tag:blogger.com,1999:blog-5050104061645368543.comments2023-10-26T04:10:57.409-07:00Free Market PhysicianMaytaghttp://www.blogger.com/profile/02230122286400838000noreply@blogger.comBlogger82125tag:blogger.com,1999:blog-5050104061645368543.post-80320870036749247532022-12-21T07:27:17.549-08:002022-12-21T07:27:17.549-08:00Great reead thanksGreat reead thanksFayetteville Carpentershttps://www.find-carpenter.com/us/woodworkers-north-carolina/fayetteville-carpenters.shtmlnoreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-20706868763319566522022-04-15T06:36:07.162-07:002022-04-15T06:36:07.162-07:00Appreciate your blog posstAppreciate your blog posstTaya Phttps://www.tayapollard.com/noreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-27196180737715074032021-04-09T04:17:40.934-07:002021-04-09T04:17:40.934-07:00Thanks for sharing such a Value able info.I hope y...Thanks for sharing such a Value able info.I hope you will share more information like this. please keep on sharing!<br />If you require any infor regarding <a href="https://www.synmac.in" rel="nofollow">one person company registration in bangalore</a> and <a href="https://www.synmac.in" rel="nofollow">new company registration bangalore<br /></a> plz click on it to visit our site.Deepikahttps://www.blogger.com/profile/18053469336688837473noreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-21050085555431645052011-11-11T02:50:06.317-08:002011-11-11T02:50:06.317-08:00I'm a law student writing a journal paper on t...I'm a law student writing a journal paper on this topic. I've been reading a lot of articles and reviewing a lot of case law on the topic, as well.<br /><br />You wrote a very good synopsis of how conscience clause legislation has come about in our country, but I think that you are giving the Bush legislation a bit too much credit.<br /><br />You are right that the Bush legislation did very little considering the Church Amendments and all of the state laws are still in effect. Obama's rescission of this piece of legislation will really not do anything to limit the numerous privileges already afforded health care religious objectors. <br /><br />The criticism on the bill, and the reason I believe that the current administration wanted to remove it, is that it was poorly written. By using overly broad language, the clause essentially gave any healthcare professional the ability to refuse treatment for any reason as long as he says it is against his religion or moral beliefs. <br /><br /> Without going into too much detail here for obvious reasons (there are hundreds of cases on this particular topic), there is a positive duty of care that has been established for healthcare professionals to treat patients. This applies to the doctor-patient relationship and in some cases for emergency room doctors and personnel. <br /><br />The Bush conscience clause legislation could be interpreted to include these instances. <br /><br />There are many reasons why this could be a bad thing, but probably the most important reason is that the law was written in such a way that it is unclear what exactly is being protected. Judges and lawmakers detest legislation like this because it does little more than to make the area of law a bit cloudier. If Obama had not rescinded the law, it would have more than likely ended up being overturned in a court. If the law was reviewed, there is a chance the Supreme Court could decide that all conscience clauses violate the duty of care and then the law would end up having the exact opposite affect that it was meant to have.<br /><br />So basically I am not sure why you care that this law was overturned. Conscience clauses are still in effect country-wide and there was a good chance that the law interfered with well established judicial precedent that could have nixed all conscience clause protections.Jakenoreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-60659733231255104062011-06-02T19:59:48.923-07:002011-06-02T19:59:48.923-07:00This is my favorite post! Not just because of the ...This is my favorite post! Not just because of the reference to diet and exercise for the majority of problems, but for the economics. So...should the government give vouchers to make oranges more affordable, mandate orange rationing ;-), or let the people pay less by simplifying the paperwork. The hard part of this is that private associations are just as guilty for mandating excess. For example: we were recently told that the American Osteopathic Association is requiring a sentence for a Physical Therapy consult. We now need the physicians to write 'Physical Therapy to evaluate, recommend treatment options, and develop a plan of care'. This statement as written is incorrect, but is about as long as the order. Since we don't expect the physicians to write out this lengthy consult, we are to revamp our already elongated "clarification order" to substitute the most common order "PT eval/tx". If we can use computerized charting at our hospital, then we wouldn't have to write or clarify anything that isn't part of our standard eval. Sorry for the long comment!Davehttps://www.blogger.com/profile/15739993959207482779noreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-41908806769990090462011-01-10T21:46:36.497-08:002011-01-10T21:46:36.497-08:00a perfect article. very thoughtful and well explai...a perfect article. very thoughtful and well explained must read for everyone.stephenhttp://topinsurance.orgnoreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-35049261072371182912010-05-31T11:51:27.642-07:002010-05-31T11:51:27.642-07:00hello
