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Re: Blame for HMO's--was Health Insurance & HMOs From: Larry glazerman (glazerman@enter.net) Tue Dec 30 15:26:35 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard W Lisse: "Re: Prenatal Rituals" Previous message: Dr Eberhard W Lisse: "Re: OB:Prenatal Rituals" In reply to: Gerald P. Rodriguez: "Re: Blame for HMO's--was Health Insurance & HMOs" Unfortnuately, at age 47, I think I also fall into the category of "senior" docs (shudder). While I don't take the blame personally, it's hard to deny that we weren't brought up considering the cost of anything we did. I don't think there was any malice involced, it just wasn't part of the equation. It wasn't our fault that it wasn't part of the equation, that was just the way it was. Unfortunately, as I have said before, those in charge now (managed care companies) have gone too far in the opposite direction, making cost not only their #1 priority, but in many cases the only priority. To paraphrase Vince Lombardi (I think), cost is not the most important thing, it's the only thing! At 09:20 AM 12/30/97 -0600, you wrote: >Gosh and Golly! Now we are indulging in blame and finger-pointing at >yesteryears' or "senior" physicians for not becoming "cost-effective." This >in turn has lead into the abyss of mangled care? I don't think so. I have >been in practice for 27 years and I have plenty to feel guilty about >already, e.g., WWII and the atomic-bombing of Japan, the holocaust, race >relations, male chauvinism, etc., etc. Not being "cost-effective" in my >earlier years in practice is one item for which I will *not* take the rap. >Gerald P. Rodriguez, M.D., FACOG >|||||||||||||||||||||||||||||||||||||||||||||||| >"I would place the American aristocracy, not among the rich, who >have no common tie, but put it on the judicial bench and the bar." >A. de Tocqueville on American lawyers >||||||||||||||||||||||||||||||||||||||||||||||||||||||| >-----Original Message----- >From: Robert J. Woolley <wooll005@tc.umn.edu> >To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> >Date: Monday, December 29, 1997 10:57 PM >Subject: Re: Health Insurance/HMO's > >>In message <38d5478b.34a83ff2@aol.com> writes: >> And, for anyone else, especially you "senior" docs, any lack of >>> interest in the business of medicine helped get us where we are now. Had >we >>> physicians paid more attention, several years ago, to the proper use of >our >>> technology and tests and reined in our young colleagues about over >utilizing >>> it without regard to cost; we might have avoided this over-zealous >attempt to >>> control us now. >> >>At least I can agree wholeheartedly with this assessment. Since we couldn't >>bring ourselves to become cost-effective, it is being imposed upon us. >> >>Bob Woolley >>St. Paul, Minnesota >> > -- Larry R. Glazerman, M.D. Valley Ob-Gyn Associates Allentown Pa glazerman@enter.net Next message: Dr Eberhard W Lisse: "Re: Prenatal Rituals" Previous message: Dr Eberhard W Lisse: "Re: OB:Prenatal Rituals" In reply to: Gerald P. Rodriguez: "Re: Blame for HMO's--was Health Insurance & HMOs"

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