<?xml version="1.0" encoding="UTF-8"?><rss version="2.0" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:atom="http://www.w3.org/2005/Atom" xmlns:sy="http://purl.org/rss/1.0/modules/syndication/" > <channel><title>Comments on: Don&#8217;t leave us behind, the official song of health reform</title> <atom:link href="http://www.kevinmd.com/blog/2009/09/leave-official-song-health-reform.html/feed" rel="self" type="application/rss+xml" /><link>http://www.kevinmd.com/blog/2009/09/leave-official-song-health-reform.html</link> <description></description> <lastBuildDate>Tue, 14 Feb 2012 21:39:00 +0000</lastBuildDate> <sy:updatePeriod>hourly</sy:updatePeriod> <sy:updateFrequency>1</sy:updateFrequency> <xhtml:meta xmlns:xhtml="http://www.w3.org/1999/xhtml" name="robots" content="noindex" /> <item><title>By: Dr. Mary Johnson</title><link>http://www.kevinmd.com/blog/2009/09/leave-official-song-health-reform.html#comment-110937</link> <dc:creator>Dr. Mary Johnson</dc:creator> <pubDate>Tue, 01 Sep 2009 16:42:09 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=39759#comment-110937</guid> <description>It&#039;s not just patients who have been excluded from this process.I&#039;ve come to understand that, in President Obama&#039;s myopic view of the world (after all, he is married to a hospital executive), some doctors are &quot;right people&quot; . . . but a whole lot more are &quot;wrong people&quot;.  If we oppose reform as it was being imposed before the Congressional break, we&#039;re anti-patient, &quot;angry&quot;, spiteful, &quot;selfish&quot;, etc.As I pointed out on a local GSO NC blog a few days ago, if I was diagnosed with breast cancer tomorrow, and got weak as a kitten and lost all my hair and had to stop working (ala some of the patients being paraded through once Congressional hearing or another), I&#039;d likely eventually go bankrupt - because I cannot get disability insurance.I am fully medically insured (through &quot;non-profit&quot; BCBS of NC), but at some point, if I could not work, I am certain I would not be able to make the premium payment.I cannot get disability insurance because fifteen years ago (during my medical residency) I was treated for depression and an eating disorder - and that has locked me out of being covered for ANYTHING else every time I&#039;ve applied.As it has been explained to me, a long time ago, a lot of doctors in a previous generation when out on medical disability due to ill-defined psychiatric problems - essentially retiring (I&#039;m sure they&#039;re all fine upstanding members of the AMA).  The insurance companies got wise to the game and hedged their bets - to the point of excluding anyone who had ever sought care (as they should seek care) for depression.Bottom line: If she got sick, another primary-care doctor would bite the dust.  How&#039;s that for contributing to physician shortages and access problems?We won&#039;t even go into why this particular primary-care doctor has no fiscal reserve (something which REALLY DESERVES a Congressional hearing) - that might get my comment here deleted.So my question of all the reformers still begs:  Rather than quickly passing a whole bunch of &quot;sweeping&quot; government-administrated reform - which generally is (1) a whole lot more expensive than the politicians will ever own up to, (2) fixes a whole lot of nothing, (3) and causes more problems than it solves (i.e. all those &quot;unintended consequences&quot; that no one in the Obama administration or AMA wants to talk about), WHY isn&#039;t our government looking at the real problems in our current system - which, as screwed up as it is, still provides the best care anywhere on earth?Those problems are ALL about REAL oversight and REAL accountability and fair play (especially in the charity or &quot;non-profit&quot; sector) . . . not to mention a finely-honed sense of entitlement for entire segments of the population (translation: we&#039;ve set no reasonable limits on what we&#039;re already doling out).Why isn&#039;t President Obama or James Rohack picking up the phone and talking to people like me?</description> <content:encoded><![CDATA[<p>It&#8217;s not just patients who have been excluded from this process.</p><p>I&#8217;ve come to understand that, in President Obama&#8217;s myopic view of the world (after all, he is married to a hospital executive), some doctors are &#8220;right people&#8221; . . . but a whole lot more are &#8220;wrong people&#8221;.  If we oppose reform as it was being imposed before the Congressional break, we&#8217;re anti-patient, &#8220;angry&#8221;, spiteful, &#8220;selfish&#8221;, etc.</p><p>As I pointed out on a local GSO NC blog a few days ago, if I was diagnosed with breast cancer tomorrow, and got weak as a kitten and lost all my hair and had to stop working (ala some of the patients being paraded through once Congressional hearing or another), I&#8217;d likely eventually go bankrupt &#8211; because I cannot get disability insurance.</p><p>I am fully medically insured (through &#8220;non-profit&#8221; BCBS of NC), but at some point, if I could not work, I am certain I would not be able to make the premium payment.</p><p>I cannot get disability insurance because fifteen years ago (during my medical residency) I was treated for depression and an eating disorder &#8211; and that has locked me out of being covered for ANYTHING else every time I&#8217;ve applied.</p><p>As it has been explained to me, a long time ago, a lot of doctors in a previous generation when out on medical disability due to ill-defined psychiatric problems &#8211; essentially retiring (I&#8217;m sure they&#8217;re all fine upstanding members of the AMA).  The insurance companies got wise to the game and hedged their bets &#8211; to the point of excluding anyone who had ever sought care (as they should seek care) for depression.</p><p>Bottom line: If she got sick, another primary-care doctor would bite the dust.  How&#8217;s that for contributing to physician shortages and access problems?</p><p>We won&#8217;t even go into why this particular primary-care doctor has no fiscal reserve (something which REALLY DESERVES a Congressional hearing) &#8211; that might get my comment here deleted.</p><p>So my question of all the reformers still begs:  Rather than quickly passing a whole bunch of &#8220;sweeping&#8221; government-administrated reform &#8211; which generally is (1) a whole lot more expensive than the politicians will ever own up to, (2) fixes a whole lot of nothing, (3) and causes more problems than it solves (i.e. all those &#8220;unintended consequences&#8221; that no one in the Obama administration or AMA wants to talk about), WHY isn&#8217;t our government looking at the real problems in our current system &#8211; which, as screwed up as it is, still provides the best care anywhere on earth?</p><p>Those problems are ALL about REAL oversight and REAL accountability and fair play (especially in the charity or &#8220;non-profit&#8221; sector) . . . not to mention a finely-honed sense of entitlement for entire segments of the population (translation: we&#8217;ve set no reasonable limits on what we&#8217;re already doling out).</p><p>Why isn&#8217;t President Obama or James Rohack picking up the phone and talking to people like me?</p> ]]></content:encoded> </item> </channel> </rss>
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