I’m actually in favor of more nurse practitioners. I think the vast majority of people now seeing a doctor would be just as well served by a practitioner. (So long as the practitioner realized when they were over their head.)
” based on the value of care they provide”
By the same team that defined love, ethics in politics, what makes a good parent and the good old college try.
My daughter has not yet loost her insurance (prolly next year), but her doctor called last week to inform her that he is starting a new SMALLER practice and offered her a chance to remain a patient with better service for $150 per month in a ddition to her insurance. The doctor will cease accepting Medicare/Medicaid/Medical, etc.
I need you to please turn your head to left and cough Dave.
Adam Jackson and former Stanford physician and White House fellow Dr. Pat Basu want to help modernize healthcare by bringing the house call back mobile-style. To do that, today, theyre officially launching Doctor On Demand, a service that aims to connect consumers to a licensed U.S. physician via app an on iPhone, Android or tablet from anywhere.
This is may be more efficient, insofar as lowering costs per person, but for the individual, the quality of medical care will decline.
It might sound quaint, but when you have a doctor that knows about your personal and health history, and actually cares about your well being as a human being, you’re going to have better service and better outcomes. That doctor will respond when you have an unusual headache on the weekend that might require an MRI. That doctor will tell you which surgeons to use and those to avoid. That doctor will give you honest advice on medications and nutritional strategies instead of unconditionally pushing big pharma’s new pills or only those generics on the insurance company list.
The masses can expect group visits, tele-visits, filling out lots of forms on computer kiosks, and computer generated reminder e-mails. Providers will be paid as employees of large hospital groups run by administrators. Administrators will respond to the whims and dictates of politicians and bureaucrats. Outcomes will be great because the same people that have a vested interest in making the system work (the government), will also be the ones measuring the outcomes (the government).
Meanwhile, medicine for the masses will really
result in lower quality. If it were so great, the elites- the politicians, crony capitalists etc., would be signing up for it now.
Jim, God Bless you. You personally can understand what I am about to say. I’ve had 3 joint replacements in 3 years. At the absolute best Surgical Hospital here in Orlando no less. After the 3rd shift would come in, it would take a Surgical Nurse on call to straighten out their mishaps. Horrors after 1:00 A.M. will only increase! I caught sepsis from their escapades and lived! Many will die, soon.
I think this means that ObamaCare patients will have a high school dropout taking their temperature and blood pressure (if they are not doing it themselves) while a call center physician in India or Pakistan handles the actual medicine. I thank God that I don’t have to suffer under Obama’s signature legislation.