Posts Tagged ‘doctors’

I Found It

August 23, 2009

I think I’ve found the exact moment in history when health care insurance went down the drain. When Sir Ted started his HMO’s they covered all the normal things like check-ups and routine tests but they were terrible for real problems, even simple ones like a broken bone. You had to truck all the way to your approved clinic or risk being hit with “unauthorized charges”.

Well, regular health care held it’s own for a while but all the healthy people started defecting to an HMO for the preventive maintenance. They churned out one routine test and check-up after another. Trying to take care of all the chronic illness and poor health cases hurt the health care insurance companies so they began to offer the doctor visits and drug coverage and all of the extras you see now to lure the healthy ones back. It was the beginning of health care spiraling out of control.

As services increased, costs increased, pay outs to doctors were more closely scrutinized and claims were denied. The doctors retaliated with inflated costs to cover denied claims. The game went back and forth until we arrived where we are now. A thirty dollar aspirin, a fifteen dollar band-aid and pad the claim any way possible in hopes that you’ll get what’s due to you. With anything out of the ordinary being denied by the insurance company without ironclad documentation, it’s to the point now where most health care facilities have become “mills” churning out assembly line like treatment with most of them specialized to decrease the chances of misdiagnosis.

How do we fix it? What, do you think I’m Socrates? Can we go back to the way it was? Are you willing to give a little. Will the doctors give a little. Will the insurance companies give a little. If anyone says no, we are hosed. The illustrious leader has proclaimed that it’s unsustainable, and I hate to, but I’m afraid I actually agree with him. Excuse me while I vomit.


May 26, 2009

I just wanted to let you know that the American Medical Association is the union for the doctors. Period. End of sentence. End of paragraph. End of story.

Oh, did I startle you? You thought that they were putting out all these reports all these years with your best interest at heart didn’t you. Sorry. They don’t have a heart. They are there to cover the doctors’ butts, pure and simple. It’s what’s best for their members, not what’s best for their members customers. Yeah, you are a customer. A dollar to be made.

I once had a doctor who was doing a particularly poor job. He performed an inspection one time. Then he told me he would need to perform it again, that he may have missed something. I had had this inspection before and was familiar with it so I let this go. After the second time he informed me that he needed to do it one more time. I said, “No, there will be no more checks.” He said, “No, you don’t understand, I need to check again.” I said, “No, you don’t understand, your fired.”  He looked very funny and said, “Oh.” I think it was the first time he ever understood who he worked for.

You see, I had no insurance and I was paying cash. If someone was cutting your lawn and they set the mower to five inches and cut it. Then decided that was too long so they set it to four inches and cut it again then decided that it was still to long and wanted to set it to three inches and do it again, and you knew they were going to charge you for each cut, would you let them continue. You would not. And as your lawn had not been cut right even once you would not pay them at all, would you. Yeah, I didn’t pay him either. I told him to call the cops. I guess he figured he might have been wrong because I never heard anything more.

Anyway I just wanted to let you know that the AMA was not the knight in shining armor you thought they were. So next time you start spewing quotes from them to defend your position, remember, they are the union.