65
   

IT'S TIME FOR UNIVERSAL HEALTH CARE

 
 
Cycloptichorn
 
  1  
Reply Wed 13 Feb, 2008 05:59 pm
USAFHokie80 wrote:
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


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.[/quote]

No, Hokie, I did not say that. I said this:

Quote:
Quote:

Miller:
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??

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


I specifically said that doctors will not be allowed to refuse to take patients based upon their method of payment, IE Medicare or Medicaid.

Please stop making sh*t up

Cycloptichorn
0 Replies
 
georgeob1
 
  1  
Reply Wed 13 Feb, 2008 06:07 pm
Cycloptichorn wrote:


I specifically said that doctors will not be allowed to refuse to take patients based upon their method of payment, IE Medicare or Medicaid.

Cycloptichorn


I hope this does not come to pass. It would be a clear violation of the right of doctors to freely contract with patients and set a price for their services. I doubt that such a requirement in the law would survive the first constitutional challenge brought against it.

I can imagine a scheme in which the law is written so that if a doctor accepts ANY medicare patients, he forgoes the right to deny service to others, based solely on price. However such a requirement would be meaningless and probably unenforceable, given the impossibility of determining just what was the motivation of the physician.
0 Replies
 
Cycloptichorn
 
  1  
Reply Wed 13 Feb, 2008 06:10 pm
georgeob1 wrote:
Cycloptichorn wrote:


I specifically said that doctors will not be allowed to refuse to take patients based upon their method of payment, IE Medicare or Medicaid.

Cycloptichorn


I hope this does not come to pass. It would be a clear violation of the right of doctors to freely contract with patients and set a price for their services. I doubt that such a requirement in the law would survive the first constitutional challenge brought against it.

I can imagine a scheme in which the law is written so that if a doctor accepts ANY medicare patients, he forgoes the right to deny service to others, based solely on price. However such a requirement would be meaningless and probably unenforceable, given the impossibility of determining just what was the motivation of the physician.


There is precedent; I'm almost 100% positive that it is illegal to discriminate on major purposes based upon the form of payment.

So, for example, a car dealership cannot discriminate against customers who wish to pay with cash or a credit card, instead of getting a lease - which is where they make their money. Same principle.

Cycloptichorn
0 Replies
 
georgeob1
 
  1  
Reply Wed 13 Feb, 2008 06:20 pm
Cycloptichorn wrote:


There is precedent; I'm almost 100% positive that it is illegal to discriminate on major purposes based upon the form of payment.

So, for example, a car dealership cannot discriminate against customers who wish to pay with cash or a credit card, instead of getting a lease - which is where they make their money. Same principle.

Cycloptichorn


I'm quite sure that if you check the facts you will see that you are wrong. Credit cards extract a certain percentage of the sale from the seller as a service fee. Sellers of goods and services are entirely free to refuse to accept them and the forced payment they entail. The only form of payment that, by law, must be accepted as payment ("legal tender") for debts is cash = U.S. currency.
0 Replies
 
Cycloptichorn
 
  1  
Reply Wed 13 Feb, 2008 06:22 pm
georgeob1 wrote:
Cycloptichorn wrote:


There is precedent; I'm almost 100% positive that it is illegal to discriminate on major purposes based upon the form of payment.

So, for example, a car dealership cannot discriminate against customers who wish to pay with cash or a credit card, instead of getting a lease - which is where they make their money. Same principle.

Cycloptichorn


I'm quite sure that if you check the facts you will see that you are wrong. Credit cards extract a certain percentage of the sale from the seller as a service fee. Sellers of goods and services are entirely free to refuse to accept them and the forced payment they entail. The only form of payment that, by law, must be accepted as payment ("legal tender") for debts is cash = U.S. currency.


Hmm, I'll have to look into it, but I swear that I remember this exact case being settled a while back...

