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re: I hate our healthcare system and PAs/NPs

Posted on 8/10/17 at 6:39 pm to
Posted by SlapahoeTribe
Tiger Nation
Member since Jul 2012
12095 posts
Posted on 8/10/17 at 6:39 pm to
quote:

I never go to the doctor and the one time I do
Hum... could your deductible explain the high cost of the meds?
Posted by East Coast Band
Member since Nov 2010
62773 posts
Posted on 8/10/17 at 6:41 pm to
NPs make entirely too much money, but they are still more cost effective than a doctor in today's prescription driven medical world.
Posted by CamdenTiger
Member since Aug 2009
62431 posts
Posted on 8/10/17 at 6:44 pm to
You taking any growth supplements, testosterone?
Posted by tgrbaitn08
Member since Dec 2007
146214 posts
Posted on 8/10/17 at 6:46 pm to
You have acne on your shoulders. The NP has probably seen hundreds inf not thousands of the same acne. She knew what she was doing.
Posted by BulldogXero
Member since Oct 2011
9763 posts
Posted on 8/10/17 at 6:50 pm to
quote:

went to the dermatologist for the first time to get my acne (shoulder and back, thankfully not face) looked at because it's been persistent for many months and resistant to OTC creams and medicines, changes in shampoos, etc. I was told all week that the doctor is looking forward to your visit and that her time is precious, and if I didn't notify of a cancellation within 24 hrs I'd be charged a fee of $50. I'm brought back to a room and wanted to confirm the doctor would see me, but instead the bubbly assistant told me "No, the NP will but she's really great!" The NP barely looked at my acne and wrote me scripts that costed $250. She didn't even stay for 7 minutes and would have left sooner if I didn't ask as many questions as I did. I asked for the dermatologist, even if it was just for 5 minutes because I trust her diagnosis more than someone who didn't specialize. I was billed $150 to see the damn NP and was told by cvs the scripts aren't covered by my health insurance, which I pay too much for. It prob cost them $30 bucks to make the damn antibiotics and they charge me $200. Screw the healthcare system and the people scamming in it. I fully expected the doctor saw everyone as well because it took months to even get the appointment. Rant over but this is BS


This sounds like my experience with a GI specialist and having to pay specialist co-pay on a follow-up visit when unbeknownst to me, a NP sees all follow up patients.

Posted by Jim Rockford
Member since May 2011
98182 posts
Posted on 8/10/17 at 6:58 pm to
quote:

Moral of the story...stop using steroids.


FIFY
Posted by BulldogXero
Member since Oct 2011
9763 posts
Posted on 8/10/17 at 6:59 pm to
quote:

Devil's advocate: how long should a healthcare provider stay in the room once they have convinced themselves of the diagnosis, discussed it with you, and answered all your questions? It is not fun to expect one thing and get another, for sure. I do not like that concept very much.


Most of the time, I think you can learn more about your ailments via a 5 minute google search than spending an hour at the doctor's office.

They do serve as an effective filter (no, you don't actually have pancreatic cancer because you have stomach cramps), but they really like to dig deeply into the issue, at least not without many repeat visits.
Posted by Capital Cajun
Over Yonder
Member since Aug 2007
5525 posts
Posted on 8/10/17 at 7:03 pm to
Bring your prescriptions to a mom and pop outfit and stay away from the CVS/Wallgreen pharmacies.
Posted by BulldogXero
Member since Oct 2011
9763 posts
Posted on 8/10/17 at 7:08 pm to
quote:

Bring your prescriptions to a mom and pop outfit and stay away from the CVS/Wallgreen pharmacies.


I got generic Nexium for $34 at Wal-Mart. CVS wanted to charge me over $200
Posted by Blob Fish
Member since Mar 2016
3091 posts
Posted on 8/10/17 at 7:18 pm to
quote:

Welcome to your future health care model. As more people have access to health care (free/subsidized insurance) and you have the same number of doctors, expect there to be more mid level providers to triage/see the "easy" pts, regardless of what type of insurance you have


This.

Keep voting Democrat if you like the direction things are going. Doctors are plagued by more paperwork, more patients, and less reimbursement. This is how they cope.

