65
   

IT'S TIME FOR UNIVERSAL HEALTH CARE

 
 
TheCorrectResponse
 
  1  
Reply Wed 13 Feb, 2008 01:46 pm
Quote:

Sorry, Cyclo, you CANNOT force a doc to see a patient. He is not required to provide care for anyone who seeks it. Doctors routinely "fire" patients for non-compliance of orders.


This is incorrect information as it is determined by state statutes. It goes against the California Patient Bill of Rights. In Ohio once you are the attending physician you cannot "fire" your patient or stop care by law -- to give just two examples.
0 Replies
 
Cycloptichorn
 
  1  
Reply Wed 13 Feb, 2008 01:49 pm
USAFHokie80 wrote:
Miller wrote:
Cycloptichorn wrote:
Miller wrote:
But, how will this PLAN function without participation of American Physicians?

Will the poor folks have to go to Walgreens for their healthcare?

Don't forget, that there are many, many MDs who will not take Medicare or Medicaid insurance and in fact, some will take nothing but cash.

Have you ever wondered how an American physician can see 50-100 patients in a single day??


They won't be allowed to do this any longer.



And who's to stop them? Physicians have the right to reject certain individuals as patients. As a matter of fact, some MDs now refuse treatment to many patients when past history with these individuals indicate they don't wish to follow a physicians order relative to health or are other wise troublesome in the physicians office/clinic or even the ER.

Additionally, some health insurance plans also have the legal right to terminate an individual's policy, when that individual has been found to "cause trouble" for the physician.


Mill and I are beginning to agree!

Sorry, Cyclo, you CANNOT force a doc to see a patient. He is not required to provide care for anyone who seeks it. Doctors routinely "fire" patients for non-compliance of orders.


Sure you can. You pass laws saying that they are not allowed to refuse medicare or medicaid patients, or whatever we end up calling universal health insurance.

If they don't like it, they lose their licensing and can go do something else for a living.

Not a complicated concept

Cycloptichorn
0 Replies
 
USAFHokie80
 
  1  
Reply Wed 13 Feb, 2008 03:06 pm
TheCorrectResponse wrote:
Quote:

Sorry, Cyclo, you CANNOT force a doc to see a patient. He is not required to provide care for anyone who seeks it. Doctors routinely "fire" patients for non-compliance of orders.


This is incorrect information as it is determined by state statutes. It goes against the California Patient Bill of Rights. In Ohio once you are the attending physician you cannot "fire" your patient or stop care by law -- to give just two examples.


As a matter of professional ethics, a physician can refuse treatment when a patient does not follow his orders.
0 Replies
 
TheCorrectResponse
 
  1  
Reply Wed 13 Feb, 2008 03:10 pm
I've looked this up before. I can't find that out in Ohio law anywhere, can you show me where it says that?
0 Replies
 
USAFHokie80
 
  1  
Reply Wed 13 Feb, 2008 03:13 pm
Cycloptichorn wrote:

Sure you can. You pass laws saying that they are not allowed to refuse medicare or medicaid patients, or whatever we end up calling universal health insurance.

If they don't like it, they lose their licensing and can go do something else for a living.

Not a complicated concept

Cycloptichorn


It's not nearly as simple as you seem to think. You really should spend a little more time to learn about how health care *actually* works instead of relying on the mass-misunderstanding the general population holds.

For instance, my boyfriend has just fired another patient for lying to him. For reference, he is a double-board certified primary care physician, boarded in internal medicine and pediatrics. Anyway, a patient came in a few days ago for something (I don't remember) and Mark asked him a bunch of questions, including if he drank. The guy insisted he did not. I suppose he didn't realize Mark could smell the alcohol, so he added an etoh to the blood panel they were running. Sure enough, he was 2x legal limit. Fired. You will NEVER for a physician to treat people such as this. By doing so, you are forcing the physician to open himself up to legal issues. If Mark had taken the patient's word and ended up prescribing something that interacted with alcohol, Mark would be sued for mal practice.

Like it or not, Cyclo, medcine and health care are FAR more complicated and "gray" than you either understand or are willing to admit.
0 Replies
 
Walter Hinteler
 
  1  
Reply Wed 13 Feb, 2008 03:13 pm
USAFHokie80 wrote:

As a matter of professional ethics, a physician can refuse treatment when a patient does not follow his orders.


Well, that's interesting - such is threatened with prison (for the physican), and against the professional ethics of physicans here.

