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View Diary: Lessons from Norway (health care reformers take notice!) (228 comments)

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  •  The people who are dying here, (1+ / 0-)
    Recommended by:
    vets74

    most of 'em don't matter anyway :)

    It's basically ONLY the poor and the brown-skinned and the illegals and such--people we want to get rid of, anyway.

    Thanks for the great diary.

    •  You're missing it. TOO MUCH MEDICINE (10+ / 0-)

      is the problem addressed in this diary.

      Patients used as walking pay checks by dishonest doctors. And getting really, really bad treatment in the process.

      MRSA has exploded because of over medication.

      ON AVERAGE:

      -- Our multi-condition chronic care patients are bounced to 12 doctors a year and are prescribed 50 medications a year.

      -- Have no doubt that these 50 medications include obscene amounts of antibiotics.

      I've been doing a series on how medical criminality has taken over. Currently working on this round with a focus on the single worst place in the country, McAllen TX:

      How the "Dr. Bernie Madoffs" Conquered McAllen, Texas

      Your community, your affinity group... you do find Big Feeder... who gits you to Dr. Bernie Madoff.

      You can enter the Golden Offices.

      You're grateful... get yer cheeks onto Bernie's hot exam table.

      After the interview Dr. Bernie looks over to his office drudge and says:

      Give Bertha her weekly appointments through next May.

      Send her to our hospital for tests.

      She's family.

      Make that "tests and a pound of antibiotics" --

      Bernie Madoff's 9% ROI was too good to be believed. Massive medical intervention is way too good to be believed.

      Mayo Clinic is as good as it gets. $8,000-a-year less than McAllen, TX.

      Too much medicine kills, same as getting nothing.

      Atul Gawande -- The Cost Conundrum

      Overmedication is worse. Simply, worse.

      I calculate that $500-billion to $1-trillion-a-year is rip off.

      That's just in the chronic care slice of the pie.

      There's lots of Dr. Bernie Madoffs out there. And the scam on medical marks is run exactly to what the real Bernie Madoff used to on his marks.

      Bernie copied the doctors.

      Unrelenting Conservative Spirit -- a.k.a., criminality.

      Angry White Males + Personality Disorder delusionals + Pro-Life Christians

      =EQ=

      The GOPer Base

      by vets74 on Sun Jan 03, 2010 at 06:34:54 AM PST

      [ Parent ]

      •  I confess to have not read the diary (3+ / 0-)
        Recommended by:
        historys mysteries, Rogneid, vets74

        through before leaving that comment.

        But, in general, who puts off getting their stuff treated? Who gets only inadequate treatment when they do go in, leaving part-cured infections to fester, and form drug-resistant strains?

        Hint: It ain't Bernie Madoff.

      •  This is oversimplified (1+ / 0-)
        Recommended by:
        vets74

        As someone who worked in ERs and then urgent care centers, I can tell you that most docs don't want to overprescribe. They succumb to the pressures, and that's something that could be modified.

        Right now there is limited time with patients, and in the time if the patient has it fixed in their mind that they need an antibiotic, it can take a long time to educate them as to why they don't. Some patients will never accept it, and argue at length.

        What we need:
        Stop direct to consumer advertising - I can't tell you how much time I've wasted explaining to patients why they don't need what they saw on television. It's time I could have used to educate them on staying healthy, or on dealing with other health conditions they have.

        A nationwide educational campaign for patients on appropriate use of antibiotics. People believe what they see on TV; there should be public service ads. There should be web ads.

        A nationwide educational campaign for doctors and other prescribers - dentists, podiatrists, physician assistants, nurse practitioners. Make it a matter of good or bad medical practice, rather than giving prescriptions because it's easier.

      •  More care isn't always better care (1+ / 0-)
        Recommended by:
        vets74

        We have to protect the new system of oversight and regulation in the House health care bill.

        I'm from the Democratic wing of the Democratic Party...

        by Betty Pinson on Sun Jan 03, 2010 at 11:53:46 AM PST

        [ Parent ]

        •  Bingo ! Standardizing on VHA's VistA system (1+ / 0-)
          Recommended by:
          Betty Pinson

          looks to be a good start.

          Actually... WorldVistA -- with codes and HIPAA.

          Atul Guwande did one helluva piece in New Yorker. How excess consumed McAllen TX.

          Angry White Males + Personality Disorder delusionals + Pro-Life Christians

          =EQ=

          The GOPer Base

          by vets74 on Sun Jan 03, 2010 at 02:36:59 PM PST

          [ Parent ]

          •  Thanks for the info (0+ / 0-)

            I'd like to learn more about VistA, sounds good since its already been tested.  

            I love Atul Guwande's piece, read it when it came out. This might be a good time to pass it around again as we prepare for Congress combining health care bills.  Its always been my opinion that the House bill is much stronger and comprehensive in this respect.

            I'm from the Democratic wing of the Democratic Party...

            by Betty Pinson on Sun Jan 03, 2010 at 03:59:12 PM PST

            [ Parent ]

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