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How much social burden?

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Once again I think we're in a relatively unique position to

demonstrate how a practice can take the high road and succeed.

We each take on some share of the burden of supporting our

communities. Maybe this takes the form of a percent of our care that

is given to those who fall between the cracks of gov't assistance and

the ability to afford health care (a frighteningly large number in

this wealthy nation), maybe it means accepting low paying gov't

insurance as a part of our work.

I don't know what the percents should be for any practice and would

not presume to dictate. Let it not be so much that it detracts from

our ability to deliver superb care in a vital and sustainable

practice, yet let it be enough that we may stand in the public venue

and decry the iniquities of our crazy health care " system. "

Gordon

At 08:39 PM 3/14/2006, you wrote:

>Since I started, I was called by many medicaid patients and I am so

>sorry I have to refuse all of them. I had such a hard time with my

>previous practice and medicaid, such a bad experience that I

>absolutely decided I will not take any medicaid. I have a couple of

>charity cases each month, I will offer some discounts to others and that's it.

>

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