Comments on: AMA Fight for Medical Liability Reforms Continues http://www.physiciansnews.com/2009/06/08/ama-fight-for-medical-liability-reforms-continues/ Wed, 08 Feb 2012 12:53:38 +0000 hourly 1 http://wordpress.org/?v=3.2.1 By: Dr. Mike Amsden http://www.physiciansnews.com/2009/06/08/ama-fight-for-medical-liability-reforms-continues/comment-page-1/#comment-553 Dr. Mike Amsden Mon, 15 Jun 2009 18:35:11 +0000 http://www.physiciansnews.com/?p=2442#comment-553 With 30+ years in the "pit " as an ER doctor, without a doubt the single biggest help to control costs is tort reform. I felt compelled to defend against the lawyer saying "the doctor knew or should have known ...." insert any lab or xray result... here. I have been sued and to court for missing something which I ordered the test for and the patient himself refused to get the test. This did not help me feel like taking risks. Besides how many of us see a patient for a shoulder ache and order a cat scan of the chest to rule out Pancost's tumor at the first visit. There is not enough money in the world to pay for "perfection" in medicine. There must be step wise diagnositc paths which account for costs and "the vagaries of human disease". I recall looking for TB in a patient for 4 weeks before it was found. Mandate insurance companies take all. Do not let them cherry pick for healthy people from birth. My ER has to see all comers regardless of finances or state of health. Take care not to incintivise results too much or doctors will dismiss patients with bad genetics or difficult health problems because that patient costs too much in "results" pay. I have seen this already. Doctors refuse to take a difficult case because they feared poor results would harm their record or land them in court. This will never be a simple as going through a pre-flight check list in an airliner, something to which I have seen medicine compared. With 30+ years in the “pit ” as an ER doctor, without a doubt the single biggest help to control costs is tort reform. I felt compelled to defend against the lawyer saying “the doctor knew or should have known ….” insert any lab or xray result… here. I have been sued and to court for missing something which I ordered the test for and the patient himself refused to get the test. This did not help me feel like taking risks. Besides how many of us see a patient for a shoulder ache and order a cat scan of the chest to rule out Pancost’s tumor at the first visit. There is not enough money in the world to pay for “perfection” in medicine. There must be step wise diagnositc paths which account for costs and “the vagaries of human disease”. I recall looking for TB in a patient for 4 weeks before it was found. Mandate insurance companies take all. Do not let them cherry pick for healthy people from birth. My ER has to see all comers regardless of finances or state of health. Take care not to incintivise results too much or doctors will dismiss patients with bad genetics or difficult health problems because that patient costs too much in “results” pay. I have seen this already. Doctors refuse to take a difficult case because they feared poor results would harm their record or land them in court. This will never be a simple as going through a pre-flight check list in an airliner, something to which I have seen medicine compared.

