Comment: do doctors have to take medicare?

(See in situ)

In reply to comment: These are sad days in Medicine. (see in situ)

do doctors have to take medicare?

Your 27.5% decrease in medicare payments is shocking, no doubt, but can't a doctor simply opt out of medicare payments? I guess I have two questions: (1) can't doctors survive without medicare and (2) is it even legal for a doctor to refuse medicare payments?

A mandated 27.5% decrease in payments in either case is going to be very difficult for any doctor with integrity and business sense to stomach. However, if medicare is something you are forced to accept then this is tantamount to a huge tax increase.

Isn't that nice, btw, to allow the insurance mafia to continue jacking up their rates and the pharmaceutical monopolists to continue to ride the racket of pricing US drugs at a huge multiple of prices charged in other countries while attempting to bleed money from those who are actually on the front lines? Doctors are MOST essential to decent care. New drugs are much less important for the vast, vast majority of patients. And "insurance"? Well, that is such a racket -- those with insurance get probably a 90% "discount" on prices versus those without said "insurance". I was looking at a routine lab bill the other day and the supposed "full price" was something like $800 with Blue Cross getting a negotiated discount of about $700, paying $75 from their $1000+ they get each month, and leaving me with the balance. If I was working poor with no insurance, in other words, the laboratory would have squeezed me for $800 -- to punish me for not going along with the insurance MAFIA "protection" racket.

This would be considered price fixing or anti-trust, I am sure, in any other line of business. But the insurance companies have obviously BOUGHT "our" government and our "justice" system.

Bill of Rights /Amendment X: "The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people."

Do you need a politician or judge to "interpret" those 28