You have worked hard all your life and are just starting to enjoy the retirement you and your spouse have always dreamed. You are just 67 yrs old, the "new 50". You crash your mountain bike and break a hip. Under the new payment rules for physicians medicare will only pay 1/3 of the going rates charged by competent orthopaedic surgeons to private insurance companies. You cannot find a physician who is willing to take your case. The hospital sends you to a nursing home after the three day stay for a fractured hip mandated and set by medicare is up bed bound by a fractured hip.
You have plenty of money, but it is illegal to contract with a physician because of the Obama Care laws and the provisions in it against free markets.
Your wife is a creative thinker and you get your surgery after she buys the orthopaedic surgeon's wife a really lovely and expensive Rolex watch, or spring for their next holiday at the beach or at Aspen on the slopes.
The Urban Poverty Law Center is ready to set up the "Barter with a Doctor Foundation" where contributions in your or your loved one's name can be made and used to acquire services from any physician through gifts to his immediate family. We have checked in all 57 states and have found nothing is illegal.
The physician gets his reimbursement indirectly and you get the care you need. Good care may be as simple as paying the physician's sewer bill or his light bill or making a credit card payment in his wife's name.
Giving is not illegal in the United States of America, not yet, anyway.
I suggest you start early and make provisions with your physicians and you could agree to pay your internist's light bill and he could take any services he provides to you from those payments made on his behalf.
Where does the IRS stand on bartering? Who cares when you need a hip replaced and you are on Medicare, the end justifies the means.
Jackson Delano Maybolt, President Urban Poverty Law Center
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