Free Republic
Browse · Search
News/Activism
Topics · Post Article

Skip to comments.

My doctor considering going to "concierge" service
04/16/2013 | Self

Posted on 04/16/2013 3:15:05 PM PDT by rstrahan

click here to read article


Navigation: use the links below to view more comments.
first previous 1-5051-86 last
To: what's up

Its just frustrating that we now have to pay a double cost.
Obama is a jerk that is the nicest thing I can say about him.


51 posted on 04/16/2013 4:33:04 PM PDT by funfan
[ Post Reply | Private Reply | To 50 | View Replies]

To: funfan

Agree on both counts!


52 posted on 04/16/2013 4:34:28 PM PDT by what's up
[ Post Reply | Private Reply | To 51 | View Replies]

To: rstrahan

This is the wave of the future, at least until the practice is banned by government.


53 posted on 04/16/2013 4:35:12 PM PDT by Lancey Howard
[ Post Reply | Private Reply | To 1 | View Replies]

To: Gay State Conservative

Had my right hip operated on last year and getting my left done next week. This is a big part of why I am doing it now. Hopefully I am fully healed and able before TSHTF.


54 posted on 04/16/2013 4:36:40 PM PDT by jurroppi1
[ Post Reply | Private Reply | To 18 | View Replies]

To: rstrahan

My doc did this several years ago. I pay him up front and then he gives me the insurance forms (in my case B/C pop) and I send them in. The insurance company then sends me a check. I usually get back about half the price of the office visit, however, I get a full hour with the doc and if I need to see him for any reason; I can get in the same day. These visits are always less than me taking my dog to the vet!


55 posted on 04/16/2013 4:38:42 PM PDT by barney10
[ Post Reply | Private Reply | To 1 | View Replies]

To: rstrahan

My doctor mentioned the same thing to me last week.


56 posted on 04/16/2013 4:39:11 PM PDT by RavenATB
[ Post Reply | Private Reply | To 1 | View Replies]

To: what's up

Not everyone who got tax cuts under Bush the Younger and Obama before he changed his mind was rich, either. But what does that have to do with political exploitation of class resentment?


57 posted on 04/16/2013 4:39:31 PM PDT by Tublecane
[ Post Reply | Private Reply | To 20 | View Replies]

To: rstrahan

My GP and internist, both of whom are very, very superior physicians for many different reasons, have already been cash and carry for over a decade.

This lets them practice medicine the way they see fit, do what’s best for the patient with no external interference whatsoever, and not have to have a big back-office staff to hassle with insurance companies. In fact, my internist has no staff at all, and practices from him home, which means he’s cut his overhead to zilch.


58 posted on 04/16/2013 4:39:51 PM PDT by catnipman (Cat Nipman: Vote Republican in 2012 and only be called racist one more time!)
[ Post Reply | Private Reply | To 1 | View Replies]

To: rstrahan

Our family doctor is thinking of doing it also. We told him no problem we will still go to him as we pay cash for doctor’s visits anyway.


59 posted on 04/16/2013 4:40:37 PM PDT by Georgia Girl 2 (The only purpose of a pistol is to fight your way back to the rifle you should never have dropped.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: rstrahan

The entire community of general practice physicians should simply shut their doors and tell the American public they’ll open for business again after Congress passes the defeat of Obamacare and the “prez” signs it.


60 posted on 04/16/2013 4:41:19 PM PDT by RavenATB
[ Post Reply | Private Reply | To 1 | View Replies]

To: rstrahan

Can’t say I blame him....


61 posted on 04/16/2013 4:42:15 PM PDT by Bigg Red (Restore us, O God of hosts; let your face shine, that we may be saved! -Ps80)
[ Post Reply | Private Reply | To 1 | View Replies]

To: what's up

“Get low cost catastrophic insurance.”

Obamacare has made that illegal come 1/1/2014.


