Wednesday, November 7, 2012

Inside my head.

I have some issues racing through my head right now and with all the "free love" that is being passed around on Facebook I figured I would unload mine here where no one will actually read it. In no particular order here are my thoughts:

1) California needs to be split. It is not appropriate for that many electoral votes to be won in one lump sum.  I'm not trying to make the point that it would have changed the outcome and frankly I'm not that torn up with how the election turned out even though I didn't vote for the President.  Nebraska has theirs divided up by congressional district which makes so much more sense.  By reallocating them in this way it would prevent states that are 50% (4,143,362 votes) to 49% (4,096,346) with 29 electoral votes from completely going to one candidate when the state is obviously not fully behind one candidate.  On to my next issue. 

2) People that complain about their doctor for running all those test that they didn't even need because they came back negative.  First of all that "test you didn't need" just told the doctor that you don't have small cell lung cancer caused by your smoking 2 packs a day for 25 years and forgive the doctor for choosing to not freak you out by telling you that you might have cancer before the results came back.  Oh and the other point, if they didn't run that test or get that chest x-ray because they were trying to keep your costs down by not running "tests you don't need" and you ended up having small cell lung cancer a year later that is past being treatable you would jump on suing them for being a horrible doctor.  From the little experience I have now had, medicine is more like "House" than most would like to accept. There is a good amount of tests that are run to rule out the stuff that is going to kill you in the next day, then a couple more to rule out the lesser issues.  If all of those come back negative they test some more and rely on their painfully acquired knowledge to do the best they can. Now before someone (like anyone actually reads this blog) jumps all over me and tells me a medical horror story where their doctor took out the appendix when they had a toothache because he was trying to pay off his fifth summer home in Maui, realize that I am not defending them. I realize there are bad doctors out there just like there are lawyers that follow ambulances or mechanics that can always find "something wrong" with your car every time you get your oil changed.  You must realize they are exceptions to the rule.  

3) Lastly, I feel that the majority of people don't truly understand how your doctor gets paid for your visit.  Take your normal office visit.  You see your doctor for 15 minutes and he orders some tests, gives you some free samples to help cut down on your pharmacy bill, looks at little Jonny's foot fungus and Billy's skin thing all in YOUR visit (i.e for free). He then bills your insurance for what he feels his time is worth, with some adjustments for the amount of care he provided for YOU.  The insurance company (or medicare/medicaid) come back to the doctor and say we see that you are billing us for $100 for that visit; well we are going to only pay you $50.  Sitting here I can't think on another profession where the consumer tells the service provider what they feel like paying for a service.  That would be like calling AT&T after you get the bill and tell them that you saw they sent you a bill for $100 but you only feel like paying $50.  How long would your phone be on? 

I'm not a pessimistic person, but these thoughts were keeping me from studying, which I really need to do.  Thank you for your time.  Now I'm done. 

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