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This has got to be the very rare extreem. A write off that big I've only seen with welfare, which pays about 10%, and Medicare, about 35% and the hospital or practitioner is only taking that payment as a courtesy. Many providers can't afford to take those rates and stay in business, so they don't. If congess decides to cut Medicare rates another 10% the elderly are going to be lucky to find doctors that accept that at all. (Besides the fact that dealing with Medicare is almost impossible, little customer service-what's that...- and less accountability.) The average insurance discount is about 20%. Some more, some alot less. Maybe everyone else is paying for difference. <br> <br> Why can't you comparison shop? I've done it. I manage a doctor's office and alot of people inquire about costs. Every office has a set fee schedule but people have to call ahead and ask, not just wait until they get the bill. <br> <br> I would like to understand better why medicine isn't run like a business. Are you referring to hospitals and offices? <br> <br> Doctors are not God and there is a point between rediculous frivolous lawsuits and real negligence. Malpractice insurance is astronomical, often pushing some doctors out of state to practice. Obstetricians can be sued until a child turns 18 for 'wrongful life.' You can't get much more accountable than that. <br> <br> All doctors do naot make alot of money. This is a complete myth, so to say that that is the only reason they pracice is not true. Most doctors, and I've worked with alot, truly care about their patients and work hard to give them the best care. <br> <br> Why would anyone expect to receive a product or service without paying up front? That just astounds me. I'd like to tell the lady at the grocery store, 'I'll send you a check later,' but that just doesn't work. Can you go pick out a car and take it home without paying? The reality is, alot of people don't and won't pay their bill if you don't get it up front. Yes, I said alot. <br> <br> How many providers are nice enough to accept welfare, which pays about 10% on the dollar or medicare which pays about 35%. They sure do that for the love of the almighty buck.
By Shelly