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Re: Woollet/Constitution/Here & Now - Long From: Robert J. Woolley (wooll005@tc.umn.edu) Wed Jan 31 22:26:34 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Previous message: Garry Siegel: "Re: Preterm labor/transfer" Maybe in reply to: Joanne Bulley: "Woollet/Constitution/Here & Now - Long" In message <200102010136.TAA19705@mail.medispecialty.com> writes: > Sorry about the length - Joanne > > Bob > > I see/read your point(s) (I think) - SO-O-O - Given the current state of > affairs in the USofA - and your personal decision that you would not > fight the current system ("such a case would fail, because the Supreme > Court for all practical purposes gave up" etc) do you work with the > current system? Or have you gone and hung your shingle out and do not > participate in any of these awful insurance programs? I avoid the issue by working for a straight salary. Whether the clinic that employs me gets paid or not, or how much it gets paid by insurers (private or public) has no bearing on my income or my medical decisions. Frankly, I think it's a more ethical way for docs to get reimbursed than either fee for service (in which the physician has an incentive to do more stuff than the patient needs) or capitated payment (in which the physician has an incentive to do less than the patient might need). There is no financial way in which my interests conflict with the patient's. -- --------------------------------------------------------------------------- --------------------------------------------------------------------------- Bob Woolley --------------------------------------------------------------------------- St. Paul, Minnesota GIC "Meanwhile we have to live today by what truth we can get today, and be ready tomorrow to call it falsehood." -- William James Previous message: Garry Siegel: "Re: Preterm labor/transfer" Maybe in reply to: Joanne Bulley: "Woollet/Constitution/Here & Now - Long"

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