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Article #165: Shipping the Problem Elsewhere

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I was reading a recent survey that said "Why would H/care be exempt from the
if given the choice, most people would global marketplace? Health care services
rather get increased healthcare coverage are a product that is consumed by
than a pay raise. We in the industry know consumers (patients). Accordingly,
it's a mess and that many people delay patients will shop for services.
getting treatment for fear of depleting Consumerism in health care has been a
their savings. The current state of long time coming. For instance, my family
healthcare in America can literally be went to Colombia to get dental work done
deadly. for a fraction of what it would cost
Which is why I wasn't surprised to read here, and we managed to add in a
an article that stated many patients are vacation. Now the one thing to consider,
now going overseas for their healthcare. is what if there are complications, is
Get a load of this: the company going to fly the employee
"Carl Garrett of Leicester, N.C., will back to resolve the complication?
fly to a state-of-the-art New Delhi (Probably not)."
hospital in September for surgeries to Actually, I don't blame the patients for
remove gallstones and to fix an overworn taking advantage of better deals in other
rotator cuff. His employer, Blue Ridge countries. Your trip to Colombia sounds
Paper Products Inc. of Canton, N.C., will like a marvelous combination of business
pay for it all, including airfare for and pleasure, although I wonder if your
Garrett and his fiancee. The company also vacation wasn't affected by the dental
will give Garrett a share of the expected work! Still, you ask a great question at
savings, up to $10,000, when he returns. the end, and while I'd suppose it depends
" on the company and the agreement worked
That's right! We're not only shipping out in advance, another reader makes this
jobs overseas, we're now shipping excellent point:
patients there, too! Of course, if this "You got it right when you said
trend continues, we will essentially be 'COMPLICATIONS'. Try suing the doctor
sending jobs for medical professionals overseas and see how far you get. The
overseas by default. malpractice piece is a large part of our
I don't know about you, but this health care dollar."
embarrasses me deeply. I didn't get into Then there was this comment by Lifeline
healthcare management to only help treat Medical Associates President/CEO Jack
the people who were lucky enough to have Feltz that eloquently summed up the
coverage or could afford it. Ill health frustrations he experiences heading the
doesn't discriminate, it potentially largest provider of women's healthcare in
affects us all, and the longer we let the New Jersey:
situation get out of hand, the more "One of the biggest wastes of resources
bizarre and defeating solutions will be is practicing defensive medicine because
found by companies and individuals who of the medical liability crisis and lack
are fed up with the status quo. of meaningful tort reform in New Jersey
I got a good response to a previous and elsewhere. Physicians, I believe tend
article about people going overseas for to order more and more tests because they
medical procedures because it costs less. are frightened not to. If there is a bad
If you don't mind, I'd like to respond to outcome you can bet there will be an
some of the comments. attorney and expert to say they should
The first commenter said: have ordered every test imaginable. This
"...like you, (I) entered healthcare is tragic, making health care
management (twenty years in hospital unaffordable. I would rather see these
administration, consulting and eight wasted dollars go towards cures for
managing medical practices)to help based breast cancer, immunizing poor children,
on my non clinical skills. I worked improving care and keeping healthcare in
largely in innercity hospitals and then the hands of expert doctors and nurses in
transitioned to medical practice the U.S.A."
management. There I became more jaundiced I think you make an excellent point, Jack
with the attitudes of specialty (may I call you "Jack?"). If only more
physicians. Behind the scenes the focus CEO's had your sense of compassion. I
of a surprising number of doctors was on often forget the legal part of the
paying patients, although periodically equation because I am so frequently
altrusim did shine through. I had to look enmeshed in battles with insurance
carefully for the quiet ones who took carriers. Or to again quote yet another
care of patients and did not bluster at reader who says it better than I can:
the closed door business meetings. When "Insurance carriers are problematic, and
things got tough they would speak up, but don't pay or delay paying claims, and
only when really pushed. Rhetorically, I then don't pay them according to the
wonder why organized medicine, and our appropriate fee schedule. This means
lofty management societies and patients get billed eventually for
associations don't focus more on the services that should have been covered.
caring side, the professional side, the Unhappy patients complain to employers
hippocratic side." about coverage. Employers decide to go
Here again, someone says it better than I elsewhere. This doesn't reflect on
can. Another reader makes a good point American physicians, it reflects on
based on experience: American insurance carriers.






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