But when in Rome ...
0 Replies
 
Cycloptichorn
 
  1  
Reply Wed 13 Feb, 2008 03:17 pm
USAFHokie80 wrote:
Cycloptichorn wrote:

Sure you can. You pass laws saying that they are not allowed to refuse medicare or medicaid patients, or whatever we end up calling universal health insurance.

If they don't like it, they lose their licensing and can go do something else for a living.

Not a complicated concept

Cycloptichorn


It's not nearly as simple as you seem to think. You really should spend a little more time to learn about how health care *actually* works instead of relying on the mass-misunderstanding the general population holds.

For instance, my boyfriend has just fired another patient for lying to him. For reference, he is a double-board certified primary care physician, boarded in internal medicine and pediatrics. Anyway, a patient came in a few days ago for something (I don't remember) and Mark asked him a bunch of questions, including if he drank. The guy insisted he did not. I suppose he didn't realize Mark could smell the alcohol, so he added an etoh to the blood panel they were running. Sure enough, he was 2x legal limit. Fired. You will NEVER for a physician to treat people such as this. By doing so, you are forcing the physician to open himself up to legal issues. If Mark had taken the patient's word and ended up prescribing something that interacted with alcohol, Mark would be sued for mal practice.

Like it or not, Cyclo, medcine and health care are FAR more complicated and "gray" than you either understand or are willing to admit.


See Walter's response. They do it in other countries, and they still have doctors and health care.

Your response basically boils down to 'the doctors don't want this.' Tough titty.

Cycloptichorn
0 Replies
 
hamburger
 
  1  
Reply Wed 13 Feb, 2008 03:20 pm
here is what the AMA has to say(in part) - certainly not the law but very strong suggestions to medical PROFESSIONALS imo .

Quote:



full text :
AMA
0 Replies
 
High Seas
 
  1  
Reply Wed 13 Feb, 2008 03:39 pm
Walter Hinteler wrote:
USAFHokie80 wrote:

As a matter of professional ethics, a physician can refuse treatment when a patient does not follow his orders.


Well, that's interesting - such is threatened with prison (for the physican), and against the professional ethics of physicans here.

But when in Rome ...


Prison?! Maybe this guy was turned down and didn't bother with complaints:

Quote:
Originally, the assailant had arrived at the offices, about five seconds after 8 p.m. on Tuesday, asking to visit Dr. Kent T. Shinbach, 70, a psychiatrist there, the police said.

But at some point he disappeared inside the office of another counselor there, Kathryn Faughey, 56, the police said.

There, he unleashed a barrage of violence, fatally stabbing Dr. Faughey. At some point, when Dr. Shinbach heard the attack and went to the office of his colleague, the assailant turned on him and Dr. Shinbach was seriously injured, officials said.

The scene was marked by blood and upended furniture, the police and neighbors said.

http://www.nytimes.com/2008/02/13/nyregion/13doc.html?_r=1&hp&oref=slogin
0 Replies
 
USAFHokie80
 
  1  
Reply Wed 13 Feb, 2008 03:40 pm
Walter Hinteler wrote:
USAFHokie80 wrote:

As a matter of professional ethics, a physician can refuse treatment when a patient does not follow his orders.


Well, that's interesting - such is threatened with prison (for the physican), and against the professional ethics of physicans here.

But when in Rome ...


For emergencies, you are right. However, even in those instance, a physician is obligated only to stabilize the patient. In non-emergent cases, a physician cannot be coerced to care for someone.
0 Replies
 
USAFHokie80
 
  1  
Reply Wed 13 Feb, 2008 03:46 pm
Cycloptichorn wrote:


Like it or not, Cyclo, medcine and health care are FAR more complicated and "gray" than you either understand or are willing to admit.


See Walter's response. They do it in other countries, and they still have doctors and health care.

Your response basically boils down to 'the doctors don't want this.' Tough titty.

Cycloptichorn[/quote]

Did you ever consider the fact that he could be talking about something specific?

Your comment like this are so irritating. You have such a poor understanding of health care and yet seem to think you have all the answers.

So suppose you are a physician (we're pretending here...) and you have a patient that comes in again for "back pain." Here other doctor prescribed her percocet (because she's allergic to tylenol, advil and naprexen) but she has lost her meds and she is here from out of town. Oh no! So she really wants a scrpit for 30x10mg percocet...

