On Oct 29, 2008, at 11:11 AM, John Williams wrote:

>> And it would be a vast improvement over anonymous bean
>> counters arbitrarily denying care because it might actually cost  
>> money.
>
> A vast increase in costs, definitely. In quality? Probably not. A  
> large
> amount of health spending in the US is for expensive diagnostics
> that have a low likelihood of finding anything useful. But they get
> ordered anyway because those responsible are afraid of not doing so.

Given the litigious nature of our society these days, I doubt much can  
be done about defensive diagnostics without cutting into legitimate  
medical care and treatment more than is already being done.  But I  
would still trust practicing (or at least experienced) MD's to make  
those judgment calls more than I would accountants with no medical  
knowledge or training and little or no accountability for their  
decisions, which is what we have now.


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