In response to:

The HMO in Your Future

5Mentarios Wrote: Jun 23, 2012 11:06 AM
"For example, Medicare has announced it will start paying more to hospitals that follow a dozen procedures, including administering antibiotics prior to surgery and anticlotting medication to heart attack patients. It will pay less to hospitals that don’t comply" And these are the best examples you can come up with? Both are good practice with little downside. Talk about paranoia. Doctors aren't jazz musicians; their craft isn't about improvisation. There are practices which are simply smart, every time. To turn this into some sort of issue of censorship of their skills is amazing right wing paranoia. Like "death panels", it's fodder for the stoopid.
Greg1084 Wrote: Jun 23, 2012 5:25 PM
You are an idiot or a tool. The purpose of promulgating regulations such as this has nothing to do with establishing good practice. The secondary reason is to save money. The primary reason is to establish control. Then the regs will involve the use of "less expensive" medications, and dictating what procedures will be done for certain conditions, and the consideration then will be cost, not best practice, because at that point it is the bureaucrat deciding what is the best practice. I don't have the faith in bureaucrats the you idiots have.
faultroy Wrote: Jun 23, 2012 11:59 AM
Thanks for saying it. Sometimes I am amazed at what I read on this site. A lot of it is good, but a lot of it is stupid as well. It's like sometimes the bloggers forget they are writing to people that actually can rationalize.
Gayle__CO Wrote: Jun 23, 2012 12:33 PM
Can I get some credentials here please. Actually you arrogant mush heads make my point. People who have zero medical credentials will be applying and rewarding the practices that THEY approve of. They are stepping between the Doctor and the Patient. That is a practice that will produce a poor outcome at the expense of good patient care. Medical care should be practiced with the individual needs of each unique patient. None one-size fits all debacle.
5Mentarios Wrote: Jun 23, 2012 1:00 PM
Yeah, here are my credentials: I've got a BRAIN. I've also got atrial fibrillation, so I take blood thinners and am intimately familiar with their non toxicity and benefits. And, newsflash, antibiotics prevent infection. But more to the point, Gayle, are you saying you don't think these practices should carry benefits to providers who adhere to them because they're harmful? And let's look at the flip side: Suppose a doctor or hospital DOESN'T administer antibiotics as a cost-savings measure, being beholden only to the bottom line only. Shouldn't there be incentives to do the right thing? Remember, these are the two examples Goodman chose to use as his example. That's the best he could do.

This argument is idiotic.
patterson Wrote: Jun 23, 2012 3:21 PM
Trouble is your "brain" is stuck up your A@@.
Gayle__CO Wrote: Jun 23, 2012 3:31 PM
5Mentarios: Could you have gone farther out of your way to miss my point? I am saying that the Doctor should treat each patient individually. If the treatment is ineffective, the Doctor is responsible for poor results; that will lead to further treatment at more cost. There is NO incentive for Doctor to look at the bottom line first and the patient second. It will harm all involved. Besides that, the Board that makes the approvals is just more overhead on the over-burdened system with little or no benefits to gain. "Cost effectiveness" is not on the radar screen here.
Pat1392 Wrote: Jun 23, 2012 5:14 PM
I am already getting the phone calls---my friend had someone who wanted to come to her house to give her an exam.We are headed down a very dangerous path --but we should have been paying into the current system a long time ago.
Are you in an HMO? If you are a senior on Medicare the answer is probably "yes." And if you’re not in one now you soon will be.

So why don’t you know about this? It’s all part of health reform (ObamaCare). For the past few months the federal government has been quietly and secretly enrolling millions of elderly and disabled people into a new type of health maintenance organization without their knowledge or consent.

By "quietly" I mean that the government isn’t telling you about it and it has no plans to tell you about it. By secretly, I mean...

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