As a medical physician for over 51 years, I strive to give you the best medical information on controversial medical subjects, and help your read betwwen the lines. You must come to your own conclusions. I have no ties to any organization, pharmaceutical, or lobby group. As an practicing medical acupuncturist since 1982, I find western medicine and medical acupuncture are very complimentary. This results in astounding healing in pain management, addictions to cigarettes and food, and a host of other maladies. Visit drneedles is blogging" at the end of each blog for a complete alphabetical list of all my blogs
Visit http://www.americanacupuncture.com/ for more detailed information on mind, body, and spirit healing.
DOCTOR GUIDELINES NOW ORDERS
It seems that new government guidelines are causing a barrier between a doctor and his patient. As the doctor listens to his patient, sees and evaluates his problem, and feels he is going to do what is necessary, the thought comes into his head: Gee, perhaps this isn’t the right thing to do, according to the Harvard government guidelines? Yet the patient in front of him is no average patient.
Every patient has some unusual or unique symptoms that must be considered in dealing and solving the patient's problems. Yet the guidelines don’t consider them.
We really should only expect average care from our doctors. Guidelines forbid medical care that is better than average. They are set to give the average patient, average medical care. If your doctor gives you better than average medical treatment, he is not following the guidelines. He will be reminded by the hovering tort lawyer waiting to pounce on his care. There is no tort reform to help him.
The guidelines suggest that if an 82-year-old patient cannot walk down the street, is short of breath, and feels lightheaded, or has broken a hip; the guidelines for his care will be minimal. Under White House health care advisers, that patient has outlived its useful years, no matter how many more years he has to live.
SPECIALISTS NOT NEEDED
Fifty years ago people went to the hospital to die. Most died by the age of 68. Medicare and Social Security was planned to pay for two or three years of your retirement. The doctors became the bad guys. They now keep you alive to 85, and this has caused Medicare to go bankrupt.
So now lets change and correct the problem. Since people are living too long, the healthcare must be changed. Lets take the doctor out of the picture and teach him how to practice non-wasteful medicine. The government has learned how to run the auto industry; it can certainly learn how to run the medical industry.
If I have a domestic or a divorce problem, I'm not told to go to a corporative lawyer. But this is what the new guidelines are telling us in medicine. The media has sportswriters, financial writers, personal journal writers, and editorial writers. Yet in medicine and healthcare, we are telling everybody go to the general practioner for everything. If he finds he can’t solve your problem after 3-4 visits, and are sick enough, you will be referred to a government secretary who will find a specialist for you.
If you're having pain in your chest and heart failure, you want to be treated by a cardiologist. He will give you the most up-to-date and accurate treatment for your problem.
Doctors are asked to deliver all your patient records, with their intimate secrets, so they can be converted into electronic medical records to increase transparency. Formerly this was called a breach of code involving his patients.
MANAGED CARE RELIVED
The health reform guidelines are duplicating everything as managed-care did for the last 15 years. It was very hard to overcome the problems with patient care being denied and withheld. We thought this would never be repeated, but our government is in the process of reduplication the same errors. “Let doctors treat the patients, and let us government czars and lawyers in congress manage the care”.
Our president reminds doctors that they “take their Hippocratic oath too seriously”. The philosophy of “doing no harm to our patients” that is held very dear to the doctor's hearts, is now violated.
Plato the philosopher, unlike Hippocrates, said things like: “If you have a poor physical condition you should be allowed to die. If you have a weak constitution, you shall perish”. It seems government programs, limiting above average medical care, which is now being proposed, somehow violates the Hippocratic oath.
If you are sitting in the examining room with your doctor you're wondering: “Why is the doctor not ordering a test for me? Is he going to get penalized by the hospital or Medicare if he does it? Since he's not ordering the test, will the malpractice lawyers have a case if I become disabled or die?
THE FINAL HOUSE HEALTH CARE PACKAGE
The Congressional House Democratic committee have just passed a reform and handed it back to Pres. Obama as a victory. Our world today is defined by nearly 100,000 iPods, and yet we are being pushed into the biggest one-size fits all legislation since 1965.
Obama, has used old Congressmen, all elected to Congress 30 years ago, to formulate his health plan. They put together a healthcare bill of over 2000 pages, big, complex, not comprehensible, and very coercive. Everything that young people hate today.
The powerful new technologies like Face book, twitter, digital and web-based technologies have decentralized virtually everything we know of. These technologies take most of our waking hours, both at work and at home.
Young people want to break things up into many discrete markets. Controlled newspapers and TV media our struggling to stay massive in the world. Our youth are slowly making them less and less influential.
The one thing that won't change is our government. Whether in Congress, California, Las Vegas, or New York---everyone else's job is measured by how he performs, or does not perform. To keep one’s job, one must be reelected. That's up to you the reader.
DECEPTION & DISAPPOINTMENT
Over the last 25 years, many entrepreneurs like those in Silicon Valley, have taken a small idea and ran with it. Our Congress has done just the opposite: They have taken something really big and made it gets bigger.
We have Medicare for our seniors, with their spending claims going to the moon. Now we are creating Medicare for everyone, young and old. Medicaid is now made even bigger yet—despite being the main thing that is financially destroying California.
We were told in the past to contribute to the common good—“Join, the Peace Corps”. Now we are told we can contribute to the common good by being willing to just fall in line behind some huge piece of legislation.
Claiming he was really on the leading edge of politics , our nation elected President Obama. If there were an iPhone for healthcare, he would have proposed it. He used the Internet masterfully, to get young voters aroused. They voted for him, thinking he would have a flexible system to calibrate their needs in the healthcare system that would suit their needs. And over time, despite errors, he would make a better system.
Not much chance of that! Our old health software can't recognize trial and error. The public options that have just come out of the House is not in sync with many younger Americans. It's not the way they want to go.
COMMENTARY
People thought when they elected Obama, someone agile and smart was coming to government. The Democrats, a party of 30-year veterans in Congress, totally dependent on public sector unions, are now the Obama change makers.
Looks like there will be a health reform bill on President Obama’s desk to sign for Christmas. Or should I say " for the Holidays". (The White House announced there would be no Christmas tree lighting this year: It will now be called a “Holiday Tree.”)
Visit www.drneedles.com for more discussion of medical controversial issues.
Source www.defendyourhealthcare.us
Medical commentaries on controversial medical subjects by Dr. Carl Sarnacki M.D., a physician since 1958,retired from active practice in 2013. Webmaster www.drneedles.com since 1994.
Thursday, October 29, 2009
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