GOING TO DEMAND THE RIGHT HELP

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Re: GOING TO DEMAND THE RIGHT HELP

Post by Guest » Sat Oct 14, 2017 1:09 pm

xxyzx wrote: =======

i know economics macro micro and reality

there is the issue of ETHICS
doctors can look out for their wallet and the patients without the dirty games so many play with needless overnight sleep studies
I KNEW IT!!!

LOBTURD IS a hypocritical liberal.

LOBTURD has no idea how little doctors make these days since the huge corporate conglomerates have taken over the healthcare entities.

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Okie bipap
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Re: GOING TO DEMAND THE RIGHT HELP

Post by Okie bipap » Sat Oct 14, 2017 6:54 pm

My sleep doctor's happens to located in the sleep clinic. They have RTs on staff, and the DME is located in the same building. Up until the DME lost the Medicare contract, it was a one stop shopping place for me. The whole operation is a part of the local hospital medical center as is my family physician.

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Re: GOING TO DEMAND THE RIGHT HELP

Post by Guest » Sat Oct 14, 2017 7:52 pm

xxyzx wrote: =========

i know what doctors make

only you libtards think you should set proper salaries instead of the marketplace and claim they make too little

the problem is not corporations but govt interference and socialist boondoggles
EXACTLY!!! But, the cause has eventually affected our present situation in this way.
It started in the 1960s when the government started dictating the cost structure of medical care (starting with Medicare).
Over the years, their influence got further into the situation, and especially with the legal piranhas until most of the doctors' income was going to cover their liability (malpractice) insurance. Eventually, most of the small doctors' offices have had to merge with the big outfits to continue their professions. It's the big outfits which are now dictating the incomes of the doctors and how they perform. They pay the costs, so they get to make the rules.
These doctors and the clinics have to do so many tests to cover their asses to keep from being sued, which has contributed to driving up the costs of healthcare.
Another big cost is the technology advancements. That's a double-edged sword, but adds to the costs, nevertheless.
Any doctors' office or clinic also has to pay additional staff. Nurses, NPs and other office personnel isn't cheap if you hire quality people.

With most communities, the small doctors' offices have merged with the big conglomerates or combined with others to form their own groups. The costs have become exorbitant for small offices to stay in business.
In the process, the doctors' actual incomes have shrunk dramatically. They probably still make a decent living, but I know many who have moved on to other areas or have retired before their own health suffered. The big conglomerates don't care about the people who work for them, they look at the bottom lines and how to maximize them.

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Goofproof
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Re: GOING TO DEMAND THE RIGHT HELP

Post by Goofproof » Sat Oct 14, 2017 9:23 pm

Maybe them breaking the rules giving AMISS the mask of the week special, got them kicked out og medicare for rule breaking.. Good thing she got hers and others before they got caught. Hide those masks the cpap police know where you live. Jim
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Sheriff Buford
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Re: GOING TO DEMAND THE RIGHT HELP

Post by Sheriff Buford » Sun Oct 15, 2017 7:09 am

Amess: sorry about the mud-sling in' in your post. People should be ashamed to be on this site spilling the hate they have for each other. Anyway, yes, do take a pillow and lie on the floor when you try and select your next mask. Have the place hook you up to a display machine set at your pressure. That way you can simulate as close as you can your home environment. When I selected my current mask (the mask of last resort), I went to cpap.com with my pillow, hooked up to a machine and laid down on the floor (in front of the door - at their old location). People were coming into the store and stepping over me and giving me strange looks (been getting those my whole life).

One comment, though. The mask search is a frustrating and painful journey. As uninformed as the medical industry is, and shouldn't be, it's on you to find the mask that's for you. They can make sure the right size is selected, but they can't predict the aggravating leaks that will occur at 3 am - when your face muscles can relax and cause leaks that don't occur when you first put the mask on. I look back at my mask journey and wouldn't wish it on anyone.

Best wishes, Sheriff

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Re: GOING TO DEMAND THE RIGHT HELP

Post by LSAT » Sun Oct 15, 2017 8:10 am

xxyzx wrote:
AMESS wrote:Okay Chunk want to make them uncomfortable!
========

you have got the making people uncomfortable mastered so dont worry about that
She calls Pugsy Pugs
She calls Chunkey Frog Chunk
She calls XXYZX Alphabet boy

What do we call her? How about Messy. Lets take a poll....

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Re: GOING TO DEMAND THE RIGHT HELP

Post by amenite » Sun Oct 15, 2017 9:44 am

xxyzx wrote:
the free market is still the best way to allocate scarce resources and to motivate creation of newer better cheaper products that we all benefit from

...
This is where it gets interesting. There is no free market for health care services and to some extent health care products in the US (medical care consists of both services and products BTW - don't overlook that distinction) and I doubt there will be such a system in my lifetime anyway. IMO a few of the more important reasons are:
1. Lack of unbiased information on specific providers' quality of care and
2. Services being required immediately, on demand, without opportunity to evaluate any information - even incomplete information - on providers.
3. Extraordinary complexity of health care itself due to technological advancement over the last 50 or so years.

#1 above also goes to the question of physician liability, a problem in part contrived by the medical profession itself over many decades of CYA policies.
#2 when you're having chest pains or can't breath or whatever, you take what services you can get in order to survive, no market forces there - you're a market taker or you're dead.
#3 consider what a physician could have done for your blocked cardiac blood vessels in 1960 as opposed to 2017. Seems to me our system was evolved for the former and has not kept up. Transplants, angioplasty, bypass, CAT and MRI scans, a host of pharma options for so many ailments.

This is so complicated a set of problems I just cannot see the US extricating from it. We no longer seem to have the capacity to even attempt to solve a social problem this complex. If you want blow something up we're the go to nation. Adding in to the mix the rancor and BS so many of our leaders and followers seem to thrive on these days and the cynicism really starts to kick in.

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Re: GOING TO DEMAND THE RIGHT HELP

Post by TedVPAP » Sun Oct 15, 2017 10:18 am

LSAT wrote:
xxyzx wrote:
AMESS wrote:Okay Chunk want to make them uncomfortable!
========

you have got the making people uncomfortable mastered so dont worry about that
She calls Pugsy Pugs
She calls Chunkey Frog Chunk
She calls XXYZX Alphabet boy

What do we call her? How about Messy. Lets take a poll....
Most user names don't have much meaning, at least to others. I have been impressed in how well she knows herself. AMESS is her perfect name.
I would be interested in learning its origin.

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Re: GOING TO DEMAND THE RIGHT HELP

Post by chunkyfrog » Sun Oct 15, 2017 10:40 am

If the DME has neglected to provide furniture so that we can test mask fit while LYING DOWN,
(the only useful position) they deserve to be made uncomfortable.
The move is meant get the correct fit as well as to drive home the fact that they need to SERVE THE PATIENT.
Getting the correct fit is of PRIMARY IMPORTANCE.
Leaving with the wrong mask could result in MONTHS of ineffective therapy.
Be nice to them if you like--but if they fail to extend the courtesy of providing a recliner for proper fitting, WHY?

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Re: GOING TO DEMAND THE RIGHT HELP

Post by amenite » Sun Oct 15, 2017 12:49 pm

xxyzx wrote: it will all be downhill until armageddon

by then the usa is powerless and may already be gone
...
You should probably just give up now and spare the rest of us the useless predictions.