Why would I want a doctor who doesn’t trust me?

“I doubt any primary care physician would shed a tear if you took your business elsewhere.”

I doubt it either.

I feel that I do all 5 of the items listed in your comment.

If you are serious about willing to pay more, please comment again.

Then, I will be willing to give you my email address and if geographically feasable, you can come be a patient at my office. I will tell you my rates.

Quite frankly, I really doubt you are willing to pay more for primary care, but, hey, I’ll give it a shot.

A family practitioner

Why don’t you check out this month’s issue of EM-News. Read his apology for that adolescent rant. He blamed his rant on a moment of anger and the terrible state of our medical care system. See, he’s the only one who cares.

He’s like the guy in Forrest Gump who smacked his girlfriend and went on to blame that lying SOB Lyndon Johnson for his behavior.

As it turns out, Glauser wrote something very similar in the same trade rag in 2001.

So, emotionally retarded, he insults whole specialties of physicians, sitting on the high horse like he’s the only one with skill and ethics. Then he blames others for his actions.

But, sincere or not (personally I doubt his sincerity), it is telling that you would quote such an emotionally retarded individual.

I doubt any primary care physician would shed a tear if you took your business elsewhere.

I offer you cash and you provide the service. If you don’t feel that I pay you enough, you should decline my business instead of providing me with substandard care.

Here are things I would be willing to pay a primary care physician. I would be willing to pay more in copayments, premiums, taxes, whatever.

1. Manage my chronic illnesses within the context of my life-not just offer me presciptions and treat me like a textbook

2. Treat acute illness or injury in a timely manner-especially those related to chronic illnesses.

3. Preventive care that goes beyond cholesterol and cancer screenings.

4. Treat me as a whole person, not just that symptom I came in for.

5. Treat me as a real person.

A family practitioner

“How could we as physicians ever allow a doctor to call himself primary care when he can’t manage simple chronic illness, cannot definitively treat acute illness or injury, often has no skills to save lives and no access to equipment if he had the skills, and does not even see patients at their own (the customers’) convenience?”

Jonathan Glauser, MD

What exactly does primary care offer?

For the sake of discussion, please define “a quality product.”

Healthcare is different than a roof.

A family practitioner

If I hired a general contactor to replace my roof, would I find one that does shoddy work and then pay him more in the hopes that I will get a quality roof?

I already haven’t gotten what I paid for. And I am supposed to give you more money?

I am sure you are familiar with this:

http://www.em-news.com/pt/re/emmednews/fulltext.00132981-200812000-00003.htm;jsessionid=JJLT1Dnl1nJwc32LKZphYGnTb9HyQ2FzmfCkFFZDvCbhlnS1P1Z2!1204955331!181195628!8091!-1

“You’re not willing to pay more for anything.”

I am willing to pay more-for a quality product.

Your logic is backwards.
You get what you pay for.
Because you are unwilling to pay more, you get an inferior product, ie quick visits by rushed doctors.
You shouldn’t say “make your product better and then I will pay you more.” Instead, you should be saying “I want my primary care product to be better and am therefore willing to pay more for it.” (Concierge medicine, anyone?)

The truth is, you’re bluffing. You’re not willing to pay more for anything. You probably think you already pay enough for it and still are not satisfied.

A family praxctitioner