Kids tell the story of Christmas

43 Responses

  1. LOL! Jesus was born in a mansion. So cute. So innocent.

  2. Frankfurters!!

  3. I caught whatever it is that’s going around. Misery. Hot tea and lots of water so I don’t faint like Hilz and crack my melon open.

    I can’t eat. What. A. Shock.

    John added a new comment at the Critter page. It wasn’t Rosie. He’s raised 34 sets of kits and it was a sweetheart of a tortie. What a cutie.

    You should have taken my bet, you’d have $10 smackeroos to splurge.

    Nap time. *blows nose and coughs and wheezes*

  4. Awwwwwwww karen! If you can’t eat you must really be feeling bad. If i lived next door I would make you some soup to fix you up.

  5. Yeah where’d the frankfurters come from? Frankincense?

    Sorry I wan’t around. i got overly handled by doctors today and wasn’t having any great moments.

  6. Hope all is well with Uppity and Karen gets over her bug. I get a bunch of medical test tomorrow. Not sure what kind, but it’s part of a new program I had to enroll in so that I could continue to see my doc of many years. He and his partner are fed up with the insurance companies and medicare and went to something like concierge medicine. So tomorrow I learn how that is going to work. I already know how much it costs.

    Thanks to big pharma and big insurance and little politicians with big pockets!

  7. Hey folks, I missed you guys.

    There’s still no understanding of this tragedy. The town is sad. There are signs in front of businesses that say “Please Pray.” There are signs elsewhere saying, “town-name-here is praying.” Just about everywhere is having impromptu moments of silence.

    I do not personally know any of the victims. Several of my co-workers know people. One has a neighbor who lost her child, another lost a niece, another’s wife knows most of them because she used to volunteer at a day care facility, my previous boss’s kids (adolescent and teen) knew several of the victims. They are inconsolable.

  8. Hugo the problem with that kind of practice is you are paying a monthly or yearly fee for services from THAT doctor, but you still have to pay for health insurance because referrals to specialists are not covered. Nor are hospitals, including outpatient procedures, xrays, lab work, etc. …. or any other service provided outside that practice. It’s also a problem for people who have health insurance from their employers, or even medicare and supplemental insurance, as you are now paying an additional type of insurance to your primary care physician for services that would be covered by your insurance without the additional fees. You are basically paying for the privilege of seeing that doctor, whereas any other doctor’s services would be covered by your insurance and designated copays. The other problem with it is, not everything is covered by your conceirge membership fee. And I would want to know what the doctor plans to do under circumstances that are not covered, will you be paying, will your insurance be charged then, what? I would have A LOT of questions.

  9. Good to see you Sophie, I was a little worried. I know your town must be seriously bummed out.

  10. Hugo, also find out if those two docs will be treating you if you go into the hospital. A lot of the docs are no longer going to see their patients in the hospital and turn care over to a hospitalist. I personally don’t care for it but it seems to be a growing trend.

    http://en.wikipedia.org/wiki/Hospital_medicine

  11. SophieCT, I sent you an email that I thought might cheer you up a bit.

  12. i got overly handled by doctors today and wasn’t having any great moments.

    Hope you are better now.

  13. It’s direct pay Fredster, that was great 40 years ago when a doctor’s visit cost ten bucks. I can see with my kidney issues, I haven’t seen my primary doctor at all since I was referred. She can’t help me with this, although she has called me to check things with me Beyond that, her services are not what I need. And if i didn’t have insurance right now I would go broke. Just the CT scans and MRIs alone can be high 4 figures, outpatient procedures, etc etc.

    I think this kind of thing today is good for the doctor a whole lot more than for the patient.They get to see fewer patients, get more money for their services on average than an insurance company pays them, they cut their overhead in paper processing etc. But the truth is, it’s an added cost to someone who already has insurance. These programs usually include a checkup which, under the new rules would be free to any patient who has insurance as of 2014. If you’re perfectly healthy it costs you more. If you’re sick, you’re going into referal and it costs you more. So if you get the flu you can go in and see yoru primary care doctor for ‘free”. It comes out of your fee. If you never need the doctor all year, well then he gets to keep the ‘insurance’ money and you get to pay it.

