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re: Optometry: LA HB 1065/SB 568: What if your Louisiana Eye Surgeon is NOT an MD?

Posted on 5/21/14 at 5:19 pm to
Posted by oilmanNO
Member since Oct 2009
2874 posts
Posted on 5/21/14 at 5:19 pm to
Wasn't really close
Posted by WaveForLSU
Member since Oct 2008
5537 posts
Posted on 5/21/14 at 5:45 pm to
Was it amended at all?
Posted by Blind Eye
Zachary, Louisiana
Member since Nov 2012
112 posts
Posted on 5/21/14 at 5:57 pm to
No. Amendment was tried and failed as bad as the final vote.
Posted by Traffic Circle
Down the Rabbit Hole
Member since Nov 2013
4890 posts
Posted on 5/21/14 at 6:52 pm to
Cool. So, now Optometrists, who are not MD's, can not only prescribe medicine but can also perform some eye surgeries?

Provided that Jindal signs it, which he probably will.

Wow. This opens up all sorts of possibilities. Maybe, eventually, even I will be able to do surgery, and I am not in the medical field!

Listen up students, a new field is now open - eye surgeon. No medical school necessary, just Optometry school and you can do certain cool laser procedures. Life is great!
This post was edited on 5/21/14 at 6:54 pm
Posted by guttata
prairieville
Member since Feb 2006
22632 posts
Posted on 5/21/14 at 7:03 pm to
You could always go to dental school.
Posted by Traffic Circle
Down the Rabbit Hole
Member since Nov 2013
4890 posts
Posted on 5/21/14 at 7:05 pm to
quote:

You could always go to dental school.

I don't want to go back to school. I am just hoping that they will let electricians perform surgery.
Posted by medtiger
Member since Sep 2003
21957 posts
Posted on 5/21/14 at 7:12 pm to
quote:

I am just hoping that they will let electricians perform surgery.


Get an electrician elected to the senate, have him become chair of the senate health and welfare committee, then have him strong arm all the other senators and reps into voting to allow electricians to perform surgery. It worked for the optoms.
Posted by Blind Eye
Zachary, Louisiana
Member since Nov 2012
112 posts
Posted on 5/21/14 at 7:21 pm to
Y'all got out voted 91-44. You think heitmeier is that strong? We had the votes last year also when our author pulled the bill. Oversight of epic proportions on our part to not realize that his son was graduating from med school. He's currently enjoying a derm residency. You wanna be the pot or the kettle? Don't make it sound like we are the only ones to use our resources.
Posted by medtiger
Member since Sep 2003
21957 posts
Posted on 5/21/14 at 7:30 pm to
Well, the public was strongly on our side by all accounts, so if legislators weren't voting for the wishes of their constituents, something or someone influenced them.
Posted by Da Hammer
Folsom
Member since May 2008
5970 posts
Posted on 5/21/14 at 9:29 pm to
I know of three surveys NOT conducted by the AMA, LSMS, or AAO that say louisiana residents ARE in favor of this bill. Go figure.
Posted by Tigerdew
The Garden District of Da' Parish
Member since Dec 2003
14945 posts
Posted on 5/21/14 at 10:15 pm to
quote:

Y'all got out voted 91-44. You think heitmeier is that strong? We had the votes last year also when our author pulled the bill. Oversight of epic proportions on our part to not realize that his son was graduating from med school. He's currently enjoying a derm residency. You wanna be the pot or the kettle? Don't make it sound like we are the only ones to use our resources.


So now what? How our currently practicing optoms going to get the necessary training to perform the surgeries they fought for? What type of board exists to monitor shite like this? How much cheaper are optoms going to be for these surgeries so that it will be worth choosing you over an MD? And the main question: when will I be able to get my groceries, a haircut, a $5 footlong and an eye surgery at my local walmart? I'm a busy guy, yo.
This post was edited on 5/21/14 at 10:16 pm
Posted by Traffic Circle
Down the Rabbit Hole
Member since Nov 2013
4890 posts
Posted on 5/21/14 at 10:33 pm to
I am wondering what is going to happen to earnings.

