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	<title>Comments on: </title>
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	<link>http://www.kevinmd.com/blog/2005/05/difficult-patient-starts-blog-i.html</link>
	<description>medical blog</description>
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		<title>By: D.P.</title>
		<link>http://www.kevinmd.com/blog/2005/05/difficult-patient-starts-blog-i.html/comment-page-1#comment-53663</link>
		<dc:creator>D.P.</dc:creator>
		<pubDate>Mon, 27 Jun 2005 04:00:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2005/05/18326.html#comment-53663</guid>
		<description>Um, I&#039;m the difficult patient that created the site, and I promise you that I am not violent . . .good grief people. You could just read the site. The mirror site at xanga is better though. www.xanga.com/difficultpt</description>
		<content:encoded><![CDATA[<p>Um, I&#8217;m the difficult patient that created the site, and I promise you that I am not violent . . .good grief people. You could just read the site. The mirror site at xanga is better though. <a href="http://www.xanga.com/difficultpt" rel="nofollow">http://www.xanga.com/difficultpt</a></p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2005/05/difficult-patient-starts-blog-i.html/comment-page-1#comment-52950</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 21 May 2005 13:39:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2005/05/18326.html#comment-52950</guid>
		<description>&quot;medicare can place any condition on doctors receivng its reimbursement. you want complete freedom to dismiss yr patients, don&#039;t take government money.&lt;br/&gt;&lt;br/&gt;Oh, and don&#039;t practice law without a licence; it&#039;s a crime.&quot;&lt;br/&gt;&lt;br/&gt;First, take your own advice.&lt;br/&gt;&lt;br/&gt;Second, this is a blog reply list, not a legal forum for consultation.  Get a reality check.</description>
		<content:encoded><![CDATA[<p>&#8220;medicare can place any condition on doctors receivng its reimbursement. you want complete freedom to dismiss yr patients, don&#8217;t take government money.</p>
<p>Oh, and don&#8217;t practice law without a licence; it&#8217;s a crime.&#8221;</p>
<p>First, take your own advice.</p>
<p>Second, this is a blog reply list, not a legal forum for consultation.  Get a reality check.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2005/05/difficult-patient-starts-blog-i.html/comment-page-1#comment-52942</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 20 May 2005 16:28:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2005/05/18326.html#comment-52942</guid>
		<description>Well, he does have a point, when all is said and done. Don&#039;t like government rules, don&#039;t take government money.&lt;br/&gt;&lt;br/&gt;(Setting aside the issue of the government taking our money in the first place, then setting conditions on us when we want it back.)&lt;br/&gt;&lt;br/&gt;The idea being that, yes the patient dismissal rule they tried was probably illegal if actually challenged in court.&lt;br/&gt;&lt;br/&gt;Thing is, you actually have to challenge it in court. An expensive proposition that you could ultimately lose. &lt;br/&gt;&lt;br/&gt;And.....they really did try that once, they will try it again. Just because it is probably illegal does not mean Medicare won&#039;t try. They will try again.</description>
		<content:encoded><![CDATA[<p>Well, he does have a point, when all is said and done. Don&#8217;t like government rules, don&#8217;t take government money.</p>
<p>(Setting aside the issue of the government taking our money in the first place, then setting conditions on us when we want it back.)</p>
<p>The idea being that, yes the patient dismissal rule they tried was probably illegal if actually challenged in court.</p>
<p>Thing is, you actually have to challenge it in court. An expensive proposition that you could ultimately lose. </p>
<p>And&#8230;..they really did try that once, they will try it again. Just because it is probably illegal does not mean Medicare won&#8217;t try. They will try again.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2005/05/difficult-patient-starts-blog-i.html/comment-page-1#comment-52940</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 20 May 2005 14:06:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2005/05/18326.html#comment-52940</guid>
		<description>&gt;&quot;Oh, and don&#039;t practice law without a licence; it&#039;s a crime.&quot;&lt;br/&gt;&lt;br/&gt;I&#039;ll put that with all your other timly and helpful advice.&lt;br/&gt;&lt;br/&gt;People must come from all over for a few minutes of your wisdom.  But then again, probably not.</description>
		<content:encoded><![CDATA[<p>>&#8221;Oh, and don&#8217;t practice law without a licence; it&#8217;s a crime.&#8221;</p>
<p>I&#8217;ll put that with all your other timly and helpful advice.</p>
<p>People must come from all over for a few minutes of your wisdom.  But then again, probably not.</p>
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		<title>By: ZZ</title>
		<link>http://www.kevinmd.com/blog/2005/05/difficult-patient-starts-blog-i.html/comment-page-1#comment-52938</link>
		<dc:creator>ZZ</dc:creator>
		<pubDate>Fri, 20 May 2005 09:51:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2005/05/18326.html#comment-52938</guid>
