Comments on: Should patients be advised that better care is available elsewhere? http://www.kevinmd.com/blog/2009/01/should-patients-be-advised-that-better.html Tue, 14 Feb 2012 22:04:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2009/01/should-patients-be-advised-that-better.html#comment-89197 Anonymous Tue, 13 Jan 2009 23:39:00 +0000 http://clients.emmense.com/kevinmd/2009/01/should-patients-be-advised-that-better-care-is-available-elsewhere.html#comment-89197 As a surgeon, I am finding it increasingly difficult to refer patients to tertiary care facilities for these complex surgeries that I do not perform often( and no longer want to perform). The reimbusement is so poor from Medicare and the risk of complcations so great, that many "centers of excellance" no longer want these patients either. As a surgeon, I am finding it increasingly difficult to refer patients to tertiary care facilities for these complex surgeries that I do not perform often( and no longer want to perform). The reimbusement is so poor from Medicare and the risk of complcations so great, that many “centers of excellance” no longer want these patients either.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2009/01/should-patients-be-advised-that-better.html#comment-89196 Anonymous Tue, 13 Jan 2009 23:15:00 +0000 http://clients.emmense.com/kevinmd/2009/01/should-patients-be-advised-that-better-care-is-available-elsewhere.html#comment-89196 I work in the VA and I am more than willing to refer people with the means (ie backup private insurance) outside the gigantic VA waitlist void.<br/><br/>An example:<br/>The waitlist for joint replacement? Two years and you must not smoke or have a BMI >33 or you won't even make the list. I work in the VA and I am more than willing to refer people with the means (ie backup private insurance) outside the gigantic VA waitlist void.

An example:
The waitlist for joint replacement? Two years and you must not smoke or have a BMI >33 or you won't even make the list.

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