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-   -   NYTimes article on Medicare testing (https://www.talkofthevillages.com/forums/medical-health-discussion-94/nytimes-article-medicare-testing-141627/)

dbussone 02-05-2015 07:07 PM

Quote:

Originally Posted by Villages PL (Post 1007291)
I guess you didn't read my post very carefully and you didn't read the link provided by sunnyatlast. It was his link that stated "generous salaries".

I guess you didn't read your own post. The word generous was in your post and not footnoted, if you wish to get technical about things.

Villages PL 02-05-2015 07:18 PM

Quote:

Originally Posted by perrjojo (Post 1007283)
My son has a private practice and was considering selling. He interviewed with TV and said there was no way the practice could be profitable unless someone was subsidizing the salaries. I guess that mean old greedy developer must be subsidizing the salaries.

The Villages Clinics was said to be a model that the rest of the nation might eventually follow. But if they can only succeed by being subsidized, perhaps it means this new revolutionary health care system has failed. It can't stand on its own merits, at least not yet. So we have to wonder if it ever will. As I said before, "The verdict isn't in yet."

gomoho 02-05-2015 07:26 PM

Quote:

Originally Posted by Villages PL (Post 1007248)
Prove it!!!!

Villages Place - two small incidents where my questioning stopped billing Medicare for unnecessary services. My mother is 95 years old and has severe dementia. She cannot follow a conversation, or barely ask a question. She repeats the same things over and over and is even losing grasp of those repetitive statements. Somehow an occupational therapist and a psychiatrist were ordered for visits. What on earth could that possibly do for her. An occupational therapist could show her how to brush her hair and she would immediately forget what she learned. And a psychiatrist would simply try and talk to her, bill for his 30 minutes and be on with it.

So my stepping in and questioning these services, and obviously refusing them, stopped the medicare fraud that was about to be perpetuated. If I had taken the attitude, oh well, she's not paying for it, that could have denied someone else down the line that could actually benefit from these services.

Villages PL 02-05-2015 07:30 PM

Quote:

Originally Posted by dbussone (Post 1007297)
I guess you didn't read your own post. The word generous was in your post and not footnoted, if you wish to get technical about things.

I just went back and read it again and it's plain to see that I am referring to his link that stated "generous salaries". I stated that very clearly in the very first sentence. Do you expect me to keep restating it?

Villages PL 02-05-2015 07:36 PM

Quote:

Originally Posted by Villages PL (Post 1007310)
The Villages Clinics was said to be a model that the rest of the nation might eventually follow. But if they can only succeed by being subsidized, perhaps it means this new revolutionary health care system has failed. It seems it can't stand on its own merits, at least not yet. So we have to wonder if it ever will. As I said before, "The verdict isn't in yet."

Bump: Great post VPL!!!

Thank you!

dbussone 02-05-2015 07:41 PM

Wow. All I can say is wow. All the rest of us are simply extraneous.

Barefoot 02-05-2015 07:46 PM

Quote:

Originally Posted by Villages PL (Post 1007323)
Bump: Great post VPL! Thank you!

Did you really just congratulate yourself? :faint:
I think you should treat yourself to a Margarita!

dbussone 02-05-2015 08:06 PM

NYTimes article on Medicare testing
 
Quote:

Originally Posted by Barefoot (Post 1007330)
Did you really just congratulate yourself? :faint:
I think you should treat yourself to a Margarita!

A dose of castor oil would be preferable.

CFrance 02-05-2015 08:08 PM

Quote:

Originally Posted by Villages PL (Post 1007295)
My point is: Why should you ask me to prove my statements when you were the first to make an unproved statement?

Another dodge.

dbussone 02-06-2015 07:42 AM

And he refers to himself in the 3rd person.

2BNTV 02-06-2015 03:12 PM

I believe every should be their own health advocate, I would not have any unnecessary test done on me. I always ask a lot of questions and if the answers are reasonable, then I may agree to the test.

When a doctor told me that I needed a certain drug, I refused to take it. My PCP has said, "I can only advise you, I cannot make you do anything". Obviously, he is right!!!

We already have an understanding that no unnecessary test will be performed and medications will be kept to a minimum, for whatever condition, I am in.

We all should have a certain amount of respect and trust in a doctor's knowledge but they are not GOD, and medicine is still an art, not an absolute science. If one does not trust their doctor, then one should switch their doctor.

We all get statements form Medicare stating what a doctors charges were and what the insurance covered. If abuse is suspected, then one should report the suspected abuse, to Medicare.

I am the customer and if a doctor is telling me I need unnecessary tests, then I have two words for him.

Your fired!!!!

graciegirl 02-06-2015 04:07 PM

Quote:

Originally Posted by 2BNTV (Post 1007785)
I believe every should be their own health advocate, I would not have any unnecessary test done on me. I always ask a lot of questions and if the answers are reasonable, then I may agree to the test.

When a doctor told me that I needed a certain drug, I refused to take it. My PCP has said, "I can only advise you, I cannot make you do anything". Obviously, he is right!!!

We already have an understanding that no unnecessary test will be performed and medications will be kept to a minimum, for whatever condition, I am in.

We all should have a certain amount of respect and trust in a doctor's knowledge but they are not GOD, and medicine is still an art, not an absolute science. If one does not trust their doctor, then one should switch their doctor.

We all get statements form Medicare stating what a doctors charges were and what the insurance covered. If abuse is suspected, then one should report the suspected abuse, to Medicare.

I am the customer and if a doctor is telling me I need unnecessary tests, then I have two words for him.

Your fired!!!!

Well said.

