re: Medical Industry: Biggest Crooks Ever

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Medical Industry: Biggest Crooks Ever

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You said that consumers were the reason costs are so high you dope. And I said that insurance were part of the reason, as in don't dismiss them as you did.

Please look back at my post, what I was responding to, and how it relates to the OP. It was meant to be sarcastic. Please catch the frick up.

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No I want the splint put on in a half way decent fashion which, since ED attendings won't and ED residents can't, ends up being on my residents.

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At my institution, whenever Plastic Surgery is on hand-trauma, they have no problem with us placing splints, and we get no complaints. And trust me, if there were complaints, the residents would hear about it. There are bad residents in every field. ER residents are at a disadvantage when stuff that they are expected to do on their own in the real world gets punted to the specialist because of the nature of academics etc.

As far as your other point, some of the costs/tests that come from the ER are an unfortunate result of defensive medicine and huge independent contracting firms rewarding docs for over-working and RVUs. It is a dark side of Emergency Medicine that some groups are trying to fix and some groups are passively overlooking. Also, as long as the AMA is considered an organization trying to be part of the solution (some don't view it as this), I'm not sure you know who its president is...

You aren't very good at comprehending the fact that I have not asserted that insurance companies are the main reason for high healthcare costs. So no, I'm not going into that detail.

Let me break this down for you, one more time.

OP: medical industry are crooks
Some guy: actually it's the insurance companies that make it high because they pay anything
Me: yeah, and medical suppliers know this, and will charge accordingly (shifting blame back to medical industry)
You: I'm going to argue with you now

ETA: you did see that post I had that said I didn't hold that belief, right?

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surgeons fees in many cases have actually gone down since 1985

that tells me that they were extremely inflated in '85 if they were the case fwiw.... Just being devils advocate but I imagine the tools have really revolutionized the industry procedures in the last 30 years.

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It's a profoundly dishonest statement. Any reductions are more than made up and then some by new fees.

Shattered my leg 5 years ago and was in the hospital for 4 days. For the price of that room, I could have gotten the penthouse at Caesar's for nearly a week.

Sounds like you have a problem with your ER docs not ER docs in general. In my training, we did all the splints. I could could on one hand the number of times an Orthopod came to my ER. I do all splints, all reductions, all dislocation and fracture care, all while also managing the conscious sedation.

Sounds like your ER needs a new residency director because when I trained, he would be pissed if we gave away any procedure to any resident that fell into our scope of practice.

i use to be a big advocate for hospitals. made them a lot of money. then, I was 500 dollars to the negative on one of my line items in a 4 page department operations report. Otherwise, I was 200,000 dollars in the black (good). I had taken the dept from a monthly 100,000 in the red to a positive 200,000. Sitting at my meeting with the big boss and he berates me about the 500 dollars. I berate him back. He settles down and tells me to sit in a conference call with the really big bosses (Triad). They did not know i was sitting in. This was a call dealing with operations in general. Never once was quality or patient care mentioned during that call. They berated him over and over for minute amounts of money. Now, I am not a pie in the sky guy, I know its about money, but good grief, my entire thought process changed that day, it was T -totally about money....100% about money. They didnt mention the 3 lawsuits my dept had against it (before I arrived), it was just money. period. I left that sorry hospital and sorry company shortly thereafter. In south arkansas.

It was a Sunday morning and the issue is not the same as a sprained ankle, monkeydick.

And, the neighborhood ER I used had approximately zero people waiting.

You fricking idiot.