Comments on: http://www.kevinmd.com/blog/2006/01/rip-primary-care-regular-readers-of.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/2006/01/rip-primary-care-regular-readers-of.html/comment-page-1#comment-58857 Anonymous Wed, 01 Feb 2006 17:57:00 +0000 http://clients.emmense.com/kevinmd/2006/01/19904.html#comment-58857 "To generalize over a group, say doctor, does not make you racist or antisemitic or anti-italian."<br/><br/>No. It just makes you sound stupid. No 2 doctors are the same, not 2 lawyers, electricians, breadmakers are the same. “To generalize over a group, say doctor, does not make you racist or antisemitic or anti-italian.”

No. It just makes you sound stupid. No 2 doctors are the same, not 2 lawyers, electricians, breadmakers are the same.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/01/rip-primary-care-regular-readers-of.html/comment-page-1#comment-58854 Anonymous Wed, 01 Feb 2006 14:48:00 +0000 http://clients.emmense.com/kevinmd/2006/01/19904.html#comment-58854 1. To generalize over a group, say doctor, does not make you racist or antisemitic or anti-italian. <br/><br/>2. OK--so now you're saying we don't have enough specialists or primary doctors--and we have really bad healthcare.<br/><br/>3. As I said earlier, if we have too few doctors, eliminate licensure requires, lower barriers to entry--and we'll have more doctors.<br/><br/>4. problem solved, dear frother 1. To generalize over a group, say doctor, does not make you racist or antisemitic or anti-italian.

2. OK–so now you’re saying we don’t have enough specialists or primary doctors–and we have really bad healthcare.

3. As I said earlier, if we have too few doctors, eliminate licensure requires, lower barriers to entry–and we’ll have more doctors.

4. problem solved, dear frother

]]> By: Anonymous http://www.kevinmd.com/blog/2006/01/rip-primary-care-regular-readers-of.html/comment-page-1#comment-58845 Anonymous Wed, 01 Feb 2006 05:54:00 +0000 http://clients.emmense.com/kevinmd/2006/01/19904.html#comment-58845 "You didn't respond to my points. You just condescended. How typical from a doctor."<br/><br/>You always troll like this? Typical of a Doctor? All doctors are the same? Do you write "typical of a Jew? Spic? Negro? Queer? <br/><br/>By the way, nothing to do with your argument, but there's a great shortage of specialists in this country. Every other country in the world uses "family doctors" to cover most illnesses, here we have so many specialists, and it's not even enough because we need every headache to see a neurologist, to satisfy the lawyers. Meanwhile, our healthcare system is not even in the top ten in the world. I'm disagreeing with you, yes. Now i'm sure your comeback will be an insult, so shoot away. “You didn’t respond to my points. You just condescended. How typical from a doctor.”

You always troll like this? Typical of a Doctor? All doctors are the same? Do you write “typical of a Jew? Spic? Negro? Queer?

By the way, nothing to do with your argument, but there’s a great shortage of specialists in this country. Every other country in the world uses “family doctors” to cover most illnesses, here we have so many specialists, and it’s not even enough because we need every headache to see a neurologist, to satisfy the lawyers. Meanwhile, our healthcare system is not even in the top ten in the world. I’m disagreeing with you, yes. Now i’m sure your comeback will be an insult, so shoot away.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/01/rip-primary-care-regular-readers-of.html/comment-page-1#comment-58842 Anonymous Wed, 01 Feb 2006 05:02:00 +0000 http://clients.emmense.com/kevinmd/2006/01/19904.html#comment-58842 as I said, you're a very insecure woman. as I said, you’re a very insecure woman.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/01/rip-primary-care-regular-readers-of.html/comment-page-1#comment-58839 Anonymous Wed, 01 Feb 2006 03:14:00 +0000 http://clients.emmense.com/kevinmd/2006/01/19904.html#comment-58839 Sigh.<br/><br/>I guess I'll stop feeding the troll.<br/><br/>BTW, that's DR. NH Doc to you. Sigh.

I guess I’ll stop feeding the troll.

BTW, that’s DR. NH Doc to you.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/01/rip-primary-care-regular-readers-of.html/comment-page-1#comment-58838 Anonymous Wed, 01 Feb 2006 02:14:00 +0000 http://clients.emmense.com/kevinmd/2006/01/19904.html#comment-58838 Hate to say it Ms. NH Doc, but you ain't too smart. The website you list is simply a plea by primary docs for more money from medicare, along with dire predictions of gloom and doom about the impending disaster of too few docs. <br/><br/>There are no answers to my statistical questions--ahh--but observe your approach to argument, Ms. NH Doc. You intimidate; you do not respond. It points to a noxious insecurity in yr character--perhaps you could be helped by therapy.<br/><br/>As for the paper's assertions:<br/><br/>First, there is no clear relationship between medical outcomes and the number of docs. Japan has fewer docs per capita, yet the Japanese live longer. Show me data that fewer primary doc wil mean worse outcome, then I'll listen. Otherwise, it's just primary docs whining for as menay lexuses as their opthamologist friends.<br/><br/>second, are you REALLY worried about the supply of doctors? If so, there's a simple answer--eliminate licensure requirements. They'll be more docs, and I bet the market will do a better job than the self-serving, oldboy networks of peer review to keep quality high. Oh . . . but that would cut into yr income, and we can't have that. Hate to say it Ms. NH Doc, but you ain’t too smart. The website you list is simply a plea by primary docs for more money from medicare, along with dire predictions of gloom and doom about the impending disaster of too few docs.

