The answer to our primary health care.....

The answer to our primary health care..... (Full Version)

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MrRodgers -> The answer to our primary health care..... (9/3/2017 1:06:01 AM)
Direct Primary Care (DPC) is an innovative alternative payment model improving access to high functioning health care with a simple, flat, affordable membership fee. No fee-for-service payments. No third party billing. The defining element of DPC is an enduring and trusting relationship between a patient and his or her primary care provider. Patients have extraordinary access to a physician of their choice, often for as little as $70 per month, and physicians are accountable first and foremost their patients. DPC is embraced by health policymakers on the left and right and creates happy patients and happy doctors all over the country! HERE There are lawsuits already and have been really. See, just let the 'free market' take over and the entrenched will be on you like a thief. There are tax games like only after tax $$ can pay these payments when before tax $$ pay your insurance premiums. Insurance companies cutting off their end because the patient went to direct primary care. Potentially 50 different legal regimes to work through. DPC is still growing though, with 600 groups nationwide.

HaveRopeWillBind -> RE: The answer to our primary health care..... (9/3/2017 3:43:03 AM)
This could work on a national basis if everyone paid into the same healthcare group, but if different groups exist, some will be low cost and will have basically substandard care, and others will have high fees that the general public couldn't afford, creating groups of elite health care. Of course the best doctors will gravitate to the highest paying groups quickly, leaving the rest of the populace with mediocre or even incompetent doctors and nurses, etc. It's one of those good ideas on paper that doesn't pan out so well in the real world. It would lower the cost of healthcare some, but would likely lower the quality of care available to most people by a greater factor.

MasterJaguar01 -> RE: The answer to our primary health care..... (9/3/2017 7:55:45 AM)
quote: ORIGINAL: MrRodgers Direct Primary Care (DPC) is an innovative alternative payment model improving access to high functioning health care with a simple, flat, affordable membership fee. No fee-for-service payments. No third party billing. The defining element of DPC is an enduring and trusting relationship between a patient and his or her primary care provider. Patients have extraordinary access to a physician of their choice, often for as little as $70 per month, and physicians are accountable first and foremost their patients. DPC is embraced by health policymakers on the left and right and creates happy patients and happy doctors all over the country! HERE There are lawsuits already and have been really. See, just let the 'free market' take over and the entrenched will be on you like a thief. There are tax games like only after tax $$ can pay these payments when before tax $$ pay your insurance premiums. Insurance companies cutting off their end because the patient went to direct primary care. Potentially 50 different legal regimes to work through. DPC is still growing though, with 600 groups nationwide. I have been posting about Direct Primary Care for just over 3 years now. We already have a couple Direct primary care models out here in Washington (most notably Qliance). A DPC plan actually qualifies as meeting the ACA mandate if accomanied by a catastrophic care eplan. It is hilarious how the right wing pundits "discover' this model, and say how much better it is than Obamacare Having no clue that it fits right into Obamacare. I remember Huckabee having a couple physicians on his show who started it in their practicce. Of course he set up the whole interview to bash the ACA. Huckabe began lecturing his audience, on how models like DPC are so much better than Obamacare. I snarfed my Lemonade when one of the physicians said their plan was perfectly compatible with Obamacare. Huckabee quickly ended the interview. Hannity has has had a couple docs on his show a few times who are running a DPC practice. He too thinks he "discovered" a better way than the ACA. They are clueless.

ThatDizzyChick -> RE: The answer to our primary health care..... (9/3/2017 9:22:02 AM)
Oh God, you guys keep dreaming up dumb ways to justify not being sensible.

MasterJaguar01 -> RE: The answer to our primary health care..... (9/3/2017 4:36:54 PM)
quote: ORIGINAL: HaveRopeWillBind This could work on a national basis if everyone paid into the same healthcare group, but if different groups exist, some will be low cost and will have basically substandard care, and others will have high fees that the general public couldn't afford, creating groups of elite health care. Of course the best doctors will gravitate to the highest paying groups quickly, leaving the rest of the populace with mediocre or even incompetent doctors and nurses, etc. It's one of those good ideas on paper that doesn't pan out so well in the real world. It would lower the cost of healthcare some, but would likely lower the quality of care available to most people by a greater factor. This can work in the private market, a public market (see Healthy San Francisco), or a hybrid. Local, state, or national. Also... If Hospitals participate in DPC verticals... Property & Life insurers can get into the market... (e.g. You could buy a catastrophic health plan from Geico or Allstate anywhere in the country)

MercTech -> RE: The answer to our primary health care..... (9/3/2017 4:43:39 PM)
It sounds like you are talking about the original model for a HMO that existed before corporations turned HMOs into cash cows.

MrRodgers -> RE: The answer to our primary health care..... (9/3/2017 7:14:28 PM)
quote: ORIGINAL: ThatDizzyChick Oh God, you guys keep dreaming up dumb ways to justify not being sensible. Trust me deary, it's not 'us guys' doing it. I've always wondered how a solid majority of capitalists accept being ripped off by private medicine a minority of capitalists, laughing all of the way...to the bank.

ThatDizzyChick -> RE: The answer to our primary health care..... (9/3/2017 8:48:16 PM)
quote: I've always wondered how a solid majority of capitalists accept being ripped off by private medicine a minority of capitalists, laughing all of the way...to the bank. You know, I that's a damn good point. Doesn't make a fuck of a lot of sense, does it?