62 posted on 04/16/2013 4:43:49 PM PDT by catnipman (Cat Nipman: Vote Republican in 2012 and only be called racist one more time!)
[ Post Reply | Private Reply | To 26 | View Replies]

To: rstrahan

I have met the opposite too.

A pediatrician who became just a billing operation for Medicaid. He would see anyone who walked through the door, completely fanciful diagnosis of mostly harmless stuff - flu, allergies, etc...


63 posted on 04/16/2013 4:46:14 PM PDT by PGR88
[ Post Reply | Private Reply | To 1 | View Replies]

To: rstrahan

The entire community of general practice physicians should simply shut their doors and tell the American public they’ll open for business again after Congress passes the defeat of Obamacare and the “prez” signs it.


64 posted on 04/16/2013 4:48:48 PM PDT by RavenATB
[ Post Reply | Private Reply | To 1 | View Replies]

To: Tublecane
But what does that have to do with political exploitation of class resentment?

The rich always have their health avenues.

But these low cost concierge service primarily help the middle class and even the poor. I don't really see how the socialists are going to be able to make hay over this one.

65 posted on 04/16/2013 4:53:32 PM PDT by what's up
[ Post Reply | Private Reply | To 57 | View Replies]

To: catnipman
Obamacare has made that illegal come 1/1/2014.

Got a source for that?

66 posted on 04/16/2013 4:55:37 PM PDT by what's up
[ Post Reply | Private Reply | To 62 | View Replies]

To: rstrahan

If you can afford it you might be pleasantly surprised at how affordable is cash-for-service

I take my kids to their doc for cash and we end up better than if we used TRICARE with all the deductible and paperwork for the doctor. His fee for cash is much lower so it is win-win


67 posted on 04/16/2013 5:15:11 PM PDT by silverleaf (Age Takes a Toll: Please Have Exact Change)
[ Post Reply | Private Reply | To 1 | View Replies]

To: rstrahan
This is what used to be known as the "house call".

It was a great idea, worked very well and was an American tradition.

My youngest (a son born in 1984) was delivered by an O.B. that wanted two dozen freshly-killed and field-dressed quail for payment, which I gladly provided.

68 posted on 04/16/2013 5:20:07 PM PDT by elkfersupper ( Member of the Original Defiant Class)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Starboard

So did ours. He had a nurse practitioner take over his patients, but our insurance wouldn’t cover expenses with her, so we’re still looking for a GP.


69 posted on 04/16/2013 5:29:09 PM PDT by FamiliarFace
[ Post Reply | Private Reply | To 3 | View Replies]

To: rstrahan

My brother pays $300 a month extra for this so called “Cadillac Service.” He is very satisfied with service. He is on Medicare.


70 posted on 04/16/2013 5:38:47 PM PDT by Uncle Hal
[ Post Reply | Private Reply | To 1 | View Replies]

To: what's up

” Get low cost catastrophic insurance.”

You can do that if you can find it. Under 0-care, even if you get catastrophic insurance, you will still have to pay the tax/ penalty.


71 posted on 04/16/2013 6:03:17 PM PDT by grumpygresh (Democrats delenda est.)
[ Post Reply | Private Reply | To 26 | View Replies]

To: silverleaf
If you can afford it you might be pleasantly surprised at how affordable is cash-for-service

Once you strip away all of the bureaucratic costs of co pays and deductibles and forms and filing and delays in payment, it is amazing how affordable medical care can be. We have a society addicted to 20 dollar co pays for 100 dollar scrips, when the damned scrips would only be 30 dollars total if you took all the paperwork out of them.

72 posted on 04/16/2013 6:30:01 PM PDT by C. Edmund Wright (Tokyo Rove is more than a name, it's a GREAT WEBSITE)
[ Post Reply | Private Reply | To 67 | View Replies]

To: grumpygresh

I think those of us who know the magic of high deductible plans will challenge this provision - and win. High deducts are the way to go.


