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US Healthcare impressions

US Healthcare impressions

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Old Mar 2nd 2012, 12:41 am
  #31  
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Default Re: US Healthcare impressions

Originally Posted by dogloverus
Most hospitals in the US are not for profit believe it or not.
Maybe true, but from the point of view of the patient the non profit hospitals seem to be indistinguishable from the for profit ones.
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Old Mar 2nd 2012, 12:42 am
  #32  
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Default Re: US Healthcare impressions

Originally Posted by dogloverus
you kidding why is antibiotic resistance going through the roof then? its because of inappropriate usage or over usage. having friends as GPs in england they admit to using it when maybe they shouldnt. I've seen billboards in england saying dont use antibiotic for cold they wouldnt bother putting it on a billboard if it didnt happen in the first place!
I'm not saying it doesn't happen, nor is it being over prescribed.

I'm just saying that it probably isn't as a major problem as you imagine, being prescribed for a cold.
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Old Mar 2nd 2012, 12:46 am
  #33  
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Default Re: US Healthcare impressions

Originally Posted by dogloverus
Most hospitals in the US are not for profit believe it or not.
What, 2/3's? Sure, technically that's right...but that doesn't mean all profits from those non-profits going to the hospital or the community, but just being paid as bonuses to the owners so that the balance sheets show no profilt.
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Old Mar 2nd 2012, 12:46 am
  #34  
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Default Re: US Healthcare impressions

Originally Posted by dogloverus
Most doctors I know here are not corrupt, far from it. They try their best despite operating at a loss to see Medicare and Medicaid people.

Blame the CEOs of the Ins companies for your woahs if anybody.
And hence, "the system" comment
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Old Mar 2nd 2012, 12:53 am
  #35  
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Default Re: US Healthcare impressions

Originally Posted by dogloverus
you kidding why is antibiotic resistance going through the roof then? its because of inappropriate usage or over usage. having friends as GPs in england they admit to using it when maybe they shouldnt. I've seen billboards in england saying dont use antibiotic for cold they wouldnt bother putting it on a billboard if it didnt happen in the first place!
Do you have anything to back up your assertion that antibiotic use is higher in the UK than the US? I think you'll find the reverse is true.

This NIH paper seems to suggest I may be right:

Recent public health efforts, including in the UK and US, have targeted decreasing unnecessary antibiotic use. In the US, prescribing for acute non-specific respiratory infections (ARIs) has decreased, but broad-spectrum antibacterial prescribing has soared.
whereas

UK antibacterial prescribing for ARIs has declined, similar to US trends, but there was no concomitant increase in low broad-spectrum prescribing. The success of UK strategies for limiting antimicrobial use has implications for programmes in other countries.
http://www.ncbi.nlm.nih.gov/pubmed/19843412
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Old Mar 2nd 2012, 1:48 am
  #36  
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Default Re: US Healthcare impressions

I can always tell it's February vacation. All my doctor friends start posting photos on Facebook of them with their families in the Caribbean or Hawaii...
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Old Mar 2nd 2012, 3:12 am
  #37  
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Default Re: US Healthcare impressions

I miss the NHS. It's always served me well.
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Old Mar 2nd 2012, 3:37 am
  #38  
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Default Re: US Healthcare impressions

Originally Posted by dogloverus
Unfair tbh. If a doctor practises defensively and orders more tests to cover a lawsuit, whose fault is that? maybe the patient has to understand the doc aint always gonna get it right. also more tests will ultimately result in a higher bill.
Some strange idea that tort is responsible for medical costs and if we could just stop those pesky lawyers everything would be fine. It's a minicule amount of healthcare costs.
According to the actuarial consulting firm Towers Perrin, medical malpractice tort costs were $30.4 billion in 2007, the last year for which data are available. We have a more than a $2 trillion health care system. That puts litigation costs and malpractice insurance at 1 to 1.5 percent of total medical costs. That’s a rounding error. Liability isn’t even the tail on the cost dog. It’s the hair on the end of the tail.

Source: http://prescriptions.blogs.nytimes.c...th-care-costs/

Originally Posted by dogloverus
Misleading to say the system takes care of the cost in the UK. The NHS litigation bill is about to break through the billion pound barrier and rising rapidly every year. Who pays for that? The system with ultimate reduction in resources. Of course they factor that cost in the damages. The US has state medical boards who are just the same with re: to negligence.
According to DM, I presume? Again, the figures don't show this. However, this time you can do your own Googling.


Originally Posted by dogloverus
The US has state medical boards who are just the same with re: to negligence.
The US board knock someone off every blue moon.It's not unique to the medical system in the US where the only recourse to right a wrong is the court. European democracies do not rely so heavily on the court system.

