Re: Patient vs. client

From: T Dubose (tjdubose@chrp.uams.edu)
Thu Oct 31 10:04:37 1996


And a very good question it is. In spite of what the Pew Commission said, it looks like everyone is going to be pushed into some sort of accreditation regardless of education, experience, or credentials. I have no idea of what the answer is or where the future is going. I believe you are correct, in a brief moment of panic that the current administration would *socialize* medicine, everyone (almost) bought into some sort of medical-industrial or medical-insurance complex. This discussion, of course, will lead to non-medical polimics. I am sure there are many here who would prefer to avoid the discussion. I find it interesting and stimulating, but am willing to say no more about it until after next week. Peace, Terry J. DuBose, M.S., RDMS; Assistant Professor Program Director, Diagnostic Medical Sonography University of Arkansas for Medical Sciences, tjdubose@chrp.uams.edu http://www.io.com/~dubose/ http://www.obgyn.net/CORRESP/DUBOSE.HTM VOICE: 501-686-6510 FAX: 501-686-5613 Now is the time for all good folks to come to the aid of the Earth. ************************************************************************ ***********

It seems to me that far too many of our patients have been turned into clients by the imposition of the insurance company as a 3rd party into the doctor patient relationship.

Physicians have taditionally been "healers". We facilitated the ability of a person to heal themselves. By adopting a purely scientific model and then inviting insurance companies into the deal in order to "guarantee" our method of reimbursement, we have inadvertantly altered the doctor-patient relationship in many cases, into one that more closely resembles doctor-client.

Too bad, but I think we are as much at fault in this as anyone. How to fix it? Thats the question.

Douglas Krell MD FACOG Santa Fe





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