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View Diary: Open thread for night owls: Raising Medicare eligibility age would hurt minorities most (163 comments)

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  •  Sure. (0+ / 0-)

    Long waits for treatment -- cataract surgery is the last one I remember.
    Cursory treatment -- heartburn...after a looong time, well -- I think maybe it's your gall bladder...Whoops! Ha! How do you like that? It was really esophogeal cancer.  Get your things in order. You've got six months tops.
    Inflexible treatment -- Medication making you vomit?  Here, take this ant-nausea med.  Combo making you vomit worse? Well, get over it.

    Etc.

    LG: You know what? You got spunk. MR: Well, Yes... LG: I hate spunk!

    by dinotrac on Tue Dec 11, 2012 at 05:43:18 AM PST

    [ Parent ]

    •  care to provide an anecdote? The examples you (0+ / 0-)

      provide are a bit disjointed but as far as cursory treatment for heartburn, that is not unusual as 99% of heartburn is either trivial in causation and then you move to the other possibilities such as reflux disease or maybe a hiatal, unless there is some sort of red flag such as the pt being a heavy smoker or in certain industries such as farming

      There is a flow chart of treatments  for various conditions as you can't scope every pt with heartburn because if you did, you may find yourself up for fraud charges if you bill insurance or defending your license with the medical board if the hospital is not paid due to unnecessary treatment

      •  Ummm....All I ever claimed was that I am afraid (0+ / 0-)

        of Medicare because of the experiences of people that I know and love.

        I have not claimed anything beyond that.

        BTW -- My FIL was a heavy smoker and, yes, that should have been a red flag.

        LG: You know what? You got spunk. MR: Well, Yes... LG: I hate spunk!

        by dinotrac on Tue Dec 11, 2012 at 07:02:59 AM PST

        [ Parent ]

        •  then there was a failure in the initial history (0+ / 0-)

          and also in subsequent histories. With the advent of EMR systems instead of classical charts there is supposed to be less of this.

          However having lived with MC and w/o MC. I find I prefer MC to no insurance at all

          •  Hard to believe. My FIL was never shy about that. (0+ / 0-)

            But I have to agree with you: Medicare is infinitely better than no insurance at all.

            LG: You know what? You got spunk. MR: Well, Yes... LG: I hate spunk!

            by dinotrac on Tue Dec 11, 2012 at 07:12:32 AM PST

            [ Parent ]

            •  question is if the history taker felt it was (0+ / 0-)

              important or if the history were ever reviewed. With paper charts, there is a lot of information which is never relayed up the feeding chain to the doctor.  In 1984, average time spent with a pt was around 30 minutes or so (from memory) while today it is around 10 minutes.  accurate histories are one casualty of the demand for productivity

              •  Hit the nail on the head there. (0+ / 0-)

                We spend more money for less time with the doctor.
                That will lead to big misses in care.

                That's my big disappointment with ACA.  Lots of making sure people have to send money to insurance companies.  Not so much making sure that care is done in a rational way.

                LG: You know what? You got spunk. MR: Well, Yes... LG: I hate spunk!

                by dinotrac on Tue Dec 11, 2012 at 07:20:18 AM PST

                [ Parent ]

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