I hope that this resolution the President ob...hello<br />I hope that this resolution the President obama is for the good of all and bring us good things because the people need itgeneric viagrahttp://www.safemeds.com/noreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-39584559151457572192010-03-15T18:30:23.794-07:002010-03-15T18:30:23.794-07:00Here is link of a video that maybe you copied in p...Here is link of a video that maybe you copied in preparing this post as you echo the message CF&P's very own Dan Mitchell:<br /><br />http://www.youtube.com/watch?v=XeXPibDuy6M<br /><br />(Tu Ne Cede Malis)Ludwig Von Miseshttp://www.mises.orgnoreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-11102231578287294932010-03-09T22:38:17.734-08:002010-03-09T22:38:17.734-08:00I fully agree and make another suggestion. See my ...I fully agree and make another suggestion. See my blog post <b>http://latterdaypolitics.blogspot.com/2010/03/tax-returns.html</b><br />about how states should play in the role of taxation.Chris Dansonhttps://www.blogger.com/profile/18311694791352761614noreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-55458885376155749142010-03-04T12:40:20.645-08:002010-03-04T12:40:20.645-08:00Thank you for explaining this through an analogy. ...Thank you for explaining this through an analogy. It really put it into perspective for me.Annehttps://www.blogger.com/profile/03429348521827648852noreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-15347692018217124462010-02-18T20:39:10.626-08:002010-02-18T20:39:10.626-08:00Great video Joseph. Thanks for sharing your thoug...Great video Joseph. Thanks for sharing your thoughts. Coming from someone who doesn't know a thing about the politics and healthcare it has been refreshing to read your blog!TLJhttps://www.blogger.com/profile/17454478181498653232noreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-45729441888104559202010-01-17T05:34:35.870-08:002010-01-17T05:34:35.870-08:00Nice post. Lukewarm support from physicians? The ...Nice post. Lukewarm support from physicians? The enthusiastic doctors are 'lukewarm'. The rest of us are downright wary and cynical of what awaits us in health care 'reform'. Indeed, this is the 'anti-freemarket' program. Tort reform is a non-starter, physicians will be paid less, medical costs will continue to rise and medical quality will be highly variable. I invite you and your readers to visit www.MDWhistleblower.blogspot.com where you will find other Free Market ideas posted.Michael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-86598081441195628792010-01-16T12:09:43.396-08:002010-01-16T12:09:43.396-08:00I'm not trin ta hate on Obama but more people ...I'm not trin ta hate on Obama but more people have got to call him out on this:<br /><br />COUNT THE LIES: OBAMA VOWED 8 X TO TELEVISE HEALTHCARE<br /><br />http://blip.tv/file/3052083<br /><br />I think more people should watch this. It's really "Status Quo with Better Pronunciation" than "Change You Can Believe In."Obummerhttp://blip.tv/file/3052083noreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-62534414180529375662009-12-31T03:46:32.513-08:002009-12-31T03:46:32.513-08:00That’s looks so nice your posting.
Everything look...That’s looks so nice your posting.<br />Everything looks good in your posting.<br />That will be necessary for all. Thanks for your posting. <br /><a rel="nofollow">Bathmate</a>bath mateushttp://www.bathmateus.comnoreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-40303394898486664812009-12-12T10:39:47.559-08:002009-12-12T10:39:47.559-08:00The ear infection case brought to memory what I fa...The ear infection case brought to memory what I faced in the nineties as a moonlighting ER physician. I was approached after coming to work one day, by a concerned nurse. There had been a child brought in with simple otitis media. His parents were given a prescription for Augmentin. The parents, allegedly, called back requesting a change in medication. You see, they lived in the Mississippi delta region. Like many others living there, they had no insurance and no way to pay for the $100+ prescription. The nurse approached me because she knew I listened to people! The previous doctor refused to change the medication. So, as result of his actions, the child was going to go untreated! (Arrogance in its best form!) I told the nurse to change it to Amoxil and tell the parents if the infection was not better in 48 hours to be seen again!<br /><br />As I sit here, in a pensive mood, I remember many other outrageous behaviors that contributed to poor patient care! Who make the decisions now anyway? It seems that one will always be second guessed by others, even your competition! One problem arises, when those decision makers are also your competition! But we all know that those doctor/scientist/politicians would never let their personal feelings dictate their actions in the, health care, political arena! NEVER! ;P<br /><br />p.s. Back then, one could get in trouble for "sending a patient home too soon" or "not doing enough lab work post-operatively" or doing to many of the surgical procedures in my private office! Believe me, what was thought to be good medicine during medical school and residency, out in the trenches, was called crazy by many of my esteemed fellow practitioners. I do not envy the young doctors just completing their training!Michaelnoreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-75930708785106519152009-12-12T09:57:48.199-08:002009-12-12T09:57:48.199-08:00What do you mean Washington is going to take away ...What do you mean Washington is going to take away our control? The insurance companies, along with Washington,DC has taken control over doctors' health care decisions long ago! Add to that, the actions of the politicians at the state medical board level, and you see them regulating the practice of many doctors, and destroying a few careers in the process. Licensing is probably part of the problem, but not too many physicians would agree with changing the system through licensing changes. But, not too many doctors disagree with the fact that we don't need more government red tape. I support the ideas that Dr Ron Paul espouses, myself!