Posted on 06/08/2013 10:26:23 PM PDT by grundle
I know several nurses earning “nursing practitioner”, because of all the clinics offering so many jobs for NPs (but not doctors).
No worries, Obama will let into the Country thousand of third world Doctors. He will convince the AMA to loosen the standards. These clowns will butcher Americans by day, and hack Government computers by night.
“Ah, but you lose the two thirds you dont want anyway...”
The two thirds of patients that was lost to the practice may have only contributed a relatively small amount (if any) to the profit margin. Doctors in self pay practices can offer relatively lower rates to self pay patients because of much lower overheads, ie less paperwork, phone calls, collection efforts etc.
There will be a lot of people that want health care services, but do not want to fill out all the paperwork for the subsidies and pay for over inflated ‘insurance’. Even the low information others will realize that it is cheaper for the average family to pay for some doctor visits, diagnostic tests or even a minor procedure out of pocket than it is to pay $20k for a 0-care budget plan.
Other factors are also still up in the air. We still don’t know whether in the federal exchange states, subsidies will be available (no funding in 0-care law). And if you file your taxes as not to receive a refund, whether this prevents enforcement of the mandate tax/penalty.
So you keep the third that doesn’t have any money because they spent it paying fines for not having insurance?
You pretty much just described the process by which corporate America, and our education system, are being strangled to death by administrative bloat.
The IRS has a well established mechanism for tapping into your personal assets to collect taxes you owe.
Obamacare pushed me out after 20 years in private practice as a FP in a rural area. I am now an employee. I get time off and benefits and a much higher take home pay. Of coarse, I am not as FREE but at least I am not going broke trying to pay the HIGH overhead of a private practice. Sad and cruel but, That is just the way things are going to be.
Certainly, I am in a “different place”. I am able to “go Galt” in a sense. I am able to get by on very little and so I can have patients who want MY advice and folks who I am happy to help. I don’t have many of the headaches others do. Admittedly. I don’t pay much in taxes to the feral gummint, either. IMHO, we would all be in a better position if we ALL made the choices I have. Sure, I could make 6 figures and pay enough in taxes to keep a family of six on welfare. I choose not to. Folks with debt need to figure out if they really want to practice medicine bad enough to contribute to the immoral behavior of the feral gummint. Read Boenhoffer. “To do nothing in the face of evil IS evil.”. Go Galt.
See above.
See above
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