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A debate the 21% cut in Medicare payments to doctors that's on hold but there is still no lasting solution in sight let's get the view from the trenches.
The -- behind and French as a -- and fight back and joined the company adopted David somebody he's the chief of robotics and minimally invasive surgery at Mount Sinai Medical Center in New York.
Arguably one of the best surgeons in the world not in the trenches related to the -- by Christmas Day effusive thanks for having me here now your story is this let me see if I've got this -- The cost of delivering you'll cat -- combat and -- you -- keeps on going up.
But what you'll pay -- to deliver back cat keeps on going down is that.
-- story that's exactly right so if you look at the sustained growth rate.
That's the we're seeing these these two curves.
And the gap between -- we're getting wider and wider so what -- gonna do about it.
Well I think it's very difficult I'll tell you what happened this morning -- -- the hospital I operate on someone who was six -- seven year old just yesterday.
I saw him this morning early because to get to the office of -- looks at me goes back to some money.
You did this beautiful world -- prostitute to me for me he is actually going to go home now which is less than.
24 hours no love loss of past recoveries that I have Medicare.
And I know what they pay you so why are you doing this and my answer to them just think the institute is.
For me as a cancer doctor as a cancer surgeon while we pay attention to all -- his numbers I cannot abandon his care saving lives for him he is it about coming.
It's fine but will be -- will you take on new Medicare patients knowing you will lose money by doing that even admitted having a wonderful cast I think it's going to be more challenging it's going to be much harder -- you've got to answer the question.
What will you take on new Medicare patients when the -- when you'll reimbursement keeps on going down right.
Now I mean I'm taking Medicare but the institute questions to I think it would be a sad day that the patient is sitting in front of me and I can help him.
I don't have to tell them I cannot take care if you.
That would be a sad day and he had a coming I think I'm -- to be talking to a lot of my colleagues and surges and medical doctors.
That time is ahead and that's through the war -- some.
What we need to do and this is that that what has been happening health care in this country is superb we want to get the best care and want to give the best attention to a patient's.
What has happened as a result of cardiac disease that we've been able to defeat -- -- -- cardiac stents and everything else.
As well as cancer.
Patients and now living longer and longer it's not unusual to see patients and our office in their 70s80s even nine year old so that's wonderful.
People are living longer there needs so the cost of that is gonna go up.
-- -- -- -- Yet what what just saying is.
But there's no way America is going to spend -- less on health care overall total expenditures on health there's no way.
That's gonna go down and it can only go off well let's look at the statistics we're talking about the national health spending -- 2.3.
Trillion dollars right now in 2000 at -- that number is going to be four point five trillion what it's this interest thing is that two day.
Of that's -- -- from the public funds you know and body 2011.
That's going to go up to 50%.
Almost so we're already getting this public funding is -- -- -- maybe to go almost there.
But there's really not it wonderful great news that I can tell you except the fact that all of the doctors -- they talked to out there.
There are worried about their patients they want to give the best care to their patients.
And unfortunately since this resource is a limited are we gonna come over the great solution for this you're going to be forced out of business.
Not you personally but new doctors not gonna comment I'm more concerned about the future physicians that are coming in the field.
And they're looking at this debate and they -- walk away from specialties from medical.
And it's unfortunate you know why this is it noble job we all went into this field to take over our patience.
I believe in that every day that I go to war and I know millions of doctors out there.
I'm talking on their behalf they get up every day hard work to take care of them they just need to prioritize this and I think.
Needs to get funded that you need to take care of the doctors so we can take care of the patient and this -- a long story we've got here and that we can't afford it doctor we can't afford while or at a time.
-- a doctored evidence of product you elegant place I would love to deal thank you for --
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