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The Healthcare Credibility Problem
American Thinker.com ^ | September 4, 2021 | Paul D. Hoffman

Posted on 09/04/2021 3:23:33 AM PDT by Kaslin

I am a strong supporter of doctors and the healthcare industry in general. I grew up with a stepfather who was a general practicing physician and a surgeon. He was a family doctor in the truest sense of the word. He made house calls, delivered more than 5,000 babies, bartered for fees, and often just waived the charges. He had a God-given genius for diagnosis, and he spoke to his patients in plain English, sometimes very colorful language. But my mother was always quick to remind him, “After all, you are just ‘practicing’ medicine!”

People have a tendency to venerate doctors, and when they heroically save your life, this hero worship can be justified. Our long-time family doctor is another diagnostician extraordinaire, who also happens to be one of my best friends and hunting buddy. When he sewed up my son’s forehead on our dining room table, he too was vaulted into that hero category.

But something has happened to the medical profession and the healthcare industry -- at 15% of the U.S. economy, it has become an industry complete with industry titans -- and as the pandemic accelerated, healthcare’s credibility problem only worsened.

Beginning in the 1990s, many doctors stopped practicing medicine on their own as the medical profession model changed from entrepreneurial to corporate medicine. As doctors and their offices began to be overwhelmed with insurance claim processing, Medicare and Medicaid compliance, malpractice suits, and medical liability insurance issues, doctors saw the hospital-affiliated-clinic model as the way to skip the bureaucratic headaches and allow the professional to focus on practicing medicine. However, corporate medicine brought corporate practices: cutting back time with patients to increase cash flow, more Medicare/Medicaid compliant procedures rather than patient-centric medicine, and outsourced billing and collection systems.

(Excerpt) Read more at americanthinker.com ...


TOPICS: Culture/Society; Editorial
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1 posted on 09/04/2021 3:23:33 AM PDT by Kaslin
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To: Kaslin; All

I have relatives in the medical field and I love them dearly ... good people, but I am totally PISSED at the docs who are not treating COVID patients early/outpatient and thus keeping them out of the hospital/from dying.

So, I’m going to “pile on” a bit with this ... talk about ‘disgusting’ and it would be ‘unbelievable’ except I know they’re doing it:

AMA Propaganda Handbook EXPOSED! Doctors Brainwashing “Pandemic” and “Vaccine” Language
https://rumble.com/vlypbf-ama-propaganda-handbook-exposed-doctors-brainwashing-pandemic-and-vaccine-l.html


2 posted on 09/04/2021 3:37:23 AM PDT by Qiviut (Faith is the antidote to fear. Mindset: be a victor, not a victim.)
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To: Kaslin

It’s called socialized medicine.

We now have a de facto NHS willing to do and/or say whatever the state dictates in exchange for keeping their jobs.

Clap for carers!


3 posted on 09/04/2021 3:48:38 AM PDT by mewzilla (Those aren't masks. They're muzzles. )
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To: mewzilla

Ah, that explains why Hoffman calls it “corporate”...

Check out Hoffman’s bio at the end of the article.

🤣🤣🤣🤣


4 posted on 09/04/2021 3:50:46 AM PDT by mewzilla (Those aren't masks. They're muzzles. )
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To: Kaslin

I’ve worked out the basic economics, but I believe Americans could have amongst the best healthcare in the world, without government, for perhaps $200/month/person

1. You pay for your own maintenance care or take out an insurance plan that is devoted to just maintenance care.

2. You open up a 401k style medicare account that you deposit $150/month into, to have a million dollars by the time you reach that age where it is normal to have aches and pains and ailments. If it is spent on medical issues, it would not be taxed. If you decide to convert a portino or all of it to income, than it gets taxed as normal.

3. You fund your own end of life issues.


5 posted on 09/04/2021 3:55:25 AM PDT by Jonty30 (My superpower is setting people up for failure, without meaning to. )
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To: Kaslin

I’ve worked out the basic economics, but I believe Americans could have amongst the best healthcare in the world, without government, for perhaps $200/month/person

1. You pay for your own maintenance care or take out an insurance plan that is devoted to just maintenance care.

2. You open up a 401k style medicare account that you deposit $150/month into, to have a million dollars by the time you reach that age where it is normal to have aches and pains and ailments. If it is spent on medical issues, it would not be taxed. If you decide to convert a portion or all of it to income, than it gets taxed as normal.

