Comments on: What good is is universal health if you can’t find a doctor? http://www.kevinmd.com/blog/2007/09/what-good-is-is-universal-health-if-you.html Wed, 15 Feb 2012 00:27:00 +0000 hourly 1 By: jota511http://www.kevinmd.com/blog/2007/09/what-good-is-is-universal-health-if-you.html#comment-109923 jota511 Thu, 20 Aug 2009 15:40:35 +0000 http://clients.emmense.com/kevinmd/2007/09/what-good-is-is-universal-health-if-you-cant-find-a-doctor.html#comment-109923 I contend that among the reasons there is a shortage of PCP are the threat of malpractice lawsuits (there are three ads by malpractice lawyers on the previous page) and easy money in the "health care" insurance industry (there was an ad for MBA in Health Care on previous page). If taxpayers were going to fund anything relative to health care, we should subsidize the cost of medical school. Also, we must insist on major tort reform. Some, if not most, doctors acknowledge that they engage in expensive, defensive medicine. Mega jury awards in malpractice cases for "pain and suffering" must end and the AMA and its review boards need to do their parts to pull the licenses of incompetent practitioners. There should be no free-rides for anyone. I contend that among the reasons there is a shortage of PCP are the threat of malpractice lawsuits (there are three ads by malpractice lawyers on the previous page) and easy money in the “health care” insurance industry (there was an ad for MBA in Health Care on previous page). If taxpayers were going to fund anything relative to health care, we should subsidize the cost of medical school. Also, we must insist on major tort reform. Some, if not most, doctors acknowledge that they engage in expensive, defensive medicine. Mega jury awards in malpractice cases for “pain and suffering” must end and the AMA and its review boards need to do their parts to pull the licenses of incompetent practitioners. There should be no free-rides for anyone.

]]> By: Medicallynesshttp://www.kevinmd.com/blog/2007/09/what-good-is-is-universal-health-if-you.html#comment-80238 Medicallyness Thu, 20 Sep 2007 21:12:00 +0000 http://clients.emmense.com/kevinmd/2007/09/what-good-is-is-universal-health-if-you-cant-find-a-doctor.html#comment-80238 Universal Health is a great idea. More Doctor's should make themselves accessible to as many health care plans as possible. This would surely take care of the complaints regarding compensation, while addressing the issues of affordability and accessibility. Universal Health is a great idea. More Doctor’s should make themselves accessible to as many health care plans as possible. This would surely take care of the complaints regarding compensation, while addressing the issues of affordability and accessibility.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/09/what-good-is-is-universal-health-if-you.html#comment-80085 Anonymous Mon, 17 Sep 2007 16:27:00 +0000 http://clients.emmense.com/kevinmd/2007/09/what-good-is-is-universal-health-if-you-cant-find-a-doctor.html#comment-80085 I don't think universal health care would be benefical for Americans. With private insurance American have a hard enough time tring to get in to see a doctor.<br/> -Tannie Ca. I don’t think universal health care would be benefical for Americans. With private insurance American have a hard enough time tring to get in to see a doctor.
-Tannie Ca.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/09/what-good-is-is-universal-health-if-you.html#comment-79895 Anonymous Sun, 09 Sep 2007 23:54:00 +0000 http://clients.emmense.com/kevinmd/2007/09/what-good-is-is-universal-health-if-you-cant-find-a-doctor.html#comment-79895 Yes, these medicaid plans suck. They have no specialists enrolled. Very few PCP's are enrolled. Their plan if you are sick is to "go to the emergency room" so they can deal with and then try to get a 20$payment from the plan after they dished out 5 grand of care. Yes, these medicaid plans suck. They have no specialists enrolled. Very few PCP’s are enrolled. Their plan if you are sick is to “go to the emergency room” so they can deal with and then try to get a 20$payment from the plan after they dished out 5 grand of care.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/09/what-good-is-is-universal-health-if-you.html#comment-79892 Anonymous Sun, 09 Sep 2007 18:59:00 +0000 http://clients.emmense.com/kevinmd/2007/09/what-good-is-is-universal-health-if-you-cant-find-a-doctor.html#comment-79892 The other thing that comes to mind. If the doc's practice is full, that's one thing. But if the doc is taking new patients but is not participating in that insurance, that's another. Often that means the patient has to pay ten, twenty bucks more for the office visit.<br/><br/>Some of the patients described in the article may well have gone without care to save twenty bucks, or spent twenty bucks worth of gas to drive to the doc who takes the insurance.....to save twenty bucks. The other thing that comes to mind. If the doc’s practice is full, that’s one thing. But if the doc is taking new patients but is not participating in that insurance, that’s another. Often that means the patient has to pay ten, twenty bucks more for the office visit.

