In response to:

The HMO in Your Future

Greg1084 Wrote: Jun 23, 2012 8:47 AM
Anticipation of the ACO model is why you may be seeing local hospitals hiring new docs or buying existing practices or groups. It may not matter whether or not Obamacare is overturned as to whether CMS decides to press on with this model when it comes to medicare and medicaid. Costs have to be gotten under control, and that means managing care and stopping the doctor-shopping that the biggest outliers (patients who don't give a crap about how much in resources they waste) engage in. Cookbook medicine is the result of having a nanny state with limited resources.
tallen Wrote: Jun 23, 2012 9:02 AM
Your out of your tree, if I'd checked with another doctor for my Dad he'd be alive today. Doctors just like any other professional there are good ones and there are not so good ones. I'm sure you've changed Mechanics, or even restaurants, or maybe a Lawyer account of the one you first tried wasn't that great. This is why we've had the old saying "Get A Second Opinion". I hope you don't someday loose a loved one account of your miss-guided ways. And by the way..Medicare, Medicaid, and Social Security would have been solvent for 100's of years if Big Brother hadn't got greedy and started using it for other things that it wasn't created for.
Greg1084 Wrote: Jun 23, 2012 1:11 PM
You must have misunderstood my post entirely. I am for a market in medicine. That is why I advocate the elimination of licensure. Doing this is the only way to get a functioning market. Otherwise we are stuck with a monopoly and the market distortions and shortages natural to a monopoly. Also, what I describe above is what I think might happen based on the facts on the ground, not in my dreams of what should be. My grandfather died because of a bad choice of doctors, too.
Greg1084 Wrote: Jun 23, 2012 1:12 PM
By the way. I'm a physician. A surgical subspecialist.
Greg1084 Wrote: Jun 23, 2012 8:52 AM
That said, If I had my druthers we would simply eliminate physician licensing and have a wide-open market. Without licensing there is no tie between practitioner and government. How would they be able to track and control anything? Licensing was a Faustian bargain between the AMA and government in the first place: the docs got a monopoly, and the government got it's camel's nose under the tent for control of everything medical. Ever since the bargain was made, the rest is an historical dance in the direction of the inevitable consequences of making such a bargain.
Greg1084 Wrote: Jun 23, 2012 9:01 AM
What do I think will actually happen? I'm really unsure, but I think two forces are at work: one is the inevitable insolvency of the federal programs and the desire to save them is some shape, the other is the realization on the part of the public of the truth of this and a desire not to be stuck with the limited options that reforming the federal system will require. I think the average person can see where we and Europe and Japan are and he doesn't want to just make things worse. So we may end up with a separate government system, and a private system outside of this similar to that in Australia.
Are you in an HMO? If you are a senior on Medicare the answer is probably "yes." And if you’re not in one now you soon will be.

So why don’t you know about this? It’s all part of health reform (ObamaCare). For the past few months the federal government has been quietly and secretly enrolling millions of elderly and disabled people into a new type of health maintenance organization without their knowledge or consent.

By "quietly" I mean that the government isn’t telling you about it and it has no plans to tell you about it. By secretly, I mean...