]]> By: Hamid Mat Sain http://www.physiciansnews.com/2009/06/08/ama-fight-for-medical-liability-reforms-continues/ Wed, 08 Feb 2012 12:53:38 +0000 hourly 1 http://wordpress.org/?v=3.2.1 Comments on: AMA Fight for Medical Liability Reforms Continues http://www.physiciansnews.com/2009/06/08/ama-fight-for-medical-liability-reforms-continues/ Wed, 08 Feb 2012 12:53:38 +0000 hourly 1 http://wordpress.org/?v=3.2.1 By: Dr. Mike Amsden http://www.physiciansnews.com/2009/06/08/ama-fight-for-medical-liability-reforms-continues/comment-page-1/#comment-553 Dr. Mike Amsden Mon, 15 Jun 2009 18:35:11 +0000 http://www.physiciansnews.com/?p=2442#comment-553 With 30+ years in the "pit " as an ER doctor, without a doubt the single biggest help to control costs is tort reform. I felt compelled to defend against the lawyer saying "the doctor knew or should have known ...." insert any lab or xray result... here. I have been sued and to court for missing something which I ordered the test for and the patient himself refused to get the test. This did not help me feel like taking risks. Besides how many of us see a patient for a shoulder ache and order a cat scan of the chest to rule out Pancost's tumor at the first visit. There is not enough money in the world to pay for "perfection" in medicine. There must be step wise diagnositc paths which account for costs and "the vagaries of human disease". I recall looking for TB in a patient for 4 weeks before it was found. Mandate insurance companies take all. Do not let them cherry pick for healthy people from birth. My ER has to see all comers regardless of finances or state of health. Take care not to incintivise results too much or doctors will dismiss patients with bad genetics or difficult health problems because that patient costs too much in "results" pay. I have seen this already. Doctors refuse to take a difficult case because they feared poor results would harm their record or land them in court. This will never be a simple as going through a pre-flight check list in an airliner, something to which I have seen medicine compared. With 30+ years in the “pit ” as an ER doctor, without a doubt the single biggest help to control costs is tort reform. I felt compelled to defend against the lawyer saying “the doctor knew or should have known ….” insert any lab or xray result… here. I have been sued and to court for missing something which I ordered the test for and the patient himself refused to get the test. This did not help me feel like taking risks. Besides how many of us see a patient for a shoulder ache and order a cat scan of the chest to rule out Pancost’s tumor at the first visit. There is not enough money in the world to pay for “perfection” in medicine. There must be step wise diagnositc paths which account for costs and “the vagaries of human disease”. I recall looking for TB in a patient for 4 weeks before it was found. Mandate insurance companies take all. Do not let them cherry pick for healthy people from birth. My ER has to see all comers regardless of finances or state of health. Take care not to incintivise results too much or doctors will dismiss patients with bad genetics or difficult health problems because that patient costs too much in “results” pay. I have seen this already. Doctors refuse to take a difficult case because they feared poor results would harm their record or land them in court. This will never be a simple as going through a pre-flight check list in an airliner, something to which I have seen medicine compared.

]]> By: Hamid Mat Sain http://www.physiciansnews.com/2009/06/08/ama-fight-for-medical-liability-reforms-continues/comment-page-1/#comment-553 Dr. Mike Amsden Mon, 15 Jun 2009 18:35:11 +0000 http://www.physiciansnews.com/?p=2442#comment-553 With 30+ years in the "pit " as an ER doctor, without a doubt the single biggest help to control costs is tort reform. I felt compelled to defend against the lawyer saying "the doctor knew or should have known ...." insert any lab or xray result... here. I have been sued and to court for missing something which I ordered the test for and the patient himself refused to get the test. This did not help me feel like taking risks. Besides how many of us see a patient for a shoulder ache and order a cat scan of the chest to rule out Pancost's tumor at the first visit. There is not enough money in the world to pay for "perfection" in medicine. There must be step wise diagnositc paths which account for costs and "the vagaries of human disease". I recall looking for TB in a patient for 4 weeks before it was found. Mandate insurance companies take all. Do not let them cherry pick for healthy people from birth. My ER has to see all comers regardless of finances or state of health. Take care not to incintivise results too much or doctors will dismiss patients with bad genetics or difficult health problems because that patient costs too much in "results" pay. I have seen this already. Doctors refuse to take a difficult case because they feared poor results would harm their record or land them in court. This will never be a simple as going through a pre-flight check list in an airliner, something to which I have seen medicine compared. With 30+ years in the “pit ” as an ER doctor, without a doubt the single biggest help to control costs is tort reform. I felt compelled to defend against the lawyer saying “the doctor knew or should have known ….” insert any lab or xray result… here. I have been sued and to court for missing something which I ordered the test for and the patient himself refused to get the test. This did not help me feel like taking risks. Besides how many of us see a patient for a shoulder ache and order a cat scan of the chest to rule out Pancost’s tumor at the first visit. There is not enough money in the world to pay for “perfection” in medicine. There must be step wise diagnositc paths which account for costs and “the vagaries of human disease”. I recall looking for TB in a patient for 4 weeks before it was found. Mandate insurance companies take all. Do not let them cherry pick for healthy people from birth. My ER has to see all comers regardless of finances or state of health. Take care not to incintivise results too much or doctors will dismiss patients with bad genetics or difficult health problems because that patient costs too much in “results” pay. I have seen this already. Doctors refuse to take a difficult case because they feared poor results would harm their record or land them in court. This will never be a simple as going through a pre-flight check list in an airliner, something to which I have seen medicine compared.

