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Thread: Managed Health Care anyone?

  1. #1

    Default Managed Health Care anyone?

    Study sees rise in imaging exams for pregnant women

    http://news.yahoo.com/s/nm/20071127/...nancy_study_dc

    CT scans for fetuses rising 25% each year.

    Are doctors just being more cautious or are they lining their pockets with expensive and unnecessary tests?

  2. #2
    Ancient Arachnid Spider's Avatar
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    Default Re: Managed Health Care anyone?

    From the cited article:

    A patient being recommended for a test like this should talk to their doctor to find out if there are any alternative tests or if there is any harm waiting," Lazarus said in an interview.

    "But if one of these tests is needed, we would not discourage any patients from undergoing one, because making a diagnosis could also be life-saving."


    Right. So what's the problem?
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    Olympic Champ therick's Avatar
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    Default Re: Managed Health Care anyone?

    At least one doctor that I work with does a lot of extra tests in the ER simply because he's scared to death of a malpractice suit. With everyone so willing bring legal action for anything and everything, and with malpractice insurance premiums rising all of the time as a result, it's hard to blame a doctor from using any and all means available to get a complete picture of what's going on with the patient.
    Are some of those test beyond what is needed? Yes, but if a doctor misses something that could have been found on a CT, you can bet an attorney will use that information if the parents decide to bring legal action for something.

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    Ancient Arachnid Spider's Avatar
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    Default Re: Managed Health Care anyone?

    Quote Originally Posted by therick View Post
    At least one doctor that I work with does a lot of extra tests in the ER simply because he's scared to death of a malpractice suit. With everyone so willing bring legal action for anything and everything, and with malpractice insurance premiums rising all of the time as a result, it's hard to blame a doctor from using any and all means available to get a complete picture of what's going on with the patient.
    Are some of those test beyond what is needed? Yes, but if a doctor misses something that could have been found on a CT, you can bet an attorney will use that information if the parents decide to bring legal action for something.
    Good point. Doctors practicing "defensive medicine" certainly contributes to rising medical costs. Efforts to discourage frivolous suits or place limits on malpractice awards are always met with opposition.
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  5. #5

    Default Re: Managed Health Care anyone?

    [QUOTE=Spider;24352]From the cited article:

    A patient being recommended for a test like this should talk to their doctor to find out if there are any alternative tests or if there is any harm waiting," Lazarus said in an interview.

    "But if one of these tests is needed, we would not discourage any patients from undergoing one, because making a diagnosis could also be life-saving."


    That's they way it "should" work if the patient is well informed and willing to question the doctors decision.

    ----

    How it is that for-profit health plans that manage government health programs make money?

    Is the government that bad at managing their own programs or are the health plans easing unnecessary spending?

    I'm a bit undecided on the issue and appreciate everyone's input.

  6. #6
    Ancient Arachnid Spider's Avatar
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    Default Re: Managed Health Care anyone?

    Quote Originally Posted by Ground&Pound View Post
    How it is that for-profit health plans that manage government health programs make money?

    Is the government that bad at managing their own programs or are the health plans easing unnecessary spending?

    I'm a bit undecided on the issue and appreciate everyone's input.
    For-profit health care programs are privately run companies that exist only to make money. Heathcare, to them, is simply a commodity that must be bought cheaply (pay the doctors less and authorize fewer expensive procedures) and sold for a profit (high premiums). The less healthcare they provide, the more money they get to keep, so it is in their best interest to deny benefits and disallow procedures whenever they can get away with it. If the government (or anyone) could run a non-profit healthcare program, which would maximize benefits while controlling abuses, everyone except the insurance industry would benefit.
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  7. #7

    Default Re: Managed Health Care anyone?

    So our two choices are greedy capitalistic private companies or inept and corrupt government agencies.

    Sounds like a microcosm of the modern world.

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    Default Re: Managed Health Care anyone?

    You haven't established that private cos. are greedy capitalists, or that doctors are intent on lining their pockets, or that government agencies are corrupt or inept. Also, while CT scans may add to the cost of healthcare (we have to weigh it against the cost of undiagnosed fetal problems), is the cost significant?
    Last edited by matclone; 11-27-2007 at 12:40 PM.

  9. #9

    Default Re: Managed Health Care anyone?

    I was exaggerating for the sake of the discussion.

    What are your views on managed heath care, Matclone?

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