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View Diary: US Health Care Unmasked: A true story (122 comments)

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  •  You aren't right on some of this (0+ / 0-)

    You mentioned a couple of things that Physicians might do calling into question their ethics.  My wife is a Physician, she is working in an ICU at this very moment.  I have helped start and ran a medical practice.

    In this day of litigious patients, sometimes a Physician will prescribe something to help ensure the patient is getting the best care possible and help prevent bounceback of a patient into the hospital.

    WHAT THE ..............! HE DOESN'T NEED IT! THEN WHY PRESCRIBE IT TO HIM IN THE FIRST PLACE? WERE YOU TRYING TO RIP MY FRIEND OFF...
    There are times when a physician will prescribe a medication that could have a beneficial effect for a patient but it is not 100% certain it will help.  
    AND WHAT ABOUT EVERYTHING ELSE YOU'VE SAID?
    You are now calling the  Physician's ethics into question.  Again, the Physician has to ensure the patient gets the best possible care and may prescribe drugs, order tests, etc... to make certain they cover their bases.
    No good can come from prescribing unneeded medications, and ordering unnecessary tests and procedures
    What you might think is unneeded could, in fact, be a preventative or double check to make certain the Physician hasn't missed anything.
    It's called fee-for-service medicine, and it is the single biggest driver of increasing health care costs, and decreasing quality of care.
    Proof please.  Provide links backing up this point.
    In the US, doctors don't get paid for doing nothing. Doctor don't get kickbacks paid for not prescribing medications....

    snip

    They get paid when they prescribe medications....

    A Physician doesn't get paid for prescribing medications.  Please provide proof they do.
    and for ordering and performing tests and procedures, whether they're needed or not. In the US patient care comes secondary to profits.
    A Physician does get paid for performing tests, interpreting the test results and performing procedures.  

    You might view it as unnecessary but as I said above sometimes they order a test to ensure there isn't something they missed.

    Sure there are a few bad apples out there that abuse the system.  I think the VAST majority of them don't.  From my point of view, you are painting Physicians with a VERY broad brush.  I would suggest you do a bit more research into this and provide links to proof backing up your claims.

    •  If I drive a Hyundai (1+ / 0-)
      Recommended by:
      Chi

      chances are good that I can't AFFORD a Cadillac.  The Hyundai gets me from Point A to Point B just fine.

      The insistence of the medical profession in this country that every patient receive THE BEST is like forcing the Hyundai driver to buy a Cadillac.  We can't all afford to pay for your 100% certainty and peace of mind.  Furthermore, as was obvious in this case, doctors universally fail to COMMUNICATE which of their prescriptions and commands are fundamentally necessary, and which are CYA.  They thereby deny patients the ability to make decisions which quite frankly are THEIR OWN to make, not anyone else's.  When it comes to how much I want to risk my life vs my credit rating and mortgage payment, that should be MY decision, not yours.

      Finally, by failing to communicate and being at best obtuse and often disingenuous about their commands and the reasons therefore, doctors erode the trust of patients and families who come to them for advice and treatment.  Doctors often complain about patient "non-compliance"; it's time for them to realize that a good chunk of that comes from their own failure to cultivate trust by honesty, openness, and respect for their patients' autonomy.

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