Repubs wouldn’t have done anything to change it. You ever seen any big market based reforms from them? They’re all criticism, no solution.

But on that note, no matter how the media paints it, you and I have the capacity to fight on for what still makes us the most sought after place to live…because we can still create and produce no matter who tries to tamp it down. When the effects of O’care begin to be tangible, it is going to be overturned. We still have a chance at that. The thing we’re missing is the leadership to make the hard choices. Among you and I, and many here, don’t fall prey to it being “over”! THAT is what the left wants in all of their willfully obtuse ways, thinking it will never affect them and pretending the greatness. Just like anything…making a promise and not fulfilling it will come back in spades.

The 2.3% is a problem based on what the manufacturers are telling us. We were going to expand our examination facilities in our office. In 2006 the cost for the equiptment for the exam room was $8,500. This week we were quoted a price of 12K, as a “preferred price” from the same company with the same devices. We were told the ACA tax (2.3%) was part of it, there is also another new 2% tax which I had never heard of, and also much of the stuff comes from Switzerland and the dollar is much weaker than in 2006.

I also recall that hospitals and ins providers were on board with some part of it as they got some kind of short term benefit. ? if I am recalling correctly ..then deal with the devil.

There are some good things about the bill. But the overall government reach/strangulation of our freedom of choice is both alarming and abysmal.

But the people that voted ..again ..seeing everything going on ..how could they? And if the same republicans that stayed home because they couldn’t accept Romney …are they happy with the outcome now? because he would’ve won had they voted. And the kicker is for everyone anti Romney he was a moderate. And if for the love of God …why if the progressive voting public don’t like rich people then why do they and the press support extremely wealthy Kerry – wealthier than Romney, also pelosi gore, Obamas , etc?

They are trying to get publicity by making these types of statements. It’s working. I’m guessing that the CEO’s are active in local/state/national politics (perhaps the Repub party) and they’re trying to rally support and publicity for the candidate the next election cycle.

I happen to be married to a CEO. They are masters of PR, spin, and getting their message out there.

All of my friends in these jobs get a barely minimum guaranteed compensation, and then the rest is RVU based. So if they don’t produce, they don’t get paid a lot. And the production metrics are ridiculous. In private practice, if they had a complicated office visit, they would just spend the extra time. Now, if its complicated, they turf it to the ER so they can meet their “quotas”.

And with regard to medical device companies, the 2.3% tax isn’t what’s doing it, it’s “regulatory uncertainty”. This is the thing though, when the vast majority of your profits come from the government, then you’re always subject to regulatory uncertainty. You’ll note your link also says hospitals are cutting back on their purchasing. In other words, medical device customers aren’t buying as much. But here’s a blurb on some earnings roundups for some medical device companies, and what they’re telling their stockholders isn’t near the doom and gloom you’re reporting:

http://www.massdevice.com/business-types/businessfinancial-news/earnings-rounduphttp://www.massdevice.com/business-types/businessfinancial-news/earnings-roundup

I despise the ACA as much as anyone, but you should always have a little skepticism when companies’ layoffs are blamed on one sole thing.

Just having a little fun with you – we both know tort “reform” is just insurer lobbying BS. Actual benefits to anyone but them are illusory at worst and short lived at best.

All docs are paid the same depending on their grade. So ED consultant will earn in the same range as Neurosurgeon or Plastic Surgeon or Dermatologist etc. Remember only the family doctors (or occasional private doctor) have their own offices. A hospital doctor does not have a practice he has NHS patients referred to him by the GP’s or the occasional private patient again (usually) referred through GP’s.

Also remember, doctors who are senior now did not have educational loans to pay. This is only on the juniors who are coming through now and is nowhere near the burden that US doctors have.