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06-20-2011, 05:44 AM   #16
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QuoteOriginally posted by Rondec Quote
Statistics vary depending on where you look. The CDC assumes a rate of 5 percent (although where they get that number from, I don't know).

MRSA is a problem in a variety of places where people are housed close together. It is a problem in boot camps, prisons and jails, and even on sporting teams. It is surprising how prevalent it really is in the community at large and all it takes is one individual in close proximity to others to spread it.

Emergency departments want to move people on, they really don't care if that is to admit patients or to send them home. At the same time, hospitalists are paid salaries that do not increase if their daily census increases. They would rather keep volumes low rather than high.
CDC "assumes" that rate in some of their papers, but never states that as a fact. If you look at the statistics, it is much higher. It is also higher all over the industrial world.

As I said, I do not believe that many people are admitted to generate revenues. Almost everyone in the system receives incentives in the opposite direction. However, if you get your treatment in the hospital, you are still much more likely to stay there than to be sent to the hospital by an outside provider. In addition, different parties may or may not be using hospitalization statistics the same way. If you spend a full night in the ER (happened to me three times, either for myself of someone I was with), you may not be "admitted" for some statistical purposes, but you have been "hospitalized" in some sense.

When I was young, I remember my father passed a kidney stone. His long-time doctor came to the house and gave him pain medicine, examined him and told him that if it hadn't passed in a few days, to come to the hospital. I, and everyone I know who has suffered the intense pain of a kidney stone has ended up in the ER, often in an ambulance. I wonder which is really more efficient?


Last edited by GeneV; 06-20-2011 at 06:13 AM.
06-28-2011, 04:37 AM   #17
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professionalism

Some of the replies on this topic complain that doctors are money rather than patient oriented. Do they expect to be treated for free? How do you expect the doctor to derive an income? Why did the doctor bother spending the best years of his youth studying, to work in a high stress and responsibility environment? To work for free for some ingrate? Remember, the doctor has to pay rent, staff etc.
Here in Australia, we seem to have a problem across the professions of little respect being shown for those who have chosen to become professionals. The biggest offenders are those who contribute the least to society. In Australia, they are classed as dole bludgers. These ungrateful vermin get heaps of perks, refuse to work,EXPECT to be treated like royalty, yet treat others, including doctors and dentists(such as myself) like ^%#@ and still claim to be underprivileged. Poor little dearies, boo hoo hoo. Here in Australia, these ungrateful bums are actually better off with all the perks they get than many people working! and no stress-they do not have to worry about losing their jobs because they do not have one! This is why we get so called refugees bypassing nearer countries to "escape" to and head for our shores.
The rationing type defects in the American medical system are a symptom of society itself. There just is not the funding because total productivity of the society as a whole is less than what is consumed, so the cracks have to open up somewhere. You will be pleased to note that the same sort of problem is occurring in Australia - we too consume far more than we produce.
If doctors and other professionals are treated better both in remuneration and respect, then they will be able to behave more professionally.Only a ratbag socialist, brain dead bureaucrat or &%#$%^^& would EXPECT their doctor or dentist to work for a loss.
06-28-2011, 06:14 AM   #18
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No one seriously expects a doctor to work for free or at a loss. However, our system already, even through insurance, sometimes expects a loss on one service to be made up by a profit on another. It is true of insurance companies and lawyers or just about anyone else with whom they do business.

However, the problem we have in the U.S. is different from other countries in that we spend way, way more and get much less. I have posted before that I believe that doctors' direct fees are not the major source of this problem. Doctors' net compensation is only about 10% of the total of our costs. Do American doctors get paid too much? - By Christopher Beam - Slate Magazine The median salary of a family doctor is $137,000, and the median anesthesiologist makes $260,000. Given the training and expense of becoming a doctor, I'm not as concerned about that expense as the myriad of other middle men and costs that seem to mount to form a system that is draining us dry.
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