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View Diary: The ACA and Our Doctor Shortage (149 comments)

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  •  What about (1+ / 0-)
    Recommended by:
    VeloVixen

    the cost of defensive medicine due to fear of lawsuits - is this included in Klein's #s?

    "And there are those who give and know not pain in giving, nor do they seek joy, nor give with mindfulness of virtue; They give as in yonder valley the myrtle breathes its fragrance into space" Khalil Gibran

    by bcdelta on Mon Sep 03, 2012 at 10:43:23 AM PDT

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    •  Doctors supposedly practice "defensive medicine" (3+ / 0-)
      Recommended by:
      bcdelta, VeloVixen, jfromga

      because they are afraid of lawsuits.  But they are afraid of lawsuits because the insurance industry told them to be afraid.

      At the root of it, doctors aren't really afraid of the lawsuits, they're afraid of their malpractice insurance premium going up.  

      Frivolity is in the eye of the beholder, or, as my father used to say, "It all depends on whose ox is gored."  It's really very difficult for a truly meritless lawsuit to get anywhere.  

      The "problem" -- if there actually is one -- is that the insurance companies encourage these so-called "frivolous lawsuits."  It's a much better business model to settle suits and raise premiums then it is to actually use the tools that already exist in the U.S. legal system to deal with meritless litigation.  

      The insurance industry's sole purpose is to increase its revenues, not to lower medical costs.

      We must drive the special interests out of politics.… There can be no effective control of corporations while their political activity remains. To put an end to it will neither be a short not an easy task, but it can be done. -- Teddy Roosevelt

      by NoMoJoe on Mon Sep 03, 2012 at 11:00:28 AM PDT

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      •  Sounds like (1+ / 0-)
        Recommended by:
        VeloVixen

        collusion between legal and insurance.  Nicely made point.

        "And there are those who give and know not pain in giving, nor do they seek joy, nor give with mindfulness of virtue; They give as in yonder valley the myrtle breathes its fragrance into space" Khalil Gibran

        by bcdelta on Mon Sep 03, 2012 at 11:04:07 AM PDT

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      •  In NYS, I'd beg to differ, certainly surgeons and (1+ / 0-)
        Recommended by:
        VeloVixen

        OBY/GYN practitioners. I'd love to believe it's insurance companies making them afraid, but it's more likely the pregnant mother who threatens her physician with a lawsuit "if something's wrong with her baby". Certainly most patients aren't like this woman, the problem is too many are. (I happened to be in a room when she took an urgent call from a patient.) We're also seeing OBY/GYNs refuse to take on obese patients for liability reasons.

        As far as insurance companies and payouts vs changing the medical system, sounds far too much like municipalities payout for trip and falls rather than fixing all sidewalks pre-emptively.

        Even if I knew that tomorrow the world would go to pieces, I would still plant my apple tree. -Martin Luther

        by the fan man on Mon Sep 03, 2012 at 01:05:39 PM PDT

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