Word: doctorings
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...doctor what's wrong with America's healthcare system, and be prepared to pull up a chair. You'll hear a litany of complaints about Kafka-esque bureaucracies, litigious patients, unreasonable insurance companies, too few nurses, never enough time, too much testing and not enough talk. But complaining gets us nowhere-we need solutions. Here are my top seven reforms for health care...
...easier to work out which car is safer for your family or which videocamera best suits your needs than it is to find the most experienced sports medicine physician or the best hospital for chemotherapy. In the absence of a Consumer Reports guide to every hospital and doctor in America, these web sites-some free, some fee-based-mine the available data to help guide patients through the maze. (Many insurance company's sites offer similar services: be sure to check yours...
...Medicare reform act gives monetary incentives for hospitals that report to the service.) The site, launched in April last year, currently only measures care given to heart attack, heart failure, pneumonia and surgical patients. It also has a handy checklist of questions to ask hospitals, and your doctor, before making a decision...
...www.healthgrades.com The restaurant rating system of health care: five stars for the best hospital, nursing home or doctor; three stars for someone who performs "as expected", and one for a poor performer. More than two million users go to this site every month to search its database of 5,000 hospitals, 16,000 nursing homes, and 650,000 physicians. The stars come for free, but detailed reports including survival, complication and recovery ratings cost upwards...
That is the mind-set of many patients who abuse their doctors; my bet is they abuse other people as well. Any good doctor knows when you're too sick to be polite and will let it roll off his back. The squeaky wheel we don't like is the one playing a dominance game. That big wheel is likely to get a shorter, less sensitive examination and more tests, and then still more tests to follow up the abnormalities in the first tests, followed by extra consultations with specialists--anything to relieve the doctor's responsibility...