Villages PL 02-06-2015 05:16 PM

Quote:

Originally Posted by Villages PL (Post 1006580)
If you question what the doctor orders, he/she will take it that you are questioning their competence. They don't like it and they will give you a quick/abrupt answer, at which time they will get up and walk to the exit. If you don't understand and you persist in questioning them, they will think of you as a trouble-maker. Many don't have time for questions and you would have to wrestle them to the ground as they run for the exit. When they start walking toward the door, that means the visit is over, period!!!

The only time it's different from what I described is when they have lots of time because they don't have enough patients. But in that case, I still don't think they welcome a lot of questions because it suggests you doubt their competence.

Average doctor visit grows -- by 32 seconds over 10 years | World News & Nursing Report. Nursing Journals : American Society of Registered Nurses

Go Moho, if you scroll down to where it says, "percentage of people...." I would say I'm probably in the 17.4 percent group. Because I don't have any health issues it's assumed I don't need much time and shouldn't ask too many questions. Other patients with multiple health issues are likely in the 36.1%, 36.8% or one of the other two groups where they get huge amounts of time. So when the doctor is running behind schedule, which is often the case, he comes to me and depends on me to help him get back on schedule.

Notice in my above (quoted) statement I said, "Many don't have the time for questions....." I didn't say all doctors. It depends on the individual's health status etc..

That pesky little word "many" makes a big difference, doesn't it?

graciegirl 02-06-2015 05:28 PM

Quote:

Originally Posted by Villages PL (Post 1007853)
Average doctor visit grows -- by 32 seconds over 10 years | World News & Nursing Report. Nursing Journals : American Society of Registered Nurses

Go Moho, If you scroll down to where it says, "percentage of people...." I would say I'm probably in the 17.4 percent group. Because I don't have any health issues it's assumed I don't need much time and shouldn't ask too many questions. Other patients with multiple health issues are likely in the 36.1%, 36.8% or one of the other two groups where they get huge amounts of time. So when the doctor is running behind schedule, which is often the case, he comes to me and depends on me to help him get back on schedule.

Notice in my above (quoted) statement I said, "Many don't have the time for questions....." I didn't say all doctors. It depends on the individual's health status etc..

That pesky little word "many" makes a big difference, doesn't it?

You have mentioned over time of certain problems (peeing a lot) or tests that you had that made it appear that you do have health issues, but when questioned you say they are gone or I took care of that myself by eating this or that.

All I have to say to that is hmmmm.

I don't think that it is a flaw or we need look for a reason when an older person has health issues. If you don't, you will. It isn't healthy to be in denial about health issues and it isn't wise sometimes to ignore a medical doctor's advice. There is a reason why some medications are prescribed so often, and the reason is, they WORK.

You didn't fail anything or anybody or any goal if you need to take medicine and sometimes that medicine makes you healthier.

I have said this so many times before.

CFrance 02-06-2015 05:51 PM

I don't have any health issues and yet my doctors have always taken a lot of time with me. The one in MI and the one here. A couple of times we have even discussed non personal health issues--politics, raising children, what's happening in general with medical insurance.

Recently the FL one took twenty minutes extra time to wade through an article I read about suggested vaccinations for an upcoming trip to North Africa--which ones were most important and why, and where to go get them. He also explained where and why we would possibly incur problems eating and washing, which places we would not be able to control the sanitation of our surroundings.

I have never had a ten-minute doctor visit, and it has nothing to do with having health issues. If I did, that doctor would become my former doctor.

dbussone 02-06-2015 06:19 PM

Quote:

Originally Posted by CFrance (Post 1007864)
I don't have any health issues and yet my doctors have always taken a lot of time with me. The one in MI and the one here. A couple of times we have even discussed non personal health issues--politics, raising children, what's happening in general with medical insurance.

Recently the FL one took twenty minutes extra time to wade through an article I read about suggested vaccinations for an upcoming trip to North Africa--which ones were most important and why, and where to go get them. He also explained where and why we would possibly incur problems eating and washing, which places we would not be able to control the sanitation of our surroundings.

I have never had a ten-minute doctor visit, and it has nothing to do with having health issues. If I did, that doctor would become my former doctor.

You are your own advocate and select appropriate physicians. I had a routine visit this morning and my physician spent 25 minutes asking me questions to make sure it WAS just routine. He didn't waste time, he was thorough. I am also my own advocate. Congratulations to both of us!

dbussone 02-06-2015 08:51 PM

Quote:

Originally Posted by dbussone (Post 1007877)
You are your own advocate and select appropriate physicians. I had a routine visit this morning and my physician spent 25 minutes asking me questions to make sure it WAS just routine. He didn't waste time, he was thorough. I am also my own advocate. Congratulations to both of us!

Wow. That sounded too much like VPL. Please forgive me.

dbussone 02-06-2015 08:53 PM

NYTimes article on Medicare testing
 
Quote:

Originally Posted by graciegirl (Post 1007857)
You have mentioned over time of certain problems (peeing a lot) or tests that you had that made it appear that you do have health issues, but when questioned you say they are gone or I took care of that myself by eating this or that.

All I have to say to that is hmmmm.

I don't think that it is a flaw or we need look for a reason when an older person has health issues. If you don't, you will. It isn't healthy to be in denial about health issues and it isn't wise sometimes to ignore a medical doctor's advice. There is a reason why some medications are prescribed so often, and the reason is, they WORK.

You didn't fail anything or anybody or any goal if you need to take medicine and sometimes that medicine makes you healthier.

I have said this so many times before.

I'd have to say much more than Hmmmm. We're talking borderline hypochondria.


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