General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsHow 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
Faryn Balyncd
(5,125 posts)Brickbat
(19,339 posts)Doctor_J
(36,392 posts)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that our system is the greatest legislative achievement in history, and that we really have to worry about it being "repealed".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)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)
Baucuss 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.
daredtowork
(3,732 posts)Runningdawg
(4,516 posts)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)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)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)Neither could lawyers.
appalachiablue
(41,127 posts)Doctor_J
(36,392 posts)It is absolutely disgusting right now
Spitfire of ATJ
(32,723 posts)To say otherwise is "anti-American".
dflprincess
(28,075 posts)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)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)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.
RiverLover
(7,830 posts)Truth.
Thank you!!
WillyT
(72,631 posts)liberal_at_heart
(12,081 posts)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)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.
Teamster Jeff
(1,598 posts)johnnyreb
(915 posts)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)corrupts and destroys the innate value in anything it touches. King Midas in reverse - everything it touches turns instantly to shit.