Optometrist Average up $50,000?
Opthamologists Average down $75,000?
Posted by oilmanNO
Member since Oct 2009
2874 posts
Posted on 5/21/14 at 10:38 pm to
What profession are you in?
Posted by rumproast
Member since Dec 2003
12398 posts
Posted on 5/21/14 at 10:47 pm to
Sorry...I'm with the optoms here. All of this hooting and hollering b.s. Is about money. Now more people who previously couldn't have even considered laser surgery will have an option. On the other hand, people who believe all of the b.s. The optho's are spewing certainly retain the right to pay their optho's 5 times what an optoms would charge in order to feel better about it. Thus, everybody is happy. (Except the greedy optho's who want their "monopoly" and ability to price gouge.
Posted by EYEDOCNO
New Orleans
Member since Sep 2004
1154 posts
Posted on 5/21/14 at 11:02 pm to
quote:

How much cheaper are optoms going to be for these surgeries so that it will be worth choosing you over an MD?



I can answer that question. I won't be any cheaper at all. Insurance companies are going to pay the same no matter who performs the procedure. This bill doesn't save the system a dime. I don't know why someone would choose an O.D. over an M.D. for surgery. I think a lot of people didn't know the difference before. I think a lot more know the difference now.

This bill isn't going to raise optoms income or lower ophthalmologists income to a great degree. I said this before, this issue (at least for me) wasn't about money. It was about who was qualified to perform surgery on the citizens of this state. I firmly believe that the only people qualified to perform these procedures are ophthalmologists. This isn't anything personal against optometrists. I just don't believe you have the qualifications or the training to do it.

However, the members of the Louisiana Legislature disagree with me. You guys won. I have to give the optometrists and their lobby credit. They did a masterful job. The ophthalmology lobby on the other hand was more inept than LSU's offense against Alabama in the BCS Championship Game! Whoever decided to attack Heitmeier personally is a moron and deserves to be fired!



Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/21/14 at 11:13 pm to
Optometrists will not do the laser for any less than how much it is currently being done for.

I'm amazed at our state and the total lack of understanding of how medical training works. We've had residency programs around for decades/centuries in America, and they are there for a purpose.

While they were voting, the Legislature should've just included themselves in the law as laser surgeons too.

Nobody can say we didn't try on this round. Patient safety is always worth the fight..
Posted by medtiger
Member since Sep 2003
21957 posts
Posted on 5/21/14 at 11:16 pm to
quote:

All of this hooting and hollering b.s. Is about money.


You're 100% correct. The optoms wanted in to a market that was previously untapped for them. This won't affect my bottom line one bit because no optom near me has the equipment to perform any of these procedures.

quote:

On the other hand, people who believe all of the b.s. The optho's are spewing certainly retain the right to pay their optho's 5 times what an optoms would charge in order to feel better about it. Thus, everybody is happy. (Except the greedy optho's who want their "monopoly" and ability to price gouge.


Thanks for posting this. It lets me see that you have no earthly clue about how medical reimbursement works, so nothing you say going forward about this subject is worth responding to. Of course, your opinion is probably, at least in part, based on ophthalmology's crappy PR approach to this debate.
This post was edited on 5/21/14 at 11:23 pm
Posted by medtiger
Member since Sep 2003
21957 posts
Posted on 5/21/14 at 11:18 pm to
quote:

I have to give the optometrists and their lobby credit. They did a masterful job. The ophthalmology lobby on the other hand was more inept than LSU's offense against Alabama in the BCS Championship Game! Whoever decided to attack Heitmeier personally is a moron and deserves to be fired!


I definitely agree here. That commercial that was run right before the house vote was absolutely ridiculous.
Posted by jamarkus
Nola
Member since Oct 2007
185 posts
Posted on 5/21/14 at 11:22 pm to
I think a lot of ophthalmologists will just dip down and start fitting more contact lenses and selling more glasses-just need a good tech This can work both ways.
This post was edited on 5/21/14 at 11:24 pm
Posted by EYEDOCNO
New Orleans
Member since Sep 2004
1154 posts
Posted on 5/21/14 at 11:24 pm to
quote:

Sorry...I'm with the optoms here. All of this hooting and hollering b.s. Is about money. Now more people who previously couldn't have even considered laser surgery will have an option. On the other hand, people who believe all of the b.s. The optho's are spewing certainly retain the right to pay their optho's 5 times what an optoms would charge in order to feel better about it. Thus, everybody is happy. (Except the greedy optho's who want their "monopoly" and ability to price gouge.



Wow, this might be the most ignorant, misinformed thing I've seen posted on here in years! All of these procedures have set reimbursement rates. No matter who does them, the pay is the same. It's not like a plumber where 2 plumbers may charge two completely different amounts to fix the same pipe. It is about money. Money for the optoms. The whole patient access angle was a load of crap. A load of crap that they played very well and convinced enough legislators that it was the truth.
This post was edited on 5/21/14 at 11:27 pm
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