy as before Obamacare but it makes the most economical sense in the current market we have.

    Out of curioustity why didnt your insurance float the full bill? You just saved them damn near 25,000$ I'd say you earned it as your referal fee.
    Semper Fidelis, Semper Liber.
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    Re: Obamacare Revolt: Physicians Fight Back Against the Bureaucratization of Health C

    Quote Originally Posted by Homer. View Post
    I would pay £0 upfront for that operation, and the average Brit pays 2-3 times less tax for healthcare than the average American for their healthcare insurance.
    I think your total tax burden is much higher. I have an associate that used to work here with me working in England and taxes are much higher than here.

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    Re: Obamacare Revolt: Physicians Fight Back Against the Bureaucratization of Health C

    Quote Originally Posted by PirateMk1 View Post
    Out of curioustity why didnt your insurance float the full bill? You just saved them damn near 25,000$ I'd say you earned it as your referal fee.
    They only cover 80% and I cover 20%.

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    Re: Obamacare Revolt: Physicians Fight Back Against the Bureaucratization of Health C

    Quote Originally Posted by 66gardeners View Post
    Chickens for Check-ups - Yeah that'll work.
    Good afternoon, 66gardeners.

    And you don't even have to go to the store...the darn things will be delivered.... I'd negotiate for eggs, myself...

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    Re: Obamacare Revolt: Physicians Fight Back Against the Bureaucratization of Health C

    Quote Originally Posted by Rocketman View Post
    They only cover 80% and I cover 20%.
    They didnt take into consideration you saved them big?
    Semper Fidelis, Semper Liber.
    I spit at lots of people through my computer screen. Not only does it "teach them a lesson" but it keeps the screen clean and shiny.
    Stolen fair and square from the Capt. Courtesey himself.

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