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canoeist52

(2,282 posts)
Fri Mar 20, 2015, 09:02 PM Mar 2015

How American health care turned patients into consumers

The concept of health care primarily as a business is uniquely American, and it has gained ascendancy during the last few decades. While there have always been a few greedy doctors, businessmen-wealth-seekers — not doctors — now dominate the medical-industrial complex. They include for-profit insurance, medical device and pharmaceutical companies as well as for-profit and nonprofit corporate providers of health care services, such as the three large hospital systems in Maine.

Partly because of the Affordable Care Act, they also include a rapidly growing army of lawyers, consultants and policy wonks who are creating lucrative businesses helping hapless “consumers” — formerly “patients” — “navigate” their way through the grotesquely byzantine maze our health care system has become.

This shift in emphasis from patient care to money profoundly has affected the practice of medicine and resulted in the clash of cultures within health care. As increasing numbers of “providers” — formerly “doctors” — become employees of large health care corporations — formerly community hospitals — we have come under increasing pressure to diagnose profitable diseases and order profitable tests and procedures without enough regard to the benefits or harm accruing to patients. Hospital “CEOs” — formerly “administrators” — trained in the ethics and practices of business rather than health care are incentivized to configure their “product lines” — formerly “services” — to produce the largest “profits” — formerly “margins.” - By Philip Caper, M.D.
Bangor (Maine) Daily News, March 19, 2015

http://www.pnhp.org/news/2015/march/how-american-health-care-turned-patients-into-consumers

22 replies = new reply since forum marked as read
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How American health care turned patients into consumers (Original Post) canoeist52 Mar 2015 OP
This is important. Thanks. Faryn Balyncd Mar 2015 #1
Consumers of services it's impossible to get a price for. Brickbat Mar 2015 #2
read riqsters recent thread about how corporate healthcare saved his life, and Doctor_J Mar 2015 #3
+ a few billion nationalize the fed Mar 2015 #7
Preach it! nt daredtowork Mar 2015 #4
I knew health care Runningdawg Mar 2015 #5
Thanks for posting this vital info., the ugly truth of the for profit change in medical care. appalachiablue Mar 2015 #10
Runningdawg, I appreciate this post more than you'll know. raven mad Mar 2015 #14
I'm old enough to remember when doctors couldn't advertize..... Spitfire of ATJ Mar 2015 #6
+1 Amen. appalachiablue Mar 2015 #11
or drug companies Doctor_J Mar 2015 #15
The attitude is "everything that is a need should be for sale".... Spitfire of ATJ Mar 2015 #20
One of the way high deductible plans that are eligible for a "Health Savings Account" dflprincess Mar 2015 #8
Health savings accounts are great options. taught_me_patience Mar 2015 #17
They're a great option if you're young an healthly dflprincess Mar 2015 #22
K&R! RiverLover Mar 2015 #9
Huge K & R !!! - Thank You !!! WillyT Mar 2015 #12
Odd how Republicans want to make changes to ACA, but Democrats are silent on liberal_at_heart Mar 2015 #13
we ARE done here. Big Insurance paid to have the ACA passed, they pay the Repukes to pretend Doctor_J Mar 2015 #19
Instead of Health care we get "choices". Mostly bad ones Teamster Jeff Mar 2015 #16
From "Medicine", to "American Healthcare Delivery Systems Incorporated". johnnyreb Mar 2015 #18
The uniquely 'murkan form of capitalism hifiguy Mar 2015 #21
 

Doctor_J

(36,392 posts)
3. read riqsters recent thread about how corporate healthcare saved his life, and
Fri Mar 20, 2015, 09:28 PM
Mar 2015

you'll realize that heritage care is never going away. The fan club have convinced themselves that our system is the greatest legislative achievement in history, and that we really have to worry about it being "repealed". At some point we have to admit that some of our plight is due to our own ignorance and/or susceptibility to propaganda and hero worship.

nationalize the fed

(2,169 posts)
7. + a few billion
Fri Mar 20, 2015, 10:18 PM
Mar 2015
The health insurance mandate in Obamacare is an idea hatched in 1989 by Stuart M. Butler at The Heritage Foundation in a publication titled "Assuring Affordable Health Care for All Americans". This was also the model for Mitt Romney's health care plan in Massachusetts.
http://www.heritage.org/research/lecture/assuring-affordable-health-care-for-all-americans


And Max Baucus is mostly forgotten. (the Democrat that had single payer advocates arrested at a hearing)

Baucus’s Raucous Caucus: Doctors, Nurses and Activists Arrested Again for Protesting Exclusion of Single-Payer Advocates at Senate Hearing on Healthcare
http://www.democracynow.org/2009/5/13/baucus_raucus_caucus_doctors_nurses_and

I'm trying to emigrate asap. Want no more part of this what so ever.

