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IT'S TIME FOR UNIVERSAL HEALTH CARE

 
 
USAFHokie80
 
  1  
Reply Thu 14 Feb, 2008 08:08 am
Miller wrote:
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.


lol. It isn't handled by the state - the DEA are the ones who handle scheduled drugs. Either way, my main complaint with your comments is how you say the doc will get a call and "legal action then initiated." You make it sound like anytime a doc writes for a narc that he gets called - which isn't true. He only gets called if there is a problem.
0 Replies
 
georgeob1
 
  1  
Reply Thu 14 Feb, 2008 12:13 pm
Walter Hinteler wrote:
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).


I guess your opinion depends in large part on just what preconceptions you attach to the phrases "business, or like a business". Any physician, anywhere who operates a private practice is also a businessman. The voluntary relationships with his clients (patients) depend entirely on the degree to which they are satisfied with his services. This is a good thing - not a bad one.

I have long suspected that medicine is a field that attracts people with a strong psychological drive for personal autonomy. We have all encountered the attitudes too common among doctors that lay people couldn't possibly understand all the complexities they deal with. The truth is that many fields & professions involve as much (or more) complexity and arcane detail as medicine.

Altruistic motives are also part of the typical psychological profile of those who enter medicine. However that attribute is not unique to them (we encounter the same thing in recruiting engineers, biologists, chemists, and geologists at various universities for our environmental consulting firm). Moreover it isn't their only motivation, and there is nothing wrong with giving them an economic incentive to remain attentive to the needs and wants of their patients.
0 Replies
 
cicerone imposter
 
  1  
Reply Thu 14 Feb, 2008 12:28 pm
My nephew is a physican who now works at Queens Hospital in Honolulu; he also teaches there. He goes to Cambodia to volunteer his services at their hospital in medical intensive care several times a year. My other nephew, a dentist, has volunteered his services in India for one year, and my brother, a ophthalmologist goes to Mexico regularly to volunteer his services.

Financially, they are very secure.
0 Replies
 
okie
 
  1  
Reply Thu 14 Feb, 2008 09:19 pm
georgeob1 wrote:
Moreover it isn't their only motivation, and there is nothing wrong with giving them an economic incentive to remain attentive to the needs and wants of their patients.

Without wanting to please the patient, why would any of them care about the patient? A satisfied customer is the best advertising, and any good professional cares about whether his customers are satisfied with good service.
0 Replies
 
Walter Hinteler
 
  1  
Reply Thu 14 Feb, 2008 11:21 pm
okie wrote:

Without wanting to please the patient, why would any of them care about the patient? A satisfied customer is the best advertising, and any good professional cares about whether his customers are satisfied with good service.


That certainly is the patient's view.
0 Replies
 
Miller
 
  1  
Reply Fri 15 Feb, 2008 03:52 am
cicerone imposter wrote:
My nephew is a physican who now works at Queens Hospital in Honolulu; he also teaches there. He goes to Cambodia to volunteer his services at their hospital in medical intensive care several times a year. My other nephew, a dentist, has volunteered his services in India for one year, and my brother, a ophthalmologist goes to Mexico regularly to volunteer his services.

Financially, they are very secure.


That's an advantage to wealth.
0 Replies
 
cicerone imposter
 
  1  
Reply Fri 15 Feb, 2008 11:04 am
Wealth is in the eye of the beholder; we had nothing when we were children. We're not rich, but comfortable - like middle-class.
0 Replies
 
georgeob1
 
  1  
Reply Fri 15 Feb, 2008 03:28 pm
Walter Hinteler wrote:
okie wrote:

Without wanting to please the patient, why would any of them care about the patient? A satisfied customer is the best advertising, and any good professional cares about whether his customers are satisfied with good service.


That certainly is the patient's view.


What then might be the physician's view? Would/hould it be any different?
0 Replies
 
Walter Hinteler
 
  1  
Reply Fri 15 Feb, 2008 03:42 pm
Well, certainly she/he tries to to please to patient, too. Limited by regulations of the health insurance (I wrote about that earlier: patients would of course like their bathing vacancy at the seaside financed by the insurance like it was a few years ago) - and a really bad health, when no doctor can actually please a patient with the truth.
0 Replies
 
real life
 
  1  
Reply Fri 15 Feb, 2008 10:51 pm
Here ya go liberals.

Tell us with a straight face that you wouldn't approve of this.

When health care is run by the government, they have the right to tell you how to live. (btw I don't smoke. Never have.)

Quote:
'£10 licence to smoke' proposed[/b]

Smokers could be forced to pay £10 for a permit to buy tobacco if a government health advisory body gets its way.

No one would be able to buy cigarettes without the permit, under the idea proposed by Health England..........................

Professor Le Grand, a former adviser to ex-PM Tony Blair, said cash raised by the proposed scheme would go to the NHS.