Some of the patients described in the article may well have gone without care to save twenty bucks, or spent twenty bucks worth of gas to drive to the doc who takes the insurance…..to save twenty bucks.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/09/what-good-is-is-universal-health-if-you.html#comment-79891 Anonymous Sun, 09 Sep 2007 18:54:00 +0000 http://clients.emmense.com/kevinmd/2007/09/what-good-is-is-universal-health-if-you-cant-find-a-doctor.html#comment-79891 Make that three. Agree completely. These plans put the docs name on as participating in the plan, when they do not. Either never have, or dropped the plan years ago, but for years your name remains on their list as "participating". Bills are processed as "in-network" when you are "out-of-network".<br/><br/>You call them on it, they apologize and claim "computer error". Then they do it again.<br/><br/>And again, and again, and again......been there done that.<br/><br/>Everyone wants the docs to use EMR's, but from what I see of insurance claims processing, those computers sure cause a lot of "errors". Make that three. Agree completely. These plans put the docs name on as participating in the plan, when they do not. Either never have, or dropped the plan years ago, but for years your name remains on their list as “participating”. Bills are processed as “in-network” when you are “out-of-network”.

You call them on it, they apologize and claim “computer error”. Then they do it again.

And again, and again, and again……been there done that.

Everyone wants the docs to use EMR’s, but from what I see of insurance claims processing, those computers sure cause a lot of “errors”.

]]> By: Happymanhttp://www.kevinmd.com/blog/2007/09/what-good-is-is-universal-health-if-you.html#comment-79889 Happyman Sun, 09 Sep 2007 17:04:00 +0000 http://clients.emmense.com/kevinmd/2007/09/what-good-is-is-universal-health-if-you-cant-find-a-doctor.html#comment-79889 this is EXACTLY what is happening all over metro NY with the multitude of medicaid managed care plans.<br/><br/>Anyone with their eyes open who lives in one of the boroughs (especially the bronx, brooklyn and washington heights in manhattan) sees the flashy RVs with salespeople pushing medicaid recipients to sign up for HealthFirst (I call it "health-worst"), Fidelis, Metroplus, Affinity, HealthPlus, etc.<br/><br/>They sign up unwitting medicaid patients to these plans, get a hefty commission, then their plan takes in about $5000 per yr per pt from the state. <br/><br/>Then they assign patients to hospital-based clinics where they'll wait MONTHS for an appointment to see an intern only months out of medical school.<br/><br/>Or if they're lucky they'll see a small office-based attending MD, until that doctor realizes that he (was me) gets sometimes as little as $15 per month to oversee that patient's care. That's about $180/yr. Where does the other $4820 go???<br/><br/>Just look at the flashy RVs, salesmen, and CEOs. In the end, it's the patients who get screwed. this is EXACTLY what is happening all over metro NY with the multitude of medicaid managed care plans.

Anyone with their eyes open who lives in one of the boroughs (especially the bronx, brooklyn and washington heights in manhattan) sees the flashy RVs with salespeople pushing medicaid recipients to sign up for HealthFirst (I call it “health-worst”), Fidelis, Metroplus, Affinity, HealthPlus, etc.

They sign up unwitting medicaid patients to these plans, get a hefty commission, then their plan takes in about $5000 per yr per pt from the state.

Then they assign patients to hospital-based clinics where they’ll wait MONTHS for an appointment to see an intern only months out of medical school.

Or if they’re lucky they’ll see a small office-based attending MD, until that doctor realizes that he (was me) gets sometimes as little as $15 per month to oversee that patient’s care. That’s about $180/yr. Where does the other $4820 go???

Just look at the flashy RVs, salesmen, and CEOs. In the end, it’s the patients who get screwed.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/09/what-good-is-is-universal-health-if-you.html#comment-79887 Anonymous Sun, 09 Sep 2007 13:49:00 +0000 http://clients.emmense.com/kevinmd/2007/09/what-good-is-is-universal-health-if-you-cant-find-a-doctor.html#comment-79887 Crappy plans have been known to put doctors' names in their physician directories who do not accept that particular plan. They can always tell their subscribers that it was an "error" or that the physician withdrew when in fact he was never participating in the first place. They figure there is little chance they will be confronted with this kind of unethical and fraudulent behavior. Crappy plans have been known to put doctors’ names in their physician directories who do not accept that particular plan. They can always tell their subscribers that it was an “error” or that the physician withdrew when in fact he was never participating in the first place. They figure there is little chance they will be confronted with this kind of unethical and fraudulent behavior.

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