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November 26, 2012

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Maybe we'll be to get good medical care at cash hospitals on Indian reservations and on cruise ships 3.1 miles offshore.

The doctors are limiting the Medicaid/Medicare patients because the reimbursement levels are below their costs (office space, staff, insurance, supplies, etc.). The feds can't order the doctors to work for less than their business expenses (at least not for long). The industry will need to be federalized, and the doctors and other health workers turned into government employees.

As much as I hate Obamacare and have prepared to avoid it, I feel that Amerikan docs so richly deserve the hand they are being dealt. I have fought for years for open pricing, cash discounts, and elimination of certification requirements, while the AMA has fought even harder to preserve the doc monopoly. The docs, meanwhile, have been complaisant in those policies and complacent in their certified sinecures.

Now let them stew in their juices while I pay for my healthcare in Mexico, Brazil, Costa Rica, Hungary, Czech Republic, India, Thailand and, eventually, Cuba.

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