  14. Uppity, you are correct. I still pay for health insurance and co-pays. This is an annual fee to see my doc. For the fee I get more time and easy access. Thevexolanation is that they want to practice medicine for the patient, not the insurance companies. I’m only on board cuz he’s a good doc. But it’s pricey.

    Fredster, that is a good question. If I go to the hospital where these docs have privileges, they will be the ones to handle my care. However, if I end up in another hospital, they must be notified and they will contact the hospital physician to ensure proper care based on history.

    It’s complicated, but this is reportedly the direction that some doctors are taking. Life used to simple.

  15. Upps, were you talking in your case about concierge medicine or the role of the hospitalist when you are admitted to a hospital?

    Just the CT scans and MRIs alone can be high 4 figures, outpatient procedures, etc etc.

    My visit to the “wound care clinic” at the hospital was right at a thousand. I’m hoping like hell, since they were in network, that the price gets negotiated down quite a bit!

  16. Hugo, I guess you just have to make sure you go to the hospital they practice at. I suppose another question would be is that included in your annual payment to them and if not, would they file for (or can they?) and accept the ins. payment? Seems like there *is* a lot to consider there.

  17. Fredster, there is a lot to consider, and I’ll see how it goes this year. It’s kind of experimental for me. It’s just sad to see good doctors making these choices and dropping half their patients.

  18. Sophie, it must be tough to be so close to that terrible event. In my state, one special needs child was shot by another middle school student on the first day of this school year and that rocked the entire area. There was a sustained outpouring of love and support for that child and it is still ongoing. But the CT event is that to the 100th power. Just unimaginable.

  19. Fredster I wasn’t talking about either. I was saying that without insurance you could go bankrupt very easily with hospital procedures and diagnostic tests.

  20. Hugo, call me jaded, but I see this kind of medicine is hardly altruistic. It’s about profit as much as anything. Personally if my doctor told me that I would have to pay him in addition to paying for insurance he doesn’t want, I would go find another doctor. I know that some doctors are doing this but they are very few and I do not see it as a dominant type of practice in the future. The only people who could afford a doctor like that are wealthy enough not to worry about things that aren’t covered and direct pay.

    Fredster, “hospitalists” are notorious for showing up in emergency rooms and preying on people with tests up the ying yand that have nothing to do with why they are there. They tried that shit with my father and i ripped that doctor’s guts out. He was the quintessential ambulance chaser on steriods. If you don’t have someone advocating for you, they will rip off you, medicare and make you feel sicker in the process. When I caught up with that guy, i told him where the bear goes and then informed the hospital that no procudures would occur without first consulting me. That’s all it took. But they couunt on some patients letting them do anything they feel like doing without rhyme or reason.

  21. Upps: My internist is one who doesn’t go to the hospital so if I had to be admitted someplace I would have to be in the hands of one of those. Same thing happened with the momster a couple of times. One problem I had with hers one time was the guy’s inability to speak English very well. I finally wrote down the number of the doc’s office and said “Main doctor – call him” and gestured with the phone in my hands. I finally told the nurses I had to have someone who could comprehend what I was saying. Thank goodness she was only there another day or two.

    Hugo: Out of curiosity I googled concierge doctors Birmingham and there are a few of them here. Apparently this is a company that works with docs who want to go this way:

    http://www.mdvip.com/

    I put in the local zip here in AL and it returned about 6 of them. I then put in my zip in nola and there were none for about 40 miles or so!

  22. No, it’s not altruistic. I know a lot of older folks in the practice are having to make tough choices.

  23. Fredster, that’s the organization. There are 27 member doctors w/i 30 miles of my house in Maryland.

  24. Imust–I saw an article about that–very cool thing to do!

  25. Those Golden Retrievers will do wonders.

  26. how on earth can a doctor be a internist and never go to a hospital for a patient. I find that almost incomprehensible. So these doctors want to work 9 to 5 I guess.

    I hate medical ‘groups’. You never know what doctor you are going to get or even if he knows you. I won’t go to that kind of veterinarian clinic either. Either I pick my doctor or my vet or I’m out of here.

  27. Agree, those goldens are just such lovable dogs and so eager to please.

  28. Re MDVIP, i was afraid of that. It’s what is happening to many funeral homes and vet clinics across the country too. They become part of this corporation and the main purpose is profit. It’s like a franchise thing. Corporate America now screws you when you are buried, when your pet is sick, and now, when you are sick too. The places become machines with bottom lines first.