What would you do? Prescribe them or tell her no?
0 Replies
 
hamburger
 
  1  
Reply Wed 13 Feb, 2008 03:58 pm
hokie wrote :

Quote:
So she really wants a scrpit for 30x10mg percocet


i don't think it's the patients right to decide on the amount or the strength of the medication .
but i see no reason why the physician might not prescribe 30 @ 2.5 mg -
or he could ask his receptionist telephone her physician for advice .
would that be unreasonable ?
hbg


Quote:
Percocet 2.5 mg/325 mg - 12 Tablets maximum daily dose
0 Replies
 
Cycloptichorn
 
  1  
Reply Wed 13 Feb, 2008 04:03 pm
USAFHokie80 wrote:
Cycloptichorn wrote:


Like it or not, Cyclo, medcine and health care are FAR more complicated and "gray" than you either understand or are willing to admit.


See Walter's response. They do it in other countries, and they still have doctors and health care.

Your response basically boils down to 'the doctors don't want this.' Tough titty.

Cycloptichorn


Did you ever consider the fact that he could be talking about something specific?

Your comment like this are so irritating. You have such a poor understanding of health care and yet seem to think you have all the answers.

So suppose you are a physician (we're pretending here...) and you have a patient that comes in again for "back pain." Here other doctor prescribed her percocet (because she's allergic to tylenol, advil and naprexen) but she has lost her meds and she is here from out of town. Oh no! So she really wants a scrpit for 30x10mg percocet...

What would you do? Prescribe them or tell her no?[/quote]

That's a completely different situation; the doctor is allowed to use his best judgment when prescribing medicine, and has several different options in this case.

My main point is that under a Universal system, doctors would not be allowed to turn people who use the universal system of payment based upon their system of payment. You can make it illegal to discriminate based upon method of payment.

Cycloptichorn
0 Replies
 
USAFHokie80
 
  1  
Reply Wed 13 Feb, 2008 04:14 pm
hamburger wrote:
hokie wrote :

Quote:
So she really wants a scrpit for 30x10mg percocet


i don't think it's the patients right to decide on the amount or the strength of the medication .
but i see no reason why the physician might not prescribe 30 @ 2.5 mg -
or he could ask his receptionist telephone her physician for advice .
would that be unreasonable ?
hbg


Quote:
Percocet 2.5 mg/325 mg - 12 Tablets maximum daily dose


No, it shouldn't be up to the patient. However, patients demand this and demand that. What is a doc to do?

Oh, and this did happen to a friend of mine. He had his nurse call around. This lady had a script filled 5 times that week for 30 pills each. Obviously, he did not give them to her.
0 Replies
 
USAFHokie80
 
  1  
Reply Wed 13 Feb, 2008 04:22 pm
Cycloptichorn wrote:
USAFHokie80 wrote:
Cycloptichorn wrote:


Like it or not, Cyclo, medcine and health care are FAR more complicated and "gray" than you either understand or are willing to admit.


See Walter's response. They do it in other countries, and they still have doctors and health care.

Your response basically boils down to 'the doctors don't want this.' Tough titty.

Cycloptichorn


Did you ever consider the fact that he could be talking about something specific?

Your comment like this are so irritating. You have such a poor understanding of health care and yet seem to think you have all the answers.

So suppose you are a physician (we're pretending here...) and you have a patient that comes in again for "back pain." Here other doctor prescribed her percocet (because she's allergic to tylenol, advil and naprexen) but she has lost her meds and she is here from out of town. Oh no! So she really wants a scrpit for 30x10mg percocet...

What would you do? Prescribe them or tell her no?


That's a completely different situation; the doctor is allowed to use his best judgment when prescribing medicine, and has several different options in this case.

My main point is that under a Universal system, doctors would not be allowed to turn people who use the universal system of payment based upon their system of payment. You can make it illegal to discriminate based upon method of payment.

Cycloptichorn[/quote]

Ah... no, you specifically said that you wanted to make it illegal for a doctor to refuse to treat a patient. I am pointing out very real reasons that they should.

The current social programs have very poor reimbursement rates and they halted any raises on that (to help pay for the stimulus package and war). Of course, the costs are still going up, which means doc and hospitals are getting paid even less now. It's no wonder a lot of docs are moving to private organizations.
0 Replies
 
fishin
 
  1  
Reply Wed 13 Feb, 2008 05:08 pm
TheCorrectResponse wrote:
This is incorrect information as it is determined by state statutes. It goes against the California Patient Bill of Rights.


??? I see nothing about it in the CA Paitent Bill of Rights.

http://www.cchealth.org/medical_center/patient_rights.php
http://www.chiropracticdiplomatic.com/patient_rights.html

The closest it gets is "A patient can expect reasonable continuity of care. He/she shall be informed in advance of the time(s) and location(s) of appointments as well as the name and capacity of the doctor of chiropractic/health practitioner who will be providing."

