HAIL THE KING?
On Fri, Jul 11, 2014 at 7:32 AM, Jose <[email protected]> wrote: > On Jul 10, 2014, at 10:50 AM, Melvyn Fernandes <[email protected]> wrote: > > Dear JC.....(1) Kithem santam rae....bikinis....top shot men "peon" Goa > advisors ...... ......accelerators...(2) unscrupulous doctors and taxi > drivers.....knickers..... (3) Duty of care....If there were no patients you > would not have doctors....football...legislators....our tiny dot of (4)Goa > where people appear to backward, stupid ...My Village Scheme....Bishop's > house ... > > > My dear Melvyn, > > I will attempt to touch on the few points I have numbered (above) from > your rather intriguing post. If Goanet carries that post, the following is > my response. > > MF(1) "Kithem santam rae" > jc: NO idea what that means.....or even in what language .. > > MF(2) "unscrupulous doctors" > jc: Yes, regrettably, we have them everywhere, including in Goa and in the > UK. > > MF(3) "Duty of care" > jc: Yes, that is a specific term in Tort and in Legal Medicine. In > medicine, it relates to the duty a physician has towards a patient with > whom he has an established physician-patient relationship. > > MF(4) Goa where people appear to backward, stupid .. > jc: My impression of Goa and it's people is exactly the opposite. What > company do you keep when you visit Goa? > > PS: I will take this opportunity to reiterate a few points I have made > earlier: > > a: Private doctors' offices are NOT charity service outlets. > > b: As a matter of policy and good business practice, doctors' offices > MUST ascertain HOW their services will be compensated BEFORE the patient > is touched UNLESS they (the doctors' offices) do NOT intend to pay their > own licensing fees, malpractice premiums, their rental and utility bills > and their staff, AND they intend to go broke in short order. > > c: While a physician may, on occasion, decide to NC (no charge) a patient > in need, he cannot make that as a routine....nor can he advertise free or > reduced-fee services. The latter is considered as a form of bribery and > unfair inducement (kick back). > > d: When dealing with 'foreign' patients, the physicians' offices have to > be extra vigilant. Some tourists believe that just because they have > 'Travel Insurance' (say from the UK), the doctor in Goa is expected to see > them right away. NOT So. > > e: Many of our UK Goans may NOT be aware that Health Insurance policies > have many caveats eg: deductibles, copays and their own 'customary' rates. > Some policies require prior pre-certification by the physician OR ELSE the > services will be either not be compensated for or compensated at a > significantly lower rate. All this after the appropriate forms have been > completed with ICD and CPT codes. US and Canadian Goans will understand > this because they routinely see EOBs (Explanation of Benefits) after they > consult a private physician. BTW: It is possible that some UK Goans are > unaware that Goa private doctors are NOT paid by the NHS-UK......or any > other NHS. > > f: ' Faleam' and 'Deu Borem Korum baba' do not help compensate for > services provided. > > g: Melvyn, based on the information you have hitherto provided, IMO, your > sweeping tirade against Goans and Goan doctors is totally inappropriate. > > h: Again, based on the information you have hitherto provided, the "water > injection" story as "advised by the UK doctor" is pure Gas. > > jc > >
