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	<title>Comments on: Online visits</title>
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	<link>http://www.kevinmd.com/blog/2008/02/online-visits.html</link>
	<description>medical blog</description>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/02/online-visits.html/comment-page-1#comment-83335</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 05 Feb 2008 02:24:00 +0000</pubDate>
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		<description>102 fever, went online, filled out a form, and was diagnosed with a &quot;bacterial infection?&quot;  Just what bacterial infection was diagnosed with confidence with no physical exam?  Maybe sinusitis, but that&#039;s it.</description>
		<content:encoded><![CDATA[<p>102 fever, went online, filled out a form, and was diagnosed with a &#8220;bacterial infection?&#8221;  Just what bacterial infection was diagnosed with confidence with no physical exam?  Maybe sinusitis, but that&#8217;s it.</p>
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		<title>By: GingerB</title>
		<link>http://www.kevinmd.com/blog/2008/02/online-visits.html/comment-page-1#comment-83332</link>
		<dc:creator>GingerB</dc:creator>
		<pubDate>Tue, 05 Feb 2008 01:57:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/02/online-visits.html#comment-83332</guid>
		<description>Seems like a good marketing device for plans looking to attract younger, smarter working folks.&lt;br/&gt;&lt;br/&gt;It seems like there are big chunks of the retired population whose main entertainment is going to the doctor. Why would they change their ways? &lt;br/&gt;&lt;br/&gt;It&#039;s people with something else to do, like work, who would benefit from not fighting traffic for a follow-on or routine visit.</description>
		<content:encoded><![CDATA[<p>Seems like a good marketing device for plans looking to attract younger, smarter working folks.</p>
<p>It seems like there are big chunks of the retired population whose main entertainment is going to the doctor. Why would they change their ways? </p>
<p>It&#8217;s people with something else to do, like work, who would benefit from not fighting traffic for a follow-on or routine visit.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/02/online-visits.html/comment-page-1#comment-83328</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 04 Feb 2008 21:47:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/02/online-visits.html#comment-83328</guid>
		<description>Not a good idea.&lt;br/&gt;There is no substitute for a face-to-face encounter, period.&lt;br/&gt;Any insurance company jumping on board with reimbursing for on line visits is doing it for one reason only: they think it is going to save them money.&lt;br/&gt;&lt;br/&gt;Just like radiologists endorsing teleradiology, any doctor endorsing online visits will eventually be replaced by a cheaper, but licensed, doctor oversees.&lt;br/&gt;&lt;br/&gt;If the insurance companies are so interested in access and convenience, why don&#039;t they reimburse telephone calls?&lt;br/&gt;&lt;br/&gt;By the way, there is a role for online consultations, but only in remote areas, i.e. Alaska, where true access is not possible.&lt;br/&gt;&lt;br/&gt;Over the years, I&#039;ve heard others curse the first doctor who decided to accept HMO payments; afterall, if that doctor said no, the movement would have died. But because that doctor started, all the others had to follow suit and where are we today?&lt;br/&gt;&lt;br/&gt;Therefore, I implore you-DON&#039;T START! As the great philosopher Nacy Reagan said, &quot;Just say no!&quot;&lt;br/&gt;&lt;br/&gt;Underpaid in New York</description>
		<content:encoded><![CDATA[<p>Not a good idea.<br />There is no substitute for a face-to-face encounter, period.<br />Any insurance company jumping on board with reimbursing for on line visits is doing it for one reason only: they think it is going to save them money.</p>
<p>Just like radiologists endorsing teleradiology, any doctor endorsing online visits will eventually be replaced by a cheaper, but licensed, doctor oversees.</p>
<p>If the insurance companies are so interested in access and convenience, why don&#8217;t they reimburse telephone calls?</p>
<p>By the way, there is a role for online consultations, but only in remote areas, i.e. Alaska, where true access is not possible.</p>
<p>Over the years, I&#8217;ve heard others curse the first doctor who decided to accept HMO payments; afterall, if that doctor said no, the movement would have died. But because that doctor started, all the others had to follow suit and where are we today?</p>
<p>Therefore, I implore you-DON&#8217;T START! As the great philosopher Nacy Reagan said, &#8220;Just say no!&#8221;</p>
<p>Underpaid in New York</p>
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