Permission Denied

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.

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Medical Consequence of a Business Bonus

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.

Gene

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