My good friend Mark Kot is the real Hamptons Doctor. He doesn't make house calls because his Southampton Urgent Medical Care facility is where everyone goes for the best medical care in the Hamptons.
I asked him for his take on Obamacare. Yesterday he sent me the little ditty below, and I need to share it with you today.
He got it off the Internet. Which means it's true. No, I'm not kidding. Well, at least this time I'm not kidding. This Internet ditty is true.
Before I share it with you, let me tell you why it is so true and so frightening…
Dr. Kot used to be an emergency room doctor at the local hospital, but he saw too many things there that weren't in patients' best interest. He saw long waits for people who needed immediate attention. He saw people getting billed huge amounts just because they had good insurance that would pay the tabs. He saw inefficiencies in the layers of bureaucracy that envelop hospitals. He saw a lot of things that needed changing, but he couldn't change what he wasn't able to control.
So in 2003, he went into private practice. He's the only doctor in his stylish and beautifully appointed facility. His welcoming room – you just can't call it a "waiting room" – is like a Hamptons house living room. He employs (as in created jobs, very good-paying jobs) 18 people at the year-round office.
No one waits more than a handful of minutes to get in. Everyone gets the best care for what they need and no "add-ons" or bill-padding, ever. Not that hospitals would ever do that (except for the ones that have been caught doing that).
They take some insurance, they have to. But most folks pay "out-of-pocket," whether it's the TV anchor paying by check, an area waitress paying with cash, or a poor-wee-bugger scraping along in life that Mark doesn't charge.
What that does, Mark tells me, is make his office more efficient. He doesn't have to wait long periods for reimbursements. He can manage his extensive payroll and other expenses more efficiently, which means he charges his patients less and he can pay his people more and run a better medical care facility.
That's why his reputation and the facility's reputation are renowned in the Hamptons.
Only there's a problem.
Obamacare may put him out of business.
Why? He's lectured me on what Obamacare will eventually create, and frankly I don't understand all the nuances he's explained, but he's board certified and been a practicing doctor for 26 years. He knows his business.
So, rather than explain it all to me again, he sent me this little ditty…
About the Author
Shah Gilani boasts a financial pedigree unlike any other. He ran his first hedge fund in 1982 from his seat on the floor of the Chicago Board of Options Exchange. When options on the Standard & Poor's 100 began trading on March 11, 1983, Shah worked in "the pit" as a market maker.
He helped develop what has become known as the Volatility Index (VIX) - to this day one of the most widely used indicators worldwide. After leaving Chicago to run the futures and options division of the British banking giant Lloyd's TSB, Shah moved up to Roosevelt & Cross Inc., an old-line New York boutique firm. There he originated and ran a packaged fixed-income trading desk, and established that company's "listed" and OTC trading desks.
Shah founded a second hedge fund in 1999, which he ran until 2003.
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