At 10:44 AM Wednesday 10/29/2008, Bruce Bostwick wrote:
>On Oct 29, 2008, at 10:23 AM, John Williams wrote:
>
> > Bruce Bostwick <[EMAIL PROTECTED]>
> >> At the very least, put actual practicing MD's in charge of the
> >> medical
> >> decisions to cover or not cover treatment, and hold them accountable
> >> for permanent health consequences if they dodge covering a treatment
> >> that turns out to have been medically necessary?
> >
> > And watch in horror as they order every expensive diagnostic procedure
> > and treatment in the book for a simple cold, in order to cover their
> > asses.
>
>Over the heads of your primary care provider, in other words?
>
>It's one thing to say no to a treatment or diagnostic procedure the
>doctor actually in front of you has ordered.  It's another thing
>entirely to order tests or treatments the doctor *didn't* order him/
>herself.  And it would be a vast improvement over anonymous bean
>counters arbitrarily denying care because it might actually cost money.
>
>It might even make it worth working as a doctor in this country
>again.  (An MD friend and former teacher of mine recently told me she
>wouldn't recommend anyone she knows go into medicine these days,
>because it's almost not worth seeing patients between the legal
>pitfalls, malpractice insurance, and patients' HMO's saying no to just
>about everything she orders or prescribes.)



"In one respect at least the Martians are a happy 
people; they have no lawyers."  — Edgar Rice Burroughs, "A Princess of Mars"





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