http://www.kevinmd.com/blog/2007/09/er-crisis-in-tuscon.html Tue, 14 Feb 2012 11:46:00 +0000 hourly 1 http://www.kevinmd.com/blog/2007/09/er-crisis-in-tuscon.html#comment-81079 mkuehl Wed, 17 Oct 2007 18:34:00 +0000 http://clients.emmense.com/kevinmd/2007/09/er-crisis-in-tuscon.html#comment-81079 Why not use CareScope, a comprehensive software program that deals with the under and non-insured? In hospitals that have implemented our program they have seen a 42% reduction in innapropiate ER visits. Want to know how? E-mail me for more info. Why not use CareScope, a comprehensive software program that deals with the under and non-insured? In hospitals that have implemented our program they have seen a 42% reduction in innapropiate ER visits. Want to know how? E-mail me for more info.

]]> http://www.kevinmd.com/blog/2007/09/er-crisis-in-tuscon.html#comment-80368 Anonymous Mon, 24 Sep 2007 16:38:00 +0000 http://clients.emmense.com/kevinmd/2007/09/er-crisis-in-tuscon.html#comment-80368 Asking a surgical specialist to operate on an uninsured and usually angry ER patient ()who is more likely to sue for nothing is unreasonable. It is not worth the $1000.00 call fee. I would rather have the hospital pay my malpractice insurance. Asking a surgical specialist to operate on an uninsured and usually angry ER patient ()who is more likely to sue for nothing is unreasonable. It is not worth the $1000.00 call fee. I would rather have the hospital pay my malpractice insurance.

]]> http://www.kevinmd.com/blog/2007/09/er-crisis-in-tuscon.html#comment-80358 Anonymous Mon, 24 Sep 2007 05:20:00 +0000 http://clients.emmense.com/kevinmd/2007/09/er-crisis-in-tuscon.html#comment-80358 Not much of a shock here. When the supply is curtailed to the degree that it has been, this is what we get. I think that this is a situation where the situation needs to fold completely before we get some real reform (redistributing more money to the providers that have strangled supply for decades coupled with collusion with the government is not the answer). Not much of a shock here. When the supply is curtailed to the degree that it has been, this is what we get. I think that this is a situation where the situation needs to fold completely before we get some real reform (redistributing more money to the providers that have strangled supply for decades coupled with collusion with the government is not the answer).

]]> http://www.kevinmd.com/blog/2007/09/er-crisis-in-tuscon.html#comment-80352 DDx:dx Mon, 24 Sep 2007 01:37:00 +0000 http://clients.emmense.com/kevinmd/2007/09/er-crisis-in-tuscon.html#comment-80352 I understand that availability for "house Call" whether in a specialty or as a primary care doc can be onerous. In my small town the local family docs take "house call". In an 8 doc rotation you can bet when your turn comes up you will need to admit an uninsured alcoholic or a transient off his psych meds. This is the role of doctors. It seems that the burden is becoming too much for some. We (local family docs)never got paid by the hospital for taking House call for admissions. Should we have? Is that where "fair" lies? It is hard for me to see surgical specialists get $1K/night doing essentially what I do for free.<br/>But I have made this comment before and been chided for "attacking ourselves", like we're all in this together. It doesn't really feel that way, to me, that we(physicians) are really sharing a goal of providing good care, improving the health of the community. Instead, I think we have sunk to the accepted denominator of, "What's in it for me?", the american anthem. And maybe docs against hospitals is where the battle line is drawn. Us vs. them...Noble profession. I understand that availability for “house Call” whether in a specialty or as a primary care doc can be onerous. In my small town the local family docs take “house call”. In an 8 doc rotation you can bet when your turn comes up you will need to admit an uninsured alcoholic or a transient off his psych meds. This is the role of doctors. It seems that the burden is becoming too much for some. We (local family docs)never got paid by the hospital for taking House call for admissions. Should we have? Is that where “fair” lies? It is hard for me to see surgical specialists get $1K/night doing essentially what I do for free.
But I have made this comment before and been chided for “attacking ourselves”, like we’re all in this together. It doesn’t really feel that way, to me, that we(physicians) are really sharing a goal of providing good care, improving the health of the community. Instead, I think we have sunk to the accepted denominator of, “What’s in it for me?”, the american anthem. And maybe docs against hospitals is where the battle line is drawn. Us vs. them…Noble profession.

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