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In Reply to: RE: Need discussion group about health care and health care providers posted by Goober58 on October 27, 2014 at 11:51:40
...they vary widely by town and healthplan.
My advice would be to ask a local nurse or doctor who they see for their healthcare.
A couple of the biggest problems with our current healthcare system is:
1. There is no rating system for doctors - yet.
2. There is no incentive to keep you healthy because the system only gets paid for interventions when you have a problem.
I could go on and talk about the Big Pharma lobbyists owning the system and how we pay the highest price in the world for our drugs...
Follow Ups:
For many of us it's a purely subjective decision. PSB Stratus Golds were better than described in the glowing reviews. However I learned after owning them, as "good" as they were, they weren't any good for me.
I believe most doctors meet some standard of "goodness". But so what when I want to find one that's right for me.
I made an extra appointment with my heart dr. this year because I suspected I was having problems with my "drug" list. OK fine he made my requested adjustment. This was real important for my standard of living and a great thing - but at my next appointment there was no mention or question from him about this adjustment. I think he's got a bizzilion other patients and doesn't have the time to care about much more than getting to the next appointment.
Give me rhythm or give me death!
...one who listens to you, is intelligent, has good diagnostic/problem-solving skills and seems to care.
Most Internal Medicine physicians have around 2500 patients in their practices.
With HMOs, Medicare and healthplans paying them less, they must see more patients and spend less time with each one to keep their incomes the same.
A doctor will not remember he adjusted your meds - if he's good, he will have noted it in your chart and reviewed the chart before he saw you.
He should require you come in for an annual physical where he goes over all of your conditions, lab results, medications and questions.
I think that's a problem with many doctors that are in large municipalities and work with a number of given hospitals. Many organizations are now affiliated and the doctors that are affiliated with the hospitals are just looking to get to the next patient. It's unfortunate but it's how healthcare is in today's world. It's corporate greed at the top and then it pushes it's way down. The consumer for the most part is screwed unless they can fins a general doc that will actually look out for the patient and not the dollars coming in.
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