3. You fund your own end of life issues.


6 posted on 09/04/2021 3:56:17 AM PDT by Jonty30 (My superpower is setting people up for failure, without meaning to. )
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To: Kaslin

I come from a family with 12 nurses across a multitude of disciplines from family practice to OR nurses to trauma nurses and one who is studying to become an oncologist. They are starkly divided on COVID. More than half of them outright refuse to get this vaccine for a variety of reasons. The other half were vaccinated, and 3 of them have expressed regrets for rushing to get it.

This is not an easy, simple, or quick decision to make. The inability for either side to accept the decisions made is continuing to draw a rift in our society. I don’t see how this all ends peacefully.


7 posted on 09/04/2021 4:06:10 AM PDT by rarestia (Repeal the 17th Amendment and ratify Article the First to give the power back to the people!)
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To: mewzilla

He’s in Environment related work.


8 posted on 09/04/2021 4:07:19 AM PDT by WildHighlander57 ((WildHighlander57 returning after lurking since 2000) )
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To: Qiviut

Qiviut wrote:

“I have relatives in the medical field and I love them dearly ... good people, but I am totally PISSED at the docs who are not treating COVID patients early/outpatient and thus keeping them out of the hospital/from dying.

So, I’m going to “pile on” a bit with this ... talk about ‘disgusting’ and it would be ‘unbelievable’ except I know they’re doing it:

AMA Propaganda Handbook EXPOSED! Doctors Brainwashing “Pandemic” and “Vaccine” Language
https://rumble.com/vlypbf-ama-propaganda-handbook-exposed-doctors-brainwashing-pandemic-and-vaccine-l.html

Many thanQks for that link!

Regarding the OP article:

That’s what happens when the focus goes from patients to profits.

I noticed it when they started offering HMO’s; never got the same doctor and they then would not spend much time explaining etc.


9 posted on 09/04/2021 4:12:42 AM PDT by WildHighlander57 ((WildHighlander57 returning after lurking since 2000) )
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To: Qiviut

Give that, don’t miss this essay.

Why Don’t They Believe Us?
You’re struggling to understand where all this vaccine hesitancy comes from. Let me help you.
https://freerepublic.com/focus/news/3991803/posts


10 posted on 09/04/2021 4:18:36 AM PDT by FreedomPoster (Islam delenda est)
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To: Kaslin

I was refused a referal to a different specialist so that I could get a differential diagnosis before i underwent surgery. The arrogant oncology surgeon refused it. “I’m not worried about that”

I fired him.

I couldnt gather enough evidence in time to justify forgoing the surgery since the clock was ticking....but it turns out they were ALL wrong and *I* was right even though i dont have a fancy dancy medical degree. I am still seething over it...especially since i had to go through the trauma of coping with supposed eventual hospice.

To be fair..there was good cause to have the surgery but had they listened to me and ordered more tests that i wanted i might have made a different decision about that surgery. There are tests that can differentiate issues if a Dr will order them instead of just assuming there is only one answer.

A fancy dancy medical degree does not mean you know all


11 posted on 09/04/2021 4:43:57 AM PDT by RummyChick (Bagram was the most logical exit point. Stand up and justify your decision (hat tip Larrytown))
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To: WildHighlander57

Docs are starting to go to “Direct Primary Care” where you pay a certain amount per month ... in addition to whatever health care insurance you have. This gets the docs out of the current model of ‘health care’ (actually, it’s sick care). The current model results in ‘burn out’ .... when you’ve got 3K patients & they’re getting sicker and sicker, it’s depressing & then you can add in alcohol & substance abuse. Doctors have the highest suicide rate of any profession .... among women doctors, the ‘completion rate’ is higher than the general population, equal to that of male doctors.

I listen to several of these DPC docs on podcasts ... they can spend an hour or two with their patients per each appointment. Patients are reversing their T2D & getting off all the drugs they’re on. These docs are also treating COVID patients with good success i.e. keeping them out of the hospitals.

My brother/SIL are doing the DPC thing & are pleased so far .... can get an appointment the very day they call, if they need a ‘physical’, they can get an appointment the next day. They almost always get to see the same doctor.


12 posted on 09/04/2021 4:46:40 AM PDT by Qiviut (Faith is the antidote to fear. Mindset: be a victor, not a victim.)
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To: WildHighlander57

I was more interested in the Cheney bit, actually. :-)


13 posted on 09/04/2021 4:47:10 AM PDT by mewzilla (Those aren't masks. They're muzzles. )
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To: Kaslin

We don’t have Healthcare in America.......It is called disease care. Doctors do NOT get to the root cause of your illness, instead they give you a pill(s) for your symptom and you become a lifetime patient..........A money maker for the doctor and Big Pharma.


