Idle Thoughts by David Rogers MD, MBA

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I PAID TO ASK A QUESTION (at a Doc-in-the-box clinic).

How many ways is this screwed up?

Is it not possible to ask the same question by calling your doctor’s office (if you have one)? Does the doctor’s office simply say “come in”? Does the doctor’s office charge for the phone call? Maybe so, but I certainly never did that. We had protocols for the nurses to answer commonly asked questions and patients were only asked to come in if the answer wasn’t easy and obvious.

How is it that my well educated, intelligent, middle class daughter seems to relish her privilege to walk into a non-physician manned clinic and PAY to simply ask a question of an NP or PA, who doesn’t know and doesn’t examine her child? I didn’t ask, but I’d be willing to bet, that she would be upset if she called the doctor that actually knows her child, and was charged for asking the same question. I’m not suggesting the doctor charge for a simple phone call question, to the contrary. I am just flabbergasted that she doesn’t feel comfortable calling her doctor’s office but happy to pay to simply get advice from a health care provider with less training.

What does this all say about the state of our primary care physicians and their practices? How can we expect them to maintain high quality services when the playing field is tilted so heavily toward their non-physician competitors?

Screwed up all right.

MINUTE CLINIC IN CVS

How screwed up is this double standard?

How is it that a CVS or Walmart can have a medical clinic in their building, where they also sell drugs and medical supplies, and it not be considered a conflict of interest, when a physician can not own a portion of a hospital, surgery center, or imaging center because he or she has a financial interest in the facility?

This is truly a double standard and one that should face legal and legislative challenges, just as doctor ownership has in the past decade. I think that’s only fair.

INSURANCE MANDATES FOR ALL COMERS, NO PRE-EXISTING CONDITIONS

Are people just stupid? How is it that seemingly well educated, intelligent persons think that insurance companies can be forced to sell high quality, broad coverage insurance policies to all persons, with no consideration of pre-existing illness and not expect premiums to rise significantly; AND if they are forced to do this and not allowed to raise premiums to cover their actuarial costs, why would it surprise us when they simply leave the market, leaving everyone with nothing but government sponsored healthcare, essentially Medicaid?

I am losing confidence in our (“We the people”) collective intelligence.. It seems to have taken a nose dive in the last few years.

WHAT THE HELL IS GOING ON HERE?

IS ANYONE HOME?

THE LIGHTS ARE ON BUT NO ONE SEEMS TO BE THERE!

 

44410cookie-checkIdle Thoughts by David Rogers MD, MBA