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Re: A Proposal for the Dissolution of the Specialty of Obstetrics andFrom: PJBRN@aol.comSun Jun 29 10:05:39 1997
I am a new member of the listserve and have been reading the comments with interest. I am always amazed that the lowering of health care must rest on the head of the patient. Do away with the specialties and you may possibly see a reduction in medical costs initially. MAYBE. I am not convinced. Where will the cost rise? In lawsuits, med mal cases will skyrocket, of this I am sure. Patients will have to bear the burden of "reducing medical costs" by putting their personal safety on the line. What is scary is that this is the type of suggestion that I hear in the hospitals by administrators that would not know a patient if they tripped over one. Cut costs!!! Reduce the nursing staff and replace with unlicensed assistive personnel. Why do we need specialists? Lets take the housekeepers from their cleaning duties and train them to provide patient care in a two week course. Let's take nurses and have them provide respiratory treatments to patients. Shoot, I've only seen a few patients harmed from such ideas put into practice. Well, practice is a great word. Perhaps if we had let these people practice a little longer on the patients, they may have become better at it. Are you willing to have your wife fall into the cracks of the phasing out of specialties? Your children. Well, the public should not and I hope would not stand for this. Cut the costs by finding and exposing anyone participating in fraudulent billng, illegal upgrading of complications, charges for services not provided, and first!!! reduce the number and the salary of the corporation and hospital administrators who reward the reduction of patient care services to save a few almighty dollars. Just my opinion. Paula Cunningham, RN
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