From: jmfbahciv on
In article <qpidnRHj6e3o0crYnZ2dnUVZ8s6dnZ2d(a)pipex.net>,
"T Wake" <usenet.es7at(a)gishpuppy.com> wrote:
>
><jmfbahciv(a)aol.com> wrote in message
>news:ej79kg$8qk_015(a)s851.apx1.sbo.ma.dialup.rcn.com...
>> In article <M_t5h.736$yE6.654(a)newssvr14.news.prodigy.com>,
>> <lucasea(a)sbcglobal.net> wrote:
>>>
>>>"unsettled" <unsettled(a)nonsense.com> wrote in message
>>>news:f223d$45565fb7$4fe73d4$10122(a)DIALUPUSA.NET...
>>>> Ben Newsam wrote:
>>>>
>>>>> On Sat, 11 Nov 2006 20:23:39 -0000, "T Wake"
>>>>> <usenet.es7at(a)gishpuppy.com> wrote:
>>>>>
>>>>>
>>>>>>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?
>>>>>
>>>>>
>>>>> I would imagine that under a system where anyone can visit any
>>>>> specialist at any time, the best specialists would be inundated with
>>>>> rich hypochondriacs wasting their time.
>>>>
>>>> That doesn't seem to happen much in the US. I don't
>>>> need a referral to see a specialist.
>>>
>>>Sentence #1 doesn't follow from sentence #2 above. In fact, sentence #1
>>>is
>>>simply wrong. Your anecdote aside, anybody who has an HMO for their
>>>health
>>>care (i.e., most of the people insured through their jobs by corporate
>>>concerns) must go through their PCP (primary care physician) to get to a
>>>specialist...at least they do if they want the HMO to pay for it.
>>
>> And you're stuck with that PCP if the others in the system aren't
>> taking new patients. Thus, if the PCP is an incompetent doctor
>> it takes years to be able to transfer to another's list. Here
>> in the northeast no doctor is local. You have to drive or be
>> driven or go the emergency room. That's it.
>
>Shame you don't have a nationalised health service really, isn't it?

It is getting there. The reason there aren't local doctor
offices is that they are all collected and put into a big
office building. These centers get fewer and fewer as
the companies who run them consolidate.

/BAH
From: jmfbahciv on
In article <YcKdnfldpc9B1MrYRVnyig(a)pipex.net>,
"T Wake" <usenet.es7at(a)gishpuppy.com> wrote:
>
><jmfbahciv(a)aol.com> wrote in message
>news:ej7agr$8qk_020(a)s851.apx1.sbo.ma.dialup.rcn.com...
>> In article <rdqbl2pjilequsoc6s3hq0vm3j31162rtj(a)4ax.com>,
>> Ben Newsam <ben.newsam(a)ukonline.co.uk> wrote:
>>>On Sat, 11 Nov 06 13:20:21 GMT, jmfbahciv(a)aol.com wrote:
>>>
>>>>My knowledge about how things works cannot be used. My experience
>>>>cannot be used.
>>>
>>>How can you expect to win an argument when you take the wrong side?
>>><g>
>>
>> I don't expect to win. I do intend to learn. It's been very
>> difficult to glean much from this thread. There are nuggets
>> but it takes an enormous amount of energy to find them. My
>> usual screening procedures cannot be used in this thread.
>
>The difficulty you are having stems more from your refusal to accept
>anything which does not bolster your current thinking.

<snort> Unbelievable.

/BAH
From: Eeyore on


jmfbahciv(a)aol.com wrote:

> <lucasea(a)sbcglobal.net> wrote:
> ><jmfbahciv(a)aol.com> wrote in message
>
> >> No. Unfortunately, people's mindset is that they should get stuff
> >> for free or pay very little. When a generic doesn't work as well
> >> as the namebrand, people decide to stay with the generic because
> >> they don't have to pay as much for it.
> >
> >Only if they or their doctor is stupid.
>
> Things have changed so that the doctor doesn't have a choice.
> If a doctor no longer works for himself, he has to stay
> within coporate guidelines.

Doctors here have considerable discretion in treatment. Some 'alternative
treatments' are even available on the NHS !

There are certain recommended guidelines for treatment for sure. You can read
about the National Institute for Health and Clinical Excellence here....

http://www.nice.org.uk/

Graham

From: Eeyore on


jmfbahciv(a)aol.com wrote:

> Ben Newsam <ben.newsam(a)ukonline.co.uk> wrote:
> >On Sun, 12 Nov 06 13:47:55 GMT, jmfbahciv(a)aol.com wrote:
> >
> >>So you do have to be vetted. You already have limited access.
> >>When, or if, your GP infrastructure goes to pieces, you'll have
> >>no access.
> >
> ><Boggle> That's plain daft. WHy should it fall to pieces? Or rather
> >why would the GP infrastructure fall to pieces leaving the hospital
> >and consultant system in place? They are all part of the same thing.
>
> GPs in the US are rarer than hen's teeth.

They're not here !


> I don't know of any
> who practice within 25 mile radius here. Everybody is a specialist
> so nobody has a general knowledge of medical afflictions.
> Diagnosis is no longer possible without a lab piece of paper.

Your GPs are specialists too ?

Graham

From: Eeyore on


jmfbahciv(a)aol.com wrote:

> Eeyore <rabbitsfriendsandrelations(a)hotmail.com> wrote:
> >jmfbahciv(a)aol.com wrote:
> >> Eeyore <rabbitsfriendsandrelations(a)hotmail.com> wrote:
> >> >jmfbahciv(a)aol.com wrote:
>
> <snip>
>
> >> When, or if, your GP infrastructure goes to pieces, you'll have
> >> no access.
> >
> >Why would the GP infrastructure 'go to pieces' any more
> >than anything else in the
> >developed world ???
> >
> >GP's *like* the NHS system ! It works in everyone's interest.
>
> So far it does. It was in trouble in the 70s, I think.

It's never been in serious trouble. Like any organisation it has its ups and
downs of course.


> >You seem to be looking for non-existent flaws.
>
> What are you going to do when your GPs find better work
> in other countries and move?

They don't ! I assume that means they find the work, conditions and pay to their
liking here. There is also perhaps in the UK less of a concern about moving just
to get the very highest rate of pay. Where do you think they might move for
example ?


> Isn't your country already
> importing people to do the work?

Nurses mainly. The UK has a large number of foreigners working here in all
sectors as I beleive you have too in the USA. It's generally seen as the sign of
a healthy economy.


Graham