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View Diary: Abbreviated Pundit Round-Up (130 comments)

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  •  not an idiot at all (5+ / 0-)

    he nails it.

    Everyone says how expensive the system is, but don't cut treatment for me. But the vast majority of us don't actually really bear the financial costs.

    However, there are more than a few who will bear the costs of unnecessary treatment. And I mean the physical costs. Just one example was a young woman I saw last year who developed a nasty MRSA infection of a breast biopsy site for a benign process. That's just one.

    Men going through treatment that could leave them impotent and/or incontinent for a disease that might not otherwise affect their lives is another.

    And those people are being treated. At tremendous costs. When they may not need it.

    That's the whole point of his column. And of the guidelines.

    Diversity may be the hardest thing for a society to live with, and perhaps the most dangerous thing for a society to be without - W S Coffin

    by stitchmd on Tue Nov 24, 2009 at 04:27:07 AM PST

    [ Parent ]

    •  Additionally (0+ / 0-)

      our fee for service sub-specialists bringing down high 6 figure incomes. Let's see them give up some of that dough. Find me a back surgeon, least in my neck of the woods, who would work for a "modest" salary of, oh 250k? Not gonna happen.

    •  I lost my connection the other day (1+ / 0-)
      Recommended by:

      after I'd written you a fairly long post about how I think the guidelines are fine, but that because our system is so dysfunctional - and so few people really have the opportunity to develop long-term relationships with a physician that we are relying too heavily on the guidelines - and not enough on the physicians' one on one interface with their patients.

      The move towards testing was in many ways a reaction to the fact that the relationships between patients and docs was becoming less and less intimate.  Now we are moving away from testing, but doing nothing to really insure that people can develop solid relationships with medical providers assuring payments or assuring that tests/procedures that medical providers who are intimately involved in a case are paid for - even if they do not always fit the guidelines.  A statsitical patient example, as you know, is often quite different from an actual live human patient with their own unique body chemistry and genetic make up.

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