		<description>&lt;i&gt;despite the 5th Circuit ruleing (which was a purely private setting), medicare can place any condition on doctors receivng its reimbursement.&lt;/i&gt;&lt;br/&gt;&lt;br/&gt;&lt;br/&gt;Yeah, you&#039;re right. Such as a rule like &quot;All male physicians who accept medicare reimbursements should streak on a public road for 5 minutes before they may collect their first payment.&quot; &lt;br/&gt;&lt;br/&gt;Some people can be such &lt;i&gt;fools&lt;/i&gt;. Medicare &lt;b&gt;cannot&lt;/b&gt; place any condition it likes on doctors receivng its reimbursement. Certainly not some rule that violates a person&#039;s constitutional rights. A rule that bars a doctor from refusing to see a violent patient who threatens grievous harm to himself or innocent bystanders is so full of sh1t it won&#039;t stand up anywhere.&lt;br/&gt;&lt;br/&gt;Do you lawyer clowns come on here and argue just for the sake of taking &lt;i&gt;any&lt;/i&gt; view in opposition to doctors? Idiots.</description>
		<content:encoded><![CDATA[<p><i>despite the 5th Circuit ruleing (which was a purely private setting), medicare can place any condition on doctors receivng its reimbursement.</i></p>
<p>Yeah, you&#8217;re right. Such as a rule like &#8220;All male physicians who accept medicare reimbursements should streak on a public road for 5 minutes before they may collect their first payment.&#8221; </p>
<p>Some people can be such <i>fools</i>. Medicare <b>cannot</b> place any condition it likes on doctors receivng its reimbursement. Certainly not some rule that violates a person&#8217;s constitutional rights. A rule that bars a doctor from refusing to see a violent patient who threatens grievous harm to himself or innocent bystanders is so full of sh1t it won&#8217;t stand up anywhere.</p>
<p>Do you lawyer clowns come on here and argue just for the sake of taking <i>any</i> view in opposition to doctors? Idiots.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2005/05/difficult-patient-starts-blog-i.html/comment-page-1#comment-52936</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 20 May 2005 04:08:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2005/05/18326.html#comment-52936</guid>
		<description>Hey anonymous-- despite the 5th Circuit ruleing (which was a purely private setting), medicare can place any condition on doctors receivng its reimbursement.  you want complete freedom to dismiss yr patients, don&#039;t take government money.&lt;br/&gt;&lt;br/&gt;Oh, and don&#039;t practice law without a licence; it&#039;s a crime.</description>
		<content:encoded><![CDATA[<p>Hey anonymous&#8211; despite the 5th Circuit ruleing (which was a purely private setting), medicare can place any condition on doctors receivng its reimbursement.  you want complete freedom to dismiss yr patients, don&#8217;t take government money.</p>
<p>Oh, and don&#8217;t practice law without a licence; it&#8217;s a crime.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2005/05/difficult-patient-starts-blog-i.html/comment-page-1#comment-52902</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Wed, 18 May 2005 21:44:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2005/05/18326.html#comment-52902</guid>
		<description>There&#039;s a lot of things CMS does not have a &quot;right&quot; to do.&lt;br/&gt;&lt;br/&gt;They do it anyway.</description>
		<content:encoded><![CDATA[<p>There&#8217;s a lot of things CMS does not have a &#8220;right&#8221; to do.</p>
<p>They do it anyway.</p>
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	<item>
		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2005/05/difficult-patient-starts-blog-i.html/comment-page-1#comment-52899</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Wed, 18 May 2005 21:35:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2005/05/18326.html#comment-52899</guid>
		<description>The federal courts (specifically the the U.S. Court of Appeals, Fifth Circuit) have established the right of physicians to dismiss patients.  CMS does not have a right to overturn this&lt;br/&gt;ruling, nor does it have any right to establish criminal behavior or criminals as a &quot;protected&quot; class or anything else.  I am surprised this even got to the level of a state medical association action since it is so patently ridiculous.</description>
		<content:encoded><![CDATA[<p>The federal courts (specifically the the U.S. Court of Appeals, Fifth Circuit) have established the right of physicians to dismiss patients.  CMS does not have a right to overturn this<br />ruling, nor does it have any right to establish criminal behavior or criminals as a &#8220;protected&#8221; class or anything else.  I am surprised this even got to the level of a state medical association action since it is so patently ridiculous.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2005/05/difficult-patient-starts-blog-i.html/comment-page-1#comment-52898</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Wed, 18 May 2005 21:19:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2005/05/18326.html#comment-52898</guid>
		<description>I think I will just refuse the violent ones.</description>
		<content:encoded><![CDATA[<p>I think I will just refuse the violent ones.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2005/05/difficult-patient-starts-blog-i.html/comment-page-1#comment-52887</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Wed, 18 May 2005 16:48:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2005/05/18326.html#comment-52887</guid>
		<description>You take money from medicare or insurance companies, you must deal with their conditions.&lt;br/&gt;&lt;br/&gt;Dealing with potentially violent people is something that those on the government pay (including doctors accepting medicare $) must deal with, i.e., teachers, policemen, etc.&lt;br/&gt;&lt;br/&gt;Don&#039;t like it--refuse medicare patients.</description>
		<content:encoded><![CDATA[<p>You take money from medicare or insurance companies, you must deal with their conditions.</p>
<p>Dealing with potentially violent people is something that those on the government pay (including doctors accepting medicare $) must deal with, i.e., teachers, policemen, etc.</p>
<p>Don&#8217;t like it&#8211;refuse medicare patients.</p>
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