Re: President's Wed night address on health care

From: Andrew Folley (agfolley@hotmail.com)
Fri Jun 26 13:22:28 2009


I reread Ricks ideas for healthcare reform. Here is my addendum of "wants"

I want basic health care coverage for all Americans. I want doctors trained in medical school and residency to practice hands on clinical medicine and not just order an array of tests for which they have no idea of the cost. I want more primary care doctors and less specialists. I want all low risk maternity care to be done by midwives and graduate fewer OB-Gyns in our specialty. What a waste of resources for an OB to take care of and deliver these uncomplicated patients. Why do we do it? "It pays the bills". I want a medical tax on tobacco, fast foods, pop and alcohol (Peanut M&Ms to be excluded). I want patients to have a Medical Savings Account to go to and decide if they want to pay the $5000 for their hysterectomy because they are tired of bleeding. Just some ideas.....

I want our services adequately reimbursed so that we may spend more > >> time with our patients, and I want less paperwork. I want less money
> >> going into the hands of insurance companies administration costs,
> >> less money going into the hands of pharmacy companies for the
> >> development of drugs that are either unsafe or targeted for
> >> "diseases" they seem to invent. I want brand named drugs that are as
> >> affordable in the US as in Canada or Mexico. I want medical
> >> malpractice reform, with caps on all damages, so that we can
> >> practice without the fear of needless and unwarranted lawsuits that
> >> only benefit the attorneys. I want the National Practitioner Data
> >> Bank reformed so entries are made AFTER all administrative remedies
> >> have been executed, so due process is given to all physicians and
> >> that all entries are reviewed by an independent board of physicians
> >> without any ties to the accusing hospital, nor state or local
> >> medical societies, prior to submission. And I want compensation for
> >> services that pay us enough to allow us to continue formal and
> >> informal continuing education, and that pays us enough to manage
> >> our practices and allow us a living that compensates us for our
> >> years of study and training.
> >>

> Date: Fri, 26 Jun 2009 05:57:00 -0500
> From: evsono@pipeline.com
> To: ob-gyn-l@mail.obgyn.net
> Subject: Re: President's Wed night address on health care
>
> Third party payors evolved into the equivalent of crack dealers. Once
> the docs were "hooked," they ratcheted down the potency. Collectively,
> we need an intervention. Richard has the right idea.
>
> Art
>
> At Thu, 25 Jun 2009, Joanne Bulley, MD wrote:
> >
> >"and got very rich"??????
> >
> >NOT in MY time ! ! !
> >
> >I think the "truth" (whatever it may be - out there somewhere) is
> >somewhere in between all the comments recently posted.
> >
> >JB
> >
> >At Thu, 25 Jun 2009, Andrew Folley wrote:
> >>
> >>I would say that doctors lost control of their practices the day when patients stopped paying the bill. Insurance companies took over, patients wanted "everything done" Doctors obliged and took the insurance money and got very rich. Now we are all seeing the fallout.
> >>
> >--
> >Joanne Bulley, MD
> >solo gyn
> >Keene, NH
> >
> >Wedding dress sewing with silk - nice material!
> >
>
> --
> art fougner, md
> "May The Wings of Liberty Never Lose a Feather." - Jack Burton

rial_Storage_062009





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