Edwird -> RE: The answer to our primary health care..... (9/3/2017 9:12:17 PM)
quote: ORIGINAL: ThatDizzyChick Oh God, you guys keep dreaming up dumb ways to justify not being sensible. If only we had the good sense to destroy millions of acres of forest to purpose of destructive mining of tar sands, like our good sense neighbors.

Edwird -> RE: The answer to our primary health care..... (9/3/2017 9:14:49 PM)
I'll say it again: Trump is putting up the wall on the wrong border.

ThatDizzyChick -> RE: The answer to our primary health care..... (9/3/2017 9:19:50 PM)
LOL Fucking pathetic

Edwird -> RE: The answer to our primary health care..... (9/3/2017 9:35:28 PM)
Not that I'm surprised you think it funny to destroy large areas of forests, and then tell others they're stupid, but there we are.

ThatDizzyChick -> RE: The answer to our primary health care..... (9/4/2017 8:47:07 AM)
No darling, it is your pathetic attempt to deflect that is funny

MasterJaguar01 -> RE: The answer to our primary health care..... (9/4/2017 4:55:23 PM)
quote: ORIGINAL: MrRodgers Direct Primary Care (DPC) is an innovative alternative payment model improving access to high functioning health care with a simple, flat, affordable membership fee. No fee-for-service payments. No third party billing. The defining element of DPC is an enduring and trusting relationship between a patient and his or her primary care provider. Patients have extraordinary access to a physician of their choice, often for as little as $70 per month, and physicians are accountable first and foremost their patients. DPC is embraced by health policymakers on the left and right and creates happy patients and happy doctors all over the country! HERE There are lawsuits already and have been really. See, just let the 'free market' take over and the entrenched will be on you like a thief. There are tax games like only after tax $$ can pay these payments when before tax $$ pay your insurance premiums. Insurance companies cutting off their end because the patient went to direct primary care. Potentially 50 different legal regimes to work through. DPC is still growing though, with 600 groups nationwide. Great topic... Great thread. Too bad it was derailed by childish banter.

jlf1961 -> RE: The answer to our primary health care..... (9/4/2017 8:04:12 PM)
One problem. It is simple and makes sense. So, there is no way in hell the government will stand for it.

sloguy02246 -> RE: The answer to our primary health care..... (9/4/2017 10:06:47 PM)
FR - As another poster stated earlier, this sounds very similar to an HMO plan. I was the benefits coordinator at a company in the 90's who offered three different HMO plans in addition to a conventional insurance plan. Let me assure you that an HMO-type plan will not solve this problem. Those HMO plans created a huge number of employee complaints because the HMO plans repeatedly declared proposed treatments as "unnecessary," and occasionally as "experimental" and would refude to pay for them, leaving the physician and patient to battle it out between themselves. As noted above, these types of plans pay a network doctor a small, fixed amount every month for each patient who has designated the doctor as their primary care provider. After that, further payments (and referrals to specialists) are very hard to come by. The physician therefore has somewhat of a disincentive to provide a patient with continuing routine care as there is no additional money being paid to the physician, regardless of the number of office visits the patient requires.

Real0ne -> RE: The answer to our primary health care..... (9/5/2017 8:10:41 PM)
quote: ORIGINAL: jlf1961 One problem. It is simple and makes sense. So, there is no way in hell the government will stand for it. cant be done because as trump found out there are too many fingers/bloodsuckers in that pie, you all need to expand your understanding of our corporate fascist gubmint

susie -> RE: The answer to our primary health care..... (9/6/2017 5:08:45 AM)
FR Although I cannot claim that the National Health Service in the UK is perfect I would choose it above private providers paid for by the likes of BUPA. Get rid of all the insurance companies that raise the cost of your healthcare. Pay a % of your salary into one fund that runs all hospitals in the USA and pays all doctors and specialists. The cost of healthcare will reduce..

Made2Obey -> RE: The answer to our primary health care..... (9/6/2017 5:26:25 AM)
The problem with HMOs is that they employ more administrative types than actual medical practitioners, and that can't help but raise the costs of medicine greatly.

WhoreMods -> RE: The answer to our primary health care..... (9/6/2017 5:26:46 AM)
quote: ORIGINAL: susie Get rid of all the insurance companies that raise the cost of your healthcare. Pay a % of your salary into one fund that runs all hospitals in the USA and pays all doctors and specialists. The cost of healthcare will reduce.. That'll just raise medical costs further, though: everybody knows that the only way to reduce the price of anything is by promoting competition between business rivals, which invariably leads to them undercutting each other and offering more services for less money. Such an arrangement has never (for instance) led to corner cutting, a monopoly established by somebody running at a lost until their rivals were driven out of business and then hiking their prices massively once there were no alternatives to using them, competition over who can gouge the most payment for the least services from their customers, or other such marketplace abuses. The invisible hand of the free market sees to it that late capitalism works perfectly to everybody's best advantage without any regulation, particularly when something that should be a public service is being run to make a profit, and any problems are clearly the result of government interference with a system that would work perfectly well if they left the capitalist altruists to do their own thing as they saw fit. [sm=pigsfly.gif]

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