I just cannot believe that you are saying this.

Doctors are subsidized by the taxpayer to the tune of 85% of the common fee.
This means that you are GUARANTEED at least 75% of what you would consider a
reasonable fee.

This is not your regular business.
Plumbers may charge the same but they don’t do 20, 30 or 40 or more visits
per day and the 'opposition' as in naturopaths, chiropractors,
physiotherapists are not subsidized at all. Bakers, printers etc get no
government subsidy and are subject to the same commercial pressures as
doctors.

The prescriptions you write are also subsidized - not quite to the same
extent so that there are only commercial pressures for the poor and they
have cards to identify themselves and if they don’t you can "bulk bill"
them.

How can you possibly consider yourself in 'Ordinary' business. What other
business or profession - many lawyers are broke - they have no subsidy. The
pharmacists are essentially shopkeepers with subsidies, teacher have not
much.

People are just picking on Tom Bowden because he is in business, just like
all the rest of us, for better or for worse, and he is doing better than
most. He gets NO direct subsidy but because he got up earlier and is
probably smarter than most  he is doing OK.

Here we go again - the left wing, greenie, hairy-legged lesbian tall poppy
harvesters again.

Sour grapes. All of us who claim to be working in the best interests are
creaming it off as best they can. AND bulk billing rates are higher than
they have ever been. Before the last election GPs got something like
$18Billion extra just to shut them up - AND it worked.


David de Bhal
www.v-practice.com





-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Oliver Frank
Sent: Thursday, November 09, 2006 3:54 AM
To: General Practice Computing Group Talk
Subject: Re: [GPCG_TALK] argus 4.2

Cedric Meyerowitz wrote:
> Oliver Frank wrote:
> 
> That is *not* the only real difference.  The important real difference
that
> you are neglecting is that the directors of commercial software vendors
have
> an obligation under company law to make as much profit as legally possible
> for the owners of the business.  They usually aim to achieve this by
> charging the highest possible prices that the largest possible number of
> customers is willing to pay.
>
____________________________________________________________________________
> _______________________________
> 
> Now Doctors are in the same boat.  Large number of GP's charge what they
> think patients will pay and in some areas don't care because there is a
> months wait to see the GP.  Specialists also charge what they want because
> the patients are still paying.

I didn't say that there was anything wrong with commercial people in any 
business (in this case, commercial messaging providers) charging as much 
as they can.  This is perfectly normal and expected commercial 
behaviour.  I had believed that it is even mandated by law in Australia. 
  Tom Bowden believes that it is not.  I am currently trying to find 
out, and if I was wrong, will be happy to admit it.

For better or worse, because GPs in our health system in their own 
practices don't the option of being salaried, we are forced to run our 
practices as a kind of business, if we want to earn a living.  This 
naturally leads some of us to charge as much as we can, which for most 
of us still results in incomes far below those that we could have earned 
in any other profession or business.  What is interesting and proves 
that doctors are not running their practices as normal businesses (that 
is, with the aim of maximising profit by all legal means) is that those 
of us who could charge a lot more than we currently do, especially rural 
GPs, don't do so, either because maximising income is not their first 
aim, or because they wish for humanitarian reasons to provide an 
essential service at the lowest price that provides the income with 
which they are happy.

In summary, if you're in a "normal" business, your aim is 
self-enrichment.  If you're in medical practice, your aim may be the 
same, but some of what you do may not be in your patients' best 
interests.  For many doctors, the best interests of the patient still 
come before self-enrichment.

-- 
Oliver Frank, general practitioner
255 North East Road, Hampstead Gardens, South Australia 5086
Phone 08 8261 1355   Fax 08 8266 5149  Mobile 0407 181 683
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