<br /><br />p.s. I made the mistake of trying to practice pain management and taking care of chronic pain patients! My advice to those who might think of practicing pain management.... DON'T DO IT!Michaelnoreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-40083729303136263542009-10-05T13:23:16.155-07:002009-10-05T13:23:16.155-07:00I like what you give as a solution. I have said fo...I like what you give as a solution. I have said for years that putting the expense of Health Insurance into a savings account would be far more advantageous. The amount I have paid out to Health Insurance companies for over 15 years of NEVER having any medical procedures done nor sick beyond the common cold or flu; I would have around $72,000 in savings. That's significant! Plus, the yearly physicals, prescriptions, and/or blood work that has been done are all paid for my ME...because I have NEVER even come close to meeting a deductible. I agree, that mandatory health insurance will create many more problems and heads us directly into socialized medicine. I have seen it first hand in Europe. It's horrible!Nisehttps://www.blogger.com/profile/14439095543934961156noreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-69344073930980993852009-09-06T11:22:57.493-07:002009-09-06T11:22:57.493-07:00From an email from Dave Ader:
To be brief, I adm...From an email from Dave Ader: <br /><br />To be brief, I admire you expressing your opinions. I think that some of your opinions on political economy are flawed. The most important of which is about the free market. We don't live in a free market economy. We never have. There has never been a nation that follows a free market economy. Never. Regardless if you think the free market is the way to go or not (I'm not arguing whether capitalism is good/bad etc), we don't live in a free market. Maybe the health care troubles (if they exist at all) would be improved in a free market, but we don't have that as an option, and it is unlikely that we will. I personally don't care about the health care debate- we all die. You asked for feedback, so I thought I would share. My advice: in your writing, be aware of the rhetoric that you use about political economy. Its just as easy to be swept along with the liberal tide of socialism as it is to be swept along with the tide of neo-liberal rhetoric on the benefits of the free market.Rusty Scalpelhttps://www.blogger.com/profile/00681041198691291774noreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-52415037559309864342009-08-31T20:50:21.446-07:002009-08-31T20:50:21.446-07:00Continued from an email from Lucas Martin:
The s...Continued from an email from Lucas Martin: <br /><br />The sad thing is that most of the increase in health insurance comes in two areas. The first is administrative expenses. Thats right, our dollars are going to pushing papers to negotiate the increasing complexity of the plan, not because doctors are charging more. The second area is end of life care, most expenditures in health care occur on individuals who pass away within the next six months (this is not a value statement one way or another, simply an observation).<br /><br />Proof that insurance does not help costs can be found by looking at procedures that are not covered by insurance companies...cosmetic surgery. Since consumers are paying for it out of their own pocket, they shop around. Doctors are more competitive, they need to be to attract the consumer, they develop cost saving techniques and increased skill to attract consumers. The net result is that the cost of cosmetic surgeries has decreased, while the quality and quantity of the services has increased. This, is true capitalism.I agree one hundred percent that the presidents plan is stupid, for many reasons. What I don't agree with is the approach of the attack, namely trying to use the insurance industry as a capitalistic enterprise when that is far from the case. The industry needs to represented as it is, a form of socialism, with a smattering of capitalism mixed in. The nature of the beast requires governmental intervention (as perfect information and capitalism demand).<br /><br />Anyway. My two bits. I enjoyed the read, and the mental workout.Rusty Scalpelhttps://www.blogger.com/profile/00681041198691291774noreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-43432318014738688352009-08-31T20:49:45.575-07:002009-08-31T20:49:45.575-07:00From an email from Lucas Martin:
