Glenn,

I wrote to support your point, defend it, and agree with it in its entirety. Are you incapable of understanding that? Read my post once more.

Step aside from your paranoid spiral of unending argumentativeness, and accept friendly support and agreement for a change. Cheers,

-- Tony West


There is no clinically logical way to improve health care if we can't integrate behavioral & mental health with physiological health at the gatekeeper level. The divide between these fields is fluid. A good medical gatekeeper should be fairly paid to make all proper referrals, without regard for outmoded clinical categories that treat patients with chemical overdoses as separate from patients with depressions, patients with liver cirrhosis as separate from patients with alcohol dependency.

-- Tony West

Neighbors,

I was going to ignore West, but the issue is too important.  Using a 
multi-disciplinary approach in a primary care setting has many potential 
benefits. No one has suggested that doctor's can't now address underlying 
causes of major disease, as West suggests.  And it's a ridiculous distraction 
to assert that doctors wouldn't refer an alcoholic to treatment or not order a 
psych evaluation after a suicide attempt.  Tony is just being Tony.


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