this is me....kind of venting...
ok let me break this down:
the health reform bill basically states that the 50 million people in the US who are uninsured no longer will be...and this is how they're going to do it:
1) there's no public opt out option...which means those people who didn't have health insurance because they couldn't afford it are now going to be covered by medicaid (government funded insurance) and those people who didn't have health insurance because they chose not to are now required to purchase private (commercial) health insurance...if not, they will be fined (which is completely unconstitutional and a stripping of our rights as citizens)
2) insurance companies are now going to have 50 million more "customers" so to speak...which means they win in the end....because as it is medicare dictates the standard "price" if u will of a certain medical procedure (performed by us)...we, as doctors, are allowed to charge whatever we want, but we will not get paid what we charge because medicare sets the standards for all other insurance companies and the companies dictate that they're only going to pay 60% of a procedure that the doctor is charging $100 for...half of the remaining 40% is paid by the patient (eg: a $20 copay) and the other half is an "adjustment" made by the insurance companies...basically forcing doctors to give the companies a discount (by the way, if a doctor refuses...the insurance company decides that they won't cover for that doctor..which means the doctors loses all patients under the umbrella of said insurance company)
3) the reform bill states that insurance companies will now cover pre-existing conditions and preventative medicine (which they do not at the moment)..which is how they think cutting the doctors' reimbursement rates is going to level out the difference...because the way they see it..doctors will have more patients with this: 50 million more patients in the system, patients with pre-existing conditions, and patients who want/need preventative care...which is bullshit because a doctor can only see so many patients in one day.