Doctor's View on Health-Care Costs

" Welcome back to happy hour every one time after the diamond district there is no way to discuss health care without talking to folks in the heart of it. That doctors. -- the in this whole debate. My next guest equates and those pushing reform. -- and dealers operate a feel good fix. To the problem. Joining -- now from Los Angeles is doctor tent pole tore. Medical group out in California. But doctor thank you so much for joining me that -- analogy pretty pretty funny stuff hot and yeah practices is -- two in California. To get will we have attacked based breakfast in an a medical group in Los Angeles and San Francisco okay -- move to specialize his. I'm sorry and yeah let me set it up argue experts cash. Based so what kind of services to provide what I can only pay cash -- not accepting my cat that health insurance. "

" Correct we'll take insurance because we've not taken a turn for ten years we have found so many conditions are not treated very well. Wind insurance model -- complex conditions such as crime of being syndrome fibromyalgia. Diabetes menopausal conditions etiquette if it takes over five minutes. Does -- get treated very well we've been outside of the network for years now -- gets the better for us."

" We using these are chronic conditions so this means. I have to continue seeing you how I -- if I don't have insurance that kind of questions that factor."

" Well actually get a PPL -- can -- your own insurance but we have found. I -- keeping the insurance company out of but it cuts and cut costs by fifty to 70%. Labs that is it costs a 150 dollar we've we've negotiated down to twenty dollars and usually the fees are left that a person's co pay. So all those costs in health care half of it is going it's going back report the insurance company could go cash based system immediately cost about 50%. Certainly be."

" And party before basic. How people are okay generally fine how like going to. I know at heart surgery for example are you kidding no and."

" Insurance. Doesn't work far cry for conditions for ripping views on a routine basis they use for emergency -- certainly need. Catastrophic insurance but have yet to get food insurance would what would happen the cost of food. Double triple -- what's the cost about why I don't know it's building insurance well -- actually beyond the church is covering it -- my -- control -- and."

" I'll be your patients you reducing -- patients that he feels so they don't you but there then they have to send the reimbursement to their insurers anyway so they do have insurance."

" Why would they get reimbursed for our costs are really diminished we work for the patient enough for the insurance companies doctors and a lot of Foster. -- provider for the insurance company do we really have to get the patient better we have to provide the best care the patient to come back. That's what we need doctors need to compete on hair on pricing -- his basic competing bond insurance plans about competition."

" But don't want to completely hospital equipment. Why don't they do that anyway just because insurance is paying the bill why would they do."

" What do like medical savings. Plans were great except for one fatal flaw no one negotiator rates for anyone. They go to the lab the lab would charge of 500 not to go the hospital if you pretend I'm much. So look at what -- the post their fees the cost would drop dramatically. "

" What I saw a doctor you know my -- Let me jumping IC my doctors in cats as a reimbursement for the insurance company they don't get their prevailing rates. The insurance company has negotiated a lower rate of better rate than what I could. Negotiate with the doctor on my account."

" No hit -- wall it costs keep going back and for the doctor would take much to laugh if there was this cat. But they're they're chasing their money so they take whatever they can get because they have no choice. But you didn't know if -- negotiate down 30% 50% of what insurance would pay that's what we're finding we built half as much as another doctor per hour. And are not make much more services better we spent an hour with patients. So if if the better system insurance doesn't work for routine care if if the system doesn't work it's too bureaucratic it's wasted very wasteful."

" Lots of interesting premise I'll let you know will. Definitely have you back to talk more about this thank you very much majority in the data district. Thank you."