2009 state sales tax deduction table
2009 state sales tax deduction table
Health is a business and doctors are active. The purpose of a company is overpaying the legal minimum tax. The legal minimum tax is determined by how they make money and deductions. This results in profits, return on investment (ROI), dividends, the ability to pay employees, etc. in the "health" of companies, customers, you and me - attracted by expectations of the experience past has promised us, television programs, advertisements of the pharmaceutical companies, a slight cough or a real emergency.
Let's break it down into business components and see how to understand this is business, not a romantic drama television program or make the current crisis Transparency of health care. Let's start with the front of the company - doctors.
Business Requirements
The Doctors have completed college, medical school, learning (the residence) and if they have a specialty area For example, psychological) that have additional courses, etc. After that, they must obtain a business license to practice in a real state individual. Have invested huge sums of money (principal of the school, time, etc.) to be in the business. And then to have to bear high costs to fulfill ongoing business (insurance, equipment, etc.
What is interesting is that once you made the investment and the position that physicians play in society, similar to lawyers after qualifying - that's all. They never need to requalify. brokers in securities, real estate appraisers, insurance agents - all to requalify for licenses practice. But this is not a doctor - the only people who can judge other doctors - not a bad job security. Thus he could have his business license in 1980 and put into practice and not to question whether she has "moved" over time.
How do we make money
Doctors make money seven ways:
- sell their services. They in individual cases, medical groups or institutions (hospitals).
- laboratory tests or ethics committee.
- References
- sale of drugs (prescribed)
- seeks to create more drugs and laboratory tests (more than doubtful value)
- training other doctors to do the same things that make
- People who work in the composition or disease
What is its purpose?
The doctors are of ordinary people - have children and mortgages - does not exist in a vacuum. My neighbor is a cardiologist. Your company is too sell medical services do not cure you or anything else - may or may not be a by-product. For some reason, clients (patients) are unclear about this, that somehow a doctor and what they do is far from the real world, because they were professional. Like other trustworthy person selling to believe what they say because of the position.
So when you go with an interest, physicians can have a totally different program. As an auto mechanic - you have good and not very good. The work of the physician search and use a consultative approach sales - you are responsible for making some tests, may be sent to another doctor, a specialist "." In the meantime, you will also given a prescription of certain drugs, designed to have an effect on your problem. You can also make a smaller contribution to costs - The bill to your insurance company the thing for the customer thinks it's all altruistic and do not understand anything because the total cost is subsidized. When In fact, I was myself and my doctor discovered that was given and charged us for unnecessary tests - I have shot and I told my insurance company.
You will very rare, a doctor told him to get anything that is not compensated, and you'll never see a price list the cost of services broken for you. Think all insurance as a privately financed high (in most cases) the pool of grant (with actuarial tables). Plus your copayment or deductible as - the main concern you have about the costs and vice versa.
The combination of the confidence of society and the elimination of patients know the actual costs of service which is the origin of the crisis in public health. "
Doctors are like any other businessman - the customers, products, Sales, references, samples, wholesalers, retailers, etc. And they are all masters of their systems to protect confidential information your sales information. Example: try to get a copy of their own medical records - you may think these are yours, but belong to a physician group - why? It is proprietary information. The patient must think more like the customer they are.
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