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Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?


To: Road Walker who wrote (26838)8/2/2013 10:13:58 AM
From: Murrey Walker2 Recommendations

Recommended By
Ben Smith
i-node

  Respond to of 42652
 
So I was a walking wallet and they were going to get every penny they could.

I personally don't believe that to be the case, particularly at the "doc" level. I've too many doctor friends in my small community, and I've been privy to more than one war story about unnecessary procedures caused by defensive challenges.

Could it be, they were practicing "defensive medicine"? My guess is, "absolutely".

Now, corporately speaking, when it comes to the hospital as an institution, my response to you, of going after every penny they could, would be "absolutely"!

Why, for the life of my, are the hospitals not coming under the microscope of cost reduction scrutiny like the insurance companies?



To: Road Walker who wrote (26838)8/2/2013 10:48:05 AM
From: longnshort1 Recommendation

Recommended By
FJB

  Read Replies (1) | Respond to of 42652
 
Congress to get Obamacare exemption: report

By Michael Kitchen
LOS ANGELES (MarketWatch) -- The White House has approved a deal that will exempt members of Congress and their staff from some of the provisions of the Affordable Care Act, Politico reported late Thursday. Under the law, popularly referred to as Obamacare, lawmakers and their aides were required to source health insurance "created" by the law or offered through one of its exchanges, and without the subsidies they currently enjoy, the members of Congress would have faced thousands of dollars in additional premium payments each year, the report said. However, the Office of Personnel Management now plans to rule that the government can continue to make a contribution to the health-care premiums of the lawmakers and their staff, it said, citing unnamed congressional sources and a White House official.



To: Road Walker who wrote (26838)8/2/2013 10:49:28 AM
From: longnshort1 Recommendation

Recommended By
FJB

  Read Replies (1) | Respond to of 42652
 

Ga. Insurance Commissioner: Obamacare to Force 'Massive Rate Increases Up to 198 percent'

weeklystandard.com



To: Road Walker who wrote (26838)8/2/2013 11:54:54 AM
From: i-node1 Recommendation

Recommended By
TimF

  Read Replies (3) | Respond to of 42652
 
>> The whole thing offends my natural sense of efficiency.

The good news is you walked in and weren't carried out. Glad to hear that.

Of course, I know nothing about medicine or what the doc's concerns might have been. It seems to me a degree of cynicism is justifiable, but at the same time some of it is understandable.

Imagine you're a doctor and a person shows up about whom you know nothing, a person you've never seen before, and you have no real knowledge of the person's medical history. If you make the wrong diagnosis, you're could be facing legal action or worse, the person could drop dead first. And you have a ten-minute encounter with the person during which to judge the seriousness of his problem. When you boil it down, all you really have are test results.

It is like saying to a pilot, put on this IFR hood, but you can't use your instruments. Just go with it.

After all, something was sufficiently wrong that it made you show up at the ER and not wait to schedule an appointment with your family practice doc; so he has to presume you have a reason for being there and it his job to figure out what it is. He doesn't want to miss anything.

So, you get the $2,000 workup just to be sure. OTOH, there have been documented instances where ER docs were pressured to feed patients to the hospital. So, there are dual concerns.

There is plenty wrong with the hospital business, I'm sure. But the ER is a tough example. Because it has to be staffed with physicians and nurses 24/7, whether there is work to do or not, it has to have access to everything from the lab to CT scanners for every patient who walks in the door, whether they're needed or not. And they've got to see you, pretty much, whether you can pay or not. So, some understanding is called for.



To: Road Walker who wrote (26838)8/2/2013 12:05:37 PM
From: longnshort  Read Replies (1) | Respond to of 42652
 
they have to do that or some liberal asshole Lawyer will sue the shit out of them if you died later.

why didn't you go to you PC guy it would have save the whole system money, it's people like you who are breaking the bank.

you probably also go to the ER when you have a tooth ache and call 9-11 for an ambulance ride there



To: Road Walker who wrote (26838)8/2/2013 6:30:04 PM
From: Lane31 Recommendation

Recommended By
TimF

  Read Replies (1) | Respond to of 42652
 
The ER doctors are stuck in this system we've created just like everyone else. It's not their fault. They gotta do what they gotta do. It would be nice if it were different, but it isn't.

It's almost always the fault of the system, not the participants. Sure, there are sometimes bad actors, but mostly it's just regular folks following the system because that's the way it works.



To: Road Walker who wrote (26838)8/2/2013 9:22:00 PM
From: J_F_Shepard  Read Replies (1) | Respond to of 42652
 
If an EKG says you're not having a heart attack you may still be having one, but if a EKG says you're having a heart attack, you're having a heart attack....

You paid $100, I'll bet your insurance company paid a lot more....