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- A tumblr site dedicated to the people and places that make up Oregon and Southwest Washington.
I am sure that like all other legislation the devil is in the details. I am sure that some will benefit more than others . I am sure that the initail 10 years will be rocky--for me, as a physician they may be ugly.
We need to keep in mind that we care for most chronically ill people already , through our taxes if they have Medicare or Mediciad OR through cost shifting . They are teated when they reach the ER in heart failure from untreated hypertension or are hospitalized with widely metastatic breast cancer. Not all preventive care saves money( believe it or not) but access to regular primary care , looking internationally, does save money by catching things before they get to the end stage
I do think medicine is one of the only services where what you pay depends so much on who you are. What is the "cost" of an MRI? That's unclear. The charges may vary from $600 to $1800 depending on whether you have medicare , medicaid, private insurance or are self pay. It will take years for medical costs and charges to be come rational, and there will be some very difficult adjustments along the way. Of course we are all afraid our coverage will be cut , since the sticker prices are so high. So is the providers overhead ...
Thank Gosh for Rep DeFAzio negotationg equity in Medicare payments across regions.
posted 3 years, 1 month ago
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