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    john

    A Doctors Perspective

    Just wanted to let those of you who think Obama is doing you a favor know what he is doing to me. I’m a cardiologist. I have spent the large majority of my life training to help people live longer, healthier lives. I never question, nor do any of my fellow physicians question, the ability of a patient in need to pay for our services. We help people because we want to make a difference in patient’s lives. When someone says “thanks, doc, for saving my life.” It’s through teary eyes and a humble heart that I thank God for the ability to take part in such a special moment.

    If Obama wins the election, our lives will undoubtedly change for the worse. Here is an example of the devastating outcome of this election. If I were to bill $500,000 per year in charges (much more than most physicians), Obama would have me pay 50% federal taxes. Typically, about 50% of the billed charges are written off due to insurance adjustments and helping patients with no means of making payments. This means that of my $500,000, half is never seen. Another 50% of the remaining income goes to overhead (equipment costs and upkeep, nurses, medical assistants, billing department, etc). Were down to $125,000 prior to taxes. Suppose malpractice insurance is $25,000 per year. Now deduct 50% federal and 13% state tax and were left with ~$35,000. Property tax is another $15,000 yearly. Now were down to $20,000 yearly and if I want to purchase anything with the little money I have left, there will be another 8% sales tax. This means that I, who have spent the large majority of my life in training, time away from my wife and children, will have the prestige of a half million-dollar job and will actually bring home less than $20,000 per year.

    Now I get to tell my family, for whom I have trained an entire lifetime to support, that we can’t afford to live in our house and the children’s college funds are no longer secure. My income and security would be the same if I had not gone to college, medical school, internship, residency, fellowship, and interventional training. I could have left high school, trained at a vocational school, and been in the same financial situation without the lofty expectations.

    If you want equality, you’ll have it, equally unmotivated and uneducated citizens. So do I tell my babies to plan to lower their expectations because everyone in this country is “equal” and despite your ambitious pursuits, you will never amount to any more than anyone else, or do we as a country open our eyes any realize that people should be rewarded for their efforts and accomplishments?

    I can tell you for sure that many doctors will quit their practices if Obama is elected. You will have the ability to see a primary provider for routine visits, which is already the case. (Remember, we already dismiss about half of our charges to help people without the means to pay.) If you need a specialist, the wait will be months. If you live to see the specialist, the quality of care will be awful. Most of the current specialists will not keep their practices and the standards of training will drop in order to fill the positions. If you want the guy that just gave you the Slurpee at the Quicky-mart to take your Cardiologists position, you are on the right track in voting for Obama.

    BE SMART. Think about it. Make the right choice. God be with us.

    Howard

    Dr. "John",

    I'm sure you're a fine physician, but you need to review your math and accounting--and not let political cliche's affect your reasoning.

    BARACK OBAMA WILL HELP YOU--you specically-- based on what you have written.

    First, you don't have a "half million dollar a year JOB" as you claim.

    You RUN A BUSINESS that grosses a quarter of a million dollars (your charity care and write offs will normally not be construed income).

    Your personal income from that business is $100,000 dollars (the "gross" $250,000 minus standard business expenses of $150,000). Which is actually a pretty good percentage return.

    (You don't say whether YOU take a salary out of those expenses or only receive income as the owner--if so your personal income is greater.)

    Assuming you file that business income on your personal return (as many small business owners do), and assuming you take at the very least the standard deduction allowed by the IRS, you will receive a TAX CUT under Obama's tax proposal.

    In fact, you would save over $1400 under Obama's plan....and about $100 under McCain's.

    (To get those numbers I used the tax calculator you can find here: Obama Tax Calculator I had to make some assumptions about your personal situation, so I may be off a little.

    On the specific issue of health care, Obama proposes to make it easier for small businesses to offer health insurance to their employees--which likely will mean you won't have as many "non-pays" as you do right now. Heck, your income may go UP!

    And since Obama is NOT suggesting any kind of "Canadian style" plan that would put all health care under one umbrella, all of your scrare words about doctors quitting the biz make no sense.

    As you said, Dr. John, BE SMART, think about it...but GET YOUR FACTS RIGHT FIRST.

    kc

    You have to HELP yourself... The government is NOT the answer... Hand outs is NOT the answer... Marxism is NOT the answer... Socialism, share the wealth is NOT the answer...

    Its good, old-fashioned hard work, self responsibility, education, patience, hard work, common sense, hard work, life, liberty, god, family, country

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