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Docs Told They Must Drive Health System Change (focus on "cost value" first, not the patient)
Medpage Today ^ | April 11, 2013 | David Pittman

Posted on 04/13/2013 9:00:44 AM PDT by Innovative

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To: Innovative

New Dem message: ‘Improve’ health care, don’t talk cost

Posted on Thursday, August 19, 2010 6:56:51 PM by Sub-Driver

http://www.freerepublic.com/focus/f-news/2573991/posts

don’t talk care OR cost...


51 posted on 04/13/2013 8:27:53 PM PDT by TurboZamboni (Marx smelled bad & lived with his parents most his life.)
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To: Candor7
It's a demotion. From doctor to medical technician.

Wouldn't you like to go through 12 years of grueling
education and go $500,000 into debt for that?

52 posted on 04/13/2013 10:07:49 PM PDT by TigersEye (If babies had guns they wouldn't be aborted)
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To: Innovative

If someone else is paying your medical bills, then they are going to be more concerned with the cost than with the results.


53 posted on 04/14/2013 5:51:05 AM PDT by P-Marlowe (There can be no Victory without a fight and no battle without wounds.)
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To: Innovative
Isn't this Emanuel doctor a relation of the Emanuel who works in Obama's administration?

This Emanuel doctor also believes that only the producers deserve the best health care which to him is between the ages of 18 and 40 something.

54 posted on 04/14/2013 5:57:14 AM PDT by 3catsanadog (I love my country; I don't like its government)
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To: rktman
“While talking to my dermo a couple of weeks ago, I was told that since they are being forced to upgrade/digitize just about everything there would be less hours available for actually seeing and treating patients.”

Yes. It is mandated by the government. There are significant penalties for not ‘upgrading’ to a fully electronic medical record. A big hunk of the time in the office now is spent at a computer, clicking off mandatory ‘boxes’ (e.g. “I reviewed the social history”), and not actually face to face interaction with the patient. It's a nightmare.

55 posted on 04/14/2013 6:46:13 AM PDT by pieceofthepuzzle
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To: pieceofthepuzzle

This will probably lead to fewer folks seeking medical attention. This whole ball of wax is getting bigger and bigger like the proverbial snowball rolling down hill. My dermo was NOT happy with it at all. But, mandated it is so compliance will follow. Even if the bill had been presented during the 48 hours prior to the vote, nobody’s staff would have been large enough to have sifted through the entire thing. Even if they had they couldn’t have made heads or tails of it. We still don’t know all the implications and the unintended(?) consequences.


56 posted on 04/14/2013 7:14:48 AM PDT by rktman (BACKGROUND CHECKS? YOU FIRST MR. PRESIDENT!(not that we'd get the truth!))
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To: Innovative

It seems that they are implementing more of the evil that the progressives like to tell us are the flaws of the capitalist system. This is a good example of the capitalist system being cheaper and providing people with far more than the collective system.

Paging Ayn Rand...


57 posted on 04/14/2013 7:19:17 AM PDT by Idaho_Cowboy (Ride for the Brand. Joshua 24:15)
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To: Idaho_Cowboy

I am currently training in a small Medicaid type clinic.

What I see is a lot of poor people who come into the doctor for every tiny reason they can think of — why? Because they’re BORED. And the reasons they come in would just leave you scratching your head.

Oh, and they get prescriptions ...but a lot of times they will just refuse to take them either outright or as prescribed, and come back in the next week complaining of the same problem. It’s like dealing with a never ending army of morons. But they don’t care ...THEY’RE NOT PAYING FOR IT! Oh, and they definitely do NOT take care of their health in any way — they smoke, overeat, don’t exercise ...all of the usual.

This is how OC is going to be ....they are going to come in, sit in a never ending line in waiting rooms, making everyone sick around them, and they will just come back the next week, and the next week ... over and over. And everyone will be stuck paying for this nonsense.


58 posted on 04/14/2013 8:11:32 AM PDT by LibsRJerks
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To: Innovative

It’s all about “the collective”....hello commiecare.


59 posted on 04/14/2013 8:51:51 AM PDT by Jane Long (Background checks? Dandy idea, Mr. President. Shoulda started with yours. - Sarah Palin)
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To: freeangel

Sure, they’ve heard of the KISS system....but, that would mean they may lose their increases in budgets (and jobs, too) ... self preservation...


60 posted on 04/14/2013 10:58:32 AM PDT by goodnesswins (R.I.P. Doherty, Smith, Stevens, Woods.)
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To: Innovative; All

Ezekial Emanuel, hmmmm.

Department of Ethics
www.thelancet.com
Vol 373 January 31, 2009
Principles for allocation of scarce medical interventions

Remember this from Ezekial Emanuel?
Worth the read. Check out the “Reaper Curve” on p. 428
http://www.ncpa.org/pdfs/PIIS0140673609601379.pdf
*****
Betsy McCaughey’s take:
Obama’s Health Rationer-in-Chief
http://online.wsj.com/article/SB10001424052970203706604574374463280098676.html


61 posted on 04/14/2013 11:40:01 AM PDT by capecodder
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To: Innovative

Bookmark and FYI to all seniors who vote democrat.


62 posted on 04/14/2013 11:46:25 AM PDT by Pajamajan (Pray for our nation. Thank the Lord for everything you have. Don't wait. Do it today.)
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To: plain talk

The Price went up when the big employers and Medicare started covering everything under the sun, and we the “patient” continue to be left out of any responsibility to care what the price is or even necessity of the medical care we receive. So, up goes the Price. How much does it really ‘cost’ to provide hospital care? You will never find that out— Deep discounts are given to Medicare, Medicaid and many large private insurances, and then the hospitals can declare huge amounts of undercompensated care which helps keep the not-for-profit status. It’s long overdue to let true market forces have a chance. Time for us all to grow up and stop demanding things that won’t help and could hurt. True informed consent is needed, and transparency about potential medical outcomes.


