. . . they are also a particularly compelling example of how covert rationing inherently fosters waste, profligacy, inefficiency, and tangled and counterproductive incentives, throughout the healthcare system - even in the private sector, whose proponents invariably extol its natural efficiency.
When you go to your doctor or to the ER its a crapshoot what care will be given and what tests will be done. It depends on the doctor. It depends on the doctors experience. It depends on the doctors fear of liability. It depends on whether you have insurance.
How the government is holding medicine back from the electronic age:
If any of you are wondering why your own doctor doesn't communicate with you using email, IM, and other ways that simply make sense in today's world, wonder no further. They break federal law with every email and IM since the vast majority of physicians have contracts with insurance companies or Medicare.
Also interesting how Jay Parkinson flaunts breaking ...
I suspect that there were resource allocation decisions by both policy-makers and administrators that probably contributed to this death. As tragic as it is, not everyone can be saved, nor should we as a society try to save everyone.
People with insurance have said to me,'I didn't get that prescription, because I'd have to pay with my own money!' As if I suggested that they sprout wings. (Crazy talk, that! Investing in your own health, when you could buy a new i-pod and download some music!)
Turf war ahead. Like virtual colonoscopies, these CT scans has its sights aimed at cardiac catheterization. Questions about radiation dose and mortality benefit remain. Like any new diagnostic study, these uncertainties need to be communicated clearly with the public.
When the radiologist has performed his or her duties by interpreting the film, to whom is the radiologist professionally related? The patient? Or the physician who ordered the X-ray or other exam? And what if later it is found that the radiologist has made a mistake or missed a critical diagnosis..has, for example, made ...
If 10 million of the disingenuous "47 million uninsured" are in fact illegal immigrants, are we to understand that all of these candidates are actually calling for nationalized health care coverage for illegal immigrants? Perhaps, in our beneficence, we should pay for healthcare for anyone worldwide who comes to our country. If this is what is being suggested in using these numbers, ...
I saw doctors overturn patients DNR's when the family asked (when the patient was not able to speak for themselves) because they were afraid to get sued. I've participated in the intubation, insertion of multiple invasive lines and tubes in people with severe heart disease, diabetes, multiple amputations and strokes confined to a nursing home in their 90's for god sakes because the family "wanted everything done."