I enjoyed the r...From an email from Lucas Martin: <br /><br />I enjoyed the read immensely. Just a couple of comments.<br /><br />Free Market and capitalism do no imply a lack of government involvement. At the heart of capitalistic theory lies the principle of rational decision making, the idea that consumers, who have perfect information, will make decisions in a largely rational manner. <br /><br />However, as the number of decisions increases, the ability of the consumer to have perfect information regarding a product decreases. Proof of this is found in consumer behavior and is used by economists to explain why some consumers pay so much for goods that are available for less elsewhere. The role of government is to level the playing field where appropriate to maximize perfect information on behalf of the consumer. One way they do this is through setting standards, minimums that products must meet to ensure they provide basic levels of care and satisfaction. <br /><br />Certain industries have worked to muddy the waters by creating products that are so complex they are virtually incomparable. Have you ever shopped around for health care? It is virtually impossible to compare plans and come out with any sense of which is "better". As profit margins shrink the plans only get worse, with additional items thrown in and taken away at a whim. (The credit card industry falls into the same category).Lets look at your lawnmower example. Imagine that you could not physically mow your lawn for medical reasons, and had to have one (or the city would cite you for having a crappy lawn). The lawnmowers you meet with all present you with complex mowing agreements. They can change the rates they charge at any time, can decide what is dropped from the service (nope, weed eating is no longer covered), and can break their contract with you on a whim. In fact, sometimes after paying the lawnmower man they wont even do the work. After you have hired them you cannot use their services until after 12 months have passed because you planted the lawn before you hired them. Plus if you plan the wrong kind of grass, or if you lawn has certain common weeds, they will not mow it (but still collect premiums). They will only mow the lawn when the grass is two feet tall and the city is threatening with a ticket (no preventative care mind you). Plus when you sign the contract to have the lawn mowed, you must choose a mower from our list, whether it is appropriate for your type of lawn or not. Plus, if you simply pay for someone to mow it for you and do not go through one of their contracts, you must pay them significantly more. That is the industry as it stands. It is not, in any way shape or form, capitalism.<br /><br />The insurance industry is not in fact capitalism. It is very much the opposite. There is no incentive to make rational decisions regarding healthcare. Those with insurance have much higher rates of consumption, because in most cases the out of pocket cost to the consumer is the same, regardless of the doctor they see. Cost of health care continues to skyrocket in part due to the negotiations of insurance companies, who hold the doctors and service providers...by the balls so to speak.Rusty Scalpelhttps://www.blogger.com/profile/00681041198691291774noreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-18911256866711001852009-08-21T15:58:15.204-07:002009-08-21T15:58:15.204-07:00I appreciate your comment and feel that you have r...I appreciate your comment and feel that you have represented my views accurately. I would love to see market-driven health care. I would also like to see a decrease in enrollment in both Mediare and Medicaid, although I do not think this is necessary for the market revolution.<br /><br />I also agree with your synopsis of how health insurance hampers consumerism in health care. Patients with health insurance are much less cost-conscious than they are in other aspects of their lives. Meanwhile, health care providers attempt to maximize reimbursement from insurance companies and the government. In such a situation, it is difficult to see how health care prices are going to come down.<br /><br />This is part of why I am such a fan of fee-for-service medical care. I am a strong advocate patients paying for services with cash and keeping a catastophic insurance plan, just in case. When patients directly pay for their procedures they are more likely to get low rates. In addition, providers are compelled to compete for prices.<br /><br />For example, in a former residence of ours, a member of my family needed an expensive surgery that would not be covered by insurance. We called our local hospital to get a quote for the surgery. It some work to get a quote, but we were able to get one. <br /><br />We then proceeded to call other hospitals and surgical centers in nearby towns, where we were able to find a center that would perform the procedure at less than a third than the quoted price of our local hospital. That's consumerism at work! But it get's better. We called back our local hospital with the other quotes and told them that we would like to do the surgery locally, but might be compelled by prices to go elsewhere. Our hospital countered by cutting their original quote by 40%- a savings of several thousands of dollars.<br /><br />So consumerism can take place in our current health care system, especially for patients who will offer cash upfront- it's just not streamlined for it. If I were to ask for any health care reform from Congress, I would ask for law requiring clinics and hospitals to publicly post their prices. I think this would go a long way toward regulating the market- not with cumbersome legalitites, but with old-fashioned consumerism.<br /><br />As for myself, I plan to open a fee-for-service practice. By accepting only payment from the customer (not accepting insurance), I can cut a sizable percentage of the costs from my clinic. I can avoid the headaches and extra staff needed for insurance billing and pass on the savings to my patients. They save money and my life is a whole lot easier.Rusty Scalpelhttps://www.blogger.com/profile/00681041198691291774noreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-70144060064011487882009-08-20T13:04:06.736-07:002009-08-20T13:04:06.736-07:00Rusty,