  29. Checked my zip. 1 within 42 miles.

    I’m reading that link info Fredster, and they mention it is compatible with medicare and other insurance, so what they are really saying is, we will bill your insurer AND you will pay us too, because we want to make more money than we get from your insurance company. And if you don’t want to pay us monthly then you can’t be our patient because we want fewer patients that bring us more money so we can golf more often and shit. lol. Legal extortion. As IF insurance isn’t expensive enough, toss in a couple of hundred a month in bribe money to keep your doctor happy. Says they have plans as low as $1500 a year. So they reduce their patient load. For every 100 patients, they get an additional $150k a year in addition to their insurance payouts. Then they get to write off the amount that they consider “spent”. They can include equipment, supplies, etc etc you get the picture. It’s a double dip.

    Update, MDVIP is owned by………..are you ready?
    Proctor and Gamble.

    And…….

    http://blogs.palmbeachpost.com/on-call/2009/03/27/blue-cross-dropping-concierge-doctors/

  30. LOL! MDVIP us spreading like kudzu in my neighborhood.

  31. That $1500 fee actually includes the cost of the physical and blood work that is part if the annual health assessment. It is far more extensive than my so-called Cadillac insurance plan will cover. But, I’m not sure if it’s overkill. Time will tell.

  32. LOL! MDVIP us spreading like kudzu in my neighborhood.

    Proctor and Gamble will be pleased to hear that!

  33. I see this as finanically dangerous. For the patient. Just my two cents. It will eventually become literally VIP, only people who can afford to pay twice.

    I’m SURE Obamacare created this. I’m also sure that the major cuts to medicare payouts contributed BIG TIME.

    In the end though, it will force Single Pay in the USA.

    Hugo, you need to ask What DOESN’T it include.

  34. i got overly handled by doctors today and wasn’t having any great moments.

    EGAAAAAAAD!!
    Never fun. Then you get a big bill. Then wonder, WHY?!?

  35. In the end though, it will force Single Pay in the USA.

    Certainly looks like that is the trend.

  36. how on earth can a doctor be a internist and never go to a hospital for a patient. I find that almost incomprehensible. So these doctors want to work 9 to 5 I guess.

    I hate medical ‘groups’. You never know what doctor you are going to get or even if he knows you. I won’t go to that kind of veterinarian clinic either. Either I pick my doctor or my vet or I’m out of here.

    Not true in my case. I make the appt. with *my* doc. There are four of them in the practice but I would only see another if my doc was out, or on vacay or something like that. Also, his first appt. starts at 8:00 so I’m guessing he gets in for 7 or 7:30 perhaps?

  37. Hugo said:

    That $1500 fee actually includes the cost of the physical and blood work that is part if the annual health assessment. It is far more extensive than my so-called Cadillac insurance plan will cover.

    Hugo wouldn’t a lot of that have been covered under the “wellness” parts of your Fed policy?

    I don’t have FEP Blue or anything like that anymore, having resigned from the Feds (long story), but I have a plan that is modeled after the Fed plans and there is a “wellness” benefit that covers PSA blood test, cholesterol test and a few other things w/out having to into the major medical part of it. I just have the office co-pay.

  38. I am 55 and my insurance covers an annual physical, blood work, pap, mammo, and any other tests or procedures my doctor feels I need. I live in the woods so he tosses in a lyme test every other year, for example because I garden and have deer and critters in my yard daily.

  39. Karen by 2014 all insurance will have to fully cover preventative annual checkups too. If any of us can afford insurance at all by then.

  40. Fredster, my insurance covers some blood work and diagnostic with co-pays and a deductible. Within the past year my doc order additional specific blood tests to follow up on some issues. My Cadillac plan paid for none of it. And those tests did identify a problem.

    The diagnostics I had this morning include some covered by my insurer and other stuff that is never included. One of those seems like it should be routine and covered–measuring blood flow.

    But, I’m still unsure about this for the long term.

  41. Hugo, I know I would be VERY interested if you kept us informed on your doctor journey.

  42. Will do, Uppity. Part 2 of that $1500 physical is next month, so I’ll have more on the topic then.

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