From: jmfbahciv on 14 Nov 2006 08:59 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 14 Nov 2006 09:02 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 14 Nov 2006 09:08 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 14 Nov 2006 09:09 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 14 Nov 2006 09:14
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 |