Originally Posted by dogloverus
What do u expect the doctor to do then? Work as a charity? Their costs are extremely high with 6 figure bills just for litigation insurance. Even in england the NHS is being dismantled so this idea that system can be brought here is nonsense also. Having spoken to doctors they want less litigation less red tape and less patient expectation. However you cant expect stellar everything without someone having to foot the cost.
I expect them to open their mouths, say the system doesn't work, and use their considerable influence to make sure we move to a system that does work.
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Old Mar 2nd 2012, 4:15 pm
  #39  
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Default Re: US Healthcare impressions

Originally Posted by fatbrit
According to DM, I presume? Again, the figures don't show this. However, this time you can do your own Googling.
actually it was the NHS information centre. I hope they are reliable

Originally Posted by fatbrit
The US board knock someone off every blue moon.It's not unique to the medical system in the US where the only recourse to right a wrong is the court. European democracies do not rely so heavily on the court system.

Completely wrong the boards are here are much stricter than in England. Your 'blue moon' is so inaccurate. Go to any state med board site and see the reams of pages of doctors facing censure for billing errors, negligence insurance fraud etc May at least make you better informed



Originally Posted by fatbrit
I expect them to open their mouths, say the system doesn't work, and use their considerable influence to make sure we move to a system that does work.

Which professional is going to campaign for something that is going to reduced their renumeration and increase their workload? Would you do that? Thats what you are asking them to do. That is socialist medicine. Its only the Brits that pine for the NHS, ask most Americans they wouldnt touch it with a bargepole. The NHS also has significant areas that dont work.

Again it is only the expats I notice that are expecting American doctors to do all these 'socialist' things. Most my American friends dont have the same issues.

I know a few expat British docs here. Initially they would adopt the NHS wait and watch approach. However a few lawsuits put paid to that so the bill for the over investigation falls on the patient. Cant have your cake springs to mind. Americans dont want waiting lists and old techniques so for that privilege it costs $.

Main point dont blame the doctor. Ones I seen more dedicated and work longer hours than the equivalents in the UK.
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Old Mar 2nd 2012, 4:17 pm
  #40  
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Default Re: US Healthcare impressions

Originally Posted by dogloverus
actually it was the NHS information centre. I hope they are reliable




Completely wrong the boards are here are much stricter than in England. Your 'blue moon' is so inaccurate. Go to any state med board site and see the reams of pages of doctors facing censure for billing errors, negligence insurance fraud etc May at least make you better informed






Which professional is going to campaign for something that is going to reduced their renumeration and increase their workload? Would you do that? Thats what you are asking them to do. That is socialist medicine. Its only the Brits that pine for the NHS, ask most Americans they wouldnt touch it with a bargepole. The NHS also has significant areas that dont work.

Again it is only the expats I notice that are expecting American doctors to do all these 'socialist' things. Most my American friends dont have the same issues.

I know a few expat British docs here. Initially they would adopt the NHS wait and watch approach. However a few lawsuits put paid to that so the bill for the over investigation falls on the patient. Cant have your cake springs to mind. Americans dont want waiting lists and old techniques so for that privilege it costs $.

Main point dont blame the doctor. Ones I seen more dedicated and work longer hours than the equivalents in the UK.
This has to be a wind-up.
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Old Mar 2nd 2012, 4:26 pm
  #41  
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Default Re: US Healthcare impressions

Originally Posted by Sally Redux
This has to be a wind-up.
Yep, he lives in some parallel universe. I really can't be arsed to engage the troll any more.
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Old Mar 2nd 2012, 4:32 pm
  #42  
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Default Re: US Healthcare impressions

Originally Posted by fatbrit
Yep, he lives in some parallel universe. I really can't be arsed to engage the troll any more.

I'm not sure exactly what you are expecting of the system also? I guess being allowed to disagree with you is also not allowed for some reason.
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Old Mar 2nd 2012, 4:38 pm
  #43  
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Default Re: US Healthcare impressions

Originally Posted by dogloverus
I'm not sure exactly what you are expecting of the system also? I guess being allowed to disagree with you is also not allowed for some reason.
Did someone speak?
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Old Mar 2nd 2012, 4:43 pm
  #44  
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Default Re: US Healthcare impressions

Originally Posted by dogloverus
Which professional is going to campaign for something that is going to reduced their renumeration and increase their workload? Would you do that? Thats what you are asking them to do. That is socialist medicine. Its only the Brits that pine for the NHS, ask most Americans they wouldnt touch it with a bargepole. The NHS also has significant areas that dont work.
So the only choices are a system that eats up 16% of GDP and leaves 50m uninsured or the NHS? You ought to get out a bit more.
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Old Mar 2nd 2012, 4:50 pm
  #45  
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Default Re: US Healthcare impressions

Originally Posted by dogloverus
Which professional is going to campaign for something that is going to reduced their renumeration and increase their workload?
If you're going to use a big word, you should at least spell it correctly... otherwise, you might have just as easily said "income".

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