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re: Optometry: LA HB 1065/SB 568: What if your Louisiana Eye Surgeon is NOT an MD?
Posted on 5/30/14 at 12:11 am to SmackoverHawg
Posted on 5/30/14 at 12:11 am to SmackoverHawg
I don't know what you do back there and don't care. I figure you're coming in late from a round of golf for all I know. But this is the patient mentality - accept it or not. I am not kidding you.
Any time you make sick people wait 1,2 or more hours you are degrading them. And the charges -whomever they are set by - relate back to the prescribing doctor. That's a fact, jack.
People are fed up to over their head. And the legislature cares because why? 22k Optometrists want it? No dude - it's the system. The fed up people who vote.
Public support is for quicker, cheaper, care. We are tired of big cars, long waits, pompous assholes, $500,000 salaries while we are left in the dark and often do die.
I don't know whose fault it is. But an easy mark is the doctor in the big car, with a big house, big salary, and a big wait time charging a big co-payment.
I'm just sayin.
Any time you make sick people wait 1,2 or more hours you are degrading them. And the charges -whomever they are set by - relate back to the prescribing doctor. That's a fact, jack.
People are fed up to over their head. And the legislature cares because why? 22k Optometrists want it? No dude - it's the system. The fed up people who vote.
Public support is for quicker, cheaper, care. We are tired of big cars, long waits, pompous assholes, $500,000 salaries while we are left in the dark and often do die.
I don't know whose fault it is. But an easy mark is the doctor in the big car, with a big house, big salary, and a big wait time charging a big co-payment.
I'm just sayin.
3
Posted on 5/30/14 at 12:20 am to Traffic Circle
quote:
Public support is for quicker, cheaper, care. We are tired of big cars, long waits, pompous assholes, $500,000 salaries while we are left in the dark and often do die. I don't know whose fault it is. But an easy mark is the doctor in the big car, with a big house, big salary, and a big wait time charging a big co-payment. I'm just sayin.
That's odd. My patients say they'd rather wait 2 hours to see me than to go elsewhere. Maybe cause they know I'm back there busting my arse. And have worked them in as an emergency. I get few complaints. Very few. Those that do are free to GTFO. Am appts and later PM appts tend to be on time. After that it can go to shite when you see emergent walk ins too. Wanna follow me around awhile and see what's going on? My pt's are happy. There's no shortage of docs around here and I got a waiting list hundreds of pts long and haven't advertised in over ten years. Sounds like you need a good doc.
Posted on 5/30/14 at 12:21 am to Traffic Circle
Most optoms scored in top 1% on the ACT, finished in the top 1% of their college class, and could have easily gotten into med school and finished in the top 1% but wanted to go to optom school instead. Their genius is unsurpassed.
Posted on 5/30/14 at 12:23 am to Traffic Circle
quote:
Public support is for quicker, cheaper, care. We are tired of big cars, long waits, pompous assholes, $500,000 salaries while we are left in the dark and often do die.
And we hope you dipshits that feel this way get what you want.
Do you think less educated, less skilled workers are gonna be faster and cheaper? No it's the same GD price. maybe fifteen percent less for an NP, but then it make take ten visits and a referral to a DOCTOR to figure the shite out. Good luck with that. Posted on 5/30/14 at 12:24 am to pensacola
quote:
Most optoms scored in top 1% on the ACT, finished in the top 1% of their college class, and could have easily gotten into med school and finished in the top 1% but wanted to go to optom school instead. Their genius is unsurpassed.
Straight bullshite!!! I hope this is a joke/troll.Posted on 5/30/14 at 12:24 am to SmackoverHawg
If it is all working out that peachy for you, you wouldn't be on this message board complaining about Optometrists taking away some of your practice, now would you?
I just gave you the straight dope. You can take it, ignore it, whatever. But that's it. And more will come. This is just the beginning, my friend. Good luck.
I just gave you the straight dope. You can take it, ignore it, whatever. But that's it. And more will come. This is just the beginning, my friend. Good luck.
Posted on 5/30/14 at 12:27 am to Traffic Circle
quote:
Optometry: LA HB 1065/SB 568: What if your Louisiana Eye Surgeon is NOT an MD?If it is all working out that peachy for you, you wouldn't be on this message board complaining about Optometrists taking away some of your practice, now would you?
They're taking zero of my practice. I just think we're dumbing down healthcare. I've used midlevels to create visits that I would have called in. Or do f/u's I would have done over the phone. A few of mine who have seen np's when they didn't want to wait regretted it. That's just my experience. Good, skilled docs won't be hurt. Shitty marginal docs will be. I'm good.
Posted on 5/30/14 at 12:30 am to SmackoverHawg
If you say so. Seem to be huggin that rice bowl a little tight there champ.
