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[Leslie <cayadopi AT yahoo.com>]

There are not many docs here either, but I did have occassion to speak with a 
"primary care" type doc.  There are 3 docs in their office, and most folks 
around here seem to go to them.  He stated that he makes $100k before income 
taxes.  He also states that the reduction in payment for medicare or medicaid 
patients will further lower his income.  He states that he does not have any 
savings to help his own son go to college.  

Tort reform is just a part of the problem.  Inflation is the root problem 
underneath everything.


________________________________
From: "DSanner106 AT aol.com" <DSanner106 AT aol.com>
To: homestead AT lists.ibiblio.org
Sent: Tue, March 30, 2010 3:07:46 PM
Subject: Re: [Homestead] Challenge

I agree, I have friends in those countries as well, and that is a  problem,
but again the root is tort reform. We have a doctor shortage, and with  the
16 million new folks on the insurance lists will need 50,000 more. My 
daughter was in pharmacy school with many med school friends, all but 
one who have changed majors as the Medical profession in the US isn't 
a great one to be in right now. The massive insurance plan they have to  pay
for to cover malpractice kicks in immediately but the money does not. The 
foreign doctors flood in to fill the breach, imported by the hospitals and  
health
care providers themselves. Tort reform would make it reasonable for a  US
Doctor to go to med school, finish and set up practice in our  underserved
rural areas. Right now it is not possible. 

Drew


In a message dated 3/30/2010 2:48:04 P.M. Eastern Daylight Time,  
lurine AT com-pair.net writes:

As I  understand it, from friends in Germany, Finland and a couple of other 

European countries, it isn't so much the tort reform we need as the  
bringing 
down of the AMA wall.  Bad doctors in other countries don't  get to 
continue 
practicing if they kill people.  They come over here  and get a new license 
to kill.

A good example of how this is done  is the local FNP.  She got run out of 
Portland, so she came down to  CA.  OR didn't send along all of the dings 
on 
her record in OR to the  CA nursing board.  Right now, as I type, there are 
17 people in this  very small valley who are filing complaints against her. 
She literally  killed my neighbor.  She has sentenced another neighbor's 8 
year old  daughter to a lifetime of pain and misery (Lyme.  They were told 
she  was a "drama queen" and that they should go home and "pray" as there 
was  
nothing the medical profession could do for an 8 year old hypochondriac).  
Told another family their 10 year old had lung cancer (no test, he had  
walking pneumonia) and to go home and "enjoy the time you have left."  
Called a 16 year old girl (in the Special Ed class) on her cell at school  
to 
tell her she had herpies and that if she didn't already have cancer she  
would have it shortly.  Then hung up after telling her to "call  sometime 
next week for an appointment so we can talk about how we are  going to 
treat 
the cancer you're getting."

So, we do need "some"  tort reform but we really need licensing reform! 
Well, and scam  reform.  Friend in Texas had a tumor on her leg.  Her GP 
had 
all  the tests done (blood, x-rays, scans, biopsies, etc.).  Sent her to a  
specialist (vascular surgeon) and he ordered ALL of the tests to be done  
again.  Complete waste of money!

Plus doctor shopping and  folks who think visiting a doctor is a social 
occasion so schedule to see  them when they don't need to.

All in all, we need LOTS of  reform!

Lynda
----- Original Message ----- 
From:  <DSanner106 AT aol.com>


> The main difference and the thing  that holds us back is what the Dems
> refuse to address and that is Tort  reform. French doctors don't fear 
> being
> sued  every time  they make a diagnosis. If we can take the lawyers  out
> of the mix  we can solve a bunch of the health care problems quite  
easily.
> I  have French doctors as friends and there is also much they envy of  
our
> system, so it is far from perfect in their world  either.
>
> We can't update our medical records systems to the  level they would  like
> as that is where most evidence that later  appears in court comes from.
> Face it, as long as the doctors,  hospitals and insurers are on the
> defensive,
> we will not be  able to make certain advances.
>
>  Drew
>
>
>
> In a message dated 3/29/2010 2:06:00 P.M.  Eastern Daylight Time,
> lurine AT com-pair.net writes:
>
>  I've  been looking at the French system because it has done a couple  of
> things I  like and think we'd be well advised to copy.  It has brought
> paperwork and billing into the 21st century and thus  cut costs to doctors
> WAY down.  I know our doctor is beginning to  use a level of their
> computerized systems (almost all notes directly  on the computer and all
> prescriptions sent electronically directly to  the pharmacy) but has yet 
to
> update the medical records system they  use.
>
> However, there are a  lot of people (thousands) not  covered by the French
> plans (there are about  3 you have to  choose from) AND it is not 100%
> coverage.  People have  to  buy their own supplemental or pay anywhere 
from
> 20-40% as  co-pays.
>
> And I suppose you could say that society provides  the  healthcare in 
> Japan.
> Employers and employees pay  the fees, out of each  paycheck, for 
> themselves
> and the  poor.  And you do have a co-pay  although they have a  monthly
> out-of-pocket max.
>
> Lynda
> -----  Original Message ----- 
> From: "Rob"  <becida AT comcast.net>
>
>
>> In Canada or France or  GB or Japan  this would not be an issue, it
>> would not come  up. Health care is like  fire protection or police,
>> it's  something the society  does.
>>
>> Rob
>>  becida AT comcast.net
>>
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>From lurine AT com-pair.net  Thu Apr  1 02:19:37 2010
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Yeah, and pay for the unions on the backs of the poor and elderly.  Believe
me, the healthcare bill is NOT going to help those in rural communities or
the elderly or the poor!

Rural docs are going to end up moving or, as some have already said,
retiring early and doing something else if they still need to earn money.

Lynda
----- Original Message -----
From: "Leslie" <cayadopi AT yahoo.com>


There are not many docs here either, but I did have occassion to speak with
a "primary care" type doc. There are 3 docs in their office, and most folks
around here seem to go to them. He stated that he makes $100k before income
taxes. He also states that the reduction in payment for medicare or medicaid
patients will further lower his income. He states that he does not have any
savings to help his own son go to college.

Tort reform is just a part of the problem. Inflation is the root problem
underneath everything.