Posts Tagged ‘hospital’

President Obama pushing for Health care reform

With millions of people uninsured in the U.S. and millions more who are being denied coverage for a variety of reasons including pre-existing conditions, President Obama and the Democrats are pushing to pass a reform bill. President Obama is determined to “pass healthcare reform that lowers cost, promotes choice and provides coverage that every American can count on.” There has been so many special interests, large corporations, pharmaceuticals and insurance industry lobbyists that are influencing our Senators and Congressional Reps to not pass healthcare reform because they stand to lose all their profits and stranglehold on the lucrative healthcare industry. People need to call their Senators and Congressional Reps and tell them what they think. For or against health care reform, we need to make our voices heard now.

 

Addiction to Prescription Medication

Patients please beware!
Lately I have been getting a lot of patients coming in and requesting medications to help them sleep – the number of people coming in wanting this was not very large, but noticeable.  I prescribed the medication until one day I got a letter from the NY State Department of Health warning me about a patient to whom I had prescribed the medication to several months before – she had been going to several physicians in the area and getting prescriptions for the same medication from all of them – me included.  The authorities suspected that she either had an addiction problem or was getting the medication so that she could later on re-sell it. That is what I believe is known as diversion – a term used by the US Drug Enforcement Agency to describe this illegal activity.  The State Authorities were advising me to be on the lookout for her – sure enough a few days later she came into the clinic and again requested the medication.  I showed her a copy of the letter that the State Health Department sent to me and told her that they were watching not only her but me as well, so there will not be any more prescriptions for that medication being written for her by me anymore.  I even gave her a copy of the letter so that she would have proof – and she left very annoyed.  Drug abuse is not something that involves heroin, cocaine,  and other known drugs – there are medications that some feel are no big deal but can lead to a big addiction problem.  I try to explain to many of the people who come to the clinic that this stuff can either put them in misery or kill them, and that they do not have the money for the fancy rehab clinics that the celebrities can check into from time to time.  I get yelled at by some, ignored by many others, yet a few take my advice.  For your own protection, do not get into the “I need a pill for everything” mentality – that will certainly put you on the path to addiction, which is very difficult to get away from.  Protect your own life – addiction is worse than slavery – as you become your own worst enemy.

 

For Those Without Medical Insurance

I lost a good friend not too long ago to heart disease.  He was around my age – at that time 52 – and physically he was in excellent condition, but he developed congestive cardiomyopathy.  A cardiologist advised that he get a heart transplant, but because he had no health insurance, he could not.  He died leaving a wife, young son, and many grieving relatives and friends.  He had his own small business which he was dedicated to; but being a small business, he could barely get by, as dedicated as he was.  Over the years I wondered if he could have gotten help through Medicaid, but he might not have qualified due to the fact that he was self employed.  The current health care debate going on really annoys me – so many need health care yet cannot get it, while there is waste beyond belief going on as I write this.  I get characters every day who try to get me to write prescriptions for controlled substances for them – so that they can go and either get high or sell the drugs.  I refuse to as I have no intention of going to jail for doing something that foolish.   Some doctors get intimidated by characters into prescribing all manner of things that the so-called patients do not need, yet if the physician does not comply he may get threatened physically or be told by the administration of the clinic that because his patient volume numbers are not satisfactory, he is being fired from his job.  There have been clinics that were closed because they fraudulently billed medicaid for services that were never provided, over-billed for services that were, and had unqualified persons providing the care to patients that they should never have been doing – all so that the administrators could reap higher pay from medicaid.  Once the authorities catch on, the offending facilities are forced to refund the money with interest and penalties to the government; but in the meantime,while they are waiting for that refund, the people who need care do not get any.   As much as I would like to do something about this, I am not able to – I lack the political connections to really affect any meaningful change.
 

