Re:It's Just a Virus, the E.R. Told Him. Days Later, He Was ...
by nradov on Tuesday October 07, 2025 @06:48PM
(#45509909)
Stop lying. No major commercial insurer is currently lobbying Congress for limiting the number of physicians. In fact, some insurers have even voluntarily donated to support residency programs (although the amounts are small relative to Medicare funding).
Re:It's Just a Virus, the E.R. Told Him. Days Later, He Was ...
by hollerith on Tuesday October 07, 2025 @06:59PM
(#45510018)
OK, I now tend to believe that when the ACA capped the profit margins of insurers, their previous incentive to reduce cost of care (so they could keep the savings as profit) ended, so they stopped lobbying for restrictions on the supply of doctors. Unless I see evidence to the contrary, I will continue to tend to believe that large employers (not subject to any cap on their own profit margins) continue to lobby for restrictions.
I tend to believe this because of how strong the correlation has been in my own "career" as a patient between my ease of access to doctors' time and how much my insurance plan ends up paying for tests and treatments.
Re:It's Just a Virus, the E.R. Told Him. Days Later, He Was ...
by sarchertech on Tuesday October 07, 2025 @09:06PM
(#45510883)
How would restrictions on the supply of doctors help insurance companies reduce cost of care?
Re:It's Just a Virus, the E.R. Told Him. Days Later, He Was ...
by hollerith on Tuesday October 07, 2025 @09:07PM
(#45510895)
Limiting doctor availability is an effective way to limit total cost because most expensive health care goods and services require a doctor to order or prescribe the good or service. I.e, until the patient gets enough time with a doctor for the doctor to realize that the good or service is necessary (then prescribe or order it) the insurer does not need to pay for the good or service.
Re:It's Just a Virus, the E.R. Told Him. Days Later, He Was ...
by sarchertech on Tuesday October 07, 2025 @09:20PM
(#45510992)
Limiting the supply of doctors will increase costs in the long run because it reduces access to preventive care. Residency caps disproportionately impact PCPs.
It might reduce the costs they pay for preventive care or non-urgent care, but serious issues will progress.
You might not have to pay for metformin to treat diabetes, but you’ll eventually end up paying for a hospital stay and amputation.
Re:It's Just a Virus, the E.R. Told Him. Days Later, He Was ...
by hollerith on Tuesday October 07, 2025 @10:32PM
(#45511414)
You don't have to convince me that limiting the supply of doctors is not in the interests of anyone of median income or lower. I am aware.
Re:It's Just a Virus, the E.R. Told Him. Days Later, He Was ...
by sarchertech on Tuesday October 07, 2025 @10:53PM
(#45511553)
Your proposed incentive for insurance companies to want to restrict the supply of doctors (prior to the ACA) doesn’t make sense, and that’s what I’m trying to convince you of.
Re:It's Just a Virus, the E.R. Told Him. Days Later, He Was ...
by hollerith on Wednesday October 08, 2025 @07:07AM
(#45514754)
Ah, I see now. Sorry for not getting it right away.
Re:It's Just a Virus, the E.R. Told Him. Days Later, He Was ...
by nradov on Tuesday October 07, 2025 @10:07PM
(#45511272)
Nope, there are no major self-funded employers lobbying for physician caps either. But hey, don't let facts get in the way of your ridiculous, uninformed beliefs.
Re:It's Just a Virus, the E.R. Told Him. Days Later, He Was ...
by sarchertech on Tuesday October 07, 2025 @06:21PM
(#45509663)
I’ve never heard of insurers lobbying for capping residency slots. Do you have any sources?
Regardless I was responding to the claim about doctors lobbying for caps.
Although doctor pay is only a small fraction of the total cost of health care, limiting doctor availability is an effective way to limit total cost because most expensive health care goods and services require a doctor to order or prescribe the good or service. I.e, until the patient gets enough time with the doctor for the doctor to realize that the good or service is necessary, the insurer does not need to pay for the good or service.