Serious Black: Kiteck said he is approaching retirement age, and that he and his office are "computer illiterate," adding that he would need special training to add electronic records. He said it would be a financial burden and take "thousands of man hours or woman hours to get the records on the computer."How the hell is every single person in his office computer illiterate in 2013? Do they use abacuses to calculate people's bills?
mrshowrules: From wiki: "Doctors who fail to use EMRs by 2015, Medicare reimbursements will be reduced by 1%. The deduction rate increases in subsequent years by 2% in 2016, 3% in 2017, 4% in 2018 "In other words, he has no reason to close now and very little reason to close later. Article already indicates that he was close to retirement. So Obama is now responsible for doctors retiring.
machoprogrammer: There is a reason they are forcing small doctors offices to either close or to retire...In 2009, the HITECH act was passed as part of the stimulus. Part of that is using an electronic medical record (EMR) in a "meaningful way", called "Meaningful Use". If the physician/hospital chooses not to partake, they do not get extra free money from taxpayers right now... In a few years, those tax payer dollar incentives turn into no medicare reimbursement penalties.The problem is that EMRs are very, very expensive and the cheaper, smaller ones do not handle Meaningful Use very well. The nice ones are for bigger healthcare organizations and are tens of millions of dollars to just install (not counting support from the vendor, which is also in the millions).The reason? Well let's just say EMR vendor CEOs know who to donate money toIt was NOT the ACA, but the HITECH Act that is causing it.
InmanRoshi: ox45tallboy: If this guy resisted learning about computers, which have been pretty ubiquitous business practice for the past 20 years, imagine what other technological advancements he has resisted learning about regarding the practice of medicine.This.One can romanticize the archetype of the folksy rural doctor, but there's probably a reason why many of them plant themselves to a captive pool of patients who don't have many accessible alternatives (and far, far away from the nearest malpractice lawyer).
mrlewish: So how did this doctor stay informed with the latest medical literature? Does the research people still do paper?
Jim_Callahan: Girl Sailor: natazha: I was speaking to a doctor last Sunday, who said the ACA was going to destroy her practice for exactly that reason. She doesn't use computers and her overhead is almost 70% of her gross. She's going to go to a cash practice, but that won't last very long. If most people have insurance, who's going to pay cash?What kind of doctor was that?Probably most of them? Overhead = every expense but salary and materials, and the vast majority of private practices have no material costs whatsoever (insurance buys the customers' drugs and so on). A lot of doctors count employee salary in the overhead, too, meaning that 70% is probably basically all of her expenses and her profit margin is on the order of 50%, which is farking excellent.Even if she's using the term properly, the usual ratio of benefits (insurance and retirement) to salary for nurses and other medical workers is something on the order of 3:1, so an overhead that's 70% of the gross probably still leaves a healthy profit margin.
Southern100: [www.themoviescene.co.uk image 400x185]Nurse Packer approves.[image1.frequency.com image 354x200]As does Mr. Tidwell.
NeverDrunk23: mrshowrules: From wiki: "Doctors who fail to use EMRs by 2015, Medicare reimbursements will be reduced by 1%. The deduction rate increases in subsequent years by 2% in 2016, 3% in 2017, 4% in 2018 "In other words, he has no reason to close now and very little reason to close later. Article already indicates that he was close to retirement. So Obama is now responsible for doctors retiring.Obama said I could keep my doctor. Now my doctor wants to be a dancer and I need a new doctor now. Thanks Obama.
Doc Lee: Interesting opinions on the doc... http://www.topix.com/forum/city/somerset-ky/TBFFTRU5EKATF3NA5
QueenMamaBee: Serious Black: urbangirl: Serious Black:How the hell is every single person in his office computer illiterate in 2013?Somerset, KYYes, yes, it's a small backwoods town, but still, nobody in their office is even remotely computer literate? And there HAVE to be technically literate people in the area given that there are huge centers for SAIC and Blackboard nearby.The whole town is 11 square miles, set in the middle of Pulaski County. I dare say that the SAIC and Blackboard people were imported or else the few technically literate people already have jobs and the rest of the town would remind me of my grandmother trying to figure out how to "download the emails."
A Dark Evil Omen: I had to shut down my chirurgical practice because of Obamacare, too. They won't let me offer paregoric to my youngest patients and the law demands that I abandon humorism and phrenology. Thanks, Obama.
Angry Drunk Bureaucrat: Serious Black: natazha: I was speaking to a doctor last Sunday, who said the ACA was going to destroy her practice for exactly that reason. She doesn't use computers and her overhead is almost 70% of her gross. She's going to go to a cash practice, but that won't last very long. If most people have insurance, who's going to pay cash?Jesus titty-farking Christ. That's a ton of money.That was nearly my response too. Although, I said "Christ on a Bicycle" instead.
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