14 posted on 09/04/2021 4:49:45 AM PDT by afchief
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To: WildHighlander57

Profit in NOT evil.

Not even in medicine.

The problem isn’t profit, it’s who’s paying.

And when the government controls medicine, when employees work for the government, people stop being patients and become grist for socialized medicine’s medical mills.


15 posted on 09/04/2021 4:50:13 AM PDT by mewzilla (Those aren't masks. They're muzzles. )
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To: Kaslin

I’ve been working in hospitals since 1978. Been 44 years now, I’ve been
a finance and operations person most of the time. For the past 10 years I’ve been the CEO in a smaller community hospital that’s part of a larger system.
With respect to the article - I agree with mostly all of it - but I must say that there is nothing in it that’s new - the author just restates what everyone has known going back to the 80’s when healthcare started going public.
The major problem that healthcare providers are facing in the short term is rapidly increasing costs - the government drove incredible amounts of money into the healthcare system during the first 18 months or so of the pandemic - this hasn’t necessarily increased profits so much as it has allowed unbridled salary and supply cost increases to happen.
Now the government is not funding healthcare for COVID, but the costs for salaries and supplies, etc. are not dropping. Nurses and techs are impossible to find, medical systems are increasing nursing salaries in some cases $25k across the board.
Hold on to your hats and buckle up - it’s going to crazy land.


16 posted on 09/04/2021 5:19:59 AM PDT by Palio di Siena
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To: Qiviut

Agree 100%

The root cause is and always has been government intervention. The concept of employment-sponsored “health insurance” grew out of a reaction to government imposed wage freezes post-WWII and it’s been downhill ever since

Now bureaucracy controls it all front to back


17 posted on 09/04/2021 7:50:57 AM PDT by Mygirlsmom (Back after a long hiatus. Now mygrandkidsgrandma)
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To: Jonty30

Very sensible plan that on paper works. It takes out some of the bureaucracy of our system (up to 35% of the costs). It also puts the economic decisions onto the individual.....perhaps they don’t need to come in demanding a $3500 MRI for their back sprain or periodic knee pain and perhaps try and lose some weight and exercise more.

But then you have the idiots that say “I don’t have $150 to spend on healthcare”....they would rather spend it on the here and now with a new iPhone or fancy wheels for their new truck......

I think another major problem with why our system is so expensive is the defensive medicine.....all the extra tests to check “just to be sure”.....granted some on this board have stories of not getting those extra tests, but most are done as CYA by the doctors to avoid malpractice claims.


18 posted on 09/04/2021 8:17:39 AM PDT by consult
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To: rarestia

My sister a nurse and her husband follow the CDC bull for the most part. She hasn’t taken the jab but her husband has. She still buys the masks work crap and he never has unless it is a fitted N95 is his take.

She can’t believe I won’t wear one out in public and last time we talked tried to ridicule me into accepting the masks BS. She said every time I walk into a TB patients room I wear a mask, why? I said so you don’t get TB. She said so wear a mask and then I asked and what kind of mask to you wear into a TB patients room? A fitted N95 she said and I said I rest my case. I essentially told her that the sainted CDC was a lying pack of greedy bureaucrats after $ and they are peddling total BS where covid is concerned.

My sister-in-law a lab tech has had covid and had access to monoclonal and HCQ and did well but hasn’t taken the jab. My wife has worked in hospital finance many years and refuses to as well.


19 posted on 09/04/2021 8:22:00 AM PDT by sarge83
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To: Kaslin

Having been the victim of Mal Practice on more than 1 occasion, I have NO affinity for todays doctors and their high prices.

I can go to the Little Clinic ABOUT 3 MILES, and get the hard to remove ear wax FROM MY HEARING AIDS done for $178, 5 minute job. Which I think is still to high. ENT CHARGES $450 and a 2 hr round trip. Medicare/Tricare Life does nothing to encourage small changes like this. If it were beyond the Little Clinic PA skill I’d go to the ENT. Either way Medicare/Tricare Life covers it. ER’S ARE USELESS FOR ME. NEAREST 1 IS CONSIDERED POOR CARE, 2ND JUNKIE HEAVEN, BAD SERVICE. NOR DO THEY KNOW HOW TO DIAGNOIS, TREAT GASTRO, MENIERE’S ISSUES. NO DOCTOR JUST A PA.


20 posted on 09/04/2021 8:52:21 AM PDT by GailA (Constitution vs evil Treasonous political Apparatchiks, Constitutional Conservative.)
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