63 posted on 04/14/2013 6:31:30 PM PDT by Sioux-san
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To: Sioux-san

The price also shot up when many began to use the emergency room as their primary care and didn’t pay the bill, leaving it to be spread among the rest of us.

Illegals are one of the biggest culprits of this. Illegals are the elephant in the room that no one wants to discuss not only with health care issues, but social services, education, court and jail systems.

That is why I cannot get too concerned about people that want to cut this and that from the military, veterans, elderly; but never cut services to people that should not be here to begin with.

I will believe someone is serious about cutting budgets if they address the issue of the cost of illegals first.


64 posted on 04/14/2013 6:38:06 PM PDT by Tammy8 (~Secure the border and deport all illegals- do it now! ~ Support our Troops!~)
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To: rktman

Only to point this out...because the US media won’t touch the story. Over the past six months...there’s been this mess openly discussed in Germany over public hospitals losing money.

After decades of having the local states fund the maintenance, repair and new construction of hospitals throughout Germany (public, not private)....the trend was halted in the last year because the states just don’t have the money anymore to do so, and there was no law dictating they had to do it.

Well...the hospitals are at a loss to move ahead with any plan on taking care of what they have. The people who control the purse strings of the national healthcare funds...have decided to hand out a one-time ‘bonus’ of one billion dollars. It’s enough to buy everyone about a year of time before the true answer emerges.

What the public is grasping in Germany...is that around sixty percent of all German public hospitals are unable to sustain themselves. The solution? So far, it’s believed that if they take out roughly 1/3 of all public hospitals...the remaining ones might be able to survive. So if you lived within ten minutes of a current hospital....you might find yourself in a new position in four years....where the nearest hospital is forty minutes away. A decade from now....maybe even sixty minutes away by car.

No matter how we all think of things....medicine is now a business, and cost will end up being the bottom line.


65 posted on 04/15/2013 2:21:31 AM PDT by pepsionice
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To: pepsionice

It’s been more and more about the bottom line for years and due to litigation and soaring malpractice insurance, the patients (us) have seen our costs soar also. I’m sure you know the ER’s are full of people who use it as their new base for their primary care. About the only way to jump to the head of the line at an ER anymore is by arriving in an ambulance and in the major population centers the indigents (are we “allowed” to call them that anymore?) know this so 911 gets called for someone with chest pains.......... Sad but true, we’ll end up like Great Britain and their socialized medical system. Or worse.


66 posted on 04/15/2013 5:39:53 AM PDT by rktman (BACKGROUND CHECKS? YOU FIRST MR. PRESIDENT!(not that we'd get the truth!))
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To: Innovative; flaglady47; mickie
Obama has brilliantly succeeded in getting opponents to national health care to expend time and energy on picking apart every jot and tittle in the bill....parsing, debating, analyzing every word, every phrase, every possible or impossible danger, every negative, every red flag, any dire consequences to our future health and well-being.....threads like these being an example.

All the while, ObamaCare marches forward unopposed. I don't see any mass movement for total repeal from conservative forces or leaders. I don't see any cohesive action from Tea Partiers. I don't see tons of newspaper ads and spot commercials calling for repeal flooding the print and air media. I don't know of anyone besides myself that has written my DC representatives on the subject.

All I see is tons of energy focused on ramifications of socialized medicine and talk, talk, talk about these ramifications with and to the choir.

Obama must be laughing his derriere off watching most opposition efforts going in the wrong direction in a misdirected and ineffectual effort to derail his baby.

Effective action for repeal is what we should be discussing. It must be total.....and quick.

Leni

67 posted on 04/15/2013 6:19:26 AM PDT by MinuteGal
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To: MinuteGal

“Effective action for repeal is what we should be discussing. It must be total.....and quick.’

We did have a chance. That was what the November elections were all about — but we all know how that turned out. Those who contributed to Obama’s reelection by sulking — staying home, voting third party — are every bit as responsible as Obama.


68 posted on 04/15/2013 6:47:14 AM PDT by Innovative ("Winning isn't everything, it's the only thing." -- Vince Lombardi)
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To: TigersEye

Its a horrible situation for doctors. A whole profession is about to lose its freedom.

There should be some wholesale protest from doctors.But we hear almost nothing.I wonder why?


69 posted on 04/15/2013 8:51:50 AM PDT by Candor7 (Obama fascism article:(http://www.americanthinker.com/2009/05/barack_obama_the_quintessentia_1.html))
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To: Candor7
I think most are too busy with their practices to know what's going to hit them yet. On the whole doctors are not great businessmen and they have a mindset that's conducive to believing that people who say they want to fix problems really are interested in fixing problems. That's how healers look at things.

The maliciousness of politics is foreign to them. Even people in politics haven't quite wrapped their mind around the "Cloward-Piven-destroy-it-all-to-rebuild-it" POV of 0bamugabe yet.

70 posted on 04/15/2013 10:51:08 AM PDT by TigersEye (If babies had guns they wouldn't be aborted)
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To: Tammy8

You got that right - but once someone shows up at the ED, they must be treated no matter what by law. No one gets asked if they are here legally. We go to the expense of having translators for every known language under the sun and worry about their ethnic/cultural needs. Obamacare never intended to do anything about that huge elephant in the room. Rubio is such a liar when he says no one will get any services if we pass this latest piece of immigration crap. Pardon me if I don’t believe any of these bastards any more: Rome is burning, Senators and Representatives - what are you doing about it??? Traitors one and all.


71 posted on 04/15/2013 6:55:06 PM PDT by Sioux-san
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