I've never had the same test twice, but I do think Dr.s over test to protect themselves, and they get paid to do the tests, and in many practices own the equipment....blackrock13 said:
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Healthcare is rationed in America
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http://www.concordmonitor.com/apps/pbcs.dll/article?AID=/20080313/OPINION/803130304blackrock13 said:Ain't no lawyers in this line up, sorry.
I'm not so sure - $ 100,000 a year in insurance is going to have an impact on costs no?
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Repeating the same test is no way to protect yourself. there' no direct correlation. Yes they they get paid to do the test, that's the point. They get paid to do something that doesn't need to be done; a waste of time, resources and money.onthebottom said:I've never had the same test twice, but I do think Dr.s over test to protect themselves, and they get paid to do the tests, and in many practices own the equipment....
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You don't think the insurance companies have figured this out? There is a natural tension in the system between what the Dr. orders and what Insurance Companies will pay for. Since people will spend more for cigarets than health care it's the insurance company, not the patient that limits wasteful procedures.blackrock13 said:Repeating the same test is no way to protect yourself. there' no direct correlation. Yes they they get paid to do the test, that's the point. They get paid to do something that doesn't need to be done; a waste of time, resources and money.
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Of course the HMO know about it but 'cauCHing cauCHing' if its small let it go, no big deal, but then when they say no to the big stuff, nobody can accuse them of being tight fisted as easily.onthebottom said:You don't think the insurance companies have figured this out? There is a natural tension in the system between what the Dr. orders and what Insurance Companies will pay for. Since people will spend more for cigarets than health care it's the insurance company, not the patient that limits wasteful procedures.
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As I already posted, anyone who knows anything about the U.S. Medical system knows that there is a great deal of the practice of defensive medicine in the U.S.onthebottom said:There is a great deal of CYA in US medicine - the answer for that is tort reform but the lawyers give so much money to both parties I doubt it will ever happen.
Personal Injury Lawyers tend to give generously to the Democratic Party (John Edwards) while the majority of Lawyers in other areas of practice give to the Republican Party.
You've said mouthful AV.Aardvark154 said:As I already posted, anyone who knows anything about the U.S. Medical system knows that there is a great deal of the practice of defensive medicine in the U.S.
Personal Injury Lawyers tend to give generously to the Democratic Party (John Edwards) while the majority of Lawyers in other areas of practice give to the Republican Party.
Definition of defensive medicine; Screw the patient, save my ass. Love it.
If the political demographics of the lawyer proffesion is as you describe, that explains a whole lot.
blackrock13 said:Repeating the same test is no way to protect yourself. there' no direct correlation. Yes they they get paid to do the test, that's the point. They get paid to do something that doesn't need to be done; a waste of time, resources and money.
it is both, sure there are doctors who repeat tests for greed and they do it too to protect and document their actions, but to label it as pure greed, is like saying everybody who has an mba is a crook and every trial lawyer is an ambulance chaser...
the last thing a doc needs these days is someone to tell him how to practice medicine and try to pay absurd malpractice insurance costs...
the docs can't win both ways either... you both get stiffed by a public plan and the private insurance carriers anyway....
but if you really wanted to avoid the redundant testing that does happen, they have to bring down malpractice insurance costs... so doc's won't have that excuse anymore about over-testing...
but really sometimes when we don't order any tests the patients often wonder if they are being treated at all, some of them actually want to be tested to feel treated, of course is just a matter of explaining to patients but there are people who are like that....
That really isn't the definition, it is more you have Lyme Disease. However, there is the remotest of possibilities that it might be ‘whiterock fever,’ therefore since if it is ‘whiterock fever’ you will file a malpractice suit, which will cause my malpractice insurance rates to rise to the stratosphere, I will order the highly expensive tests for ‘whiterock fever’ even though it is only endemic on Wrangel Island and you have never visited there.blackrock13 said:Definition of defensive medicine; Screw the patient, save my ass. Love it.
And up the costs go.
Yes, that personal injury lawyers give generously to the Democratic Party does perhaps explain why Democratic Representatives and Senators have so little interest in including reform of malpractice insurance in any discussion of health insurance reform.
As I've already posted it is not performing the same test, it is ordering a plethora of different tests for exotic things before more mundane things are ruled out, because if you don't and you are incorrect- - - Gigantic malpractice lawsuit.blackrock13 said:Repeating the same test. . . They get paid to do something that doesn't need to be done; a waste of time, resources and money.
