<?xml version="1.0" encoding="UTF-8"?><rss version="2.0" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:atom="http://www.w3.org/2005/Atom" xmlns:sy="http://purl.org/rss/1.0/modules/syndication/" > <channel><title>Comments on: No ER waits</title> <atom:link href="http://www.kevinmd.com/blog/2007/06/no-er-waits.html/feed" rel="self" type="application/rss+xml" /><link>http://www.kevinmd.com/blog/2007/06/no-er-waits.html</link> <description></description> <lastBuildDate>Tue, 14 Feb 2012 16:32:00 +0000</lastBuildDate> <sy:updatePeriod>hourly</sy:updatePeriod> <sy:updateFrequency>1</sy:updateFrequency> <xhtml:meta xmlns:xhtml="http://www.w3.org/1999/xhtml" name="robots" content="noindex" /> <item><title>By: Happyman</title><link>http://www.kevinmd.com/blog/2007/06/no-er-waits.html#comment-76405</link> <dc:creator>Happyman</dc:creator> <pubDate>Tue, 19 Jun 2007 12:19:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/06/no-er-waits.html#comment-76405</guid> <description>the Illinois Attorney General can kiss my a**.  Maybe he&#039;s friends with the guy from New Orleans prosecuting Anna Pou.&lt;br/&gt;&lt;br/&gt;Admitting patients, medicaid or not, is a decision that should be left to DOCTORS, now lawyers. I don&#039;t know of a single doctor in a clinic, ER, or anywhere else who looks at a patient&#039;s insurance in deciding whether to admit or not.  That&#039;s the problem with medicine today - a refusal by the public to accept an asymmetry of information.</description> <content:encoded><![CDATA[<p>the Illinois Attorney General can kiss my a**.  Maybe he&#8217;s friends with the guy from New Orleans prosecuting Anna Pou.</p><p>Admitting patients, medicaid or not, is a decision that should be left to DOCTORS, now lawyers. I don&#8217;t know of a single doctor in a clinic, ER, or anywhere else who looks at a patient&#8217;s insurance in deciding whether to admit or not.  That&#8217;s the problem with medicine today &#8211; a refusal by the public to accept an asymmetry of information.</p> ]]></content:encoded> </item> <item><title>By: Anonymous</title><link>http://www.kevinmd.com/blog/2007/06/no-er-waits.html#comment-76404</link> <dc:creator>Anonymous</dc:creator> <pubDate>Tue, 19 Jun 2007 11:13:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/06/no-er-waits.html#comment-76404</guid> <description>&quot;dumbed down to appease an under-educated and over-entitled public&quot;&lt;br/&gt;&lt;br/&gt;Illinois&#039; Attorney General filed a lawsuit against two of the state&#039;s larger clinics, accusing them of conspiring to prevent admittance of new Medicaid patients in hopes of driving up reimbursements.&lt;br/&gt;&lt;br/&gt;I&#039;ve yet to hear a single member of the &quot;under-educated, over-entitled public&quot; support that lawsuit. All letters to the editor in our paper have fairly bluntly told the state to bug off.&lt;br/&gt;&lt;br/&gt;You might have a better chance of reaching some of your objectives if you&#039;d try to enlist public support rather than constantly insult them.</description> <content:encoded><![CDATA[<p>&#8220;dumbed down to appease an under-educated and over-entitled public&#8221;</p><p>Illinois&#8217; Attorney General filed a lawsuit against two of the state&#8217;s larger clinics, accusing them of conspiring to prevent admittance of new Medicaid patients in hopes of driving up reimbursements.</p><p>I&#8217;ve yet to hear a single member of the &#8220;under-educated, over-entitled public&#8221; support that lawsuit. All letters to the editor in our paper have fairly bluntly told the state to bug off.</p><p>You might have a better chance of reaching some of your objectives if you&#8217;d try to enlist public support rather than constantly insult them.</p> ]]></content:encoded> </item> <item><title>By: ERMurse</title><link>http://www.kevinmd.com/blog/2007/06/no-er-waits.html#comment-76400</link> <dc:creator>ERMurse</dc:creator> <pubDate>Tue, 19 Jun 2007 03:33:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/06/no-er-waits.html#comment-76400</guid> <description>This type of program is totally catered to the very low acuity patient. Most of the time, the one that does not need to be there. In my area some hospitals are placing a Midlevel &quot;Provider&quot; in Triage, minimizing the RN Triage role, and calling the program &quot;Provider is Triage&quot;. The &quot;Provider&quot; sees patients like a Triage Nurse would so they can claim a door to Provider time of almost 0. They follow some and turf the others to the main  There have been big problems with midlevels following patients that are over their head rather than sending over to the MD. Also, lots of resistance from Nursing. I wrote about simular programs at http://ermurse.blogspot.com/2007/05/top-ten-ways-to-raise-your-emergency.html</description> <content:encoded><![CDATA[<p>This type of program is totally catered to the very low acuity patient. Most of the time, the one that does not need to be there. In my area some hospitals are placing a Midlevel &#8220;Provider&#8221; in Triage, minimizing the RN Triage role, and calling the program &#8220;Provider is Triage&#8221;. The &#8220;Provider&#8221; sees patients like a Triage Nurse would so they can claim a door to Provider time of almost 0. They follow some and turf the others to the main  There have been big problems with midlevels following patients that are over their head rather than sending over to the MD. Also, lots of resistance from Nursing. I wrote about simular programs at <a href="http://ermurse.blogspot.com/2007/05/top-ten-ways-to-raise-your-emergency.html" rel="nofollow">http://ermurse.blogspot.com/2007/05/top-ten-ways-to-raise-your-emergency.html</a></p> ]]></content:encoded> </item> <item><title>By: Anonymous</title><link>http://www.kevinmd.com/blog/2007/06/no-er-waits.html#comment-76394</link> <dc:creator>Anonymous</dc:creator> <pubDate>Mon, 18 Jun 2007 23:19:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/06/no-er-waits.html#comment-76394</guid> <description>Happyman, my friend-&lt;br/&gt;&lt;br/&gt;I am with you on mid-level providers.