Profit or Patient - Ethics and the Business of Healthcare

I have a love-hate relationship with the healthcarerecommendations are and what alternatives to
profession. On the one hand, it's gratifying beyondthis procedure or drug that exist WITHOUT
words to be able to help people improve theirinjecting any bias the doctor may have. Possible
health and their lives. On the other hand, thesolution: Doctor's should take time to get to know
business of healthcare may be doing more harmtheir patients. Ask probing questions and give
than good, in some cases.honest answers. Be honest about their lack of
In my own practice as a chiropractor, I oftenknowledge when it exists, especially about less
hear someone say,"This is awesome! I neveraggressive alternatives.
thought I could feel this good again".* Too anxious to be too invasive - Sometimes as
Unfortunately, I often hear those same peopledoctors, there's the urge to DO SOMETHING now!
say something like, "Why haven't I heard aboutThe haste to act now, can make things worse
this before now?" or "Why did I have to sufferthan if nothing were done, at all. Possible solution:
so long when this has always been available?" orOne of the safest and most valuable tools in the
worse yet, "I don't guess my doctor was tellingdoctor's bag of tricks is something we call
me the truth about what you do.""watchful waiting", where you give your body
But, not all the bad I hear is about medicine ortime to resolve a potential problem on its own
medical doctors. Sometimes it's something like "Iwithout aggressive treatment.
went to one of you guys once. And, I know the* OOPS! - Sometimes, health care providers
adjustments helped. But, the guy ran up a huge billmake mistakes. Unfortunately, too many times
and then quit seeing me when the insurancethe problem is covered to prevent lawsuits or
payments stopped" or "I just don't think I canunwanted exposure. Possible solution: I heard
afford it right now. My insurance doesn't cover it."someone say once, "Sunlight is the best antibiotic".
I'm an advocate of allowing the free market toIt's best to simply tell the truth. The cover-up will
resolve the problems with health care. However,always cause more problems than the problem
the free market is not allowed to express itselfbeing covered up.
fully in the business of health care in America.* Just too expensive - Because of third party
Here are some specific problems I have with thereimbursement, health care in America hassimply
business of healthcare and some different waysgotten too expensive. Possible solution: Providers
of dealing with them:should be allowed to compete on a variety of
* The Money Grub - There's a practice calleddifferent levels, including price, form of payment,
"exhaustion of benefits" in the healthcare businesstype of service provided, etc.
that spans every specialty. The provider asks forBecause the economics of healthcare are
your insurance card to verify benefits. Notdistorted by Government controls and
surprisingly, their recommendations for care tendintervention, as well as third party reimbursement,
to coincide with what your insurance carrier saysthe free market is not allowed to properly
they'll pay. Possible solution: Verify your ownregulate the business. As a result, doctors,
benefits and get your provider's recommendationhospitals and drug makers have an extra duty to
BEFORE verifying coverage OR see what their"do no harm" to those who must rely on their
recommendations are if you paid cash at the timerelative power in the marketplace. The Internet
you received the service.now makes information too easily available to
* Fear-mongering - This is where you're told "Youcontinue the imbalance of power between patient
MUST have this procedure or take this drug orand provider.
you'll die!" This is using pure power on the doctor'sI urge healthcare providers to always do the right
part and the patient's ignorance to almost forcething. Make sure your patients are fully informed
them to do what the doctor tells them. Possibleand involved in their care. Give them exceptional
solution: Patient's deserve to be told the truth invalue. Empower them to make better choices. As
rational, unemotional terms what their specificfor patients and the public at large, take charge of
problem is and what the doctor'syour health and your life. Inform yourself of your
recommendations are.alternatives. Ask questions. And continue asking
* (Not so) Full disclosure - There's a tendency inuntil you're satisfied that you've gotten the right
health care to tell folks to "Sign these forms soinformation and ALL the information you need to
we can get started". You have a right to knowmake fully informed choices regarding your own
exactly what the doctor has found, what his/herhealth. After all, it IS your responsibility.
recommendations are, what the risks of those