Will the recently passed healthcare reform legislation be beneficial or detrimental to podiatry?

10% (28 votes)
61% (179 votes)
Too early to tell
29% (86 votes)
Total votes: 293


The only reason I feel it will be a detriment is hearing President Obama say things like "we are going to go after Doctors who overbill or commit fraud". While I believe many of us are honest and hard working Podiatrists, some or many of us probably are not great note takers or not very good documentors. Just feel a lot of us will suffer unnecessarily for the ones who intentionally committed fraud. I recently attended a McVey seminar and boy was I afraid to touch a Medicare patient for nails callus an Ulcers.

Primarily the bill is a boon to the insurance industry regardless of the apparent restrictions. I believe it is actually unconstitutional for Congress to mandate the purchase of a "product" (i.e. health insurance) from a private entity like an insurance company, that is traded on the stock market and is in business to maximize profits. All doctors will be impacted negatively with respect to reimbursement as portions of this bill are implemented if not struck down by the Supreme Court.

Suprising result here! Given the longstanding animosity of podiatrists towards generally uncooperative insurance companies, I would have guessed DPMs had mostly upside potential from reform. Since tens of millions of people will now be better able to afford insurance, I personally expect a greater number of potential patients, with limited impact on medicare reimbursements. Time will tell.

It is definately too soon to tell. The facts are not known yet so everyone should stop running scared and thinking the worst. If everyone has insurance coverage then I would think that you should expect to see more patients who may have hesitated going for podiatry care.

The bill states that 500 million to pay for healthcare will come from decreased reimbursement to hospitals, nursing homes, hospice and physicians. With the aging population, do the math, it will effect our bottom line. As one of my fellow doctors said, "we will get taxed more, paid less and can get sued by our patients. Who in their right mind will want to treat Medicare patients". Recently a major insurance company reimbursed me $285 for a bunionectomy with metatarsal osteotomy with the patient only responsible for another $85. This bill will not solve the problem. The government has made a mess of Medicare and Medicaid.

I believe the need to reduce the staggering weight of this bloated bill, in an effort to keep from raising taxes, will drive them to cut services. I believe that one of the biggest cuts will soon come in the DME portion. Specifically, the diabetic shoe program. Also, nail care will be greatly scrutinized and reimbursement will fall to budget crunches. This however will not be a bad thing, as cash for nails services are much more lucrative than medicare reimbursement for this service in my practice.

This bill is not only detrimental to podiatrists but to everyone's personal liberty. Cuts will be made to podiatrists to fund incentives for PCP's to stay in practice or to become MD's. Podiatrists will be considered an area that can be cut to free up funding for the MD's. As far as liberty goes, where in the constitution does it give the federal government the right to regulate health care? It is a state right, not a federal right!

The problem as I see it is that we have increased the number of people who feel they are entitled to health service at the same time health care providers are being restricted as to what health services they can provide. As podiatrist we are already dealing with patients who believe that a simple ingrown toenail is a medical necessity, but insurance companies who have excluded this care. Now add 30 million more people who feel they are entitled to care, yet have not read the exclusions, but feel it is the doctor's problem to worry about getting paid. I could not begin to count the number of times I have been told by a patient that all I needed to do was to put down the right numbers and I would get paid. Fraud is never an issue for a patient to deal with.

I'm going to go with the Heritage Foundation estimate here instead of the CBO, as the 10 cost of this debacle as around 2.1 trillion dollars. As the bill mandates costs which are unfunded and actually will raise the cost of healthcare and cause the deficit to climb rather than fall, the whole thing is unsustainable. For those who think that you're going to get a bunch of new patients, I'm not sure what good that is if the reimbursement on the patients you see is less than the cost of care. It is also the case that the fine for not having insurance is substantially less than the cost of insurance. With the mandate that you can't be denied because of a pre-existing condition, I can't imagine who would buy insurance. Pay the fine, save the money on the premiums you would have paid, wait until you're sick and then get health insurance.

Don't worry ...we will see more and more patients...just for less and less money (per patient)...we will always have a job...just won't get paid well for doing it!...This is not an attack on podiatry but the entire health care system. Medical doctors will hire more and more P.A.'s and Nurse practitioners to keep up with their patient volumes, as they will not make enough money to pay for doctors to work for them... Patients will have to wait longer and longer for appointments, etc. Its called Socialized Medicine.

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