Re: I can relate!
- From: hopitus <hopitus@xxxxxxxxxxx>
- Date: Fri, 29 Aug 2008 18:36:52 -0700 (PDT)
On Aug 29, 7:19 pm, bastXXXe...@xxxxxxxxx wrote:
Christina Websell <spamf...@xxxxxxxxxxxxxxxxxxxxxxxxx> wrote:
[snip]
> I may not trust my doctors up to date skills, the whole lot are grazing
> along towards retirement and haven't bothered, but they have never minded
> spending their budget on sending me to someone who knows what they are
> doing. I must have almost bankrupted them in the last 7 years.
[snip]
> However, I do admire a doctor who realises he is out of his depth and is
> prepared to spend loads of money on me to send me to those who aren't.
I'm confused - your doctor has to spend money from his budget just to
send you to a specialist? I don't understand why that costs *him*
anything. Another across-the-pond difference, I suspect.
Speaking of which, I think Jill's skepticism toward her doctor is not
unusual in the USA. They've gone from gods to money-grubbers in the
public's eye over the past few decades in this country. Doctors in
the UK probably have a ceiling amount they can charge - or maybe they're
on salary?), so you probably don't have that image of doctors as
people who might be trying to get as much money out of you (or your
insurance) as they can. In the US, medicine is a profession where a
person can become quite wealthy, especially if they go into a specialty.
So some percentage of doctors here are certainly in that line of work
for that reason alone. Which is not to say all of them, or even most
of them, but it does taint our image of them.
Joyce ^..^
Having no idea what goes on with UK medical finances....in USA I have
discovered while working briefly for an HMO moonlighting job that in
this
financial arrangement of insurance the doc is awarded so much *a head*
so to speak patient-wise for a stated time, usually a year - and if he
sends
his patient to a specialist, $$ is deducted from his flat rate "head
count"
layout from the HMO. Does this have any enlightening efffect?
Less specialists referred to for patients....more cash in doc's
pocket,
crasslty put. It is the "herd mentality" with HMO's, even the best.
.
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