Re: The Death of the Canadian Model

From: art fougner, md (evsono@pipeline.com)
Tue Feb 28 06:33:09 2006


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
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