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StillAnotherGuest

You Answered Your Own Question

Post by StillAnotherGuest » Sat Feb 18, 2006 6:12 pm

NightHawkeye wrote:Has anybody else noticed the relative lack of postings on this board identified as coming from members of the medical community?
NightHawkeye wrote:I must be stupid. I don't see any logical reason why physicians need to be involved at all in non-invasive health testing. And for that matter, I can't see any earthly reason why they should need to be involved in any number of more invasive tests either. I'm still thinking that it's more along the lines of a conditioned mindset and that physicians and others in the health care industry must want and enjoy the power they exercise over their dominion.
That's why.
SAG


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NightHawkeye
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Re: You Answered Your Own Question

Post by NightHawkeye » Sat Feb 18, 2006 6:22 pm

StillAnotherGuest wrote:That's why.
I was right. I've just been too stupid to connect the dots properly. So that's why I come here - to learn.

Regards,
Bill

Sleepless on LI
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Post by Sleepless on LI » Sat Feb 18, 2006 6:41 pm

I think Wulfman has the right idea. It's a money thing. But unfortunately that seems to be the impetus with most things in America. Why shouldn't it be with healthcare, too?

And, Nighthawkeye, you're right. There shouldn't be any reason we can't do testing, at the very least, on ourselves that is non-invasive. But certain things that aren't risky are still treated like controlled substances so that the control stays with the providers who make the big bucks. Unfortunately, I can't see this ever changing, although it is a nice thought.

One other note, though, in the doctors' defense, it seems to me that the insurance companies are the ones who are REALLY in control now. Whenever my doctor prescribes something for me, I get a call nine out of ten times from the pharmacy telling me that my insurance company said they denied the prescription the doctor wrote, but there are other (less expensive) formularies they will approve. So it seems that nine out of ten times, my poor doctor has to write a letter of medical necessity so that they will allow me to have what she wants me to have. When people don't take it that far, though, they allow the insurance companies to override the doctors all for the sake of saving themselves some money, certainly not because it's a better formulary for the patient. PLUS, with all these new plans, the doctors who are participating providers in the "network" can bill a certain amount, but only get paid what the company they are part of the network with allows them to receive.

Sad, sad, sad...

L o R i
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NightHawkeye
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Post by NightHawkeye » Sat Feb 18, 2006 8:56 pm

Sleepless on LI wrote: . . . it seems to me that the insurance companies are the ones who are REALLY in control now.
If the insurance where I work is any indication, this could change very quickly. Right now, as I already stated, I am the one in control of how that money's spent, not the insurance company. I have a high deductible of $5000, so until I reach that limit it feels kinda like it's coming out of my own pocket (which it is).

You can call me hopelessly naive, but then again, I do feel like I've met with more success dealing with members of the health care industry recently than ever before in my life. I'm kinda encouraged now to keep doing things the way I've been doing them recently. I don't think I've been mean or insulting, but I have been very direct and let them know what I expect. I've also been doing my homework ahead of time. That seems to work for me.

Regards,
Bill