Quote:
|
Originally Posted by pan6467
That is a good idea, but I don't see it happening.
|
Thats because you really don't have an understanding of whats going on, but you like to think you do.
My field has almost no insurance coverage. Of the people who come to me, maybe 1/2 have coverage and of them it pays for, at best, 1/4th of the treatment. Its mostly out of pocket.
And guess what? I haven't raised my fees in two years.
Fee's for the last 15 years have basicly kept pace with inflation.
Fee's overall are lower than they were (in todays and yesterdays dollars) 40 years ago due to advances in the field.
That, my friend, is the free market.
And I do have a dirty secret to tell you. Every now and then someone will have full coverage, its rare, maybe 1 in 100 have it, and I never ask before I give my fee, because when I find out I always think 'damn I could have charged them more'. Its human nature. If I know someone has 5 kids and is paying me out of pocket, I tend to lower my fee, but if I found out they had full coverage do I have the same feelings? Hell no. And the patients, do they dicker over the fee when they have full coverage? Never, not once.
I don't fear my karma at all pan, but if we ever pass some full socalized program and its your loved one waiting 5 months to just see a doctor and a month for the basic tests, and then you are told she is too old to get a transplant, remember this debate, paybacks are a bitch.