73 posted on 04/16/2013 6:30:56 PM PDT by C. Edmund Wright (Tokyo Rove is more than a name, it's a GREAT WEBSITE)
[ Post Reply | Private Reply | To 71 | View Replies]

To: clintonh8r

I too have joined MDVIP and have been VERY, VERY satisfied with the experience.


74 posted on 04/16/2013 6:36:35 PM PDT by harpu ( "...it's better to be hated for who you are than loved for someone you're not!")
[ Post Reply | Private Reply | To 8 | View Replies]

To: what's up

Concierge Medicine also known as Retainer Fee Medicine has been alive and well in the Pacific Northwest for years because the State Insurance Commissioner lost the State’s case against such doctors on a complaint that such doctors were running their own insurance.

Boeing also found it was more affordable to self-insure its employees and at the same time increase and improve health coverage.

Many in the left wing press try to create the impression of retainer fee medicine as only for the rich. This is a false impression. Washington State law allows an employee to opt out of an employer sponsored health insurance plan and pocket the difference. Many employees take the difference to Health Savings Accounts and then to retainer fee physicians.

Retainer fee medicine is even better than pay-as-you-go services because the doctor is devoted to your health at all times 24/7, allowing for coverage by another physician when not on duty or on vacation.

And it benefits the doctor immensely. They have so much more time to really get to know their patients and need not see 36 patients a day to stay in business; more like they can see half of the patients to cover overhead.

A general practitioner needs at a minimum a receptionist and an assistant. Salaries for all run about $250,000 per year and other overhead and expenses runs roughly $300,000. Adding an operating margin of 10% yields required revenue to be about $600,000 annually or $50,000 per month, or $300 per hour.

At an average 18 patients per day, or roughly two patients per hour, and an average of one patient seeing the doctor three times a year a patient panel of about 1500 patients can sustain a basic clinic.

How much on average per year to charge 1500 patients to satisfy an annual budget of $600,000? Only $400 per year or $34 per month. This is the low end but it can work.

And with that $34 per month, one can see their physician at any time, as much as needed to preserve general health. Retainer fee physicians even make house calls. In fact retainer fee physicians are nothing more than a throwback to the way physicians operated before FDR slapped a wage freeze on employers, thereby creating employer sponsored health plans and a health insurance industry run by government political interference.

Usually physicians can handle patient panels of 2500 to 3000 without a problem. So they can afford to hire more clinical staff and pay better salaries. They can also use a sliding scale to charge patients according to income level. This allows the doctor to live comfortably; they deserve it given how hard it was for them to get through so many years of living in near poverty in order to obtain a medical license.

It takes a surgeon 14 or more years after high school to become licensed. And during those years they are living from stipend to stipend with barely enough left over for much else other than basic living.


75 posted on 04/16/2013 7:30:48 PM PDT by Hostage (Be Breitbart!)
[ Post Reply | Private Reply | To 20 | View Replies]

To: what's up

“Got a source for that? “

I guess you haven’t been paying attention. Except for “grandfathered” plans, which don’t STAY grandfathered if ANY change at all is made to the plan (in which case they become null and void forever), there will be only ONE, government-approved plan which covers EVERYTHING, and which the IRS estimates will cost a family of five $20,000 per year.

Welcome to Obamacare.

BTW, don’t worry. You don’t need to actually BUY medical insurance until you’re actually really sick and need the insurance. In the mean time, the fine for not having medical insurance is miniscule and the IRS has no way to collect the fine if you choose not to pay it, unless you’re foolish enough to over withhold, in which case they can seize the overage.

Of course, given the above, the system will collapse and there won’t BE any actual medical care to be had, but then again, that was the whole point of Obamacare: collapse the system so the Feds can step in and seize total control of all of it.

Oh, and after they seize the health care system, there STILL won’t be any medical care to be had because most doctors are going to refuse to work as slaves to the Federal government. Unless you’re rich of course, and then you can buy anything you want, including actual medical care.


