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

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  •  Hell, no! (0+ / 0-)

    There is lots of waste in health care.  Ask ask anyone who works as a doctor, nurse or other provider.  Using the language "death panel" is inflammatory and dipping into right wing memes.  There is nothing wrong with thoughtful allocation of resources.  In fact, that is already done by insurance companies who don't cover cosmetic procedures or unproved therapies.  

    It's the Supreme Court, stupid!

    by Radiowalla on Wed Aug 07, 2013 at 06:05:13 PM PDT

    [ Parent ]

    •  yeah (2+ / 0-)
      Recommended by:
      wilderness voice, Radiowalla

      Good you called me on it. I could of asked the questions without using the term I guess.
      It's just, seeing "inadequate utilization review" and that's where my mind lept.
      I mean, I know that rules are made, value judgements made, cost benefit analysis determined; regarding treatments for patients both in medicare and private insurance. And people can die because of those decisions.
      As a 54 year old cancer patient, it makes me nervous.

      You see, my Mom was diagnosised with advanced stage cervical cancer while on public health in California. They wouldn't give her chemo, they said it was pointless.
      So she came to me in Minnesota to die with family.
      It turned out that the doctors and the system here would treat her. She lived through the chemo and had 4,5 more years that she wouldn't have had otherwise.

      So I hope you'll forgive me. I'm no RWNJ and I don't give a crap about "memes" right wing or otherwise.
      It's just, I've seen one system say "Go home and die" and another say "We'll fight for your life".
      Does that explain why seeing "inadequate utilization review" makes me nervous? Is it ok that it does?

      •  Thanks for the thoughtful comment. (2+ / 0-)
        Recommended by:
        dennis1958, never forget

        It's a complicated topic and too knotty to cover here.  I am sorry that your mother wasn't offered treatment in California although it may have been more of a medical judgement than anything else.   This happens all the time when one doctor feels that treatment is not productive and another says it is worth the try.  Medicine is not an exact science and no doctor knows for sure how any given patient is sure to respond to any given treatment.  

        Utilization review is not or should not be a dirty word.  It is about determining how many visits to specialists are warranted for routine matters, how many blood tests are called for, how many cardiograms and how many MRIs are medically necessary.  It's about using what we have to the best effect and to the benefit of the most people.

        Maybe someone could do a diary on Utilization Review where all of these issues could be hashed out.  

        It's the Supreme Court, stupid!

        by Radiowalla on Wed Aug 07, 2013 at 09:56:28 PM PDT

        [ Parent ]

      •  Cost benefit analysis is an important part (2+ / 0-)
        Recommended by:
        dennis1958, Cassandra Waites

        of healthcare in every country.  Most people don't realize that life and death decisions are made every day based on the potential benefit of a treatment.

        Does it make sense to give a 90 year old a liver transplant, when a much younger patient could receive that liver?  Does it make sense to perform a heart transplant on a 90 year old when there is a very good chance that he/she might not survive the surgery?

        It sounds cold blooded and calculating, and people not in the medical profession don't like the idea of it, but these decisions are made all the time in medical treatment.

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