I've enjoyed perusing the articles yo...Rusty, <br /><br />I've enjoyed perusing the articles you've posted and find very little to disagree with. Your views are reasonable, logical, and ring true. <br /><br />The more I learn about the health care reform as envisioned by President Obama and Congress, the more I fail to see how it can possibly be sustainable. And yet, I feel the same way about health care as it currently stands.<br /><br />From reading your posts, this is what I understand of how you feel health care should IDEALLY be (Please correct anything that I've misunderstood):<br /><br />Health care, while important, is a good or commodity, not a right. Therefore it should be allowed to function under the principles of the free market. Without government influence, it will regulate itself to increase in both quality and accessibility. As in the example of apples, as the price of health care increases, more medical professionals will be attracted to the profession, driving the supply up and ultimately lowering the cost of healthcare due to the abundance of medical personnel and facilities offering services. <br /><br />This makes sense, but I have a hard time seeing how this would ever happen in our current situation, with price controls like medicare and medicaid in place. So, in your perfect world, these would be eliminated. Instead we would, say, keep the money we had been taxed to support government run programs, perhaps place it in a health care savings account, and use that to offset the costs of our healthcare needs.<br /><br /> So far, so good. But the healthcare system as it is set up now doesn't lend itself to a free market model. When I went to have a baby, the hospital didn't advertise "Epidurals, just $600, and anesthesia personnel available 24/7!" with the hospital across town saying "We'll give you an epidural for $350, and we'll throw in your episiotomy for free!" Most medical costs are very hidden. As the patient, all you know is the ultimate bill you pay after insurance. The "competition" isn't consumer driven. Instead prices are inflated by hospitals and medical providers to get as much money as possible from insurance companies that WILL pay in order to cover their losses from uncompensated care. Its a self destructive cycle that appears to have no end without LARGE health care reform. But even if that reform is to eliminate government programs, will that solve the problem? When people can't afford apples, they might buy oranges & save their money for when they REALLY need that apple. But when people can't afford health care, what do they do? What is your suggestion for those who are uninsured if health care were a free market? Because when people REALLY need healthcare, we give it to them regardless of their ability to pay, and that's expensive too.Jeff and Lorihttps://www.blogger.com/profile/10129293716014485319noreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-33935437647583176842009-08-15T16:01:42.136-07:002009-08-15T16:01:42.136-07:00Make your legislators afraid to step out in broad ...Make your legislators afraid to step out in broad daylight. Not with threats of menace or fear for their lives, but with glaring, absolute loathing from their constituency. Pound them at the town halls. Override server capacity with emails. Drown their phone lines. Let them know that their sellout to Party leadership and their betrayal of their constituency is an unforgivable sin. Let them know that they can never hope for your support once they sell your freedom. Help them to know that they will absolutely never again hold public trust or office, that they are enjoying their last political term and that public respect for them and their office is a thing long past. <br /><br />Rusty ScalpelRusty Scalpelhttps://www.blogger.com/profile/00681041198691291774noreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-82389103783928298722009-08-15T10:35:38.877-07:002009-08-15T10:35:38.877-07:00What can we do to stand up for our beliefs and may...What can we do to stand up for our beliefs and maybe make a difference if we know our Legislators are crooks and don't care about our opinions.Annehttps://www.blogger.com/profile/03429348521827648852noreply@blogger.comtag:blogger.com,1999:blog-5050104061645368543.post-17272808869358101662009-07-23T22:37:59.830-07:002009-07-23T22:37:59.830-07:00I wonder if Anonymous is opposed to ALL forms of w...I wonder if Anonymous is opposed to ALL forms of welfare? It seems to me that there will always exist a need for some form of welfare programs to help those passing through difficult times in their lives. Otherwise we would not see welfare programs existing in such institutions as churches, for example.<br /><br />Is it the welfare programs that offend Anonymous or those abusers of the welfare programs? In some welfare programs the user is required to do some form of labor for the help he/she receives. Is it fair to compare an abuser of the welfare program, someone who sees it as a free meal ticket, to someone who is actively bettering themself to an end that will benefit the institution to which the welfare program belongs. Isn't this a fair trade?<br /><br />And why would participating in a welfare program necessarily bind the participant to future payback into the system? Why does Anonymous think it necessary to avoid using welfare programs in order that he may refuse assistance to those who will inevitably need his help in the future but are participants in a welfare program. Couldn't he discriminate between those who are using the welfare program in a manner that is beneficial from those who abuse it? Or couldn't Anonymous pass the goodwill along by providing free services to others or must he/she feel obligated to help future participants in the welfare program because of his/her past participation?<br /><br />That's a lot of rhetoric.Mikehttps://www.blogger.com/profile/15544188629901059373noreply@blogger.com