Cycloptichorn
0 Replies
 
hamburger
 
  1  
Reply Wed 13 Feb, 2008 06:27 pm
george wrote :

Quote:
I'm quite sure that if you check the facts you will see that you are wrong. Credit cards extract a certain percentage of the sale from the seller as a service fee. Sellers of goods and services are entirely free to refuse to accept them and the forced payment they entail. The only form of payment that, by law, must be accepted as payment ("legal tender") for debts is cash = U.S. currency.


perhaps it's differnt in the U.S. , but in canada the credit card companies (the banks) make the "merchant" sign an agrement that they are not permitted to make an extra charge for accepting a credit card .
therefor some merchants will not accept credit cards since they figure that they probably won't get any additional customers by accepting credit cards - they'll usually take a debit card payment though , since they aren't charged for it .
hbg
0 Replies
 
georgeob1
 
  1  
Reply Wed 13 Feb, 2008 06:29 pm
I suspect it is the same here. The banks that issue credit cards are selling a service. They cannot compel either buyer or seller to use them.

There are still many retailers here who will not accept some credit cards (those that charge the highest fees), and even a few that will accept none at all.
0 Replies
 
spendius
 
  1  
Reply Wed 13 Feb, 2008 06:33 pm
George wrote-

Quote:
I hope this does not come to pass. It would be a clear violation of the right of doctors to freely contract with patients and set a price for their services.


In France it is an offence not to offer aid to a stricken person when it is deemed possible that such aid would not unduly place the rescuer at undue risk to life or limb.

Money is not considered to represent such a risk in France as husband beating is relatively rare there.

A doctor has no rights when it comes to a stricken person other than self preservation.
0 Replies
 
spendius
 
  1  
Reply Wed 13 Feb, 2008 06:37 pm
Otherwise he's a businessman and not a doctor at all.
0 Replies
 
georgeob1
 
  1  
Reply Wed 13 Feb, 2008 06:45 pm
spendius wrote:

In France it is an offence not to offer aid to a stricken person when it is deemed possible that such aid would not unduly place the rescuer at undue risk to life or limb.
What happens in France if the Good Samaratan inadvertantly harms the victim in his inexpert attempt to render aid? Is he liable for the injury?

spendius wrote:

A doctor has no rights when it comes to a stricken person other than self preservation.
Is that a statement of your personal moral views, or is it the law in the UK???

It is certainly not the law here, though it is required by the oath that doctors take - however in that they are accountable only to themselves and their peers in the voluntary associations they may make.

The incidence of doctors attempting to blow up airports is also a good deal less here than in the UK.

Many doctors here are also businessmen. The two are by no means mutually exclusive.
0 Replies
 
Advocate
 
  1  
Reply Wed 13 Feb, 2008 06:55 pm
Miller wrote:
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.


I thought that Aleeve was Percocet at half strength.
0 Replies
 
fishin
 
  1  
Reply Wed 13 Feb, 2008 07:00 pm
spendius wrote:
George wrote-

Quote:
I hope this does not come to pass. It would be a clear violation of the right of doctors to freely contract with patients and set a price for their services.


In France it is an offence not to offer aid to a stricken person when it is deemed possible that such aid would not unduly place the rescuer at undue risk to life or limb.

Money is not considered to represent such a risk in France as husband beating is relatively rare there.

A doctor has no rights when it comes to a stricken person other than self preservation.


You are talking about very limited circumstances here. This sort of thing is considered a "Duty To Rescue".

Once "rescued" however, the rescuer has no further responsibilities to the person. If the rescued person calls the doctor a month later and asks for a physical exam the doctor can refuse to take them on as a patient.
0 Replies
 
spendius
 
  1  
Reply Wed 13 Feb, 2008 07:30 pm
George wrote-

Quote:
What happens in France if the Good Samaratan inadvertantly harms the victim in his inexpert attempt to render aid? Is he liable for the injury?


I don't know. I should imagine they have sensible judges to take care of such things.

Quote:
spendius wrote:

A doctor has no rights when it comes to a stricken person other than self preservation.
Is that a statement of your personal moral views, or is it the law in the UK???


It is not the law here and it is my personal moral view. I think about doctors who work in Africa.

Quote:
The incidence of doctors attempting to blow up airports is also a good deal less here than in the UK.


That's fatuous George and I hope you know it.

Quote:
Many doctors here are also businessmen. The two are by no means mutually exclusive.


