How do we get people to stop using the ER as a clinic?
The much less expensive practise of preventive medicine.
How do we do that?
Everyone has health insurance
Preventative medicine is the best way to keep health care costs down. Catch a problem before it turns into a costly emergency room visit. Until then, those with health insurance will continue to pay for those who don't. HMO's PPO's and every other kind of "O" don't want that though. Why?
Because the status quo is what earns them huge profits. ER visits are not bankrupting folks, organized insurance companies are.
How does this answer the question of how to classify the cases into real emergency or non-emergency?There are plenty of public clinics to handle cases who cannot pay much. The problem (in many cases, based on experience working in public hospitals) is that these patients don't really want to fill out the paperwork and wait. In a public health system, people will pay with their time.
Doctors did nothing when the insurance companies lobbied for laws that made this process illegal (because people were paying a cheaper cash price and they didn't like that.)
Some doctors charge $600.00 FOR A SINGLE OFFICE VISIT. This is bull****. It's excessive and it shows a lack of regard for the common working man. It makes care prohibitively expensive.
Doctors in this group deserve no mercy. Doctors in the other group do not usually find themselves on the receiving end of a lawsuit.
Malpractice insurance premiums are up 60% since 2000.
Right there: government and lawyers. To primary causes of healthcare cost increase. If physicians solely practiced medicine with patients covered by medicare/medicaid, they would be unable to pay office overhead and malpractice insurance and then take enough home as salary amounting to more than minimum wage base on a 50 hr work week. Just for reference, I work between 70 and 90 hours a week.
I agree, physician fees have gone up, but take home salary has dropped precipitously over the last 10 years. i.e. we make substantially less. However, payouts gained by plaintiffs in frivolous litigation has never been higher.
As a Minnesotan I would like to apologize for Pawlenty. We're not really sure how that asshole got into office.
One of you will end up here next!
The height of wisdom is to say, "I do not know." -Socrates
The ER should be steered from and left free to deal with serious emergencies - if a patient that was directed to the neighboring walk-in clinic turns out to be an emergency then the ER is right next door to readmit quickly.
It should be In = paperwork, check you in = analyze you = directed to emergency or non-emergency area as needed.
Last edited by Aunt Spiker; 03-01-10 at 09:01 AM.
A screaming comes across the sky.
It has happened before, but there is nothing to compare it to now.Pynchon - Gravity's Rainbow