"Reasonable continuity of care" isn't the same thing as requiring a specific individual perform that care.

This site: http://www.calpatientguide.org/i.html specifically disagrees with your assesment.
0 Replies
 
Miller
 
  1  
Reply Wed 13 Feb, 2008 05:14 pm
hamburger wrote:
hokie wrote :

Quote:
So she really wants a scrpit for 30x10mg percocet


i don't think it's the patients right to decide on the amount or the strength of the medication .
but i see no reason why the physician might not prescribe 30 @ 2.5 mg -
or he could ask his receptionist telephone her physician for advice .
would that be unreasonable ?
hbg


Quote:
Percocet 2.5 mg/325 mg - 12 Tablets maximum daily dose


Without a medical history/record for this patient no American MD would risk his/her license by presecribing this medication. How does the MD know what her other meds are?
0 Replies
 
USAFHokie80
 
  1  
Reply Wed 13 Feb, 2008 05:20 pm
Miller wrote:
hamburger wrote:
hokie wrote :

Quote:
So she really wants a scrpit for 30x10mg percocet


i don't think it's the patients right to decide on the amount or the strength of the medication .
but i see no reason why the physician might not prescribe 30 @ 2.5 mg -
or he could ask his receptionist telephone her physician for advice .
would that be unreasonable ?
hbg


Quote:
Percocet 2.5 mg/325 mg - 12 Tablets maximum daily dose


Without a medical history/record for this patient no American MD would risk his/her license by presecribing this medication. How does the MD know what her other meds are?


Obviously, she filled it out on the patient questionnaire.
0 Replies
 
Miller
 
  1  
Reply Wed 13 Feb, 2008 05:23 pm
Percocet consists of acetaminophen + oxycodone

Tylenol is the Brand name for acetaminophen.

So...if the patient is allergic to tylenol, why would anyone with a brain Rx Percocet to the patient?

Also, this is classified as a CII drug and as such in most if not all up-to-date States of the United States, each and every pruchase of this Rx by an individual within a specific State would be red flagged in the State's central pharmacy computer.

The MDs then Rxing the med would be contacted
and legal action then initiated.
0 Replies
 
georgeob1
 
  1  
Reply Wed 13 Feb, 2008 05:33 pm
Cycloptichorn wrote:
USAFHokie80 wrote:
Miller wrote:
Cycloptichorn wrote:
Miller wrote:
But, how will this PLAN function without participation of American Physicians?

Will the poor folks have to go to Walgreens for their healthcare?

Don't forget, that there are many, many MDs who will not take Medicare or Medicaid insurance and in fact, some will take nothing but cash.

Have you ever wondered how an American physician can see 50-100 patients in a single day??


They won't be allowed to do this any longer.



And who's to stop them? Physicians have the right to reject certain individuals as patients. As a matter of fact, some MDs now refuse treatment to many patients when past history with these individuals indicate they don't wish to follow a physicians order relative to health or are other wise troublesome in the physicians office/clinic or even the ER.

Additionally, some health insurance plans also have the legal right to terminate an individual's policy, when that individual has been found to "cause trouble" for the physician.


Mill and I are beginning to agree!

Sorry, Cyclo, you CANNOT force a doc to see a patient. He is not required to provide care for anyone who seeks it. Doctors routinely "fire" patients for non-compliance of orders.


Sure you can. You pass laws saying that they are not allowed to refuse medicare or medicaid patients, or whatever we end up calling universal health insurance.

If they don't like it, they lose their licensing and can go do something else for a living.

Not a complicated concept

Cycloptichorn


Slavery is not a complicated concept either, but most of us consider that it is a repugnant assault on basic human freedom. The coercion that Cyclo supposes will become part of the new government health care system, will almost certainly be found to be a clear violation of the constitution.

It is remarkable how easily those who advocate government "solutions" to social problems slip in to authoritarian assaults on individual rights.
0 Replies
 
 

Related Topics

Obama '08? - Discussion by sozobe
Let's get rid of the Electoral College - Discussion by Robert Gentel
McCain's VP: - Discussion by Cycloptichorn
The 2008 Democrat Convention - Discussion by Lash
McCain is blowing his election chances. - Discussion by McGentrix
Snowdon is a dummy - Discussion by cicerone imposter
Food Stamp Turkeys - Discussion by H2O MAN
TEA PARTY TO AMERICA: NOW WHAT?! - Discussion by farmerman
 
Copyright © 2025 MadLab, LLC :: Terms of Service :: Privacy Policy :: Page generated in 0.12 seconds on 07/17/2025 at 02:26:03