Re: Health Care --> "everything free"
From: Richard Chudacoff (rchudacoff@mylinuxisp.com)
Fri Jul 31 21:43:49 2009
TAHs? I think so but not too many people are doing 2000 gr LSHs there
(or anywhere for that matter)
--
Richard Chudacoff, MD, FACOG
Sent from my iPhone
On Jul 31, 2009, at 6:39 PM, RModugno@aol.com wrote:
> Don't the salaried Docs at Kaiser do this kind of surgery?
>
> Robert Modugno MD MBA FACOG
> Sylva, NC
>
> In a message dated 7/31/2009 6:22:37 P.M. Eastern Daylight Time, rchudacoff@mylinuxisp.com
> writes:
> I just finished an LSH on a 2200gm uterus. I would never do that as
> a salaried, performance-free physician; especially if I wasn’t round
> ing that weekend. Wait, I wouldn’t be rounding on the weekend;
> I’d be a M-F nine-to-fiver. Okay boys, sharpen up those scalpels, I
> ’m doing TAHs again…on Fridays
>
> Richard Chudacoff, MD, FACOG
>
> Las Vegas International Center for Advanced Gynecologic Care
>
> (Specializing in minimally and non-invasive surgery)
>
> TEL: 702-485-8893
>
> FAX: 702-629-4628
>
> rchudacoff@lasvegasgyncenter.com
>
> http://www.lasvegasgyncenter.com
>
> "The measure of a truly great man is the courtesy with which he
> treats lesser men.†-Anonymous
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> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
> GORDON M. GOLDMAN
> Sent: Friday, July 31, 2009 3:06 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: Health Care --> "everything free"
>
> This gets really to the basics of much of the healthcare system
> today. The country has been convinced by government that health
> care is a 'right' or 'entitlement' which (IMHO) is should not be,
> except for the most basic of necessities.
>
> No one should be entitled to the labors of anyone else without
> expecting to pay for it. And if you want lobster insted of codfish,
> you expect to pay for it. If you go to the grocery store, you don't
> expect to get your food for free, simply because you have a basic
> right to be fed. If you need shelter, you do not have a basic right
> to a home. The government in attempting to resolve those issues
> offers subsidies (rent, food stamps, etc.) but allows the individual
> to make their own decisions as to how they spend it. Why is medical
> care different?
>
> Gordon
>
> --- On Fri, 7/31/09, DoctorJoe@aol.com <DoctorJoe@aol.com> wrote:
>
> From: DoctorJoe@aol.com <DoctorJoe@aol.com>
> Subject: Re: Health Care --> "everything free"
> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.obgyn.net>
> Date: Friday, July 31, 2009, 4:49 PM
>
> I guess I should start a new direction and see where everyone stands
> on this. It's been discussed in a few places I've seen so far . . .
>
> Especially since Medicare/Medicaid have come into being, a
> significant portion of the population began to expect everything
> free. This was aggravated by the so-called HMOs.
>
> By "everything free" I mean each visit is free (except for maybe a
> miniscule co-pay), prescriptions are free or very cheap, and you
> basically don't "see" what you're spending (and with Medicare/
> Medicaid, YOU may NOT be spending anything -- some other taxpayers
> are paying for you). You don't pay anything at the site of care --
> someone pays it in the background, basically transparently from your
> point of view. This is a dangerous set-up and it's caused the
> problems we're having now, IMHO.
>
> When I was a kid, we were in one of the first HMO-type
> organizations, certainly one of the first in Louisiana. It was a
> medical organization for employees of the Exxon refinery. I remember
> going there for everything -- glasses, medicine, doctor visits,
> shots, vaccinations, everything. And the cost was either nothing or
> very nominal. But SOMEONE paid for it -- the company did, in effect
> giving you less paycheck and providing you "free" medical care. It
> looked like a great perk.
>
> [As an aside, I ALSO remember that the doctors we saw in that system
> were some older doctors -- semi-retired? -- and some younger doctors
> who worked there for a while and then went out and opened a "real"
> practice. I also remember some scheduling issues, although I was
> young and I don't want to say anything about that and get it wrong.]
>
> The expectation that we have a "right not to pay" for doctor visits
> and medications and etc. is what is ruining the American system. We
> expect our "insurance" is going to pay for just about everything.
>
> The concept of insurance is a mechanism by which you INSURE against
> some catastrophic or rare expensive event -- like car insurance in
> case of a collision. You don't (usually) have auto insurance for
> routine maintenance. But in healthcare, that's what we have gotten
> used to. Basically, we want insurance for routine health maintenance.
>
> We need to reset the system so that "insurance" is for the big-
> ticket expenses that occur from time to time. The day-to-day
> maintenance should be paid for out of pocket by us. My thought is,
> if the system reset that way, day-to-day maintenance items (for us,
> how about Pap smears, urinalyses, vaginal cultures, etc.) should be
> cheap enough to afford.
>
> On the other hand, surgeries and hospitalizations are the big ticket
> items that insurance should cover.
>
> Otherwise, we can look at medical care as a giant entitlement. I
> don't even want to pay for aspirin. It's my health -- it should be
> free from the government.
>
> Joe P.
>
http://www.freecreditreport.com/pm/default.aspx?sc=668072&hmpgID=115&bcd=JulystepsfooterNO115
> )
>