I don't paint all MDs like that, but there is pure greed in some, don't ask how many please.kupall said:it is both, sure there are doctors who repeat tests for greed and they do it too to protect and document their actions, but to label it as pure greed, is like saying everybody who has an mba is a crook and every trial lawyer is an ambulance chaser...
the last thing a doc needs these days is someone to tell him how to practice medicine and try to pay absurd malpractice insurance costs...
the docs can't win both ways either... you both get stiffed by a public plan and the private insurance carriers anyway....
but if you really wanted to avoid the redundant testing that does happen, they have to bring down malpractice insurance costs... so doc's won't have that excuse anymore about over-testing...
but really sometimes when we don't order any tests the patients often wonder if they are being treated at all, some of them actually want to be tested to feel treated, of course is just a matter of explaining to patients but there are people who are like that....
I doubt redundancy is to hold down insurance rates. In the litigious environment that is the US of A, it's like beating back an elephant with a fly swatter. If someone stood in front of me and said 'I did the test' I kinda say 'ya so did Doc A and Doc B with the same findings, so what's your point? You could read the notes?
Doing work so that patient feels right is not the best reason, again not productive, and costly. Hand holding is good and often needed, but that's not hand holding. That verges on dishonesty.
No 'I' posted that repeats test were often done. I know 3 Canadian MDs who are licensed to practice in 3 separate states and they are relaying these points to me. They find it really hard to turn on and off their Canadian mind set when they head south and it causes difficulties.Aardvark154 said:As I've already posted it is not performing the same test, it is ordering a plethora of different tests for exotic things before more mundane things are ruled out, because if you don't and you are incorrect- - - Gigantic malpractice lawsuit.
Generally Corporate lawyers give to the GOP and have always been ranked at the bottom of the barrel. These are the weasel types that sold their souls for their 30 pieces of silver and spend their time defending Big Tobacco, OIL, Chemical companies, Mines, Drug companies, etc., after they have killed off a bunch of people, because it will fatten their Corporate bottom lines.Aardvark154 said:Personal Injury Lawyers tend to give generously to the Democratic Party (John Edwards) while the majority of Lawyers in other areas of practice give to the Republican Party.
I think that is a bit simplistic - and you should know that HMO is a particular type of healthcare plan - one of many choices most of us can choose from.blackrock13 said:Of course the HMO know about it but 'cauCHing cauCHing' if its small let it go, no big deal, but then when they say no to the big stuff, nobody can accuse them of being tight fisted as easily.
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Why would a Canadian doctor leave the healthcare paradise of the GWN?blackrock13 said:No 'I' posted that repeats test were often done. I know 3 Canadian MDs who are licensed to practice in 3 separate states and they are relaying these points to me. They find it really hard to turn on and off their Canadian mind set when they head south and it causes difficulties.
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The vast number of Canadians believe that no matter how much money you have you should not be able to purchase better basic health care than the poorest Canadian. Cosmetic yes, dentristry? For now, but you must not be allowed to cue jump for operations or any other life and health threatening situations. This is at the core of the Canadian and American differences.
blackrock13 said:I don't paint all MDs like that, but there is pure greed in some, don't ask how many please.
I doubt redundancy is to hold down insurance rates. In the litigious environment that is the US of A, it's like beating back an elephant with a fly swatter. If someone stood in front of me and said 'I did the test' I kinda say 'ya so did Doc A and Doc B with the same findings, so what's your point? You could read the notes?
Doing work so that patient feels right is not the best reason, again not productive, and costly. Hand holding is good and often needed, but that's not hand holding. That verges on dishonesty.
redundancy is to protect yourself from law suits not to hold down rates.... because some jackass lawyer later on will explain to a jury why dr A didn't repeat the test when it could have been easily ordered, especially if it was covered by insurance.. what will dr A say in his defense, well uhmmm i was trying to curb costs???
Mrbig1949 said:The vast number of Canadians believe that no matter how much money you have you should not be able to purchase better basic health care than the poorest Canadian. Cosmetic yes, dentristry? For now, but you must not be allowed to cue jump for operations or any other life and health threatening situations. This is at the core of the Canadian and American differences.
i think a more accurate statement would be that a vast number of canadians don't have achoice but to subscribe to government health care, and when they need to, they jump ahead of the line by jumping to the USA and pay for it, that is the reality
kupall said:i think a more accurate statement would be that a vast number of canadians don't have achoice but to subscribe to government health care, and when they need to, they jump ahead of the line by jumping to the USA and pay for it, that is the reality
MrLittledick doesn't trade in reality...... Doesn't comprehend it... doesn't live there....
He's a blowhard loser who refuses to back up a single one of his claims.... about the topic of this thread, about his own "life" & everything else.....
Hey Mr former History prof/astronaut..... how are your 7 employees coming along with forming a union in your widdle 3 company empire......
You lying retarded fuck
