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HOSPITAL NO LONG A PLACE TO GET WELL
NEW END OF LIFE GUIDELINES
DOCTORS TRAIN TO BE SALESMEN OF DEATH
Very few surgeons are available for operations that come from the emergency room, resulting in long waits for emergency and elective general surgery. (It is estimated that the surgical work force will produce only 145 new surgeons each year for the entire country.) This is caused by the fact that most doctors now specialize in vascular or thoracic surgery. Having taken medical student loans of $150,000, and working as residents for 40,000 a year for 3 to 7 years before they become board-certified, they find it financially more rewarding than working an unmanageable 80-hour week
Doctors, as well as hospitals, must now be trained into the business of medicine, including the very important skill of coding. Nurses, on the hospital ward, now sit at computers and translate every medical diagnosis into a five-digit number, with an additional number to explain the type of work done for the patient. There are inevitable mistakes that lead to non-payment, because of inaccuracies of medical conditions, and some diagnoses not having diagnostic codes.
Doctors are today challenged to deal with end of life proposed medical treatments issues that center on withholding and withdrawing medical interventions. Doctors, and their assistants are all being taught the skills necessary to negotiate with you, discuss with you, and implement decisions to withdraw life-sustaining treatments from you that are financially costly.
What do you think? Your comments are always appreciated.