From: Sorcerer on

"Ben Newsam" <ben.newsam(a)ukonline.co.uk> wrote in message
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From: Sorcerer on

"Ben Newsam" <ben.newsam(a)ukonline.co.uk> wrote in message
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From: Ben Newsam on
On Mon, 13 Nov 2006 18:50:42 -0600, unsettled <unsettled(a)nonsense.com>
wrote:

> It might be a part time second
>job, or a kid might do it.

Send them down the mines or up the chimneys, best place for them.
From: unsettled on
Ben Newsam wrote:
> On Mon, 13 Nov 2006 18:50:42 -0600, unsettled <unsettled(a)nonsense.com>
> wrote:
>
>
>>It might be a part time second
>>job, or a kid might do it.
>
>
> Send them down the mines or up the chimneys, best place for them.

That's *your* answer, of course.

From: |||newspam||| on

unsettled wrote:

> Ben Newsam wrote:
>
> > On Mon, 13 Nov 2006 13:37:38 -0600, unsettled <unsettled(a)nonsense.com>
> > wrote:
> >
> >>T Wake wrote:
> >>
> >>>See, if you had an NHS then you would realise doctors do indeed take on new
> >>>patients, even if they have existing conditions.
> >>
> >>Is that required, or voluntary?

Unless the condition is so obscure that the GP thinks the patient would
be better off elsewhere. GPs are generalists and not omniscient. Some
have specific areas of interest.

> > It is just the way the system works. Required, if you like. Doctors
> > have a contract with the health service, and presumably the devil is
> > in the detail.
>
> The question is not answered.
>
> Is a doctor required to accept new patients?

Pretty much. The only exceptions I can think of are for patients with a
history of threatening behaviour or violence against medical staff -
their choice of GP may be limited to establishments with additional
security measures.

And I suspect hypochondriacs may find that they spend a very long time
in the doctors waiting room if they insist on daily visits...

I am sure someone from sci.med can give chapter & verse.

> Can a doctor refuse to accept a particular new patient
> while accepting others?

Yes but AFAIK only if he has good reason. Being unable to prove who you
are is one.

It is common in the UK for a patient to change doctors only when they
move home. In Belgium and Japan you don't register with a doctor and so
can pick a new one every time you get ill if you want. And the Japanese
system is second to none - their life expectancy is extremely high
considering that a high proportion are chain smokers.

Dentists in the UK more nearly match your medicare model (as I
understand it children and the elderly treated free but everyone else
is chargeable). There are still a few NHS dentists left but most have
full books of patients and huge waiting lists. The occassional new NHS
one comes on stream (usually Polish) and has queues stretching several
blocks trying to sign up within hours of opening their doors.

The private dentists are expensive but know they have a captive market
- few people can continue to live with toothache for any length of
time.

> Let's say I hear about a doctor who is spectacularly
> successful in treating some condition I happen to have.
> Do I have to wait till one or several of his patients
> die before he'll take my case? Is there a waiting list?

There might be if he is that good at lets say transplants. Many top
surgeons also do some private work too so if you pay you might be able
to queue jump. But medical need trumps abiltiy to pay so in a life or
death situation the NHS is extremely effective.

> If my taxes are paying for physician services, is there
> any assurance I'll get one who is significantly qualified
> to handle my issues? Or is it simply pot luck, as in
> "all doctors are equally qualified"?

You visit your GP and then pick a suitable consultant or surgeon or
whatever. Depending on the seriousness of your condition at the local
hospital, regional or national specialist centre.

There is a nominal charge for every GP prescription - irrespective of
the cost of the drugs.

The death rates in the NHS are mostly better than those in the private
hospitals (and when the private hospitals screw up they dump difficult
cases back into the NHS). Cherry picking routine easy to do
uncomplicated operations for the private medical sector is increasingy
common in the UK.

Regards,
Martin Brown