Comments on: Medicare veto override a triumph for single-payer advocates, Krugman writes http://www.aapsonline.org/newsoftheday/0038 from the Association of American Physicians and Surgeons Thu, 07 Apr 2011 16:47:01 +0000 hourly 1 http://wordpress.org/?v=3.3 By: Howard Long MD MPH http://www.aapsonline.org/newsoftheday/0038#comment-1599 Howard Long MD MPH Thu, 24 Jul 2008 00:23:59 +0000 http://www.aapsonline.org/newsoftheday/?p=38#comment-1599 Cash at the time, not accepting Medicare money, liberates. It does require cutting overhead, going gradually and rebuilding a practice based on word of mouth that you take time and care about all of a patient's concerns. A $50, 15 min visit takes care of 3/4, I find. A more interesting practice results from people dissatisfied with the superficial, standard or unfeeling inattention usual at Kaiser, Medicaid clinics, etc. Warning. That also means patients have tried others first and have more challenging conditions. Cash at the time, not accepting Medicare money, liberates.

It does require cutting overhead, going gradually and rebuilding a practice based on word of mouth that you take time and care about all of a patient’s concerns. A $50, 15 min visit takes care of 3/4, I find. A more interesting practice results from people dissatisfied with the superficial, standard or unfeeling inattention usual at Kaiser, Medicaid clinics, etc.

Warning. That also means patients have tried others first and have more challenging conditions.

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