Quote of the Day

Health care insurance doesn’t mean access to medical care any more than car insurance means you have access to a car.

                                                         –WhiteCoat’s Call Room, October 6, 2010

4 Comments

Filed under Quote of the Day

4 responses to “Quote of the Day

  1. I would be happy to accept medicaid if the paperwork requirement weren’t triple the amount for the other insurances!!

  2. Steve Parker, M.D.

    I know what you mean, Emily.

    Back when I was in Florida 10 years ago, the Medicaid payments were so low that many doctors didn’t even bother with filing a claim.

    On the other hand, Arizona’a Medicaid (called AHCCS) is pretty easy to work with and pays decently. That may change now that the state is in a budget crisis due to over-spending and over-reach during the boom years.

  3. I don’t think I fully understand what you mean. That sounds sad! We have better health care here in South America than we had in Canada. It is also much cheaper and I am so impressed with the level of professionalism and personal care.

    • Jennifer, there’s been a big political push in the U.S. lately to get every American “covered” by health insurance. Some of our polititians believe that will solve the problem of how to provide medical care to everyone, regardless of the individual’s ability to pay for care.

      In the U.S. we have universal health insurance for everyone over 65: it’s called Medicare. Nine years ago I had an office-based medical practice in Pensacola, Florida, with a heavy Medicare patient load. I had to close that practice because Medicare didn’t pay enough for me to pay my office overhead expenses, with enough left over for me to live on. I didn’t go bankrupt, but it was headed that way so I shut it down and became a hospitalist with much lower overhead expense.

      So those Medicare patients of mine had health insurance all right, but they lost access to my office-based services. Many of them ended up using hospital emergency departments (very expensive) or seeing non-physician providers such as nurse practitioners and physician assistants.

      That’s one example of how having health insurance doesn’t necessarily get you access to health care.