Re: another thing that pisses me off about pts....
- From: "tom_sawyer70@xxxxxxxxx" <tom_sawyer70@xxxxxxxxx>
- Date: Fri, 26 Jun 2009 20:45:54 -0700 (PDT)
On Jun 26, 9:44 pm, mianderson <clay...@xxxxxxxxxx> wrote:
especially wrt to ed visits(as we've seen a number of ed complaints
just in this forum):
Say you're a 45 year old guy with some risk factors(ie you're kind of
a fat ass, have high cholesterol, and you're bp is not perfect...maybe
you have a family hx as well).....
So you go into the ed complaining of chest pain. It turns out to msk
nonsense or gerd(so nothing serious), but they did a full workup(after
all you have some risk factors) and billed your insurance company 5k
(of which the insurance company paid out 2k and you had to pay a 200$
copay).....
Well shit, what did you want? *YOU* went to the ed thinking you were
sick. Didn't *YOU* want them to do a full workup? I'm sorry pt
dumbass, but the ed physician cant read your mind. All he can see is
that you're some stranger who has come in complaining of chest pain,
and so of course he has to do the usual workup....
And so when it turns out to be gerd or msk related(the dumb pt
probably should eat less burritos in the evening), what thanks does
the ed physician get? A sarcastic harsh criticism for charging so
much to do nothing?
LMFAO.......there are actually pts like that. And hell, I had no
interest whatsoever and would rather sweep gutters than do primary
care or ED care, but pts are out of line with all the complaints....
Today, there are incentives for doctors to give patients the "full
workup" when it's not necessary. So they overbill the insurance, the
patient has unnecessarily high premies and is also probably directed
to take some meds they don't need.
The problem is on multiple fronts ... people who do not take care of
themselves or who look for the satisfaction of a pill or procedure,
feel the need to rationalize the trip that was "only" a $20 co-pay.
On the other side we have kickbacks being given to medical
professionals to push certain drugs or procedures as if they're the
overstocked snow tires that need to be out the door for next years
supply.
Many do not want to hear, "eat better and exercise," which is really
what would alleviate many trips to see the doctor. On the other hand,
medicine has become such a publicly traded entity (in pharm stock,
etc.) that many doctors actually benefit from not telling them to "eat
better and exercise," but rather they push a drug and run through the
whole workup so that they're given the kick back or at least not sued.
.
- References:
- another thing that pisses me off about pts....
- From: mianderson
- another thing that pisses me off about pts....
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