Jihad needs scientists
in [Design]
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From: jmfbahciv on 12 Nov 2006 08:49 In article <e96cl2tviek822ftetj8rtphkkoold1oqe(a)4ax.com>, Ben Newsam <ben.newsam(a)ukonline.co.uk> wrote: >On Sat, 11 Nov 06 12:24:58 GMT, jmfbahciv(a)aol.com wrote: >>In article <kkcal2ll82lsuqk1pk5uanjcat876o49ei(a)4ax.com>, >> Ben Newsam <ben.newsam(a)ukonline.co.uk> wrote: >>>AFAIAC, the biggest advantage of our (UK) system isn't the quality of >>>the service, although it is very good at day to day stuff like mending >>>broken bits and plugging leaks, but the peace of mind that comes from >>>not having to worry about whether one is covered or not. If you need >>>to see a doctor, you go and see a doctor, and if you need treatment, >>>you get it. It's as simple as that. Yes, of course the system is >>>strapped for cash, and certain treatments and drugs aren't available >>>on the National Health, but that will always be the case with whatever >>>system is in place, whether public or private. >> >>And how do you find a doctor? Are you assigned to a doctor >>who has to OK other specialists' services? Can you walk into >>a cardiologist's office and get treated or do you have to >>be "vetted" through a series of physicians' offices and labs >>to get to that heart doctor? > >You register with a GP, although you could get treatment anywhere as a >"temporary patient". In towns and cities, most GPs work in bunches in >"Health centres" rather than being singletons. For instance, my local >surgery has about 6 doctors, a practice nurse, and a few other health >workers and receptionists and so on. I make an appointment (or if >immobile, I ask to be visited at home), and then if further treatment >is required, an appointment is made at an outpatients' clinic at the >hospital. Drugs are not paid for individually, but a standard charge >is made for each prescription issued, although the young, the old and >the unemployed do not pay that charge. How do you get a new GP if you are unhappy with yours? Will that new GP take new patients? If s/he doesn't, where do you go? /BAH
From: jmfbahciv on 12 Nov 2006 08:51 In article <eNp5h.7027$yl4.5770(a)newssvr12.news.prodigy.com>, <lucasea(a)sbcglobal.net> wrote: > >"Ben Newsam" <ben.newsam(a)ukonline.co.uk> wrote in message >news:e96cl2tviek822ftetj8rtphkkoold1oqe(a)4ax.com... >> >> (or if >> immobile, I ask to be visited at home), > >Is this a standard form of care in the UK? We haven't had doctors in >general make house-calls here in the US for at least 40 years. I did. My doctor was one of the few who was still in business for himself and hadn't started to work for a conglomerate. /BAH
From: jmfbahciv on 12 Nov 2006 08:53 In article <yyt5h.723$yE6.97(a)newssvr14.news.prodigy.com>, <lucasea(a)sbcglobal.net> wrote: > >"Ben Newsam" <ben.newsam(a)ukonline.co.uk> wrote in message >news:fuhcl299ffh7up5pkv6ltisfask6g6dn6m(a)4ax.com... >> On Sat, 11 Nov 2006 19:47:22 GMT, <lucasea(a)sbcglobal.net> wrote: >> >>> >>>"Ben Newsam" <ben.newsam(a)ukonline.co.uk> wrote in message >>>news:e96cl2tviek822ftetj8rtphkkoold1oqe(a)4ax.com... >>>> >>>> (or if >>>> immobile, I ask to be visited at home), >>> >>>Is this a standard form of care in the UK? We haven't had doctors in >>>general make house-calls here in the US for at least 40 years. >> >> "In general", they don't, but doctors will of course visit those >> patients who genuinely cannot get to the surgery. I had a doc visit me >> when I was prostrate with gastro-enteritis and vomiting bile all over >> (eeeuw). > >Eeeuw indeed! > > >> I would imagine they get rather shirty with those who abuse >> the system. There are other health workers who visit homes too. > >That's a good point. When both my dad and my mom's second husband were >dying, there was a parade of different nurses that came by to bathe them, >give Mom a break, take blood to make sure their medicines were working >correctly, and then of course, eventually, hospice care. Around here the only care you can hire in is hospice. And that isn't 7x24. > I guess a lot of >doctor functions have been taken over by nurses and PAs, and they will still >make a housecall for a price. I couldn't hire for any price. /BAH
