All I know is that doctors are smart and most are well read on current medical trends and technology. I want them to use their mind. If I have some cancer and the doc has some crazy idea that he/she thinks could help, Im game.

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On Sep 25, 2009, at 12:35 PM, Bret Dodson <[email protected]> wrote:

Sounds like you and I are in fairly close agreement. I want to see reform that holds insurers accountable.

You're being too liberal. Doctors don't know all (trust me) they need reasonable boundaries to work within. Also there are times when you are going to die no matter how much technology gets thrown at you.

My hope is these boundaries and limits are set by folks who don't have a financial hand in the pot.

Tort reform would be great but is not going to happen.

Bret
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On Sep 25, 2009, at 9:19 AM, Casey Wheeler <[email protected]> wrote:

I am confident in my views, my experince and research prove it to be correct. But, I don't think the syste is without issues that need to be resolved. You should not be able to be dropped once you contract a disease. Docotrs should be able to prescrib exactly what the want for a patient. This experimental stuff is BS. I come across in my job as well, and as you stated, it occurs within standard procedural operations. These as well as the INS across state lines, tort reform etc etc would make a huge difference in not only peoples satisfaction with the business, as well as bring the cost down.

Free market always creates the best policy.

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On Sep 25, 2009, at 11:05 AM, Bret Dodson <[email protected]> wrote:

Wow Casey you're pretty confident of your health and coverage.

Here is something I see all the time working at one of the largest cancer research institutions in the world.

Suppose you get cancer. Your insurance will probably cover a first round of standard treatment. What if that doesn't work? Or, what if your doctors (you'll have several) think your best option is something the insurance companies consider "experimental" (they try to consider bunches of typical treatments "experimental" even though they have been standard treatment for years). This "experimental" treatment gets paid by you.

At my employer, patients need to come to their first appointment with two things: information on their past treatment and six figures of cash.

Yes, this is heartbraking. I suppose all the people against reforming healthcare without $100,000+ cash sitting within easy reach would be good citizens and let themselves die.

Not me, but I at least respect their dedication.

I'm driving the Miata today. It makes all the pediatric patients smile.
Bret

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On Sep 25, 2009, at 5:59 AM, Casey Wheeler <[email protected]> wrote:

Jim is absolutly correct and probably makes the point better than I did. Most people have health conditions due to their own choices. Furthermore, people without ins. Don't have ins. by their own doing. The people that "need" social healthcare are the people who are most apathetic. We all have the freedom and choice to take this path or another. If people make better choices, life is better/easier. Our society has become so.... So lazy, pathetic, apathtic... Something, I can't find the right description... Take some personal responsibility and handle your business.

Casey

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On Sep 25, 2009, at 8:18 AM, [email protected] wrote:

I decided I must weigh in on this one after all. I do work at the largest hospital in my immediate area, which just happens to be the only for profit hospital in southern Arizona. My observations are first hand, not something I've seen on TV or read about.

I don't honestly believe we have a 'healthcare' crisis. I believe that we do have a 'wellness' crisis. More accurately, a lack of wellness crisis. The vast majority of the patients I see in the healthcare system are sick due to their own lifestyle choices. We have an entire generation of citizens who think that they are owed everything: police protection, fire protection, healthcare, etc. Personal responsibility is way undervalued by our current culture.

Numerous hospitalizations could be avoided entirely by simply getting an annual physical exam where the physician has the opportunity to catch the signals of a possible or impending issue and take preemptive measures.

'You are what you eat' is a manta of any good cardiac rehab program. However, if adopted as a normal part of one's life, it could have been what keep you out of cardiac care in the first place.

I don't think I need to point out the shift to a sedentary lifestyle that the vast majority of people have adopted.

Practicing wellness is hard work. Most people would much prefer to ignore good lifestyle choices and then push the responsibility for their well being off onto someone else.

Jim in Tucson






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