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	Recovery Room Deplorable Aspects Of Healthcare Needing Redemption Recovery room is a page reserved for current medical care topics and health care system problems that are hotly debated, embedded with questions, and absolutely disturbing to any patient.  They directly or indirectly affect quality of medical care for everyone.  I choose healthcare topics that I consider to be presented to the public in a warped and misleading fashion and ones that I intend to bring into a more realistic view.   At least you will have one doctor's opinion that should make you think! Issue # 3:  (see article archives for previous issues) “No Doctors Left…….You Asked For It” Impossible gibberish?  Physicians aren’t dumb.  Actually, they’re smart enough not to bet on a lame horse regardless of their intellectual prowess, their passion for relieving human suffering through medical care, and their instinctual driving force to make a difference in our sick world. Denial of the impending destruction of the once highly regarded medical profession will not get you into heaven.  An empowering consciousness of the need to prevent any group, government, or president from field stripping physicians of their integrity and mission, will.  And, don’t try to rationalize your support for a new “controlled” healthcare system by disregarding your glaring responsibility for helping to cause the disappearance of medical doctors in this country.  A.  You are responsible for undermining the medical profession by not voting out of office any state legislature, senator or congressman, who has voted against a proposed law for capping the massive medical malpractice verdicts on “pain and suffering” in the great majority of the States across the United States.  This also includes those elected to government positions that intentionally speak out for a national medical system or in any way interfere with the passage of a “cap” law.  Blame yourself. Solution: Force your state legislature to pass a cap law on medical malpractice. B.  You are responsible for utter exploitation of medical malpractice laws which allow for bringing frivolous law-suits against physicians because of your personal greed to bankroll your existence.  Even the ones that are thrown out of court aren’t without cost.  It costs a minimum of $50,000 just to resolve the dispute out of court in frivolous suits.  For a bit of bribe money (like 50K) from the malpractice insurers of physicians, many patients will drop their case against doctors when it is likely the patient would lose the case in trial.  But, it’s worth it for malpractice insurers to pay the 50k to the patient to avoid paying over $200,000+ cost of taking it through trial where the patient will lose anyway. This money comes out of the pockets of physicians who pay the outrageous insurance premiums.  The outrageous premiums originate because of insurance company risks of payouts on uncontrollable jury awards (when no caps on Pain and suffering). If you are aware of the fact that this whole 40 year debate is about putting a legal cap on the one single part of the medical malpractice law concerning trial jury verdicts………..not the rest of the award given for the medical care of the patient’s full recovery from that injury.  The rest of the award is specifically for the legitimate more than adequate recovery costs for the patient’s injuries.  This amount all physicians agree is fair and proper.  This revelation about the law might straighten out your misconceptions generated in the public domain. Pain and Suffering is only a part of the award and is the part that is given to a patient because of what that jury considers appropriate for the psychologic trauma the patient had.  It’s a wild guessing game as to what value it should have and is usually based on strict emotional sympathy on the part of the jurors.  That emotional sympathy varies from day to day and jury to jury.  One day it’s worth one million dollars and on another day it could be viewed as seven million dollars or more.  Depending on how many tears fall and how the plaintiff attorney describes the devastating effects on the patient, the jury will respond from the heart, not of a reasonable mind.  Solution: Tell your legislature what you think, then, take what you get--- and vote for another next time if they disagree.   C.  You are responsible for the increasing costs of healthcare to yourself and those who are paying for your health insurance—without a doubt.  Why do you think doctors are “easy” to get to comply with your demands for extra tests, procedures, and medical attention?  Why do you think physicians incessantly order medical tests and medical procedures which increase health care costs and might not be necessary? Wake up people!  It’s called practicing “defensive” medicine.  In case you can’t quite understand what that means, let me clue you in.  If you suddenly discover someone might file a lawsuit against you, big enough to guarantee you bankruptcy and loss of everything you built in your life, would you do everything you could to prevent that disaster?  That’s exactly what doctors do in our present environment every time they treat a patient.  Yes—it’s because of survival mode, whether you believe it or not.   The extra tests and procedures are the only means a physician has of covering all, or at least some of, the bases to avoid missing a hidden medical problem that might result in a malpractice suit. Knowing that patients are quick to bring malpractice suits against them, any physician in their right mind will titrate the intensity of defensive measures they intend to use to the level of risk associated with their specialty as well as their personal views and beliefs about risk-taking. Solution: Demand medical malpractice laws be changed to parallel that of California and a select few other states who are already protecting doctors who practice there. Lenient malpractice laws favoring patients and high jury sympathetic verdicts with no “caps” should be legally stopped.  Call your state congressmen and demand results. D. You are responsible for the physician shortage and here’s why.  Patients are quick to file suits against doctors.  Juries are allowed to then award patients unbelievably high awards.  As a result the malpractice insurers pay out the awards and that necessitates huge increases in the premiums to physicians.  In turn, physicians can’t afford to pay the exaggerated malpractice insurance premiums in that state.  Physicians then have 2 reasonable choices.  