Wednesday, March 13, 2013

Direct Primary Care - Physician's war against ObamaCare and Burdensome Regulations

"Dr. Ryan Neuhofel, 31, offers a rare glimpse at what it would be like to go to the doctor without massive government interference in health care. Dr. Neuhofel, based in the college town of Lawrence, Kansas, charges for his services according to an online price list that's as straightforward as a restaurant menu. A drained abscess runs $30, a pap smear, $40, a 30-minute house call, $100. Strep cultures, glucose tolerance tests, and pregnancy tests are on the house. Neuhofel doesn't accept insurance. He even barters on occasion with cash-strapped locals. One patient pays with fresh eggs and another with homemade cheese and goat's milk."

$200.00 to $300.00 to remove n ingrown toenail?  Many Physicians are cutting out the "coding" and insurance claims, and the attendant office staff, and going to a direct pricing and subscription based practices.  One of my old physicians, when I lived in Missouri offered a service similar to that.

$15.00 a month and if you needed him to make a house call it was $35.00, and he would take a post dated check.  Lab work?  He'd send you to the Lab and give you a cash client script, and your tests instead of costing an insurance company and their paperwork requirements several hundred dollars cost you as an individual $75.00 for the full blood and urine work up.  Not $150.00 for only 2 tests that your insurance company would have to pay.

As ObamaCare requires more and more physicians to work for less and less, while the insurance companies handling the paperwork get richer and richer, our quality of care is going to decrease.  Physicians will have to see more patients in a day to maintain their incomes, and as Insurance and other costs go higher, they will have to make it up somewhere else.  And that somewhere else is less time spent with each patient, less time by the remaining staff to do routine tests that used to be done in the Physicians office now have to be sent out to crowded, backed up labs.  Which means that things will start to slip by, and not get added into a chart or records, which means pertinent medical facts, signs and symptoms won't be caught.

All that could lead to misdiagnosis' and people dieing.

However with Direct Primary Care, your physician has more time to properly diagnose you, more time to order the proper tests, more time to spend with each patient.  Which can only mean better care.

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