Re: An announcement

BR---

#1) My upcoming colonoscopy falls into the area of established medical
practice according to what medical science has determined up to
now----someone who has several polyps on initial colonoscopy, however
benign, needs to be looked at again in three to five years. (This reminds
me of a bullheaded surgeon who asked years ago of the first
gastroenterologists in our town skilled in colonsocopy with biopsy---"what
about those of us who don't do colonoscopy and biopsy polyps by that
manner?" The gastroenterologist answered diplomatically, "learn how to.")

2.) In answer to your second question, I don't get paid by a patient who
stiffs me. Its not like I can repossess his car like a machanic.

Tom
On Aug 13 2007 4:50 PM, BR Eagle wrote:

"Steve Harder-Kucera" <steve@xxxxxxxxxxxxxxxxxxxxxxxxxxxxx> wrote in message
news:doj1c3dk1m116aj7j0a4l6vlorsb57fi19@xxxxxxxxxx
On Mon, 13 Aug 2007 16:32:27 -0500, "BR Eagle" <goc313@xxxxxxxxx>
wrote:

NO. What I'm saying is a third party pay system skews demand. People
demand
more if someone else is paying. "Oh, I'll have this procedure since I've
paid for it anyway." Also insurance (malpractice) forces doctors to
prescribe unneccesary procedures such as CATscans, etc. Not sure how
much,
maybe a doc can chime in.


I think you are gunning for the answer but missing the target.

I would think more in terms of "patient is not the customer of the
doctor, the insurance company is, compounded by the fact that the
patient is not the customer of the insurance company either, their
employer is".

I've seen how the government handles the mail, and I don't want them in
charge of health care.

Wasn't it you who said, "What could possibly go wrong? The Feds have already
eliminated
poverty, eliminated homelessness, ended recreational drug use,
educated every single child to the highest possible degree, guaranteed
domestic security, guaranteed comfortable retirement income for all,
and maintained the infrastructure of our highways and bridges.

Save for a couple of boo-boos in the past (see all of the above) this
has all been done very efficiently and very economically."

Well said, I'd add. SHK at his best. Maybe you could write a song about
that...

As for Doc's second colonoscopy would not be an unneccessary procedure to
proctect a doctor from malpractice. It sounds like it is reasonable.

So Doc, how do you get paid when patients stiff you?



It makes a great sound byte, but they get the job of delivering mail
done pretty damned well.

Mutant Bluegrass That Rocks!
http://www.thepickadillos.com

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