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Re: The Death of the Canadian Model From: Jamie (ajfields@pine-net.com) Tue Feb 28 11:44:57 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Echinococcal cyst in pregnancy" Previous message: Tobias: "so-called abortion pill" In reply to: art fougner, md: "Re: The Death of the Canadian Model" I agree with this, but our current system can leave patients-and ultimately care providers and facilities-holding the bill for that. Once the insurance company has paid as much as they are willing to pay, the patient is billed for the balance. And turned over to collections if unable to pay, with adverse events reported to credit bureaus. If the debt is never collected, the hospital eats the cost of nursing care and supplies for the additional time. Do you think that's a factor in some doctors' going along with the insurance companies? At Tue, 28 Feb 2006, art fougner, md wrote: > >You are dictated to only so much as you allow ... Ethically, you are >obligated to practice with your patients' best interests in mind, >regardless of insurance coverage. I hear all the time statements such >as," the patient's insurance company dictated that I do such and such" >and I cringe. If two treatment options are acceptable, then going for >the less costly makes sense. But when one course of action has been >clearly superior, then the choice should be obvious. The same should be >true of patient discharge. If you are not comfortable medically about >discharging a patient, then don't. > >Just my opinion, I could be wrong. > >Art > >At Mon, 27 Feb 2006, Ina May Gaskin wrote: >> >>>In a message dated 27/02/2006 16:40:37 GMT Standard Time, >>>RModugno@aol.com writes: >>> >>>Ofcourse here we do it because Aetna, United Healthcare, Blue Cross, >>>etc, say so! >>> >>>Of course, the medical insurance compaines have you by the short and >>>curlies. Where is the scope for autonomy if you are being dictated >>>to by these companies. >>> >>>Gail >>> >>Exactly. >>Ina May >> >>-- >>Ina May Gaskin, CPM >>The Farm Midwifery Center >>41 The Farm >>Summertown, TN 38483 >>http://www.inamay.com >>http://www.rememberthemothers.net >> >-- >art fougner, md >Support Free Speech >Buy Danish! > -- JFields, RN, BSN Next message: art fougner, md: "Re: Echinococcal cyst in pregnancy" Previous message: Tobias: "so-called abortion pill" In reply to: art fougner, md: "Re: The Death of the Canadian Model"

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