A Medical Career-Choice After 2012: Intern/ Resident/Fellow/Attending. The Semmelweis Society.

Nonpayment

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The government's insurance appears to be unprofitable. 

You do not have to quit. You do not have to take medicaid or medicare. There are plenty of other patients. The little money you get for seeing a medicaid patient is not worth hardly billing it. Most medicare patients have paid for/earned medicare benefits. Most Medicaid patients, are working the system and need to get a job.

It saves the system money to find a way to not pay you. With medicaid, you are really paying to see the patients. You need to work for the highest payors, that would never be medicaid and in most cases not Medicare either. Welcome to the future of medicine if we get universal health care. If you take Medicare witha Medicaid secondary, Medicaid will pay nothing over what the 80 % of the approved Medicare payment.

With Medicare and Medicaid, once you are in, you are in. If you are not getting paid for any insurance medicare, medicaid or other, Do Not See those patients. Turn them away to another provider. You cannot see patients for free!! Provide good patient care and you will have plenty of paying patients.