Guest guest Posted August 15, 2012 Report Share Posted August 15, 2012 Steve, You are being very harsh to those of us who, for various reasons, have tried to set up shop in difficult areas and work within the third-party insurance system that most patients rely on to help them pay for their care. Some quick checking of 2010 census figures tells me that stown-Lenola, NJ has about 14,200 people with a per capita annual income of $47,000 and 3% of people living below the poverty level. My small town of 1400 is not listed, but my entire county has a per capita income of $24,600 and 9.6% living below poverty level. You have a lot more people to draw from, at all income levels, which increases your chance of attracting enough cash-only people to keep you afloat. I chose this location for family reasons, and I now know this was a huge mistake. I suspect that is why most of us who are struggling stay in unfavorable locations. If I had chosen the small college city 30 minutes away, I would now be attempting to switch to some other payment model, and I believe it would work. Due to my older age and now-precarious financial situation, I don't have it in me to start another risky venture in a new location after 4 years. My " complaining " is not so much to garner sympathy, as to warn IMP wannabees not to make the mistakes that I did. I think we should be here to support and educate each other, not to disparage each other and think that " one size fits all. " Remember that you have not really been " 3rd party-free. " It has taken you 4 years to get frustrated enough to dump Medicare, and I wonder how many patients and how much income you will lose because of that. I assume you have estimated what that will be and decided you can live with and recover from it in time. For those of us who have estimated what will happen if we drop insurances and cannot live with the results, give us the courtesy of not assuming that we are just plain blind. It's OK to remind us that there is another way, but let us get there in our own time, as you did in yours.---Sharlene > > > > > > He's the current invited speaker > > > > > > https://app.sermo.com/posts/posts/141820 > > > > > > so you can quiz him directly. > > > > > > -- > > > Graham Chiu > > > http://www.compkarori.co.nz:8090/ > > > Synapse - the use from anywhere EMR. > > > > > > > > > > > > > > > > > > > > > > > > -- > > > Graham Chiu > > > http://www.compkarori.co.nz:8090/ > > > Synapse - the use from anywhere EMR. > > > > > > > > > > > > > > > > > > > > > > > > > > > -- > > > Graham Chiu > > > http://www.compkarori.co.nz:8090/ > > > Synapse - the use from anywhere EMR. > > > > > > > > > > > > > > > ------------------------------------ > > > > > > Quote Link to comment Share on other sites More sharing options...
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