Runningdawg

(4,516 posts)
5. I knew health care
Fri Mar 20, 2015, 10:04 PM
Mar 2015

was truly headed for the toilet the day I received a notice from the hospital where I worked as an RN, insisting that the word "patient" no longer be used in speech or charting. The new term was "client". Did this happen 5 years ago? 10? No, try 14. It's also the day I penned my resignation.
I thought I was just burned out, I took a 2 year break and went back to work, for a dialysis service. I was informed the first day of training, that although the rules said a certain medication was strictly "one use only", you use the same bottle for as many patients as possible before opening a new one. Each patient was being billed for an entire vial of meds.
That job lasted 2 weeks, I won't go into detail about what I saw in those 14 days, but I have not/will not EVER work in the medical profession again.

appalachiablue

(41,127 posts)
10. Thanks for posting this vital info., the ugly truth of the for profit change in medical care.
Fri Mar 20, 2015, 11:24 PM
Mar 2015

Patients are now clients; also heard that from corp. instructors at a NE business school, that students were 'clients'. Recently read an article on public education where the PR rep. referred to schools as 'products'. Employer Personnel Depts. changed to 'Human Resources' to emphasize the INHUMAN aspect, people are just commodities to be used like coal or cows. I feel bad for people too young to know how it used to be, pre Reagan and insanity.

raven mad

(4,940 posts)
14. Runningdawg, I appreciate this post more than you'll know.
Sat Mar 21, 2015, 12:45 AM
Mar 2015

And I KNOW the medical profession suffered a profound loss with your choice, although it was the only ethical one you could make.

Thank you.

 

Spitfire of ATJ

(32,723 posts)
20. The attitude is "everything that is a need should be for sale"....
Sat Mar 21, 2015, 06:32 PM
Mar 2015

To say otherwise is "anti-American".

dflprincess

(28,075 posts)
8. One of the way high deductible plans that are eligible for a "Health Savings Account"
Fri Mar 20, 2015, 10:36 PM
Mar 2015

are often referred to as "consumer drive health care".

Turns out they're also another Wall Street scam. Once you have a few thousand saved in the account you can "invest" it in a mutual fund. --- Just hope that if you ever need a bypass or cancer treatments, the market is up.

 

taught_me_patience

(5,477 posts)
17. Health savings accounts are great options.
Sat Mar 21, 2015, 03:29 PM
Mar 2015

For most, they will be cheaper than traditional plans. Also, you get to keep the money and after a couple of years, you'll likely have more saved than the out of pocket maximum. Why shouldn't you be able to invest your own money as you wish?

dflprincess

(28,075 posts)
22. They're a great option if you're young an healthly
Sat Mar 21, 2015, 10:13 PM
Mar 2015

not so much for people with chronic conditions and, unfortunately, this is all many employers offer. It helps to ensure that the U.S. will remain the only western nation where people can go bankrupt paying for healthcare.

Also, current law allow plans to have annual deductibles that are higher than the maximum amount you're allowed to put in the HSA each year (at least on a pretax basis).

As far as investing it? Just another way for Wall Street to get it's hands on your money. Most people with HSAs have them through employer insurance plans and, like an employer offered 401K what you invest in will be limited to what funds whatever bunch of crooks managing the HSA offers. (I had a HSA at my last employer, administered by JP Morgan Chase - it did not fill me with confidence). As I said before, if your health care dollars are invested in the stock market, just hope the market doesn't implode right before you need to pay for a bypass or another serious problem.

liberal_at_heart

(12,081 posts)
13. Odd how Republicans want to make changes to ACA, but Democrats are silent on
Fri Mar 20, 2015, 11:53 PM
Mar 2015

how we can continue to improve health care. Why aren't our Democratic leaders fighting for single payer health care? Do they honestly think we are done here? Now that we have ACA are our leaders no longer going to fight for health care? Is the ACA the end all be all of health care? We must have single payer health care, and we must demand that our Democratic leaders fight for it.

 

Doctor_J

(36,392 posts)
19. we ARE done here. Big Insurance paid to have the ACA passed, they pay the Repukes to pretend
Sat Mar 21, 2015, 05:00 PM
Mar 2015

to "repeal" it, and now they are paying everyone in DC to make sure it never goes away. Drug, Insurance, and hospital stocks are soaring, and that trumps everything else.

johnnyreb

(915 posts)
18. From "Medicine", to "American Healthcare Delivery Systems Incorporated".
Sat Mar 21, 2015, 04:19 PM
Mar 2015

So-called "healthcare" used to be called the practice of "Medicine".

Used to say "Did you see a doctor?"
Now we say "Did you make it past the Admissions Advisory And Worthiness Approval Specialist Tech Consultant at the Clinic phone bank?"

'Cuz we love Freedom.

 

hifiguy

(33,688 posts)
21. The uniquely 'murkan form of capitalism
Sat Mar 21, 2015, 06:42 PM
Mar 2015

corrupts and destroys the innate value in anything it touches. King Midas in reverse - everything it touches turns instantly to shit.

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