On Mon, Jun 8, 2009 at 9:42 AM, Gruss G wrote:

>
> > Scott wrote:
> >
> > Right..OK.  The ONLY problem with health care is the doctors.
> >
>
> It's not the only problem, just 90% of it.
>
> The most expensive thing in healthcare is the doctor's pen
>


Well duh. All those commercials that you see on TV with doctors saying that
this or that proposal will take medical decisions out of their hands and put
them into the hands of an accountant - that's what we're talking about.
Doctors are all over the map in terms of whether and how much they abuse
their privileges of ordering tests and undertaking procedures. But doctors
are people with cars and kids and mortgages, and they have their own
motivations - separate from pure medical considerations - that may drive
their decisions.

I'll give you an example: I had vertigo a couple of months ago, so I went to
an ENT who I used a few years ago when I injured my ear drum. He looked at
me, told me to get some medicine and come back in a couple of weeks. I did
that, all good.

Then he scheduled a follow-up visit to check my hearing, which he had done
after my ear drum healed, but had not done since. Did I need my hearing
checked? I don't think so, but he's the doctor. Would that be an expensive
procedure that he could bill to insurance because of my previous history,
even though I didn't ask about my hearing? Probably. So who pays for the
doctor's decision to check my hearing? We all do. I never did go to that
appointment.


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