health policy · MS-3 · news

It passed!

I have to say, I am pleased at the passage of the health care bill.  It’s a good first step in this long, hard struggle of health care reform.

I’m not convinced by the argument I have heard so many of my classmates make, that reimbursements will necessarily go down, or that a government-run option will by definition be inefficient.  Private insurance companies spend 30% of their income on administrators. Medicare’s overhead is in the single digits.  That sounds pretty damn efficient to me.


5 thoughts on “It passed!

  1. Yay for you! I’m glad you are not sucked in by your classmates self-assured pessimism. This is also moral… if reimbursements drop, so what… the point is, people get healthcare.

  2. Fewer medical school graduates will find primary care as attractive, if reimbursements drop. It’s also conceivable that a drop in medicare reimbursement, which is already low, will lead some physicians to stop accepting new medicare patients. It does no good if “people get healthcare” but they can’t find a doctor that will see them.

    1. Sorry, but this is incorrect. Primary care reimbursements are set to increase under this legislation. More about that here. I also suspect that the percentage of take-home income for most private doctors will increase if they don’t have to hire several full-time billing staff.

      I do agree that access is about far more than insurance coverage.

      1. I didn’t say that primary reimbursements were dropping due to this bill (I think an original form included cuts to reimbursements, though). Was just responding to the original comment about reimbursement cuts not being a big deal – I believe they would be and tend to make primary less attractive to new graduates.

        Interestingly, though, family medicine had a 91% match this year – highest on record.

        1. Ok, fair enough. But the way the talk goes, specialists will probably see a bigger cut (i.e. a closing of the primary/specialty gap). Though Congress failed to repeal this year’s Medicare cut, so I guess we’ll just have to see how this goes down.

          About 10% of my class wants to go into Family Med, with another healthy chunk in general internal med and general peds. Maybe we’re seeing a paradigm shift….

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