Kasz216 said:
akuma587 said:
Kasz216 said:
Yeah.. it is the poorer middle class who get screwed in the healthcare system.
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This is true, but a lot of doctors have stopped taking Medicaid/Medicare as well because they feel it doesn't give them enough money. The government does the same thing insurance companies do and haggles with the doctors.
The whole payment system in our current medical system is so poorly done it really just hurts your head sometimes when you sit down and think about it.
And Medicaid and Medicare are definitely socialist, for the record. But if you took them away people would shit a brick. People bitch about socialist policies until you try to take away a "socialist" policy they already have.
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Isn't that illegal? I thought it was illegal for doctors to refuse treatment.
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Are you kidding me? Unless something is an emergency doctors don't have to do a damn thing if they don't want to. A lot of them will still treat the patient, but many will not. Even people with Medicare/Medicaid are getting turned away, not just uninsured people:
http://www.washingtonpost.com/wp-dyn/content/article/2008/10/10/AR2008101002679.html
Equal Treatment for the Uninsured? Don't Count on It.
The 1986 Emergency Medical Treatment and Active Labor Act declares that hospitals cannot refuse care to critically ill patients and that the physician on call must treat them.
"I used to get angry every time the emergency room admitted an uninsured patient," he said. "I would try to spend less time with them -- 20 minutes instead of 30 -- and try to get them out of the hospital quickly and hope they would not come to my clinic."
It's not uncommon for patients with no insurance or poor insurance to receive different treatment. A 2006 study of 25 primary care private practices in the Washington area showed that in nearly one in four encounters, physicians reported adjusting their clinical management based on a patient's insurance status; nearly 90 percent of physicians admitted to making such adjustments. For patients with no insurance, alterations occurred 43 percent of the time; and for the privately insured, just 19 percent.
Some of these adjustments make little difference: Uninsured patients received more generic drugs and multiple drugs. A doctor might prescribe two generic pills for high blood pressure -- an ACE inhibitor and a diuretic, which together would cost $20 for a given period -- instead of a combined brand-name pill, which would cost $241.
The impact of other decisions is more worrying. A heart surgeon told me he operates on uninsured patients but schedules them for the end of the day; if other cases take longer than expected, the uninsured get bumped. Some gastroenterologists are quick to perform endoscopies or colonoscopies on insured patients; not so for the uninsured.
Some uninsured patients forgo tests or treatment. According to a 2003 study, participation in screening tests for breast cancer, prostate cancer or high cholesterol was 30 percentage points higher in some instances among people with insurance than among those without. Once the uninsured become eligible for Medicare, that gap shrinks.
Doctors turning away new Medicare patients.
http://findarticles.com/p/articles/mi_hb6488/is_/ai_n25825581
A recent study by the American Academy of Family Physicians (AAFP) indicates that the number of family physicians who are no longer taking new Medicare patients is 28% higher than one year ago.
The annual survey of its members by the AAFP finds that 21.7% of physicians surveyed in June 2002 report that they can no longer take new Medicare patients, an increase from last year's figure of 17%. The survey was administered to a random selection of 4,400 AAFP members who are active in patient care, and ...
Fewer Texas Physicians Accepting New Medicare Patients; Payment Cut Would Exacerbate Problem
http://www.medicalnewstoday.com/articles/114519.php
Fifty-eight percent of Texas physicians are accepting new Medicare beneficiaries, compared with 90% before 1990, according to a survey by the Texas Medical Association, the Houston Chronicle reports.
Alaska Medicare patients rejected by doctors
http://www.adn.com/life/health/story/562445.html
We had two bags of grass, seventy-five pellets of mescaline, five sheets of high-powered blotter acid, a salt shaker half full of cocaine, a whole galaxy of multi-colored uppers, downers, screamers, laughers…Also a quart of tequila, a quart of rum, a case of beer, a pint of raw ether and two dozen amyls. The only thing that really worried me was the ether. There is nothing in the world more helpless and irresponsible and depraved than a man in the depths of an ether binge. –Raoul Duke
It is hard to shed anything but crocodile tears over White House speechwriter Patrick Buchanan's tragic analysis of the Nixon debacle. "It's like Sisyphus," he said. "We rolled the rock all the way up the mountain...and it rolled right back down on us...." Neither Sisyphus nor the commander of the Light Brigade nor Pat Buchanan had the time or any real inclination to question what they were doing...a martyr, to the bitter end, to a "flawed" cause and a narrow, atavistic concept of conservative politics that has done more damage to itself and the country in less than six years than its liberal enemies could have done in two or three decades. -Hunter S. Thompson