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View Diary: Michigan doctor arrested for purposely misdiagnosing cancer (299 comments)

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  •  Maybe not (3+ / 0-)
    Recommended by:
    Roadbed Guy, cotterperson, vcmvo2

    Things like this happen with regular insurance as well.

    But not often, and rarely this bad.

    •  Yes, as I posted elsewhere in the comments (1+ / 0-)
      Recommended by:
      cotterperson

      to this diary, there is an epidemic of unnecessary medical procedures in this country - statistically some of them definitely are paid for by private insurance!

      But the larger point stands that single payer is not going to solve this (and if anything has the potential to exacerbate the problem).

      •  two separate issues: (2+ / 0-)
        Recommended by:
        Kevskos, schnecke21

        the abuses of insurers, and the abuses of doctors.

        Insurers and doctors are fighting over who gets the lion's share of health care dollars. Right now the insurers do, because they suck up clients' money, and then refuse to pay for anything. This results in undercare--patients not getting enough treatment.

        As a result it gets harder for doctors to get paid. That is the reason, I suspect, for the sudden surge in physician support for single-payer health care over the last decade. Before, the insurance companies gave them enough money. Many of them weren't too happy about Medicare because they thought the government wouldn't pay them as much as private insurers. Now many of them have changed their tune because the private insurers are proving to be even more tight-fisted than the government.

        The abuses of doctors result in overcare--too much treatment. It's another problem, that has to be dealt with by reforming the system of health care provision, not the health insurance system. A single-payer system by itself will eliminate insurance company abuses but not doctor/hospital/pharmaceutical company abuses.

        To say that totally-for-profit insurance is immoral, while totally-for-profit medicine is moral, is incoherent. Both get in the way of health care dollars being used for the benefit of the patient--which is what this is all about, in any case.

        "In America, the law is king." --Thomas Paine

        by limpidglass on Wed Aug 07, 2013 at 02:20:40 PM PDT

        [ Parent ]

        •  I think that one of the main reasons (2+ / 0-)
          Recommended by:
          mmacdDE, DSPS owl

          doctors are unhappy with our current system is that in managed care organizations such as HMOs, there are panels of people who decide which treatments the HMO will pay for.  This takes treatment decsions out of the hands of the doctors, which they strongly resent.

          •  This is much exaggerated by (0+ / 0-)

            doctors. Frequently the treatments that insurers want to prevent are not of value and even dangerous.

            Over treatment can and is often deadly. Unfortunately too many trust their doctors and insurers have handled refusals to pay very poorly.

            Groups of doctors, within each field, have been naming procedures of little or no value in their fields but too many doctors won't give them up in large part because of the hits to their pocket books.

            Here is a great article discussing the issue  http://ldi.upenn.edu/...

            I'm asking you to believe. Not in my ability to bring about real change in Washington ... *I'm asking you to believe in yours.* Barack Obama

            by samddobermann on Mon Aug 19, 2013 at 02:59:34 AM PDT

            [ Parent ]

          •  But it is doctors who fight against (0+ / 0-)

            evidence based recommendations about low value care. It's doctors that insist of ordering treatments that have little value (besides to the doctor's income) and have the potential to harm.

            You bet they resent not being able to do everything they want to do. But if they won't self regulate something has to step in. It is a difficult problem.

            See: http://ldi.upenn.edu/...

            I'm asking you to believe. Not in my ability to bring about real change in Washington ... *I'm asking you to believe in yours.* Barack Obama

            by samddobermann on Mon Aug 19, 2013 at 03:07:35 AM PDT

            [ Parent ]

        •  Good points (0+ / 0-)

          The less-advertised parts of the Affordable Care Act include programs for evaluating quality of health care.  Electronic medical records, which have received a great deal of funding from ACA, will go a long way towards making it more difficult for crooked providers to rig the system.

          "The international world is wondering what happened to America's great heart and soul." Helen Thomas

          by Betty Pinson on Thu Aug 08, 2013 at 07:46:50 AM PDT

          [ Parent ]

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