Home Forums Discussions General Discussion Venting!

Adam, of course you are correct.

But, I really do not feel that even vaguely extreme measures are required. (Take note, Jimmie... here comes the lunatic fringe...) At the cost of sounding like a broken record, all anyone has to do, organized or not, is just stop signing those golden contracts. Just stop. As Ann Landers said, "No one can take advantage of you without your permission." Everyone who reads my rants immediately says "Well, easy for you to say, but we "HAVE TO.....". Well, no, you don't have to. You choose to. My charges for an average patient for a year are dwarfed by the average cable television budget, let alone cigarettes or alcohol. I have no qualms about asking to be paid for my work.

If doctors stop signing up to be victims, this all goes away.

Sorry about not knowing how to "box" the specific persons previous words--just copy and paste???

I sure appreciate everyone's help and input. I have been naively keeping my head buried in my practice, mistakenly thinking all this (un-affordable care act) stuff would just go away and I would be just fine, and realize with my denial of reality for so long that I am just starting to see what you guys have seen coming for a while. Thanks for being understanding. I am really just about as angry at myself as I am for what has been thrust on all of us, but the anger is slowly changing to acceptance of reality.

To Jack--thank you for the docs4ptcare--i was unaware of this group and have looked at the website--very very interesting.

To Jon--Sorry I misunderstood you, and realize where you are coming from with your response. also thank you for the kind words. I have sort of an inferiority complex when expressing myself on this forum as I have never really been part of anything like this before and I can't tell how things come across and do not want to offend anyone. So with that said, I really appreciate your feedback. Also, I hate to admit it but have never been political at all and sometimes don't even vote--and have certainly never written a senator or congressman before.

To David--I don't think you are on the fringe at all, and believe that I may have to consider not playing ball with medicare, or doing it in stages. I think there may be unintended consequences of the un-affordable care act--and that is doctors in small offices can adapt and change much more quickly than the larger groups of hospital owned physicians or the mandates by the government. We have the capability to dodge and move like Jeb Stuart at Gettysburg, with his calvary unit, who as some believe if he had flanked the union forces just 24 hours sooner Lee's next victory would have been D.C. --I think we as primary care docs have alot more power to yield, than we might even realize.

To Adam--thank you as well, and I was able to spend a wonderful Easter with family on a farm that has been in her family going on 4 generations now--russian german homesteaders that not only beat the odds of drought and severe weather but have succeeded. I have been extremely blessed to be and to have been influenced by extremely business savy farmers. Its somewhat comparing apples to oranges in terms of business practices, but the basics--keeping your costs to a minimum and having excellent help in running the business is necessary for any small business to succeed. But realize how blessed I am to have such a great family, and a place for the kids to see what the fiber of America really is.

And really I appreciate this forum, in order to vent from time to time. jimmie

To David--
I was rereading the above note and have to add an addendum so I don't sound totally crazy. I am by no means a civil war historian but have found the study quite interesting and have visited Gettysburg twice----but brought up the idea of Jeb Stuart and his calvary in the sense that I think AC allows us as users to be very mobile and change quickly to the ever changing medical front--not unlike a calvary unit on the field of battle--as I understand Stuart was suppose to arrive 24 hours sooner than he actually did arrive on the eastern side of the union forces to cut off the supply lines therefore diverting the union forces which did not happen, and the advancing Lee front was able to be met by the entire union force and Stuart arrived too late--i think mainly due to inclimate weather if my memory serves me correctly-so often time chance, weather and circumstance change well thought out plans---and as they say the victors write history--jimmie

Jimmie, not nutso at all. The lessons of the military, from Sun Tzu to von Clausewitz Are totally applicable to any human conflict, whether armed or not. I agree with your post totally.