]]> Comments on: AMA Fight for Medical Liability Reforms Continues http://www.physiciansnews.com/2009/06/08/ama-fight-for-medical-liability-reforms-continues/ Wed, 08 Feb 2012 12:53:38 +0000 hourly 1 http://wordpress.org/?v=3.2.1 By: Dr. Mike Amsden http://www.physiciansnews.com/2009/06/08/ama-fight-for-medical-liability-reforms-continues/comment-page-1/#comment-553 Dr. Mike Amsden Mon, 15 Jun 2009 18:35:11 +0000 http://www.physiciansnews.com/?p=2442#comment-553 With 30+ years in the "pit " as an ER doctor, without a doubt the single biggest help to control costs is tort reform. I felt compelled to defend against the lawyer saying "the doctor knew or should have known ...." insert any lab or xray result... here. I have been sued and to court for missing something which I ordered the test for and the patient himself refused to get the test. This did not help me feel like taking risks. Besides how many of us see a patient for a shoulder ache and order a cat scan of the chest to rule out Pancost's tumor at the first visit. There is not enough money in the world to pay for "perfection" in medicine. There must be step wise diagnositc paths which account for costs and "the vagaries of human disease". I recall looking for TB in a patient for 4 weeks before it was found. Mandate insurance companies take all. Do not let them cherry pick for healthy people from birth. My ER has to see all comers regardless of finances or state of health. Take care not to incintivise results too much or doctors will dismiss patients with bad genetics or difficult health problems because that patient costs too much in "results" pay. I have seen this already. Doctors refuse to take a difficult case because they feared poor results would harm their record or land them in court. This will never be a simple as going through a pre-flight check list in an airliner, something to which I have seen medicine compared. With 30+ years in the “pit ” as an ER doctor, without a doubt the single biggest help to control costs is tort reform. I felt compelled to defend against the lawyer saying “the doctor knew or should have known ….” insert any lab or xray result… here. I have been sued and to court for missing something which I ordered the test for and the patient himself refused to get the test. This did not help me feel like taking risks. Besides how many of us see a patient for a shoulder ache and order a cat scan of the chest to rule out Pancost’s tumor at the first visit. There is not enough money in the world to pay for “perfection” in medicine. There must be step wise diagnositc paths which account for costs and “the vagaries of human disease”. I recall looking for TB in a patient for 4 weeks before it was found. Mandate insurance companies take all. Do not let them cherry pick for healthy people from birth. My ER has to see all comers regardless of finances or state of health. Take care not to incintivise results too much or doctors will dismiss patients with bad genetics or difficult health problems because that patient costs too much in “results” pay. I have seen this already. Doctors refuse to take a difficult case because they feared poor results would harm their record or land them in court. This will never be a simple as going through a pre-flight check list in an airliner, something to which I have seen medicine compared.

]]> By: Hamid Mat Sain http://www.physiciansnews.com/2009/06/08/ama-fight-for-medical-liability-reforms-continues/comment-page-1/#comment-541 Hamid Mat Sain Tue, 09 Jun 2009 19:52:08 +0000 http://www.physiciansnews.com/?p=2442#comment-541 This medical liability reform in the USA is essential for the health growth and sustainability of private healthcare initiative in the USA and also elswhere.The USA is the the prime example of how healthcare can be efficiently and effectively operated as a private sector initiative for social services. The success of US healthcare services is a testimony of success in private healthcare services the world can emulate.This is important to balance the strong demand for public healthcare initiatives to ensure social justice. cheers This medical liability reform in the USA is essential for the health growth and sustainability of private healthcare initiative in the USA and also elswhere.The USA is the the prime example of how healthcare can be efficiently and effectively operated as a private sector initiative for social services. The success of US healthcare services is a testimony of success in private healthcare services the world can emulate.This is important to balance the strong demand for public healthcare initiatives to ensure social justice.

cheers

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