That's the nitty-gritty eh? TV producers and editors as well.
0 Replies
 
USAFHokie80
 
  1  
Reply Wed 13 Feb, 2008 09:41 pm
Cycloptichorn wrote:
georgeob1 wrote:
Cycloptichorn wrote:


There is precedent; I'm almost 100% positive that it is illegal to discriminate on major purposes based upon the form of payment.

So, for example, a car dealership cannot discriminate against customers who wish to pay with cash or a credit card, instead of getting a lease - which is where they make their money. Same principle.

Cycloptichorn


I'm quite sure that if you check the facts you will see that you are wrong. Credit cards extract a certain percentage of the sale from the seller as a service fee. Sellers of goods and services are entirely free to refuse to accept them and the forced payment they entail. The only form of payment that, by law, must be accepted as payment ("legal tender") for debts is cash = U.S. currency.


Hmm, I'll have to look into it, but I swear that I remember this exact case being settled a while back...

Cycloptichorn


This is very wrong. Your claims would require any business to accept ALL credit cards, which is obviously not the case. Many businesses do not accept AMEX because AMEX charges a fee for the ability to accept payments from them. SAM'S club ONLY accepts DiscoverCard and cash, while COSTCO only accepts AMEX.

How many times have you seen a restaraunt with a sign that says "Sorry, no personal checks" ??? I have a LOT of times.
0 Replies
 
USAFHokie80
 
  1  
Reply Wed 13 Feb, 2008 09:49 pm
Miller wrote:
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.


Firstly, the doc may know the makeup of the drugs, but patiens LIE! They say "I'm allergic to tylenol, but I can take percocet or darvocet" because they are addicted to narcs and too stupid to know these have tylenol in them. This is FAR from uncommon.

And as for the doc with a brain... a friend of mine, who happens to be double-boarded in psych and internal medicine called bluff on one of his patients. This guy insisted he was allergic to advil, so he needed narcs. Well, James said "take this motrin and we'll watch you. if you have a reaction, we'll be here." Sure enough, the guy isn't allergic.
0 Replies
 
USAFHokie80
 
  1  
Reply Wed 13 Feb, 2008 09:52 pm
Advocate wrote:
Miller wrote:
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.


I thought that Aleeve was Percocet at half strength.



Aleve is naproxen sodium. Naproxen is an non-steroidal anti-inflamatory (NSAID). Percocet is a narcotic.
0 Replies
 
stlstrike3
 
  1  
Reply Wed 13 Feb, 2008 09:53 pm
Miller wrote:
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.


The vast majority of people who say they are allergic to tylenol are... hm.... how do you say.... LYING?! They pull this crap so that it immediately removes a variety of analgesics from the repertoire that doctors use, in the hopes that we will more quickly arrive to the good stuff... hydrocodone.... morphine..... you know.... all those Heath Ledger goodies.

In my 12 years in medicine, I have never... EVER.... E-V-E-R seen someone who ACTUALLY had an allergy to tylenol. And every single one that had an allergy to tylenol listed, had no less than 8 other drugs that they were "allergic" to.... all, conveniently, non-narcotic pain medications.
0 Replies
 
USAFHokie80
 
  1  
Reply Wed 13 Feb, 2008 10:09 pm
Miller wrote:
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.


Oh... and about the schedule two drugs... Central computer? No, I don't think so. The DEA keeps track of scheduled drug presciprtions but they do not call the doc unless he's prescribes a HUGE amount or sciprts with his name on them start appearing all over the place. If a patient shows up at a pharmacy with a script for percocet, the ONLY thing that happens... is the pharmacist asks for a paper prescription.
0 Replies
 
Walter Hinteler
 
  1  
Reply Thu 14 Feb, 2008 01:00 am
As to George's last question's and remarks: I agree with spendi.

I know that some doctors here in Germany try to dp their profession as if it was a business.
They usually change their attitude when patients stop coming because of that (which is, of course, business related as well).
0 Replies
 
Miller
 
  1  
Reply Thu 14 Feb, 2008 07:50 am
USAFHokie80 wrote:
Miller wrote:
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.


Oh... and about the schedule two drugs... Central computer?


Absolutely true. You may wish to update your knowledge of Federal and State Pharmacy law.
0 Replies
 
 

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