Easy ways to sigificantly reduce health care costs.
1. Tort reform - even going to a loser pays system would significantly reduce costs, particualrly in high risk specialities like obstetrics (the average obstetrician spends 1/3 of his/her income on malpractice premiums).
2. Make uncompensated care tax deductible. Even allowing me to deduct a fraction (10%) would be welcome. If I'm providing care to someone who can't pay it back, I don't think it's too much to ask that my time and effort is treated like a charitable donation.
3. Amend the pre-existing conditions to allow at least an adjustment of premiums for reversible negative health factors like smoking, drug use, obesity.
I'm absolutely dying to know where you work in/around Boston because:
1. I'd never recommend anyone to go to someone that seems to have questionable bedside manner when treating someone based on their ability to pay. Believe me, you can't tell by the way they talk or dress.
2. Because you make it sound like you're in the poor house.
3. You seem to have no idea how biling is done in your particular practice or at large.