“Get ready for a two-tier system of medical care”

As I explained in the Mediscare/Paul Ryan blog a couple of weeks ago, Medicare’s price-fixing has resulted in the Health Insurance industry indexing their prices to Medicare. Additionally,  unrealistic demands by both are causing primary care doctors to just flat refuse to contract.  The two tiered system is already starting to accelerate and this will only hasten under the Patient Protection and Affordable Care Act (PPACA).  As I had argued a long time ago health insurance does not equal health care. If your doctors don’t contract or agree to terms dictated by the third-party payors, I would ask folks, why are we buying all this insurance?  Perhaps we need to demand less “coverage”, more catastrophic coverage and start paying our providers directly when services are provided. If we want less expensive care, let’s let the doctors do their job, document less (for the payors) and pay/collect at the time of service; this is more efficient and won’t compromise your care.

Below is a link to a recent Wall Street Journal article illustrating how doctors are not contracting but instead providing people what they want/need from us while charging “real fees” for our expertise and time.


About thedoctorsreport

Dr. Kordonowy is board certified by the American Board of Internal Medicine and has been in private practice since 1993. His group practice is in Fort Myers, Florida. His website is: www.drkordonowy.com. He earned his degree from the University of Kansas School of Medicine in Kansas City, Kansas and completed his residency as Chief Resident at Orlando Regional Hospital System. As Chief Resident, Dr. Kordonowy was recognized as the Outstanding Resident by the American College of Physicians. He is a member of the American Medical Association, American College of Physicians, and the American Society of Internal Medicine. In December 2005, Dr. Kordonowy became Board Certified in the new field of Clinical Lipidology by the American Board of Clinical Lipidology. Lipidology is the specialty of diagnosis and management of cholesterol and triglyceride metabolism disorders. Cardiovascular disease risk assessment is also part of this specialty. He now serves as president of the Independent Physicians Association of Lee County. He is active in the Lee County Medical Society, the Florida Medical Society , the Florida Lipid Foundation, National Lipid Association and the American Medical Association.
This entry was posted in Categories, News and tagged , , , , , . Bookmark the permalink.

3 Responses to “Get ready for a two-tier system of medical care”

  1. Pauline says:

    I think “your” system makes sense!

  2. Pingback: Future Predictions for Healthcare in America | The Doctor's Report

  3. Pingback: We Didn’t Mean Us! | The Doctor's Report

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s