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Помощница конгрессмена Билла Фостера приложила много усилий, продвигая Обамакер:
I spent two years defending Obamacare. I had constituents scream at me, spit at me and call me names that I can’t put in print. The congressman was not re-elected in 2010 mainly because of the anti-Obamacare anger. When the congressman was not re-elected, I also (along with the rest of our staff) lost my job. I was upset that because of the health care issue, I didn’t have a job anymore but still defended Obamacare because it would make health care available to everyone at, what I assumed, would be an affordable price.
Её усилия увенчались успехом:
Three years ago, it was $225 a month with a $2,500 deductible. Each year it went up a little to, as of Sept. 1, $291 with a $3,500 deductible. Then, a few weeks ago, she got a letter.
“Blue Cross,” she said, “stated my current coverage would expire on Dec. 31, and here are my options: I can have a plan with similar benefits for $647.12 [or] I can have a plan with similar [but higher] pricing for $322.32 but with a $6,500 deductible.”
Она по прежнему верит в мечту, вот только как-нибудь бы избавиться от проклятой арифметики:
“I am a Democrat and I believe in health care for all,” she said.
“And I was excited that previously uninsured people could now get insurance on the open market. But this is not affordable to me.”
I spent two years defending Obamacare. I had constituents scream at me, spit at me and call me names that I can’t put in print. The congressman was not re-elected in 2010 mainly because of the anti-Obamacare anger. When the congressman was not re-elected, I also (along with the rest of our staff) lost my job. I was upset that because of the health care issue, I didn’t have a job anymore but still defended Obamacare because it would make health care available to everyone at, what I assumed, would be an affordable price.
Её усилия увенчались успехом:
Three years ago, it was $225 a month with a $2,500 deductible. Each year it went up a little to, as of Sept. 1, $291 with a $3,500 deductible. Then, a few weeks ago, she got a letter.
“Blue Cross,” she said, “stated my current coverage would expire on Dec. 31, and here are my options: I can have a plan with similar benefits for $647.12 [or] I can have a plan with similar [but higher] pricing for $322.32 but with a $6,500 deductible.”
Она по прежнему верит в мечту, вот только как-нибудь бы избавиться от проклятой арифметики:
“I am a Democrat and I believe in health care for all,” she said.
“And I was excited that previously uninsured people could now get insurance on the open market. But this is not affordable to me.”
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как я уже писал - например необязательно что за одно и то же, не исключено что разница большая например по очереди, или по материалам. скажем страховка оплачивает только неких набор услуг и материалов и методик. врач в арсенале имеет больше - он это предлагает за кэш.
с другой стороны- какая вам разница какая у них бизнес модель?
с третьей стороны, если у врача уже устоявшаяся практика и рутина, то он может быть не заинтересован в ее расширении. делать что то экстра он будет только если есть сильный повод - например значительно больше денег. тогда он потратит на это дополнительное время.
не забывайте что врач это не промышленник а ремесленник. его income всегда активный - он реально должен работать за каждую оплату. so much one can do in one day, right?
в целом система гораздо более гибкая и неодномерная по сравнению с тем как вы ее в этот треде представляете.