&lt;br/&gt;Only lamenting this fact, and my frustration over the doctors who are ahead of me...that fascilitated the training, entry and progress of the mid-level movement. Are you with the all inclusive ACP? Hopefully, you have never, ever participated in flourishing mid-level careers, and has no NP/PA or PhD RN/PA in your practice.</description> <content:encoded><![CDATA[<p>Happyman, my friend-</p><p>I am with you on mid-level providers.<br />Only lamenting this fact, and my frustration over the doctors who are ahead of me&#8230;that fascilitated the training, entry and progress of the mid-level movement. Are you with the all inclusive ACP? Hopefully, you have never, ever participated in flourishing mid-level careers, and has no NP/PA or PhD RN/PA in your practice.</p> ]]></content:encoded> </item> <item><title>By: Happyman</title><link>http://www.kevinmd.com/blog/2007/06/no-er-waits.html#comment-76393</link> <dc:creator>Happyman</dc:creator> <pubDate>Mon, 18 Jun 2007 23:09:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/06/no-er-waits.html#comment-76393</guid> <description>anon 5:49-&lt;br/&gt;&lt;br/&gt;&quot;providers&quot; is what you will get: next time you need an ER (or a primary care &quot;provider&quot; for that matter) you will likely see a PA or NP.&lt;br/&gt;&lt;br/&gt;maybe that doesn&#039;t matter to you, but I certainly would rather be treated by someone with the full breadth of scientific training &amp; experience to treat a human being.  &lt;br/&gt;&lt;br/&gt;RESIDENCY - THERE IS NO SUBSTITUTE.</description> <content:encoded><![CDATA[<p>anon 5:49-</p><p>&#8220;providers&#8221; is what you will get: next time you need an ER (or a primary care &#8220;provider&#8221; for that matter) you will likely see a PA or NP.</p><p>maybe that doesn&#8217;t matter to you, but I certainly would rather be treated by someone with the full breadth of scientific training &#038; experience to treat a human being.</p><p>RESIDENCY &#8211; THERE IS NO SUBSTITUTE.</p> ]]></content:encoded> </item> <item><title>By: Anonymous</title><link>http://www.kevinmd.com/blog/2007/06/no-er-waits.html#comment-76392</link> <dc:creator>Anonymous</dc:creator> <pubDate>Mon, 18 Jun 2007 22:49:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/06/no-er-waits.html#comment-76392</guid> <description>The BUSINESS OF HEALTHCARE &lt;br/&gt;&lt;br/&gt;Clients not patients&lt;br/&gt;Providers not doctors&lt;br/&gt;&lt;br/&gt;Are these not what MBAs teach and foist on everyone? No wonder inflation hits the industry so well...</description> <content:encoded><![CDATA[<p>The BUSINESS OF HEALTHCARE</p><p>Clients not patients<br />Providers not doctors</p><p>Are these not what MBAs teach and foist on everyone? No wonder inflation hits the industry so well&#8230;</p> ]]></content:encoded> </item> <item><title>By: Happyman</title><link>http://www.kevinmd.com/blog/2007/06/no-er-waits.html#comment-76390</link> <dc:creator>Happyman</dc:creator> <pubDate>Mon, 18 Jun 2007 22:12:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/06/no-er-waits.html#comment-76390</guid> <description>if i was the guy in the ER with crushing chest pain, but all the docs are taking care of people with ear infections and sore throats, i&#039;d be REALLY pissed with this kind of incentive for misuse of ER services.&lt;br/&gt;&lt;br/&gt;I guess there is just no limit to the band-aid kind of solutions to today&#039;s health care crises. &lt;br/&gt;&lt;br/&gt;Policy makers will listen to the 300-lb medicaid patient with a cold who bitches about his 5-hr wait in the ER, before the primary care doctors who say they won&#039;t take medicaid (or hip, ghi, aetna, bc/bs, and soon medicare) because of low reimbursement.&lt;br/&gt;&lt;br/&gt;medicine (and ER especially) are headed for a major disaster. i feel sorry for young ER docs now - they have a valuable skill that is being dumbed down to appease an under-educated and over-entitled public.</description> <content:encoded><![CDATA[<p>if i was the guy in the ER with crushing chest pain, but all the docs are taking care of people with ear infections and sore throats, i&#8217;d be REALLY pissed with this kind of incentive for misuse of ER services.</p><p>I guess there is just no limit to the band-aid kind of solutions to today&#8217;s health care crises.</p><p>Policy makers will listen to the 300-lb medicaid patient with a cold who bitches about his 5-hr wait in the ER, before the primary care doctors who say they won&#8217;t take medicaid (or hip, ghi, aetna, bc/bs, and soon medicare) because of low reimbursement.</p><p>medicine (and ER especially) are headed for a major disaster. i feel sorry for young ER docs now &#8211; they have a valuable skill that is being dumbed down to appease an under-educated and over-entitled public.</p> ]]></content:encoded> </item> <item><title>By: Catron</title><link>http://www.kevinmd.com/blog/2007/06/no-er-waits.html#comment-76387</link> <dc:creator>Catron</dc:creator> <pubDate>Mon, 18 Jun 2007 20:09:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/06/no-er-waits.html#comment-76387</guid> <description>Yep</description> <content:encoded><![CDATA[<p>Yep</p> ]]></content:encoded> </item> </channel> </rss>
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