There are no answers to my statistical questions–ahh–but observe your approach to argument, Ms. NH Doc. You intimidate; you do not respond. It points to a noxious insecurity in yr character–perhaps you could be helped by therapy.

As for the paper’s assertions:

First, there is no clear relationship between medical outcomes and the number of docs. Japan has fewer docs per capita, yet the Japanese live longer. Show me data that fewer primary doc wil mean worse outcome, then I’ll listen. Otherwise, it’s just primary docs whining for as menay lexuses as their opthamologist friends.

second, are you REALLY worried about the supply of doctors? If so, there’s a simple answer–eliminate licensure requirements. They’ll be more docs, and I bet the market will do a better job than the self-serving, oldboy networks of peer review to keep quality high. Oh . . . but that would cut into yr income, and we can’t have that.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/01/rip-primary-care-regular-readers-of.html/comment-page-1#comment-58837 Anonymous Wed, 01 Feb 2006 01:56:00 +0000 http://clients.emmense.com/kevinmd/2006/01/19904.html#comment-58837 Anon 12:22:<br/><br/>Please check out the acutual ACP position paper at the following website: www.acponline.org/hpp/statehc06_1.pdf. Look at page 3 especially, as there you will find the answers to your "statistical questions."<br/><br/>You still haven't told me why you think that most people who go to the doctor are healthy.<br/><br/>NH Doc Anon 12:22:

Please check out the acutual ACP position paper at the following website: http://www.acponline.org/hpp/statehc06_1.pdf. Look at page 3 especially, as there you will find the answers to your “statistical questions.”

You still haven’t told me why you think that most people who go to the doctor are healthy.

NH Doc

]]> By: Anonymous http://www.kevinmd.com/blog/2006/01/rip-primary-care-regular-readers-of.html/comment-page-1#comment-58836 Anonymous Wed, 01 Feb 2006 01:11:00 +0000 http://clients.emmense.com/kevinmd/2006/01/19904.html#comment-58836 "It is a statistical question whether the average patient is as sick as you describe"<br/>Sir, you have no clue ! “It is a statistical question whether the average patient is as sick as you describe”
Sir, you have no clue !

]]> By: Grumpy http://www.kevinmd.com/blog/2006/01/rip-primary-care-regular-readers-of.html/comment-page-1#comment-58831 Grumpy Tue, 31 Jan 2006 20:02:00 +0000 http://clients.emmense.com/kevinmd/2006/01/19904.html#comment-58831 Certainly, any patient who would prefer to see a specialist rather than see me as a primary care internist should be welcomed to do so. I certainly don't want to confront a patient who doesn't want to see me and is forced into the situation by the "HMO Model" of care. Yes, let the market control patients' behavior and hope they have enough knowledge to make the right choices for their (and their family's) health. And let them bear the cost: headache, off to the neurologist--cachinck; cough, off to the pulmonologist--cachinck; funny bowels, off to the gastroenterologist--cachink; paplitations, off to the cardiologist--cachinck; sore shoulder, off to the orthopedist--cachinck; stuffy nose, off to the ENT--cachinck. I have had many patients who went this route and then returned to me for anothher opinion when they didn't like what the specialist told them. I would tell them to go to another specialist (cachinck, cachinck), since the specialist obviously knew more and had more valid opinions than mine. Then I had more time for the patients who were beating down the doors to try to see me. Certainly, any patient who would prefer to see a specialist rather than see me as a primary care internist should be welcomed to do so. I certainly don’t want to confront a patient who doesn’t want to see me and is forced into the situation by the “HMO Model” of care. Yes, let the market control patients’ behavior and hope they have enough knowledge to make the right choices for their (and their family’s) health. And let them bear the cost: headache, off to the neurologist–cachinck; cough, off to the pulmonologist–cachinck; funny bowels, off to the gastroenterologist–cachink; paplitations, off to the cardiologist–cachinck; sore shoulder, off to the orthopedist–cachinck; stuffy nose, off to the ENT–cachinck. I have had many patients who went this route and then returned to me for anothher opinion when they didn’t like what the specialist told them. I would tell them to go to another specialist (cachinck, cachinck), since the specialist obviously knew more and had more valid opinions than mine. Then I had more time for the patients who were beating down the doors to try to see me.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/01/rip-primary-care-regular-readers-of.html/comment-page-1#comment-58826 Anonymous Tue, 31 Jan 2006 17:22:00 +0000 http://clients.emmense.com/kevinmd/2006/01/19904.html#comment-58826 NH Doctor:<br/><br/>It is a statistical question whether the average patient is as sick as you describe--any particular doctor's view is quite irrelevant. I'm surprised that as someone presumably trained in science you should confuse the anecdotal with the empirically demonstratble (Not being sarcastic).<br/><br/>You didn't respond to my points. You just condescended. How typical from a doctor. NH Doctor:

It is a statistical question whether the average patient is as sick as you describe–any particular doctor’s view is quite irrelevant. I’m surprised that as someone presumably trained in science you should confuse the anecdotal with the empirically demonstratble (Not being sarcastic).

You didn’t respond to my points. You just condescended. How typical from a doctor.

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