He said it was the inconvenience of getting a permit - as much as the cost - that would deter people from persisting with the smoking habit.

"You've got to get a form, a complex form - the government's good at complex forms; you have got to get a photograph...................

Mr Clark added: "The senior government advisor putting this idea forward is not only adding to the red tape and bureaucracy we already have in this country.

"He is openly bragging that he wants to make the form as complex as possible to fill in."

A department of health spokeswoman did not rule out such a scheme as part of the next wave of tobacco regulation.

She said: "We will be consulting later this year on the next steps on tobacco control.........
full story at http://news.bbc.co.uk/2/hi/uk_news/politics/7247470.stm
0 Replies
 
cicerone imposter
 
  1  
Reply Fri 15 Feb, 2008 11:04 pm
What's next? A tax to buy beer?
0 Replies
 
Walter Hinteler
 
  1  
Reply Sat 16 Feb, 2008 12:42 am
real life wrote:
Here ya go liberals.

Tell us with a straight face that you wouldn't approve of this.


While I can't get how this is related to mandatory/universal health insurance - we have a different approach here (e.g. you only can get cigaretts proving yout age at outside selling maschines via your bank card).

Oh, and I don't think the British idea to be that bad at all - still smoking myself.
0 Replies
 
Miller
 
  1  
Reply Sat 16 Feb, 2008 07:02 am
cicerone imposter wrote:
What's next? A tax to buy beer?


Sales tax in place in many States of the USA.
0 Replies
 
Advocate
 
  1  
Reply Sat 16 Feb, 2008 10:07 am
Walter, do you have any figures you can give us regarding the satisfaction of the German public with its U plan?
0 Replies
 
Walter Hinteler
 
  1  
Reply Sat 16 Feb, 2008 10:10 am
No, nothing official.

I mean, since it started in the 1880's it became better and better - until a few years ago, even your funeral was paid by the health insurance.

Of course people are complaining now, since literally everyone remembers that it was better.

Another 'problem' is that we still have nearly 300 insurance companies offering service ...
0 Replies
 
cicerone imposter
 
  1  
Reply Sat 16 Feb, 2008 11:35 am
Miller wrote:
cicerone imposter wrote:
What's next? A tax to buy beer?


Sales tax in place in many States of the USA.


If I'm not mistaken, all 50 states have high sales taxes on cigarettes and liquor. The "fee" is to have a license to buy cigarettes. My statement should've been self-explanatory.
0 Replies
 
USAFHokie80
 
  1  
Reply Sat 16 Feb, 2008 11:43 am
I'm not against a license to buy smokes. Smokers account for a larger percentage of medical care use because of the inherent dangers with smoking. It's really only fair that they contribute a larger amount to the care they require.

Though, I think just raising the sin tax would be a better idea. Add a 20 cent tax to each pack of smokes. People will complain less because it's "smaller" and it will generate more revenue. Plus, it partially mitigates the problem of one person buying 50 packs and handing them out to his friends that didn't pay for the license.
0 Replies
 
USAFHokie80
 
  1  
Reply Sat 16 Feb, 2008 11:46 am
On second thought, I also wouldn't oppose a measure that required anual or semi-anual cotinine tests. And any smokers would pay a larger portion of any of their medical bills related to smoking - ie, COPD, cardiac problems, asthma, poor circulation and such.
0 Replies
 
High Seas
 
  1  
Reply Sat 16 Feb, 2008 12:32 pm
USAFHokie80 wrote:
On second thought, I also wouldn't oppose a measure that required anual or semi-anual cotinine tests. And any smokers would pay a larger portion of any of their medical bills related to smoking - ie, COPD, cardiac problems, asthma, poor circulation and such.


That would be contrary to all known actuarial principles, USAF! As of right now the smokers are the most profitable health insurance clients; black or non-white hispanic obese persons the least profitable.

But there's some federal law to the effect you can't charge black (or any other racial group like American Indians) more for the same service, so the extra risk of the fatties is carried (from a risk modeling standpoint) by the smokers, who really cost less than nothing - they actually subsidize the rest of the medically insured.

As and when these actuarial calculations unravel - decades from now - it will be too late to save Medicaid, Medicare (parts A and B), or much of either Obama's or Mrs Clinton's health plans - but when did you see any Democratic politician worry about anything other than a powergrab asap?!
0 Replies
 
High Seas
 
  1  
Reply Sat 16 Feb, 2008 12:39 pm
P.S. to Walter

Walter - having finally located your street address I've mailed the book promised to you for last Christmas; sorry about delay but you know I've been working in the Far East and internet connections there aren't the most reliable.

Thank you for your patience in waiting for it - and sorry also I'm posting this note on this thread as book is related to energy supplies but there's an FAA advisory and I've a lot to do before takeoff. An explanatory cover note is included with the book. A good weekend to all here Smile
0 Replies
 
 

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