76 posted on 04/16/2013 7:33:30 PM PDT by catnipman (Cat Nipman: Vote Republican in 2012 and only be called racist one more time!)
[ Post Reply | Private Reply | To 66 | View Replies]

To: Hostage

How does a doctor operating outside of Obamacare and/or the normal insurance bureaucracy gain access to high tech equipment?


77 posted on 04/16/2013 8:14:33 PM PDT by MV=PY (The Magic Question: Who's paying for it)
[ Post Reply | Private Reply | To 75 | View Replies]

To: Hostage

You make some great points....all pointing to the free market as the best way to allocate these services. Whether its high deductible plans, concierge doctors, retainer fee, all are the result of doctors and patients (and sometimes companies) getting together and figuring out - without interference from idiotic governmetn bureaucrats - the best way to do business together.

This is the best way to allocate any good or service there is, period.


78 posted on 04/16/2013 8:30:00 PM PDT by C. Edmund Wright (Tokyo Rove is more than a name, it's a GREAT WEBSITE)
[ Post Reply | Private Reply | To 75 | View Replies]

To: MV=PY
How does a doctor operating outside of Obamacare and/or the normal insurance bureaucracy gain access to high tech equipment?

They buy it? Or rent it? Fee usage?

79 posted on 04/16/2013 8:30:53 PM PDT by C. Edmund Wright (Tokyo Rove is more than a name, it's a GREAT WEBSITE)
[ Post Reply | Private Reply | To 77 | View Replies]

To: Tijeras_Slim

Look for concierge hospitals to spring up.


80 posted on 04/16/2013 8:41:39 PM PDT by RFEngineer
[ Post Reply | Private Reply | To 29 | View Replies]

To: C. Edmund Wright
This is the best way to allocate any good or service there is, period.

I can't help but think that they'll close the "loopholes" once the plan is in effect. Sorry for being pessimistic. I hope I'm wrong.

81 posted on 04/16/2013 8:43:06 PM PDT by St_Thomas_Aquinas
[ Post Reply | Private Reply | To 78 | View Replies]

To: St_Thomas_Aquinas

Well of course they’ll try, but too many docs want to practice this way, too many patients want to consume this way, and too many states have judges and governors who will allow it. F-”them” and what “they” want to close. These are not loop holes. These are expressions of freedom.


82 posted on 04/16/2013 8:52:46 PM PDT by C. Edmund Wright (Tokyo Rove is more than a name, it's a GREAT WEBSITE)
[ Post Reply | Private Reply | To 81 | View Replies]

To: RFEngineer

HAH, yes, and that awful show “Royal Pains” - a product of liberal USA / NBC - will be the inspriration for the downfall of Obama Care.


83 posted on 04/16/2013 8:53:41 PM PDT by C. Edmund Wright (Tokyo Rove is more than a name, it's a GREAT WEBSITE)
[ Post Reply | Private Reply | To 80 | View Replies]

To: MV=PY

There are specialty clinics such as radiology clinics. A retainer fee clinic can pay for them to cover their patients.


84 posted on 04/16/2013 9:06:57 PM PDT by Hostage (Be Breitbart!)
[ Post Reply | Private Reply | To 77 | View Replies]

To: rstrahan

My doctor (he is quite good, btw) went to concierge service. You could fire grapeshot the length of the waiting room and no one would have been hurt. It lasted about 1 week.

Total disaster.
He is now back on track.


85 posted on 04/17/2013 6:03:24 AM PDT by buffaloguy
[ Post Reply | Private Reply | To 1 | View Replies]

To: C. Edmund Wright

If they’re going to ban the Gadsen flag, maybe we should fly the “F ‘em” flag.


86 posted on 04/17/2013 7:41:35 AM PDT by St_Thomas_Aquinas
[ Post Reply | Private Reply | To 82 | View Replies]


Navigation: use the links below to view more comments.
first previous 1-5051-86 last

Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.

Free Republic
Browse · Search
News/Activism
Topics · Post Article

FreeRepublic, LLC, PO BOX 9771, FRESNO, CA 93794
FreeRepublic.com is powered by software copyright 2000-2008 John Robinson