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re: Healthcare costs and tort reform - crushing your myths
Posted on 2/2/14 at 2:52 pm to Diamondawg
Posted on 2/2/14 at 2:52 pm to Diamondawg
quote:It's almost impossible to get a valid number. It's too intertwined with insurance. If a patient doesn't NEED an MRI of their head, but... since 1) they aren't paying and 2) it lowers the chance of getting sued -- why would you NOT order as a doctor? There are almost no visible consequences to the doctor nor patient.
Gallup reports that one in four healthcare dollars spent in healthcare can be attributed to defensive medicine – about $650 billion annually.
Medicaid also complicates the issue. Those patients are much more likely to sue. And are very demanding of procedures above-and-beyond standard. NO doctor is going to admit to ordering unnecessary nor defensive procedures if Medicaid/Medicare is the payor. Opens them up to fraud prosecution.
Posted on 2/2/14 at 2:55 pm to Taxing Authority
The other flaw is the "study" examines costs. Not price. Two different things that are often misused interchangeably when talking about healthcare.
Posted on 2/2/14 at 3:04 pm to Taxing Authority
quote:Not almost impossible but totally impossible. Just noting that Powerman's study showed $46B which he called significant but not a big deal. This study is more than 10 times that or 1 in 4 healthcare dollars spent in the defensive mode.
It's almost impossible to get a valid number.
Posted on 2/2/14 at 3:04 pm to Taxing Authority
quote:
It's almost impossible to get a valid number. It's too intertwined with insurance. If a patient doesn't NEED an MRI of their head, but... since 1) they aren't paying and 2) it lowers the chance of getting sued -- why would you NOT order as a doctor? There are almost no visible consequences to the doctor nor patient.
But let's not forget that doctors can be assholes on their own without the consideration of litigation.
Take away #2 and the doctor still has an incentive to do an MRI
In fact I was given a CAT scan once and I'm almost certain that it wouldn't have been done if I didn't have insurance. It was completely unnecessary in retrospect.
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