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	<title>Comments on: Mom vs the Medicare Monopoly</title>
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	<link>http://physicianpracticeseminars.com/?p=1693</link>
	<description>Managing your medical practice, and your life.</description>
	<lastBuildDate>Tue, 20 Jul 2010 03:18:31 +0000</lastBuildDate>
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		<title>By: pookiemd</title>
		<link>http://physicianpracticeseminars.com/?p=1693&#038;cpage=1#comment-4970</link>
		<dc:creator>pookiemd</dc:creator>
		<pubDate>Fri, 29 Jan 2010 17:37:27 +0000</pubDate>
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		<description>I agree with you that the market would have driven medicare out many years ago.  The problem is that we are stuck in between--the government tells physicians what they can charge, but medicine is also a business.  It&#039;s a hybrid solution that doesn&#039;t work.  Thanks for your throughtful comments!</description>
		<content:encoded><![CDATA[<p>I agree with you that the market would have driven medicare out many years ago.  The problem is that we are stuck in between&#8211;the government tells physicians what they can charge, but medicine is also a business.  It&#8217;s a hybrid solution that doesn&#8217;t work.  Thanks for your throughtful comments!</p>
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		<title>By: SM</title>
		<link>http://physicianpracticeseminars.com/?p=1693&#038;cpage=1#comment-4945</link>
		<dc:creator>SM</dc:creator>
		<pubDate>Thu, 28 Jan 2010 15:18:39 +0000</pubDate>
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		<description>I would have agreed with you a few years ago. But  the reason physician reimbursement has fallen is because society is counting on physicians like you willing to kill themselves out of a sense of civic duty. I applaud these big centers( who have the economic clout to survive) saying no. Its time.  

Actually if it was a truly market driven system, the  center would have declined medicare, refused to submit claims, 10 yrs ago.

Individually I agree its inconvenient even tragic, but we have gotten ourselves to such an impasse,. I hope every year that the medicare fixes dont come through, and enough physicians quit medicare, that there will be some real change.</description>
		<content:encoded><![CDATA[<p>I would have agreed with you a few years ago. But  the reason physician reimbursement has fallen is because society is counting on physicians like you willing to kill themselves out of a sense of civic duty. I applaud these big centers( who have the economic clout to survive) saying no. Its time.  </p>
<p>Actually if it was a truly market driven system, the  center would have declined medicare, refused to submit claims, 10 yrs ago.</p>
<p>Individually I agree its inconvenient even tragic, but we have gotten ourselves to such an impasse,. I hope every year that the medicare fixes dont come through, and enough physicians quit medicare, that there will be some real change.</p>
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