Word: physician
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...Healthcare's Simon argues that "there is nothing in our contract that should be construed as interfering with the physician-patient relationship. Doctors are encouraged to have open communications with their patients, about treatment, coverage, benefits, even the mechanism by which they are paid. It's just the specific dollar amounts that are to be withheld." But the contract terms cited by Himmelstein seem to prescribe a far greater circumspection from doctors than that...
...ARTICLE "KNOWing When to Stop." We doctors know when to halt medical treatment. However, our hands are tied. If we stop treating, we are sued, taken to court and, in some cases, jailed. Navigating the paperwork, ethics committees and legal issues of withdrawing support requires more heroics by the physician than continuing treatment. To blame physicians for the money spent in the last six months of life is like blaming the Marines for the decisions made by the generals. CHARLES E. WHITING, M.D. Glendale, California...
...financial exposure to rising Medicaid costs. And the G.O.P. is not proposing actual cuts, but reductions in the rate of Medicaid's growth. Still, given the outlook for affected Americans, the Medicaid proposal has drawn harsh criticism from many, like Oregon Governor John Kitzhaber, a Democrat and a physician, who calls the withdrawal of guaranteed health coverage a "cynical political move" meant to balance the budget on the backs of people who don't vote Republican. The A.M.A., which earlier endorsed the G.O.P.'s Medicare reforms, went public last week with concerns that the Medicaid safety net is being torn...
...people who never had health coverage are "happy just because they have a TennCare card in their pocket," says Gordon Bonnyman, a Tennessee legal-services lawyer. And many Medicaid recipients like the shift to managed care, since it provides an opportunity to build a relationship with a primary-care physician...
...seizure disorder. When he got an ear infection, her health plan refused to authorize the medicine he needed, but the cheaper medication aggravated his seizure disorder. Eventually, he got seriously ill and had to receive intravenous antibiotics. "What really aggravated me," says Guyton, "was that the [plan's] own physician said this is what Patrick needed, but then they wouldn't approve...