Comments on: http://www.kevinmd.com/blog/2005/12/gaming-system-theres-definite-downside.html medical blog Sun, 22 Nov 2009 19:59:44 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2005/12/gaming-system-theres-definite-downside.html/comment-page-1#comment-57487 Anonymous Thu, 08 Dec 2005 01:09:00 +0000 http://clients.emmense.com/kevinmd/2005/12/19538.html#comment-57487 There is one solution to this "problem." High risk patients should pay more (and low risk less). Ahh, but then that would mean getting rid of 3rd party payer and returning power to patients . . . can't have that.<br/><br/>I agree with that. I don't think you would find many physicians that would disagree with that. Just pay your bill. In my practice we are only able to collect 36% of what is billed. There is one solution to this “problem.” High risk patients should pay more (and low risk less). Ahh, but then that would mean getting rid of 3rd party payer and returning power to patients . . . can’t have that.

I agree with that. I don’t think you would find many physicians that would disagree with that. Just pay your bill. In my practice we are only able to collect 36% of what is billed.

]]> By: Anonymous http://www.kevinmd.com/blog/2005/12/gaming-system-theres-definite-downside.html/comment-page-1#comment-57472 Anonymous Wed, 07 Dec 2005 14:02:00 +0000 http://clients.emmense.com/kevinmd/2005/12/19538.html#comment-57472 You know guys, survey data is without doubt the most unreliable social scientific data there is. Yet KevinMD posts every survey that agrees with his preconceptions.<br/><br/>There is one solution to this "problem." High risk patients should pay more (and low risk less). Ahh, but then that would mean getting rid of 3rd party payer and returning power to patients . . . can't have that. You know guys, survey data is without doubt the most unreliable social scientific data there is. Yet KevinMD posts every survey that agrees with his preconceptions.

There is one solution to this “problem.” High risk patients should pay more (and low risk less). Ahh, but then that would mean getting rid of 3rd party payer and returning power to patients . . . can’t have that.

]]> By: Anonymous http://www.kevinmd.com/blog/2005/12/gaming-system-theres-definite-downside.html/comment-page-1#comment-57469 Anonymous Wed, 07 Dec 2005 04:26:00 +0000 http://clients.emmense.com/kevinmd/2005/12/19538.html#comment-57469 "If you're likely to die no matter what the docs do"<br/>Being at high risk for a procedure does not mean that you are likely to die from that procedure. A 20 % mortality rate from surgery is high but actually you are still less likely to die and more likely to survive.<br/>Take, for example, the case of a diabetic with some renal insufficiency and critical aortic stenosis. Mortality from surgery can be 10- 20% but if you don't operate will be 100%. “If you’re likely to die no matter what the docs do”
Being at high risk for a procedure does not mean that you are likely to die from that procedure. A 20 % mortality rate from surgery is high but actually you are still less likely to die and more likely to survive.
Take, for example, the case of a diabetic with some renal insufficiency and critical aortic stenosis. Mortality from surgery can be 10- 20% but if you don’t operate will be 100%.

]]> By: Anonymous http://www.kevinmd.com/blog/2005/12/gaming-system-theres-definite-downside.html/comment-page-1#comment-57464 Anonymous Wed, 07 Dec 2005 02:24:00 +0000 http://clients.emmense.com/kevinmd/2005/12/19538.html#comment-57464 Exact same reason specialists won't take ER call: Why take the risk? Accepting High risk patients is like lathering up in shit when you know there are alot of green flies around. Exact same reason specialists won’t take ER call: Why take the risk? Accepting High risk patients is like lathering up in shit when you know there are alot of green flies around.

]]> By: Anonymous http://www.kevinmd.com/blog/2005/12/gaming-system-theres-definite-downside.html/comment-page-1#comment-57461 Anonymous Tue, 06 Dec 2005 23:51:00 +0000 http://clients.emmense.com/kevinmd/2005/12/19538.html#comment-57461 If you're likely to die no matter what the docs do, maybe 5 out of 5 docs should think twice about operating. If you’re likely to die no matter what the docs do, maybe 5 out of 5 docs should think twice about operating.

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