Read it again! Not when I needed it. Then you need A doctor that accepts more Medicare patients, and is in that insurances' program. Ha! You're kind of like @SlyPokerDog, go find me what I needed 9 years ago, now.
I spent most of HS in the library, I read most of the time I was awake. So my kids do take part in social activities. The local library does events for kids and reading that they’re active in, the oldest is active in community service and volunteers with my wife and I. We dont want to lock them up in the house because I agree that having kids who can cope socially is important. Just a choice we made, we certainly arent perfect parents by any stretch and others certainly have chosen other ways for their children. Nothing wrong with that neccessarily.
Well then I don’t get the issue, and am kind of done thinking of it. Insurance companies don’t/can’t open plans in counties without a network of physicians. This sounds like user error.
Bingo Everyone including business of all types need to increase their support for funding schools in a sound fiscal way. There are States an Cities that have had success and IMO set bench marks on how to step up and manage education. This State seems to be reluctant.
I think you might be sort of right. It is the sort of thing you get when the government runs the plan, but has no plan to connect all the dots, or even care how many there are or even if they are connectable. Can the government force a Doctor to accept medicare patients? No because they can not force anyone to be a Doctor healthcare provider that operates below the cost of doing business. Can the government force a Doctor to accept any insurance (E, Warren)? No, see above. Also that specific insurance may not include the Doctor in it's network. Or the Insurance may not pay enough to cover the Doctors cost+Profit. Can the government force Insurance companies to complete in all counties? Hell I sure doubt it.
If you can tell what this State is doing, you are insightful give the obfuscation the State has put in place over the past few years. But I would wager that it would be unlikely to be possible given the way the State allocates funds to make up all per student expenditures equal regardless of local resources.
I would favor the Lottery proceeds go directly to Education/ districts that need the assistance. With responsible criteria for performance. Years ago I dealt with a large Portland Company that purchased a lot of material from me, the GM was bragging on how he and the VP and their wives were all going to Viet Nam for a month on the State from lottery proceeds that a 100% went to Economic development. Their intentions were to go purchase used equipment for-resale over here. That company didn’t need the funds from the State they could have financed it themselves easily.
Well until you can understand what this statement means and what that view is by others in control. No plan would render much change.
No, the govt nor the health plan can make a doctor participate. But before a plan gets created and then launched for a county, they must prove they have a network of docs. That’s just fact. So if any MA or Supplemental plans are in Coos County, there are doctors and cheap plans available for Medicare beneficiaries. Now, you might have issues with your particular doctor working with a plan, but he/she must accept some insurances and most likely realized unless they want to lose members, they’ll have to participate. If someone has straight Medicare it would be harder most likely.
Let us assume all you just said is true. But Doctors do not necessarily get paid more when the patient has a MA plan. It usually is a benefit for the patient. The payments received by the doctor are set by medicare and are some times altered by agreement between the Doctor network and the Insurance company. This does not change the big picture for the most Doctors, payments by for Medicare Patients is below cost on the average. Most doctors need regular patients to offset the cost of Medicare patients. That is the primary reason for them to not accept more Medicare patients. It is the reason I could not find another doctor when my current one decided to retire from practice. Moda was the First MA plan we were able to buy in our county after this time. They stayed in the business there one or two years, can't remember, but not long and dropped out before the end of a year. When this happens, you got a find another match! Really a shabby system to stick people with.
Most all carriers offer Medicare Advatage plans including Keizer. Pricing/premiums are predicated on how much out of pocket before they cover 100%. They are in the doctors eyes and mine just like regular insurance before I became Medicare eligible. I still have to purchase the monthly fed Medicare at $130 month and don’t even need it. That’s the one that Doctor don’t want to provide services for. My doc is a friend and a part of a family care office and they won’t take on Medicare only patients. He says it’s the time lapse and stricter amounts paid. There is an effort to push it all to MA through a regular insurance company that’s is more efficient and pays with more flex.
My best estimate is, the closest we came was the early 60s. And then you still could pay your bills when you did not have insurance. Hospitals were not so damn expensive, they were not tasked to cover those that had no way to pay, so they did not need to cost shift. Even when you ran up a bill so damn big you could never pay, you did not go broke and lose your home. The state still allowed us to declare the home a homestead which protected it from confiscation. It began a down hill slide though with the Medicare bill in 1965. Man stuff change rapidly year after years from there on. I do not know what will put a good system in place now. None proposed so far.
Oh boo hoo, they get nearly three months off in a row and every major holiday/breaks. Forgive me for not pitying the paper graders over actual laborers who work 60 hour weeks. Teachers are paid quite fairly considering how many of them are absolute dogshit at their craft.
This term is sort of an odd thing. Insurance only has value to someone when it reduces their perceived risk, then they will be willing to pay for it. People that do not perceive risk will not be willing to pay. The self insured employers are the biggest of this group while they cover the costs of the most healthy while insurance companies and governments have worked to cost shift burden to them in a never ending cycle. Those that benefit most, do not cover their cost, so those that perceive risk but do not actually endure costs, pay the burden.
