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12/02/2013 Robert Kornfeld, DPM
Time for a Universal Insurance Form (Jim Shipley, DPM)
Dr. Shipley, unwittingly, confirms everything that I have been sharing. He considers himself a victim of the economy that he chooses to practice in. He went so far as to compare the per capita income in the neighborhoods we both practice in. His obvious message is that I can do what he cannot do because his patients have no money. So please let me put this in perspective. When I went into practice, I was in a very low middle class neighborhood. I made a great living until the managed care nonsense kicked in.
Unlike Dr. Shipley, I didn’t take a woe is me attitude. I was expecting APMA to do something pro-active for us with an eye on the future. But nothing happened. And I got mad as hell. So yes, Dr. Shipley, I moved my practice into a neighborhood where people have a lot of money. Simply because I was not willing to work for peanuts. I opened a second office in a very wealthy neighborhood in Manhattan not long after that. And this many years later, I am grateful that I decided to be more of an advocate for my own family than that of my low income patients. What I learned the hard way is that altruism does not pay the bills and my bill collectors did not care that I was doing good for a population that cannot afford to pay their way. A dose of reality for sure.
What Dr. Shipley and others who feel the same way forget is that they are not victims of a low income patient population. They are victims of greedy insurance companies who have devalued their services, attacked their self-esteem and in private are laughing all the way to their yachts, private planes and mansions. You, on the other hand, defend yourself against the choices you have made by rationalizing that your patients can’t afford to pay you. Keep thinking that way and eventually you are going to be faced with a much bigger dose of reality than I was in 1999.
I do not think there is a single podiatrist out there who can confidently say that things are getting better for podiatry. On the contrary, everywhere I go I hear podiatrists complaining that podiatry sucks. Well I am one who disagrees. Podiatry is an awesome profession. The reality is that most of you continue to clamber for participation with any insurance that will have you and that is why you find yourself in the position of hating what you do. You handed your income over to the insurance companies and they have all unanimously agreed that you should be paid less. A lot less. For a lot more work. With no end to the cuts in sight. And the increasing regulations are not going to cost them a penny. It is going to come out of YOUR bottom line. And as far as Medicare goes, what would ever convince you that things will ever get better in your lifetime? The government is behind on loans that are interest only and continues to borrow. However, they do not have to borrow from you. It’s legal for them to pick your pocket with immunity.
I don’t know. Am I the only one who rejects the insanity? Am I the only one who is willing to call it like it is and speak out against the madness? Wake up people. This is exactly how Hitler was able to do what he did. The ones who thought what he was doing was wrong did nothing. The ones who were afraid, cooperated. Don’t wait for APMA to save you. It won’t happen. All I have to say is good luck to all of you.
Robert Kornfeld, DPM, Manhasset, NY, Holfoot153@aol.com
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