The “New Mammogram Guidelines”

With the new so-called guidelines put out recently, by that group with the quasi-official sounding name, I cannot help but wonder if they were told to put out that statement by their handlers in the healthcare industry.   The claim made is that they want to hold down costs, yet the money stream is still going strong to the executives of the major healthcare insurance corporations, while the subscribers who are paying for the care are being told to make do with less and less – now I don’t know about Ali Baba, but I think I know where the forty thieves are.  The key to cancer prevention is more vigilance, not less.  If you find a lump that was not there before, don’t sit around and wait for disaster to strike, go get it checked out, fast.  Wait for the elevator, the bus, a taxicab or a train, but when it comes to your health, do not wait.  That does not mean run in to have a mosquito bite on your index finger looked at every day of the week, but if a lump is felt in your breast (this advice is for men and women, as men can get breast cancer too – movie star Richard Roundtree from the old SHAFT movies found out he had breast cancer recently) RUN, do not walk to your doctor and have it checked out.  Please folks, help me and other healthcare professionals to help you – keeping bad news to yourself helps no one.  Do not be scared to tell someone about that lump – keeping bad news to yourself in the hope that it goes away is crazy, dangerous to yourself, and very unrealistic.

 

Healthcare Bill & Abortion: To Pay For or Not to Pay For?

Setting aside the moral judgment that you render on abortion, would you vote for a healthcare bill that covers abortion? That has been the center of some of the most controversial discussions I have had with friends in recent weeks surrounding the passage of the House Healthcare Bill with the insertion of the Stupak Amendment, which mandates that no federal money will be used to pay for abortion (except in the case of rape, incest, and danger to the mother’s life); and that private insurance may not be utilized to fund abortions in the case where gov’t subsidies are being used.  It leaves open the choice of using one’s own money to buy private insurance to pay for abortions, presumably to come at a significantly higher premium.

I am pro choice (every woman has the right to do whatever she wants with her body) and I am also a taxpayer whose taxes will go towards federal taxes that will fund the Bill, and to paying for private insurance premium. After much research and debate I have concluded that it is purely an economic issue IF a health issue is a “choice” issue:  what should your hard earned tax payer money be used to cover?  Should it cover people’s choices for certain procedures, if so, what should they be?


Given abortion is a “choice” (except in the case of rape, incest, and danger to a mother’s life), just as is the “choice” to conceive via invitro fertilization (IVF), I would argue that both abortions and IVF ought to be evaluated on equal footings and as such, if one is covered under federal funding, so should the other, and vice versa. And if one is using one’s own money, by all means buy whatever policies one desires. Currently IVF is not paid for by federal funding or private insurance; abortions are covered by Fed funding on the aforementioned cases and by private insurance in states where abortions are allowed, statistics show that roughly 46% of all private insurance cover abortions.


Many of my impassioned friends have implored me to examine the issue from a legislative and social perspective, as it pertains to the underprivileged. I have put forth some of the arguments in support of abortions as part of the bill and counter queries associated with them:


1) The House Bill legislates and limits a woman’s choice and throws Women’s rights under the bus. QUERY:  that very same right still exists but the question now is should taxpayers’ money be used to cover abortion if it is being used as a form of contraception?  Aren’t condoms and pills cheaper forms of contraception that are already covered?


2) The cost to the gov’t in the form of social welfare with all the unwanted pregnancies in the lower socio-economic segment will be significantly higher, which will cost the taxpayers more money. QUERY: There are loads of information available today and access to pregnancy prevention, even in the poorest of neighborhoods.  If people choose not to employ contraceptives, is it the gov’t’s responsibility? Though sadly it has become the gov’t’s burden.


3) Many argued that we must look at the denial of funding to a class of women who do not have the economic means to pay for abortions. QUERY: Plenty of people do not have the economic means to pay for plenty of things.   What is the aim of a universal healthcare bill?  Is it to cover the broadest segments of the population possible (est. 50 Mil Americans without health insurance) with the most common and critical health ailments, or a segment specifically pertaining to abortion (which is a choice)? Perhaps the gov’t ought to clearly delineate what is the goal of the Bill.


We can argue both side of the equation until the cows come home and it will be heated.  At the end of the day we are all colored by our own cultural and socio-economic upbringing and everyone is entitled to his or her opinions. It will be interesting if the bill was to be put forth as a popular vote, what would the outcome be?

 

My County Hospital Experience