Move to a different state to practice (like has been happening in Mass., NV, and PA) or quit medical practice completely. Solution: Change the state malpractice laws and the catastrophic sequence of events above won’t happen.  Force state congressmen to comply with your voting power.   E.    You are responsible for increased healthcare costs relative to your personal medical care.  Patients now demand special medications, second opinions, special medical and surgical procedures, among others, which if the doctor refuses to comply with because he/she feels it’s unnecessary, usually means the patient will go elsewhere for medical care.  The practice loses a patient.  Another issue with a demand by a patient is; if the doctor refuses to do what the patient requests, and the patient suffers as a consequence of the doctor not agreeing to the request(s), a malpractice suit might occur.  So, what do they do?  They usually agree to the patient’s demands.  In addition, in doing so the doctor violates medical ethics for doing something that isn’t necessary for proper medical care and violates his or her professional duties and beliefs—knowingly! And, the cost of medical care goes up further. Solution: Don’t corner your doctor with demands.  Try negotiating first and asking “why not” follow your requests.  If this is a problem for you, it means you don’t trust your doctor in the first place—so find one you can trust. Why, soon, there won’t be any doctors left: Does it worry you that physicians are disappearing from medical care in droves these days?  They are!  Many are retiring 20 years sooner than was usual only a few years ago.  Some quit the high risk specialties or limit their practice to low-risk patients (like OB-GYN, and surgical specialties).   Increasing numbers are hiding in managed care groups on a nine to five basis.    Major reasons why doctors quit practice:   Medical malpractice premiums unaffordable.   Increasing medical fee restrictions by the government to the point where practice will fail.   Refusal to participate in the socialized medicine way of practice.   Practice income less than the manager of fast food restaurant without much education.   Lifestyle they expected not happening in medical practice.   Able to earn much more money at much less risk in other professions.   Future of medical practice insecure and increasingly disappointing. Major reasons why American students won’t enter the medical profession in the future: Cost of medical education at graduation from medical school leaves an outstanding debt of $150,000+ the day they start practice.  Trouble recruiting medical students.   Medical Practice incomes dropping steadily across the nation—outlook poor.   New generation doctors prefer free time to best income—steer away from medicine.   Half of medical school classes are women and 50% of those go into part time medical practice leaving a large vacuum of full time doctors.   Difficult education to complete—coupled with incomes not appropriate for educational status afterwards.    Foreign students are willing and able to tolerate medical education and practice under any compromises or circumstances.  So why would American students bother. What does the future of medical care look like? To sort out a clearer view of where healthcare is going, it sometimes is easier to ask yourself some questions like these: Why would any student choose the medical profession knowing that they have to look forward to living and practicing with: State governments who have no intention ever to change the medical malpractice laws to benefit physicians—a continuous risk that will never change. (most congressmen are attorneys that need their cash cow kept in the barn)   A long run (medical education) for a short slide (low middle class income) unless family wealth is available.   Increasing complexity of medical knowledge and medical practice where no physician knows everything—yet patients expect them to.   No education about running a medical practice (small business).  Have to learn it all on their own time and expense.   No education on the topic of marketing a medical practice and business.  Have to learn it all on their own (called on the job training/education). My personal prognosis for future healthcare:   1.  Socialized medicine will be initiated into our country in spite of major public objections to a national healthcare law simply because the power of our government is well beyond any public or voter control any more.   2.  Expect huge numbers of physicians to quit practice across this country—maybe as much as 30 % as soon as the healthcare law is signed.   3.  Your health care will be managed primarily by mid-level providers, from nurses to nurse practitioners, which is already happening.   4.  Physicians will be available only for consultations or procedures which cannot be performed by lower level healthcare providers.  Allowed practices by these non-physician health providers will be expanded to a great degree including surgical procedures.   5.  The numbers of foreign medical doctors will increase to make up for the  absence of American doctors in the profession.   6.  Charitable medical care functions will disappear because government controlled healthcare will put them out of business.   7.  Private medical practice will survive to a minimal degree.  Thank God that kind of physician still exists.    The author, Curt Graham, is a medical doctor, marketer, copywriter, author, speaker who has written extensively over his 35 plus years in active medical practice.  He is a published author in Modern Physician, and is credited as an expert author by web article directories and self help websites including selfgrowth.com.  Discover how to avoid the barriers to top healthcare……Click Here NOW!               http://www.healthcare-toolbox.com Please feel free to copy, send, or distribute this article as long as the article is not changed, and the resource box is included as written.  © Copyright 2008 L & C Internet Enterprises, Inc. All Rights Reserved.   Word Count = 1807 Keywords = healthcare,medical malpractice verdicts,healthcare system,malpractice insurers,medical malpractice,health care costs,cost of medical care,medical ethics,medical fee restrictions,socialized medicine,cost of medical education,medical schools,private medical practice.
You may feel like the healthcare system sky is falling on you personally and all you can do is duck.                 -Asclepius- Mythical Roman god of health and healing.
	Curt Graham, M.D., L & C Internet Enterprises, Inc. 2404 Mason Ave.  Las Vegas, NV 89102 E-mail = cgmdrx(at)gmail.com       © Copyright 2004-2011  Curtis Graham, M.D., L & C Internet Enterprises, Inc.  All Rights Reserved.