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Re: was 8 babies, now abuse of health care dollarsFrom: Andrew Folley (agfolley@hotmail.com)Wed Jan 28 10:54:14 2009
I am not sure that it is all driven by the legal system. Part of the problem is that as physicians we are ignorant as to the costs of some if not most of the test that we order. Also no one has any financial accountability. Neither the patient nor the doctor pays for the CAT SCAN or for the 8 octoplets that end up in NICU for 9 months. Tort reform is certainly one way that will bring about change and cost savings but so would doctors and patients having to be financially responsible for some of the tests and treatments etc that we order.> Date: Wed, 28 Jan 2009 09:07:03 -0600> From: forcep@intercom.net> To: ob-gyn-l@mail.obgyn.net> Subject: Re: was 8 babies, now abuse of health care dollars> > Relax Danae: Its all driven by our legal system. Item No. 6 in "Fall > of Roman Empire" Joe C> > I just returned from a 2 week CME trip at a very reputable teaching > > institution (to remain unnamed). I was appalled at the waste of > > health-care dollars. A fetus diagnosed with holoprosencephaly at 17 > > weeks who then went on to have an MRI? (I asked the doctors if they > > were unsure of their diagnosis and they said no, they were certain > > after the ultrasound.) A mom carrying a fetus with anencephaly who > > was then sent for a fetal echocardiogram? (this was ostensibly done > > because the mom was interested in donating the fetal heart for > > transplant, although everyone involved felt that it was highly > > unlikely that this would actually be possible.) A mom who's membranes > > ruptured at 12 weeks who had a painful and long amnioinfusion at 17 > > weeks to make U/S possible. I was truly horrified. These were just > > in the course of less than 2 weeks. No wonder we have a health-care > > crisis.> > > &g owitworks_012009
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