1040AM, in NYS. It's about 12:15 Pm. The people on the show (didn't get the name of the show) are talking about a childrens hospital who had about
120 pediatric patients, needing care. They contacted ACA about all of them. They got about
20 replies, of any kind. 12 of those had approval or not, and 8 were disapproved. They may have a podcast if some one wants to get the rest of the details.
Sadly, the people in power are not as honorable as yourself.
Nothing lethal, but English is not my first language. Almost all medical books are in English, unless you want to fool around with acupuncture and homeopathy. I don't, so my grasp of English is probably OK.
Yep. What I said.
//"Speaking as a MD, I believe that if someone is taking prescription medication for a chronic condition, and that condition is being well controlled (no medication side effects and no detectable damage to any organ system from the chronic condition), that person should be considered healthy. (Examples might include well controlled high blood pressure and well controlled high blood cholesterol if they were diagnosed and managed soon after onset - among some other chronic conditions.) "//
I did the inverse of your logic.
"Examples might include well controlled .....cholesterol if they were diagnosed and managed soon after onset ."
And if they were not ? I often get patients that have had high cholesterol for decades with little organic damage. Like I said, you chose a bad example. Cholesterol levels are a minor factor in vascular disease. Not what the drug companies want us to believe. GENETICS, smoking, Obesity, High Blood Pressure, Diabetes, severe alcoholism, and sedentarism play much bigger roles. I consider stress a secondary factor as it might cause any of the above, minus genetics.Did I forget any ? []'s
Sorry Kurt. I never said I was Army (and never was). As a practitioner I didn't have direct control over my office's budget.
Most of my career was Navy. When I became a bureaucrat, I had almost total control over what was paid for and what was not. My annual research budget at one point was about $20M/yr, and that was mid 1990s $$. Later on, I had final say-so (known as second level review) over whether others could or could not spend money from their own budgets and the sum of those budgets collectively totaled several hundred $M/yr. It was a great assignment. I had a lot of authority but very little responsibility.
Our comments are tangential to each others' comments, not directly addressing them. I didn't mean to imply that high serum cholesterol, even if uncontrolled, is a debilitating condition. I was indicating that I disagreed with the OP, who seemed to believe that a person chronically taking a prescription drug for a chronic condition (note: I'm saying "condition" and not "disease" or "disability") IS by definition "unhealthy".
I completely agree with the details of your most recent reply. High cholesterol is being used both by big Pharma (not surprising), and seems to be accepted by the FDA (rather surprising) as a valid surrogate marker for cardiovascular disease and although there strong evidence to support an association between the two, I'm not convinced that high cholesterol is the cause. Both my parents ate a diet high in total fat and saturated fat. Both were extremely sedentary. Both had marginally controlled hypertension. Both had total serum cholesterol readings in the high 200s. Neither ever had any signs or symptoms of cerebrovascular or cardiovascular disease. Both died in their early 90s of non-cardiovascular causes. I agree that genetics is by far the most significant factor in an individual's likelihood of developing serious cardiovascular disease.
There is no such thing as an "insurance company that is unable to pay for medicine". When they say that, they mean it might affect how much cocaine they can buy at the next office party. Which is why I always say, if there is ever a possibility of a public health plan, choose that. Only private health insurance will limit what a doctor prescribes. []'s
I disappear for months at a time, to places where the internet does not shine.
Sounds too much like work to me.
Yep. Confirmed - Work. I'd rather download MP3's or go snorkeling. I'm not very good out of water. 3 spinal fractures, one of which is unstable, and a badly set foot fracture, which is painful if I walk for > 30 minutes.
One of my grandmothers lived alone until she was 96. Great cook, good housekeeper. Then she fell, had neurological complications during the "hip" surgery and only lasted another 7 years ... at first she thought I was her son, but towards the end she convinced herself I was her husband. My +- 95 year old Uncle recently had his colostomy reversed, because he "was tired of changing the bag". He had a malignant tumor removed when he was 90. All relatives mentioned used state medicine, except my father. He would pay private doctors that told him a liter of whiskey a day was not "too much". []'s
Hi, If that is the case for you you may be one exception or one of a kind. Or you are just kidding. I am just ordinary trying my best in life. When St Paul asks password at the destination gate, my answer? "I tried my best" Honestly we hardly ever set a foot at McD. We hardly consume red meat. We and our kids grew up that way.
My roommate owns the house and he travels between here and another county where his daughter, her husband and his other family members reside. I suppose "housemate" would be a more accurate term. I just got off the phone with him where he's on the road heading for a service call in a city west of here to let him know I snagged a bid for another job in a town near to his family home. I went on a service call with JH yesterday to setup a big network printer at a daycare center. I know a lot more about computers than he does and the service call didn't require climbing ladders or crawling around on the floor. I try to get out in the field as often as I can because I must move around, I can't just sit around. ^_^
That is nonsense. MCare and MCaid has also turned people down for treatments and other things that the PTB at Center For Medicare?Medicaid Studies (the people who make the decisions) decided they wouldn't pay for.
Well... as far as the military heath system is concerned... not completely so. The doc may prescribe what he/she feels is best, but whether or not the patient has easy and economical access to the med is a much more complicated issue.
Military pharmacies have formularies of what they keep in inventory to dispense and what they don't. The military MD can prescribe a med not on the pharmacy formulary list and try to make a case to the pharmacy for a special purchase for that patient. If successful, the drug will be obtained and dispensed without cost to the patient. If unsuccessful, and the doc still feels that specific drug is a "must have", he/she can write a prescription, provide it to the patient, and the patient might be able to fill it at minimal cost at the military mail order pharmacy if it is on their formulary. If not, the patient will have to fill it at a civilian pharmacy and there's a complicated chart to determine the Tricare (the DoD's health insurance program) copay for a 30 day or less supply.
So, at least considering the military's health plan, the doc can prescribe ad lib, but that doesn't mean that the patient gets it for free before leaving the building. Many times yes, sometimes no.
I don't have the specifics, but I'm sure that the insurance companies don't have unlimited money like you suggest. Or more correctly, that they are buying [street] drugs instead of [prescribed patient] medicine.
Well, he's not as bad as I thought then. That is one tiny step in the right direction. Maybe there IS hope of change. A country that would rather spend money killing people than healing them is very sick indeed. Maybe one day you will have no military at all, and the USA will be admired by the rest of the world. []'s
More or less the same here. If its WHO recommended, they get it free. If it is very expensive, local specialist hospitals can get it for you (as in cancer drugs) for free, but you would have to go to a specialist. If it's one of those super-duper new experimental drugs, that give you a nice tour in Europe, chances would be slight. The trouble is that there is a lot of WHO stuff that should not even be on the list, and that were bribed in ..... Lula implanted the best scheme, where you pay a small amount. Drugs costing 100 dollars can be had for less than 5 dollars at pharmacies with a federal government contract. People are less likely to throw stuff away if they have to pay for it, however little the cost. I sometimes take atenolol. Twenty 50mg pills cost just over a dollar, and I can buy up to 3 boxes a month. The prescription is registered in a central database, so people do not resell the drugs. []'s
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