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Private Practice Reality Today: Forced Use of Medical "Boiler Plate" Language in Medical Documentation.
Once upon a time, there were doctors, and there were patients, and life was simple, and life was good. That was then, and this is now. Today, there are multiple insurance companies and multiple bureaucracies standing between the doctor and the patient. The insurance carriers demand and receive huge amounts of money based solely upon transactions between doctors and patients. The bureaucracies expend increasing amounts of tax dollars while increasingly complexifying (if that’s a word) even the simplest transactions between the doctor and the patient. And there is a growing school of finned litigators beginning to circle, sensing the smell of money in the water, competing with a soaring flock of feathered litigators slowly circling above.
Medical insurance, like all insurance, is a form of gambling. When the employee and the employer pay the health insurance premium, they are, in truth, placing a wager. The insurance company is betting they will collect more in premiums than they will spend in claims per period of time. They pay highly specialized technicians called actuaries to very precisely compute and re-compute the odds on which they set their premium rates. Or, place their bets, if you will. It’s all based on highly complex mortality and morbidity tables that are constantly being built, updated, poked, prodded and computer-modeled by the actuaries.
But the simple odds are not the only factors in the game. Insurance companies compete with each other, and even gobble each other up. In order to come out ahead in the market competition, and not be gobbled up, they seek ways to either sell a better product, sell it at a lower premium, or both. Once premiums are cut to the lowest they can be cut, perhaps even at the actuarial break-even point, the only thing left for the insurance carriers to cut is claim payments to doctors.
The medical transaction begins with the money in the pocket of the patient, and ends with the money in the doctor’s pocket. The insurance carrier only gets a shot at it before it goes into the doctor’s pocket. To that end, we see the movement into so-called managed care with carriers and insurance conglomerates increasingly in the driver’s seat, and even acting as intermediaries, with the transaction money passing through their hands before it even gets to the doctor.
To some, the worst aspect of this is the ridiculous increase in complexity of, not necessarily the medical process itself, except that complexity detracts from it and does not help it, but the record keeping of a doctor, of his own records. It’s one of the factors increasing the complexity of medical office management and detracting from a doctor’s treatment time with his patient.
Permit me to quote from the Medical Burnout site, available at http://home.austin.rr.com/austintxmd/Pages/effect.html#Boilerplate:
Now, this is just one of many aspects of how medical doctors are being prodded and herded toward the simpler life of becoming a mere salaried employee of some MBA with perhaps a third or less education than them, and with no comparable medical expertise at all. As medical practice management becomes increasingly complex medical practitioners are discouraged from even remaining in private practice.
Those who think that a nationalized health care system will improve things are sadly mistaken. If you think things are bad now, replace the insurance rep standing between the doctor and the patient with a petty bureaucrat, and then just watch what happens next. Currently health care is supposedly free in higher-taxed Canada. Actually, what is free is the ability to stand in line for health care, not to actually get any of it. The average wait for a doctor’s appointment there is 13 months, notwithstanding the fact that the average period of a human pregnancy is only 9 months.
Perfection is not of this world, but the next, and we don’t claim to know what the answers to these problems are. What we do know is that the wrong people are in the health care regulation driver’s seat. No one who hasn’t taken the Hippocratic Oath and done his time in the medical trenches should be directing health care on such a massive scale. That’s our opinion.
(Note: Our medical billing business is now closed for lack of clients.)
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Wednesday, April 03, 2013
Converted Page to SBI! Release 3.0 BB 2.0.
Date: Sun Oct 05 2014
From: Vic Biorseth
Changes pursuant to changing the website URL
and name from
Thinking Catholic Strategic Center to
Catholic American Thinker.
Pulled the trigger on the 301 MOVE IT option June 1, 2014. Working my way through all the webpages. .
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The Purpose of this grouping of links is to gather all government health care articles in one place.
Socialized Medicine Pages
Medicine, like education, has no Constitutional mandate and no legitimate, legal business being addressed by federal government. Medicine, and medical insurance, are private sector businesses beyond the scope of federal government.
Killing Obamacare does not require canceling all existing policies. Killing Obamacare means there is no mandate, there is no fine, so states, employers and beneficiaries are no longer forced to participate.
Argument against National Health Care, which is, in fact, Socialized Medicine. National Heath Care equals Socialized Medicine, pure and simple. Medical Practice is beyond the scope of government and not what our government is constituted to do.On the forced use of medical boiler plate language rather than simple notes.
The "little dictators" from insurance companies and government bureaucracies force MDs to use stilted, verbose, medical boiler plate language in their own documentation.
Who's driving the Health Care bus? Health insurance companies grading doctors? Health insurance companies grading doctors: a legitimized conflict of interest. A preparatory step toward the nationalization of the health insurance industry?
Fixing Health Care requires getting government out of it. Get government out of it, require all health insurance to be owned by and benefits paid solely to patient-beneficiaries, and let the free market do the rest.
It isn’t really Health Care. It’s all a giant pile of lies. No, it isn’t really Health Care. Nothing in Obamunism is what it appears to be.
It isn't just Obamacare; we need to kill controlled Health Care. Kill Controlled Health Care to get government and insurance out of the medical transaction.
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