ETA: Keep voting Democrat or establishment Republican. It should go without saying because they are one and the same, but I just wanted to be clear.
This post was edited on 8/10/17 at 7:20 pm
Posted by BulldogXero
Member since Oct 2011
9763 posts
Posted on 8/10/17 at 7:24 pm to
quote:

his. Keep voting Democrat if you like the direction things are going. Doctors are plagued by more paperwork, more patients, and less reimbursement. This is how they cope. ETA: Keep voting Democrat or establishment Republican. It should go without saying because they are one and the same, but I just wanted to be clear. This post was edited on 8/10 at 7:20 pm


I mean, if you aren't paying an arm and a leg for it...
Posted by TigerGman
Center of the Universe
Member since Sep 2006
11203 posts
Posted on 8/10/17 at 7:28 pm to
You went to the doctor for some pimples on your back?
This post was edited on 8/10/17 at 7:31 pm
Posted by Mingo Was His NameO
Brooklyn
Member since Mar 2016
25455 posts
Posted on 8/10/17 at 7:29 pm to
The NP probably did know what she was talking about and correctly diagnosed, but the OP scheduled and paid to see the dermatologist. I get the gripe. I'd be pissed to if I didn't know beforehand that I wouldn't see the actual MD the entire visit.
Posted by PoppaD
Texas
Member since Feb 2008
4911 posts
Posted on 8/10/17 at 7:31 pm to
In todays world the consumer of healthcare needs to have a complete understanding of their health plan and prescription coverage. Its the only way to not get screwed.

Example- my son needed and antibiotic. The Dr prescribed clindamycin which wasnt covered under my prescription plan. CVS was going to charge me $245.00 for a ten day supply of liquid. I reviewed my script plan and spoke with the Dr on the phone. He changed the script to Amoxicillin for a grand total of $13 dollars.

$245 vs $13 is a big difference. Some consumers might have just paid it but by researching my plan coverage I saved a ton.

Consumers have to pay more for Dr visits and scripts thanks to high deductible plans. Dr's and pharmacys need to be more transparent on their pricing so consumers can make better decisions and if your only going to see a Np the price should reflect that.
This post was edited on 8/10/17 at 7:42 pm
Posted by SmackoverHawg
Member since Oct 2011
27330 posts
Posted on 8/10/17 at 7:37 pm to
quote:

Dr's and pharmacys need to be more transparent on their pricing so consumers can make better decisions.

Good luck. Doctors aren't told how much stuff costs unless we seek it out. Even then, it can vary widely from pharmacy to pharmacy and even week to week. And clindamycin is generic. That seems high but there's been some screwy stuff going on with drug prices.
Posted by SmackoverHawg
Member since Oct 2011
27330 posts
Posted on 8/10/17 at 7:38 pm to
quote:

The NP probably did know what she was talking about and correctly diagnosed, but the OP scheduled and paid to see the dermatologist. I get the gripe. I'd be pissed to if I didn't know beforehand that I wouldn't see the actual MD the entire visit.

Or your primary care doctor could have probably given you the same thing for a lower co-pay.
Posted by TigerGman
Center of the Universe
Member since Sep 2006
11203 posts
Posted on 8/10/17 at 7:39 pm to
quote:

Example- my son needed and antibiotic. The Dr prescribed clindamycin which wasnt covered under my prescription plan. CVS was going to charge me $245.00 for a ten day supply of liquid. I reviewed my script plan and spoke with the Dr on the phone. He changed the script to Amoxicillin for a grand total of $13 dollars.


So you endangered your son's health by switching to a much less effective anti biotic? Something to be proud of indeed...
Posted by Epic Cajun
Lafayette, LA
Member since Feb 2013
32445 posts
Posted on 8/10/17 at 7:41 pm to
quote:

NPs make entirely too much money, but they are still more cost effective than a doctor in today's prescription driven medical world.

They don't even make that much

How much should an NP make in your estimation?

And are you willing to tell us your profession, so that we can tell you how much you should make?

And, before I'm accused, I'm not an NP.
Posted by Spock's Eyebrow
Member since May 2012
12300 posts
Posted on 8/10/17 at 7:47 pm to
quote:

They don't even make that much

How much should an NP make in your estimation?


He said he was billed $150 for a 7 minute office visit. That's excessive for any practitioner. Hopefully his insurance will knock it down to $20 or so.
Posted by Wolfhound45
Hanging with Chicken in Lurkistan
Member since Nov 2009
120000 posts
Posted on 8/10/17 at 7:48 pm to
quote:

schwartzy
They hate you too.
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