Friend of IP4PI Gene Uzawa Dorio, M.D. writes in:
I received a phone call from a hospital case manager that my patient did not meet criteria for further admission and should be discharged. Unfortunately, the patient was just removed from a breathing machine, and was still in the ICU for sepsis.
There are several criteria used by hospitals guiding whether a patient should be admitted or discharged. Who establishes these criteria? Hospitals of course, with evidence-based bias to divert money into their pockets.
This conspiracy by business people has been detrimental to the quality of healthcare the American people receive when hospitalization is required.
With almost 40 years of practice and experience, I remain up to date on how to provide scientific evidence-based care to patients. Unfortunately, I now have to ask permission for a patient to be admitted, have certain testing and procedures, and remain in the hospital setting.
Asking for permission from those in authority who ultimately benefit from denial is not only intuitively wrong, but crosses the boundary of moral and ethical sense.
It also violates the Hippocratic Oath I have taken, and reminds me they have only taken an oath to benefit themselves.
Comments: http://scvphysicianreport.com/2018/07/01/doctors-diary-july-1-2018-permission-denied/ Hit “Home” for past snippets.
“Snippets from the frontline” sent in from Gene Uzawa Dorio, M.D.
You’ve been told surgery required to repair a herniated disc has been denied; a mammogram to evaluate a new lump won’t be allowed; or you must be discharged from the hospital because an insurance company doctor you have never met will not approve further hospitalization.
As my patient’s advocate, I frequently must discuss their care with insurance doctors in peer-to-peer phone conversations. This is what I do starting this conversation: I get the doctor’s name; in what state they are licensed; their specialty; and tell them their name will be placed on the patient’s record as being a participant in medical decision-making.
With that, they must weigh their medical versus financial judgement, and know they might be subject to the same accountability I face. Does this make a difference? Sometimes.
Medical decision-making has been removed from your doctor and given to distant paper pushers of the insurance industry. Urge your physician in their peer-to-peer conversations to make insurance doctors responsible too.
Gene Uzawa Dorio, M.D.
Guest Post from Gene Uzawa Dorio, M.D.
Reality check: A new drug has emerged for your health condition, and after the doctor sample has run out, the prescription price tag is 25% of your monthly income; on discharge, your hospital doctor forces you to go to a “skilled nursing facility” instead of home, and you’re still sick; a letter arrives in the mail increasing your monthly health premiums and decreasing your coverage…again.
Does this make sense? It does when it is spelled “cents.”
Most industrialized countries around the world have minimized healthcare costs, yet still balance their budget. Why can’t our country do the same?
Below you will find my most recent posting with simple facts and possible solutions for the relentless healthcare debate. Should you have comments, feel free to do so at the link. If you find these thoughts worthy, pass them forward to your friends. But if you prefer not to receive my e-mails, let me know and I will remove you from my list.
Please voice your opinion.
Guest Post from Gene Uzawa Dorio, M.D.
When well-educated medical professionals have no voice, and hospital administrators control public relations, swaying opinions can be harmful to patient care.
Below is my recent posting revealing intentional finger pointing away from the true cause of poor healthcare in our country. It is nationwide, and should be examined in your community.
Thank you for listening.
$23 Million Hospital Propaganda Against Doctors
On occasion, I feel compelled to put in my two cents at Santa Clarita City Council meetings. Recently there was a five hour meeting about whether the city should subsidize the artsy Laemmle theatre as an anchor to revitalize business in Old Town Newhall.
This is what I said:
As a physician, my job is to weigh risks and benefits.
Advancing technology and research has improved my ability to practice medicine. We don’t give children cough syrup laced with morphine or heroin anymore. Blood letting has been discontinued. Lobotomies are now only reserved for Washington D.C. politicians. Continue reading