--- In [email protected], TurquoiseB <[EMAIL PROTECTED]> wrote:
> --- In [email protected], "shanti2218411" <[EMAIL PROTECTED]> 
> wrote:

> The right therapy is the right therapy.  Sometimes it
> involves drugs; sometimes it does not. My concern is
> that too many doctors aren't interested enough in the
> welfare of their patients to find what the right
> therapy is.  It would take too much of their time.  So 
> they just write a prescription.

I share you concerns. However, given a majority of doctors work for
HMOs and have fairly rigid guidelines to follow, I think the issues
you raise are not fully on the shoulders of HMO doctors.  Or the HMOs. 
HMOs compete and offer cost-effective services, for the most part, for
the fees they are paid. Most HMO subscriptions come from corporate
health plans. They pay what they do, trying to stay competitive. Look
at the mess GM is in over paying higher than normal health benefits. 

A problem, not necessarily THE problem, is that people expect optimal
health from their corporate HMO health plans, and wrongly vent and
blame the doctors for 'short-changed' treatment. When in reality, the
doctor, nor the HMO, nor the corporation are fully to blame. Or even
substantially to blame. Employees get the level of health benefits per
their total compensation contract. Its never optimal. People need to
pay extra if they want extra. Its a sad fact. But standard HMO plans
are not optimal. They are production line, by the probabilities,
health services. If you want more, you need to pay more.


>  Thanks for being one 
> of the "other guys," the ones who remind us what medical 
> science was *supposed* to be like before it turned into 
> the fast path to a Mercedes and a country club membership.

I think HMO doctors, the vast majority these days, feel pinched they
can't provide the services they want. They are not money grubbing,
Mercedes driving, on the country club course at 3. They are caught in
a medical system as distasetful to them as to you. 


 
> If my brother had run into someone like that, instead 
> of some doctor who gave him ten minutes of his time
> and then shoved him out of the office with a prescription
> for Prozac in his hand, he might still be alive.


I am sorry about your bother. I have faced suicide in those close to
me and I do empathize. No glibness. And I get your pain. 

And your venting. 

And the above, about HMO's may not apply to your brother. personally,
I am highly dismissive of doctors private practice and HMOs and their
"skills". I have been mis diagnosed bydoctors at top clinics for
years. But I get that many are caught in a system they dislike and
even hate.  

Personally I think everyone needs to take a much larger role in
personal responsibility for their health -- mental and physical. And
do independent research. So much info is available on-line. And pay
for extra services, if they feel its warranted above and beyond their
health insurance plans. Health takes initiative and individual
responsibility. If not pursued, people  will get production line
medicine. Efficient for the 'whole", sometimes tragic for the individual.

This post is not a dis or a pissing contest. I think we are not too
far off in our views. Perhaps different vantage points. 

Again, sorry for your brother. No disrespect meant.






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