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closeupready (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:22 PM Original message |
Correct me if I'm wrong: it is illegal for anyone other than a doctor to practice medicine, right? |
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Lucy Goosey (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:24 PM Response to Original message |
1. Don't they have physicians at the insurance companies signing off on this stuff, though? |
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closeupready (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:26 PM Response to Reply #1 |
4. Is that correct? That must have been later in the film? |
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Chulanowa (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:32 PM Response to Reply #1 |
11. I think they do |
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robinlynne (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:35 PM Response to Reply #1 |
14. yes. I had an insurance problem like that. there are 3 doctors in cahrge of |
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closeupready (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:39 PM Response to Reply #14 |
15. But then when they are wrong (because they didn't see you), isn't that malpractice? |
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robinlynne (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:57 PM Response to Reply #15 |
22. In my case, it was not serious, like this woman's case. I dont know the answer to your |
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truedelphi (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 02:59 PM Response to Reply #14 |
25. I am sorry to hear of your situation. That SUCKED! n/t |
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madrchsod (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:42 PM Response to Reply #1 |
17. they have "health professionals" decide on treatments |
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mainer (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 03:41 PM Response to Reply #1 |
36. Not necessarily. Sometimes they're untrained clerks. |
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hedgehog (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:25 PM Response to Original message |
2. They aren't deciding what treatment the woman should get, they're |
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Cleita (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:26 PM Response to Reply #2 |
6. It seems to me that they are making a diagnosis which would be |
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closeupready (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:28 PM Response to Reply #6 |
7. Yup. |
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Chulanowa (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:48 PM Response to Reply #2 |
19. In a way they are deciding the treatment a person gets |
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Cleita (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:26 PM Response to Original message |
3. You have a really good point and hopefully prosecutors might start going |
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KittyWampus (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 03:15 PM Response to Reply #3 |
28. Didn't Congress give Insurance Co's immunity from liability? |
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Cleita (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 03:20 PM Response to Reply #28 |
29. Maybe they did. There was so much deregulation that went on with |
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MiniMe (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:26 PM Response to Original message |
5. They aren't practicing medicine, they are practicing denial of medical treatment |
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aint_no_life_nowhere (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:32 PM Response to Reply #5 |
12. The decision to withhold treatment is the practice of medicine |
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MiniMe (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 02:29 PM Response to Reply #12 |
23. They aren't deciding if a person should receive a treatment, only if they will pay for it |
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aint_no_life_nowhere (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 02:44 PM Response to Reply #23 |
24. In most cases they are deciding which among several medical options they will authorize |
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MiniMe (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 04:47 PM Response to Reply #24 |
39. It is a very fine line, however, the doctor is free to do and prescribe what he wants |
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aint_no_life_nowhere (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 04:52 PM Response to Reply #39 |
40. In the traditional HMO model, called the "closed panel" type, the doctor is an employee |
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Turbineguy (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:29 PM Response to Original message |
8. It's the Shakey's Pizza doctrine. |
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Barack_America (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:29 PM Response to Original message |
9. Insurance companies don't "practice" medicine, they just pay for it. |
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Statistical (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:30 PM Response to Original message |
10. Insurance company isn't decided what treatment you can get... |
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hedgehog (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:33 PM Response to Original message |
13. What's really happening here is the insurance company penalizing the |
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thereismore (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:48 PM Response to Reply #13 |
18. Very good summary. They did that to us too. Had to pay ER visit. Not life threatening. nt |
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johnaries (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:41 PM Response to Original message |
16. 2 words. Death Panel. nt |
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Buzz Clik (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:49 PM Response to Original message |
20. I guess it doesn't require a license to deny medical attention, only to administer it. |
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ddeclue (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 01:51 PM Response to Original message |
21. there are various kinds of medical licenses: nurses, P.A's, pharmacists and EMT's are all licensed |
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Treo (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 03:31 PM Response to Reply #21 |
32. No HMO's are the top of the food chain NT |
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Turbineguy (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 03:07 PM Response to Original message |
26. Next Contestant please!... |
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AngryAmish (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 03:08 PM Response to Original message |
27. Nurse practioners practice medicine |
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cabluedem (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 03:27 PM Response to Reply #27 |
30. And you still pay them the same co-pay as a doctor. Something wrong there. nt |
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AngryAmish (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 03:48 PM Response to Reply #30 |
37. Not really |
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WeCanWorkItOut (182 posts) Send PM | Profile | Ignore | Fri Sep-25-09 05:39 PM Response to Reply #37 |
42. You know, it might work out if the co-pays for NPs were a bit lower |
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AngryAmish (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 06:59 PM Response to Reply #42 |
44. I think you are on to something |
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Treo (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 03:30 PM Response to Original message |
31. You're wrong |
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aint_no_life_nowhere (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 03:38 PM Response to Reply #31 |
34. But are they making the insurance company decisions? |
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Treo (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 03:41 PM Response to Reply #34 |
35. The question asked was |
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unblock (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 03:35 PM Response to Original message |
33. you and your doctor are free to choose between the $20 monthly meds or the $800 monthly meds |
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jberryhill (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 03:49 PM Response to Original message |
38. They are not telling people what to do or not - they are telling people what they won't pay for |
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Mimosa (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 05:10 PM Response to Original message |
41. What they won't pay for could kill an insured patient |
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aint_no_life_nowhere (1000+ posts) Send PM | Profile | Ignore | Fri Sep-25-09 06:20 PM Response to Original message |
43. A doctor wrote a book on this very issue |
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