Posted on 09/09/2017 10:47:48 AM PDT by JerryJenson7
"It represents yet one more example of CMS’ ill-advised attempts to dictate what transpires in the course of the doctor-patient encounter."
(Excerpt) Read more at medicaleconomics.modernmedicine.com ...
The essence of why federal government interference with healthcare is undesirable and also unconstitutional if anyone cares about the Constitution anymore.
The answer for diabetic situations is whatever measures are needed to get the blood sugar within safe bounds. Testing and followup on that is what should matter.
This article is all about $$$$$$.
Doctors with years of experience should be able to make decisions about patient care based on Hippocratic ethics. Find one if you can.
I am about ready to look for another doctor, and it’s not because my current PCP isn’t a good doctor. It’s because his medical group was acquired by a HC “system” run by our local hospital, and now a bunch of bean counters have taken charge of the practice. Now his appointments are scheduled throughout the day at 20 minute intervals. His “nurse” (that would be Nurse Ratchet) does all the vitals crap, then he show up, shakes my hand and immediately sits down at the computer terminal and logs in. My “appointment” consists of ten minutes with me, and the other ten putting down stuff in my healthcare dossier, a place where shit shows up, but never leaves. If I came in for a hangnail ten years ago, it’s still there! The final straw was when I wrote to him on the system that’s provided, to tell him the results I’d seen with a change in my BP medication. I probably wrote six or eight sentences to adequately describe what had happened. A note that came back via “Nurse Ratchet” was that I had gone over the 140 characters the system allowed (which was BS because the form says that you can use up to 5,000 characters), and that he wanted her to admonish me not to violate the “communication rules” again. I did write back telling them that I had not violated the rules and that maybe he had his medical practice confused with his Twitter account. They run their office like a bunch of cats covering $hit now, and I’m about done with all of it. The only problem will be trying to find a doctor who is “taking patients.” Oh and that 20 minute appointment is at least $220. It is indeed “socialized medicine” being sold as personal healthcare.
The Feds control Medicare, Medicaid, Va and many small health programs. Doctors, Hospitals, Insurance Companies, all have to comply with extremely complex and contradictory regulations.
In addition to medical regulations the Feds impose many IT regulations and other regulations that have zero to do with medicine.
The result is that the Federal Government is the customer. The customer is always right. If you want to get paid, the patient is not your customer. The patient is a widget in the system. The government is your customer. The customer is always right.
Previously, everyone was paid based on the number of widgets serviced and the number of services performed on the widgets (the patients).
Now the Feds are shifting the rules of the game. The patients now have to actually improve their health. If the doctor tells the patient to eat healthy and lose weight the doctor only gets paid if the patient loses weight. The doctor is responsible for what the patient does at home when the doctor has no control of the patient.
Of course, the next step is for the government to help both the doctor and the patient by providing incentives for the patient to eat healthy and lose weight. Remember seat belts? At first the government will make suggestions to the patient with voluntary compliance. When that doesn’t work, the government will make the suggestions mandatory.
The government will go to extreme lengths to do things for your own good.
Hate leads to heart attacks. So for your own good, the CMS will ban what it considers to be hate.
Lack of privilege leads to health problems. So equality of privilege must be addressed.
Making healthcare providers responssible, not just for delivering services, but responsible for the behavior of the patient is just a step in an escalation process of the government deciding what is best for us because we abuse freedom to make bad decisions.
Not to mention that federal interference with healthcare is unconstitutional and THAT is the strongest argument for ridding ourselves ENTIRELY of government interference in healthcare.
Getting the feds OUT of healthcare and the other 80% unconstitutional portion of the federal government MUST happen if we are to recover our Free Constitutional Republic and recovery of our Free Constitutional Republic MUST HAPPEN.
Single payer always interferes with good medical care
Same thing here in Maine.
My local hospital here in Ellsworth, Maine, independent since 1956, merged with Eastern Maine Medical Center in Bangor, Maine, a massive facility, two years ago.
Since then, it’s been a disaster on many levels. Some doctors are unhappy and have quit, others went into private practice, the nurses are fed up with the bean counters and are unhappy, and on it goes.
Yesterday, my sister tried to find a doctor at the local Family practice that I use, which is owned by the hospital. The woman at the counter was sympathetic, but she told my sister that the doctors in the practice are not seeing new patients. Sigh.
“The only problem will be trying to find a doctor who is “taking patients.” “
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If you do he/she will probably be from India.
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One needs a medical malpractice attorney on retainer as these fools don’t even know who we are much less why we’re there to be treated for something they’re clueless about. They don’t know anything about the drugs they’re peddling for Big Pharma including the side effects that we have to endure. Huge FYI for everyone reading this post, ask your pharmacist “where your prescription medications come from.” If it’s CHINA, don’t pick it up!! Buyer and “guinea pig” beware.
The Trump Administration needs to get our prescription medications out of China and India and the other third-world hell holes. Bring it back to the US.
MEN! CMS is killing us by elimminating PSA testing!!!!
Several major forces are converging.
Government directed medicine is ineffective and increasingly dangerous especially when it comes to choice conditions. Big pharma drugs, vaccines probably do more ham than good when compared to proper diet, exercise, natural treatments. So if you can’t access this “treatment” you’re better off.
Government directed care is expensive, as evidenced by skyrocketing insurance rates, high co-pays, deductibles, and denials of coverage. Administrative costs add nothing to care, but increase costs.
Government directed care less efficient because hospital and corporate employees work fewer hours and see fewer patients than self-employed physicians. As conditions become less favorable for employed providers, more will leave practice or retire early. Self employed providers are increasingly dropping insurance plans to escape low reimbursement and over-regulation.
Eventually, the government will make healthcare so crappy that patients will be forced to avoid it for their own good.
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