From: jmfbahciv on 12 Nov 2006 08:56 In article <c5b06$45565eec$4fe73d4$10122(a)DIALUPUSA.NET>, unsettled <unsettled(a)nonsense.com> wrote: >T Wake wrote: > >> <lucasea(a)sbcglobal.net> wrote in message >> news:eNp5h.7027$yl4.5770(a)newssvr12.news.prodigy.com... >> >>>"Ben Newsam" <ben.newsam(a)ukonline.co.uk> wrote in message >>>news:e96cl2tviek822ftetj8rtphkkoold1oqe(a)4ax.com... >>> >>>>(or if >>>>immobile, I ask to be visited at home), >>> >>>Is this a standard form of care in the UK? We haven't had doctors in >>>general make house-calls here in the US for at least 40 years. >> >> >> Where I live it is very common place, but there is a high percentage of >> older people in this village. Generally speaking though doctors will make >> house calls as required - it has been a couple of years since I last needed >> one, but there was no difficulty. My wife phoned the Health Centre and told >> the receptionist I was unable to get out of bed, three hours later the >> doctor was round to treat me. >> >> The health centres also have nurse practitioners (extra trained nurses) who >> spend a lot of time doing home visits. > >We have a local physician who makes scheduled house >calls every Thursday. His office is used by a >visiting podiatrist that day. > Now note all the times you all wrote "local". That's important. The US is big. There isn't much "local" anymore. You go into the city or urban centers and get into their medical production line. /BAH
From: jmfbahciv on 12 Nov 2006 08:58
In article <maydndxa-ZzRrMvYnZ2dnUVZ8tednZ2d(a)pipex.net>, "T Wake" <usenet.es7at(a)gishpuppy.com> wrote: > ><jmfbahciv(a)aol.com> wrote in message >news:ej4feq$8ss_006(a)s977.apx1.sbo.ma.dialup.rcn.com... >> In article <kkcal2ll82lsuqk1pk5uanjcat876o49ei(a)4ax.com>, >> Ben Newsam <ben.newsam(a)ukonline.co.uk> wrote: >>>On Fri, 10 Nov 2006 15:51:47 GMT, <lucasea(a)sbcglobal.net> wrote: >>> >>>> >>>><jmfbahciv(a)aol.com> wrote in message >>>>news:ej22vn$8qk_014(a)s995.apx1.sbo.ma.dialup.rcn.com... >>>>> >>>>> It is decreasing towards zero as conversion to a few payers >>>>> increases. What do you think will happen when the few payers >>>>> become one? >>>> >>>>When that one payer doesn't have the profit motive that's currently >>>>driving >>>>prices? Everybody will have access. Check out the cost (and I'm talking >>>>the total cost to society) and availability of the UK system versus ours. >>> >>>AFAIAC, the biggest advantage of our (UK) system isn't the quality of >>>the service, although it is very good at day to day stuff like mending >>>broken bits and plugging leaks, but the peace of mind that comes from >>>not having to worry about whether one is covered or not. If you need >>>to see a doctor, you go and see a doctor, and if you need treatment, >>>you get it. It's as simple as that. Yes, of course the system is >>>strapped for cash, and certain treatments and drugs aren't available >>>on the National Health, but that will always be the case with whatever >>>system is in place, whether public or private. >> >> And how do you find a doctor? > >Well in my case, there is a GP practice about 4 miles away. If I was >somewhere else and it was urgent I would go to see the nearest doctor. > >> Are you assigned to a doctor >> who has to OK other specialists' services? > >Not in the manner you mean. The doctor has to OK the medical need for the >specialist, but it really shouldn't be any other way. > >> Can you walk into >> a cardiologist's office and get treated or do you have to >> be "vetted" through a series of physicians' offices and labs >> to get to that heart doctor? > >If I need to be treated by a cardiologist I will be. The vetting process may >well exist but not in the manner you hope to imply here. Patients are >assessed as to the clinical need for treatment they have. If the patient >needs to see a cardiologist, s/he gets to see one. > >Are you implying that access to treatment should be on the basis of what the >patient _thinks_ they need and can afford, rather than what the doctor >thinks is the best treatment? In the US, we have to be our own experts. /BAH |