To: Liatris Spicata who wrote (17477 ) 1/31/2001 2:36:40 AM From: Tunica Albuginea Read Replies (2) | Respond to of 24042 OT/Last post I hope on this:Larry Sherwood, excellent post. Unfortunately Apollo & Sherman are typical of the Medically-technically very savvy but completely ignorant of micro and macro economic issues involved, doctors that populate >90% of present US Hospitals. Their ignorance of course does not prevent them from being too arrogant to recognize that:Nothing worse than when you don't know that you don't know... Apollo, Sherman and Carolyn and >80% of US Medical establishmentdon't know and/or don't care that : -Medicare will NOT PAY for his " old lady's " treatment . -that even though her treatment costs will be astronomical and she will likely die in the hospital so that all that treatment and moneys will be wasted, the fact is that her treatment will be paid by a) you and me ( whether you like it or not ), and by b)the Hospital, which because it is not a bank, will then teeter one step closer to Bankruptcy and close it's doors as thousands of Hospitals have done so far. -This is because "Apollo's old lady's treatment costs fall under the Medicare DRG system Diagnosis Related Groups ltctoday.com That means that Medicare will pay about $7-10,000, even though her treatment may cost $75,000 - $100,000 by the time Apollo and Sherman are through with her. First off, Carolyn does not understand that Apollo CANNOT CALL MEDICARE " to get approval for the extra $75,000!!! " The law is the law. Medicare approves $10,000. end of discussion. There is no appeal mechanism. Carolyn....please educate yourself on DRGs... Here's also where Apollo's and Sherman's ignorance deepens: The hospital will try next to recover these $75,000 plus from YOU and me -Unfortunately however for the last 2-4 years this is no longer possible. Because Many of us have HMO insurance, which is cheap, which refuses to pay the Hospitals excessive costs. -So what does the hospital do? Well....they just mark it as Bad debt ", and let it go. But now , they rainy day fund is down...slowly and inexorably. So they.... -stop making necessary upgrades to the facilities of the Hospital. -Start laying off administrative personnel. -then Nursing Directors get laid off. -then as the number of Hospitals dwindle, the surviving Hospitals see a greater load of patients ( that used to go to the closed Hospitals ). But....they cannot afford to hire more nurses ( no moneys available to pay them ). -So they increase the load of patients per nurse. -to the point where it is now dangerous. 50% of Hospital errors are now due to overworked understaffed nurses. Errors are up 200, 300%. Patients die. Young as well as old. But there is more... -The lack of money forces the Hospital not to expand Emergency rooms , even though the Emergency Room load is up 300% because *people cannot afford Insurance and go to the ER to get free care. *more people coming there from closed hospitals. *Another reason Hospitals don't expand Emerg. Room Facilities is because now they know that that is where most of their uncompensated care comes from and so they want to protect themselves from the deadening cash hemorrhage.nytimes.com Meanwhile the House of Cards is beginning to fall. Employers see their Insurance Costs escalate, because Apollo's and Sherman's bills are not covered by Medicare and instead are sent...for example, to NailsAreUs.com SoNailsareUs finally turns around and says to their employees : "Here is $5000. You find and get your own Insurance ( good luck , in finding cheap affordable Insurance )messages.yahoo.com Meanwhile, the TOP doctors in the USA are finding this lack of Hospital Service to their patients offensive. So...they dump the Hospital and build their own. Except that this Hospital has no Emergency Room.Only the doctor can put you in and only if you have paying Insurance:ama-assn.org The bad Doctors on the other hand who have primarily their interests at hand , and not yours, immediately prostitute themselves to the interests of the Hospital and or/Health InsuranceMessage 13827844 This is a nice post that summarizes how, thanks to Medicare Government Mismanagement as well as the myopic Medical to do of Apollo and Sherman, the result for the " old lady 's relatives, Medicare and otherwise is the shaft: NO CARE:" Message 14213641 All of the above of course has nothing to do with either Euthanasia ( to which of course I am opposed 1000% ) or selecting patients, ( something that i don't so: I try take care of all my patients equally well. I do advise them and the family early on to call it quits when the battle is over and the pain is greater than the gain. Something that 90% of physicians don't so well at all.The problem here simply is lack of Money to pay for all the care. And unless something is done to let those that will die anyway, die, and not pay an expensive $100,000 funeral, then the money will come from selling The Nasdaq and the Dow and cashing in:messages.yahoo.com And ..your JDSU will be worth peanuts.... Can you see now the connection between all this and JDSU? I hope so... I hope this is the end of this. I'll be glad to discuss this at greater length. An appropriate forum would be the HealthSouth thread ( HRC ) where I have posted extensively on these issues. Start by reading post #17 onwards.Subject 24976 All my posts are still current, TA