Posted on 5/30/14 at 12:53 am to Traffic Circle
Posted on 5/30/14 at 3:12 am to SmackoverHawg
So if Jindal signs the bill, should ODs be called optometric surgeons? I would assume the MDs would agree with this since it is them that claim the ODs would now be surgeons. 
Posted on 5/30/14 at 6:15 am to guttata
Has the sky fallen yet?
Posted on 5/30/14 at 7:16 am to LATigerdoc
LaTigerDoc.....I believe the consumers actually DO decide now. If they don't like the idea of an Optometrist doing these procedures, then they can choose not to go to one. They are welcome to pay the inflated cost and go to an Opthamologist.
Posted on 5/30/14 at 7:18 am to rumproast
quote:
LaTigerDoc.....I believe the consumers actually DO decide now. If they don't like the idea of an Optometrist doing these procedures, then they can choose not to go to one. They are welcome to pay the inflated cost and go to an Opthamologist.
Nail on the head. It's an issue of economic freedom.
Posted on 5/30/14 at 7:30 am to guttata
quote:
So if Jindal signs the bill, should ODs be called optometric surgeons? I would assume the MDs would agree with this since it is them that claim the ODs would now be surgeons.
The proper title would be "Board Certified Laser Neurosurgeon Cosmetic Plastic Endocrinologist Medical Doctor Specialist of Optometry and Physician."
Posted on 5/30/14 at 8:09 am to rumproast
quote:
They are welcome to pay the inflated cost and go to an Opthamologist.
Why does everyone assume it will be cheaper? You pay the same copay whether you see a doc or an NP. Insurance says a little unless it's "incident to" a doctors treatment. Then it's 100%. I've not seen a single instance of it being cheaper. The one independent NP around here charges more for cash pays than I do and pt's get far less. But I'm fine with the optometrist having at it. Just subject them to the same rules, regulations, and overhead. That way it is a level playing field from a cost standpoint.
And while we're at it. I think MD's should be able to practice general dentistry. I can pull a damn tooth and will do it a hell of a lot cheaper than $300. But it's illegal for me to do it. Hell, I'd do it for free for some of mine. Why don't y'all break up the monopoly the dentists have while you're at it? I'm serious on this one.
Posted on 5/30/14 at 8:12 am to SmackoverHawg
quote:
And while we're at it. I think MD's should be able to practice general dentistry. I can pull a damn tooth and will do it a hell of a lot cheaper than $300. But it's illegal for me to do it. Hell, I'd do it for free for some of mine. Why don't y'all break up the monopoly the dentists have while you're at it? I'm serious on this one.
Ok by me.
Posted on 5/30/14 at 8:14 am to SmackoverHawg
quote:
Why does everyone assume it will be cheaper?
why would an optometrist ever be used for the same price as an ophth, unless there actually is an access/shortage issue for seeing an ophth?
quote:
Why don't y'all break up the monopoly the dentists have while you're at it? I'm serious on this one.
I don't disagree, & I bet few other non-dentists would have a strong negative feeling about such a proposal
This post was edited on 5/30/14 at 8:15 am
Posted on 5/30/14 at 8:19 am to 90proofprofessional
The physicians seem pretty oblivious to the problems of access, wait times, and cost inflicted on the rest of society.
And, if you Google it, quality of care in the US is not even in the top ten.
Must be nice to live in an Ivory Tower. But the peasants are revolting, and perhaps more is needed than "let them eat cake?"
And, if you Google it, quality of care in the US is not even in the top ten.
Must be nice to live in an Ivory Tower. But the peasants are revolting, and perhaps more is needed than "let them eat cake?"
Posted on 5/30/14 at 8:19 am to SmackoverHawg
quote:
hy does everyone assume it will be cheaper? You pay the same copay whether you see a doc or an NP.
Because if it isn't cheaper, then people will just continue to go to Opthamologists. Optometrists, if they intend to "break into the field", will have to use price as their incentive if they want to compete in the marketplace. (Obviously, if a person has a true choice and the price is the same, they would probably opt for the opthamologist. But be real, the price won't be the same.)
Posted on 5/30/14 at 8:49 am to LATigerdoc
quote:
I am no alter, not even in the medical field. The turf war fascinates me. And the MDs who pretend to be all that and are now threatened, are interesting to see squirm over this interesting development.
I'm calling bullshite. You're command of medical lingo and the issues at hand suggest otherwise.
quote:
$50 co-pays.
I paid $56 dollars to get my oil changed last week.
quote:
And, if you Google it, quality of care in the US is not even in the top ten.
You need to first learn the difference between healthcare and medical care. The US has some of the best trained physicians and surgeons in the world, but if you refuse to put the twinkie down no amount of training is going to help you.
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