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Politics : Did Slick Boink Monica? -- Ignore unavailable to you. Want to Upgrade?

To: Lady Lurksalot who wrote (11909)	3/22/1998 5:10:00 PM
From: Jack Clarke	Respond to of 20981

Hi Holly, " I have heard of patients being denied needed surgery because they have no one at home to look after them postoperatively and/or they live in areas where the visiting nurses fear to tread." I haven't seen that happen. Most doctors know how to put the magic words on paper to justify the Medicare patients' extended stay if they need it. The problem arises with the HMO patients because managed care gives their doctors a "profile" which in effect lets them know how much of their money the doc spends taking care of the patient. Spend too much and your profile gets noticed. Then you're dropped from the panel, which they can do without giving any reason. This has the effect of destroying that age old tradition (Hippocrates) which puts the physician squarely on the patient's side. Do so now at your own peril. That's why I am reluctantly and sadly on the side of the lesser of the two evils in saying socialized medicine would be better that managed care -- for the sake of the patient. The physician is a loser either way. Jack