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	<title>Comments on: Breaking the Doctor-Patient Relationship (Limiting Individual Prerogatives, Part 3)</title>
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	<link>http://covertrationingblog.com/restraining-individual-prerogatives/breaking-the-doctor-patient-relationship-limiting-individual-prerogatives-part-3</link>
	<description>Healthcare Rationing in America</description>
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		<title>By: Danielle</title>
		<link>http://covertrationingblog.com/restraining-individual-prerogatives/breaking-the-doctor-patient-relationship-limiting-individual-prerogatives-part-3/comment-page-1#comment-23086</link>
		<dc:creator>Danielle</dc:creator>
		<pubDate>Mon, 30 Apr 2012 19:11:07 +0000</pubDate>
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		<description>I personally would forgo a self-pay only physician. 
It&#039;s a major legal and ethical issue. 

The concern here isn’t only money, but also the quality of care and the standards consumers are assured of when they purchace insurance through agents which act on their behalf. 
there are two groups who know more about medical procedures then me...my Dr. and my insurance provider.  
Who are these self-pay or hybrid doctotors held accountable to for their services or lack of ?
This  may seem appealing to a patient, however, the discretion of care, and billing is left soley to the physisian whom the patient is reliant upon to provide a service and fairly bill 
for the service. 
It is especially concerning in the mental health field where it appears the majority of therapists and physcatrists who require a patient to use them a a “team” in order to receive care. 
What if you need to work with a Dr. in another specialty which take insurance and requires a diagnosis which comes a lil to late cause your self-pay Dr. is lining his pocket? 
Self pay Dr.s force you into a contract with them. Soley. And they gave up practicing medicine with insurance co.&#039;s for their own overhead! 
Does this not leave open a door for pateints who “doctor shop”?
Is is not more difficult to identify Physicans who “patient shop”? 
We already have an epidemic of individuals and physicans who sell and buy narcotic perscription drugs?
Are other physicans who accept insurance “paying the price” for these physicans who have found a way through the “red tape” which will affect stantads of care if it continues? 

Come across one who does u dirty? Make him/her use their liability insurance!</description>
		<content:encoded><![CDATA[<p>I personally would forgo a self-pay only physician.<br />
It&#8217;s a major legal and ethical issue. </p>
<p>The concern here isn’t only money, but also the quality of care and the standards consumers are assured of when they purchace insurance through agents which act on their behalf.<br />
there are two groups who know more about medical procedures then me&#8230;my Dr. and my insurance provider.<br />
Who are these self-pay or hybrid doctotors held accountable to for their services or lack of ?<br />
This  may seem appealing to a patient, however, the discretion of care, and billing is left soley to the physisian whom the patient is reliant upon to provide a service and fairly bill<br />
for the service.<br />
It is especially concerning in the mental health field where it appears the majority of therapists and physcatrists who require a patient to use them a a “team” in order to receive care.<br />
What if you need to work with a Dr. in another specialty which take insurance and requires a diagnosis which comes a lil to late cause your self-pay Dr. is lining his pocket?<br />
Self pay Dr.s force you into a contract with them. Soley. And they gave up practicing medicine with insurance co.&#8217;s for their own overhead!<br />
Does this not leave open a door for pateints who “doctor shop”?<br />
Is is not more difficult to identify Physicans who “patient shop”?<br />
We already have an epidemic of individuals and physicans who sell and buy narcotic perscription drugs?<br />
Are other physicans who accept insurance “paying the price” for these physicans who have found a way through the “red tape” which will affect stantads of care if it continues? </p>
<p>Come across one who does u dirty? Make him/her use their liability insurance!</p>
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		<title>By: primary care physicians at risk, doctors packing heat</title>
		<link>http://covertrationingblog.com/restraining-individual-prerogatives/breaking-the-doctor-patient-relationship-limiting-individual-prerogatives-part-3/comment-page-1#comment-12097</link>
		<dc:creator>primary care physicians at risk, doctors packing heat</dc:creator>
		<pubDate>Wed, 29 Sep 2010 15:26:24 +0000</pubDate>
		<guid isPermaLink="false">http://covertrationingblog.com/?p=81#comment-12097</guid>
		<description>[...] at the bedside. This new ethical obligation officially drives a stake into the heart of the classic doctor-patient relationship, and is an abject admission that the practice of medicine no longer constitutes a real [...]</description>
		<content:encoded><![CDATA[<p>[...] at the bedside. This new ethical obligation officially drives a stake into the heart of the classic doctor-patient relationship, and is an abject admission that the practice of medicine no longer constitutes a real [...]</p>
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		<title>By: PCPs: We Are The Borg. Prepare To Be Assimilated.</title>
		<link>http://covertrationingblog.com/restraining-individual-prerogatives/breaking-the-doctor-patient-relationship-limiting-individual-prerogatives-part-3/comment-page-1#comment-11083</link>
		<dc:creator>PCPs: We Are The Borg. Prepare To Be Assimilated.</dc:creator>
		<pubDate>Sun, 05 Sep 2010 02:16:14 +0000</pubDate>
		<guid isPermaLink="false">http://covertrationingblog.com/?p=81#comment-11083</guid>
		<description>[...] profession&#8217;s real moral obligation, which is to your patients &#8211; you had better act now, before it becomes a federal crime to do so.      &#171; Why We Still See Sudden Death in Young Athletes        You can leave a [...]</description>
		<content:encoded><![CDATA[<p>[...] profession&#8217;s real moral obligation, which is to your patients &#8211; you had better act now, before it becomes a federal crime to do so.      &laquo; Why We Still See Sudden Death in Young Athletes        You can leave a [...]</p>
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		<title>By: Retainer medicine and medical students &#171; The Notwithstanding Blog</title>
		<link>http://covertrationingblog.com/restraining-individual-prerogatives/breaking-the-doctor-patient-relationship-limiting-individual-prerogatives-part-3/comment-page-1#comment-9840</link>
		<dc:creator>Retainer medicine and medical students &#171; The Notwithstanding Blog</dc:creator>
		<pubDate>Tue, 24 Aug 2010 19:59:14 +0000</pubDate>
		<guid isPermaLink="false">http://covertrationingblog.com/?p=81#comment-9840</guid>
		<description>[...] While it&#8217;s too early to talk meaningfully about a specialty decision (though you&#8217;re more than welcome to start a betting pool&#8230;) it&#8217;s not too early for me to say this:  the only way I would seriously consider paediatrics, general internal medicine, or family practice residency in the US is if the retainer model of practice is still viable when it comes time to decide (i.e. hasn&#8217;t been banned by law or marginalized by organized medicine). [...]</description>
		<content:encoded><![CDATA[<p>[...] While it&#8217;s too early to talk meaningfully about a specialty decision (though you&#8217;re more than welcome to start a betting pool&#8230;) it&#8217;s not too early for me to say this:  the only way I would seriously consider paediatrics, general internal medicine, or family practice residency in the US is if the retainer model of practice is still viable when it comes time to decide (i.e. hasn&#8217;t been banned by law or marginalized by organized medicine). [...]</p>
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