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	<title>Comments on: Texas Senators both choose to screw docs</title>
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	<link>http://gruntdoc.com/2008/06/texas-senators-both-choose-to-screw-docs.html</link>
	<description>Ramblings of an Emergency Physician in Texas</description>
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		<title>By: Goatwhacker</title>
		<link>http://gruntdoc.com/2008/06/texas-senators-both-choose-to-screw-docs.html/comment-page-1#comment-11696</link>
		<dc:creator>Goatwhacker</dc:creator>
		<pubDate>Tue, 01 Jul 2008 21:50:54 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2008/06/texas-senators-both-choose-to-screw-docs.html#comment-11696</guid>
		<description>I e-mailed my local Senator (Grassley) who voted for the pay cut last week and decided to follow up with a phone call today.  The impression I got after talking to his office is he couldn&#039;t care less.  It was not a very hopeful phone call.</description>
		<content:encoded><![CDATA[<p>I e-mailed my local Senator (Grassley) who voted for the pay cut last week and decided to follow up with a phone call today.  The impression I got after talking to his office is he couldn&#8217;t care less.  It was not a very hopeful phone call.</p>
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		<title>By: Cienna</title>
		<link>http://gruntdoc.com/2008/06/texas-senators-both-choose-to-screw-docs.html/comment-page-1#comment-11665</link>
		<dc:creator>Cienna</dc:creator>
		<pubDate>Mon, 30 Jun 2008 00:36:15 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2008/06/texas-senators-both-choose-to-screw-docs.html#comment-11665</guid>
		<description>Everyone who still accepted Medicare in Central Oregon is either dropping Medicare or trying to drop Medicare.  Which leaves the patients with no providers except for the community clinic and the hospital.  The community clinic is not accepting more Medicare patients, so I guess that leaves just the hospital.  Not a good solution for anyone.

Time to write more letters to the State Senators that I swear they do not read...</description>
		<content:encoded><![CDATA[<p>Everyone who still accepted Medicare in Central Oregon is either dropping Medicare or trying to drop Medicare.  Which leaves the patients with no providers except for the community clinic and the hospital.  The community clinic is not accepting more Medicare patients, so I guess that leaves just the hospital.  Not a good solution for anyone.</p>
<p>Time to write more letters to the State Senators that I swear they do not read&#8230;</p>
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		<title>By: Goatwhacker</title>
		<link>http://gruntdoc.com/2008/06/texas-senators-both-choose-to-screw-docs.html/comment-page-1#comment-11661</link>
		<dc:creator>Goatwhacker</dc:creator>
		<pubDate>Sun, 29 Jun 2008 20:03:24 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2008/06/texas-senators-both-choose-to-screw-docs.html#comment-11661</guid>
		<description>I dropped Tri-Care in March.  It&#039;s an awful program.  When I realized it was the insurance paying me the least but giving me the most hassles with referrals and pre-certs (literally hours on hold)it was a no-brainer.  The military families deserve much better.</description>
		<content:encoded><![CDATA[<p>I dropped Tri-Care in March.  It&#8217;s an awful program.  When I realized it was the insurance paying me the least but giving me the most hassles with referrals and pre-certs (literally hours on hold)it was a no-brainer.  The military families deserve much better.</p>
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		<title>By: Jim in Texas</title>
		<link>http://gruntdoc.com/2008/06/texas-senators-both-choose-to-screw-docs.html/comment-page-1#comment-11658</link>
		<dc:creator>Jim in Texas</dc:creator>
		<pubDate>Sun, 29 Jun 2008 16:45:23 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2008/06/texas-senators-both-choose-to-screw-docs.html#comment-11658</guid>
		<description>I also urge any retired military members to ask their Senators to keep this cut from taking effect. The same cuts to Medicare will affect Tri-Care payments to physician; physicain alreay hard to find due to the low payments.

Unlike Medicare, physicians can refuse to take Tri-Care patients or even turn them out without the same penalties that refusing to treat Medicare patients would have.</description>
		<content:encoded><![CDATA[<p>I also urge any retired military members to ask their Senators to keep this cut from taking effect. The same cuts to Medicare will affect Tri-Care payments to physician; physicain alreay hard to find due to the low payments.</p>
<p>Unlike Medicare, physicians can refuse to take Tri-Care patients or even turn them out without the same penalties that refusing to treat Medicare patients would have.</p>
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		<title>By: Health Care BS - MEDICARE ADVANTAGE &#38; PHYSICIAN CUTS</title>
		<link>http://gruntdoc.com/2008/06/texas-senators-both-choose-to-screw-docs.html/comment-page-1#comment-11656</link>
		<dc:creator>Health Care BS - MEDICARE ADVANTAGE &#38; PHYSICIAN CUTS</dc:creator>
		<pubDate>Sun, 29 Jun 2008 05:20:26 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2008/06/texas-senators-both-choose-to-screw-docs.html#comment-11656</guid>
		<description>[...] theme has been picked up by the usual partisan hacks and even a few medical bloggers who normally don&#8217;t fall for this stuff. However, like the SCHIP gambit, the &#8220;MA versus [...]</description>
		<content:encoded><![CDATA[<p>[...] theme has been picked up by the usual partisan hacks and even a few medical bloggers who normally don&#8217;t fall for this stuff. However, like the SCHIP gambit, the &#8220;MA versus [...]</p>
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		<title>By: TheNewGuy</title>
		<link>http://gruntdoc.com/2008/06/texas-senators-both-choose-to-screw-docs.html/comment-page-1#comment-11642</link>
		<dc:creator>TheNewGuy</dc:creator>
		<pubDate>Fri, 27 Jun 2008 22:28:31 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2008/06/texas-senators-both-choose-to-screw-docs.html#comment-11642</guid>
		<description>I&#039;ll believe they feel our pain when they vote themselves a 10% pay cut.</description>
		<content:encoded><![CDATA[<p>I&#8217;ll believe they feel our pain when they vote themselves a 10% pay cut.</p>
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		<title>By: CancerDoc</title>
		<link>http://gruntdoc.com/2008/06/texas-senators-both-choose-to-screw-docs.html/comment-page-1#comment-11640</link>
		<dc:creator>CancerDoc</dc:creator>
		<pubDate>Fri, 27 Jun 2008 20:25:51 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2008/06/texas-senators-both-choose-to-screw-docs.html#comment-11640</guid>
		<description>You know, from my perspective watching patients try to travel the &quot;Advantage&quot; plans in rural Texas, joining an &quot;Advantage&quot; is a distinct disadvantage.  Most of the patients in my part of the country are unaware that by joining an advantage plan, their options are limited.</description>
		<content:encoded><![CDATA[<p>You know, from my perspective watching patients try to travel the &#8220;Advantage&#8221; plans in rural Texas, joining an &#8220;Advantage&#8221; is a distinct disadvantage.  Most of the patients in my part of the country are unaware that by joining an advantage plan, their options are limited.</p>
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