In Obama Care "Mandates" have replaced Criteria-Testing-and Legal Procedures based on Criteria.
Below is an explanation of how it works. The failure of taking precautions under normal criteria is the reason "Mandates" don't work as a replacement for criteria. There is no legal definition of a standard of care under Obama Care except "Mandates".
Checking records of patients often involves records from other doctors or facilities. Ensuring the patient has a proper diagnosis and testing before treatment is advisable.
Dr. Robbins
Under Obamacare the national data base never happened. The most important point of improving medical care in America was once again ignored by Democrats and Republicans. The cost of care in facilities set up for universal care, including major operations, hospital stays, high tech procedures, specialized care, is too high for the purpose of routine doctor visits and minor medical procedures. Using specialized care and hospitals for regular check ups and using the emergency room for minor care such as diaper rash or common cold checks is unnecessary and HUGELY expensive. This expense happens without improving the care of the patients. This practice also creates problems in cost transference and delays in procedural diagnosis and treatment for hospital and specialized care patients. This is regardless of insurance coverage. People think they are getting higher quality care in larger facilities.
Not true. The best system is to pay MD's to see patients in a clinical setting with treatment for minor care problems and initial diagnosis with reference to specialized care if necessary. That has always been the best way to handle case loads. Trying to do everything under one giant roof, for the benefit of convenience is a very wasteful and counterproductive way to address the needs of patients, overall.
MD's need to offer more services and in house testing in clinical setting. The MD's need to be paid through the system of Medicaid and Medicare a larger amount to compensate for their expenses. Having more testing and services provided by the MD is a sure way to reduce costs within the system overall and the best way to improve patient care.
The reason many clinics are no longer privately owned by MD's who would generally work closer to the community they serve, is because of costs associated with facility expenses and insurance.
If MD's know they are going to get paid enough per patient to cover expenses and have options in clinical treatments and testing they can open clinics, (doctors offices) and start seeing patients in more areas. Thus saving huge amounts of money in insurance payments and expenses within the system while they improve care for the community overall.
Paying MD's more per patient will enable them to provide clinical settings with more services. Services including higher level testing that can be don at the clinic for less money. And with less complexity in scheduling patient visits. Thus, cutting patent vists and saving time and money. The overall cost of treatment and initial consultative visit in a clinical setting is far less expensive than what costs would be incurred in a hospital or specialized care facility.
Dr. Robbins - (That's me.)
Below is an explanation of how it works. The failure of taking precautions under normal criteria is the reason "Mandates" don't work as a replacement for criteria. There is no legal definition of a standard of care under Obama Care except "Mandates".
Checking records of patients often involves records from other doctors or facilities. Ensuring the patient has a proper diagnosis and testing before treatment is advisable.
Dr. Robbins
Under Obamacare the national data base never happened. The most important point of improving medical care in America was once again ignored by Democrats and Republicans. The cost of care in facilities set up for universal care, including major operations, hospital stays, high tech procedures, specialized care, is too high for the purpose of routine doctor visits and minor medical procedures. Using specialized care and hospitals for regular check ups and using the emergency room for minor care such as diaper rash or common cold checks is unnecessary and HUGELY expensive. This expense happens without improving the care of the patients. This practice also creates problems in cost transference and delays in procedural diagnosis and treatment for hospital and specialized care patients. This is regardless of insurance coverage. People think they are getting higher quality care in larger facilities.
Not true. The best system is to pay MD's to see patients in a clinical setting with treatment for minor care problems and initial diagnosis with reference to specialized care if necessary. That has always been the best way to handle case loads. Trying to do everything under one giant roof, for the benefit of convenience is a very wasteful and counterproductive way to address the needs of patients, overall.
MD's need to offer more services and in house testing in clinical setting. The MD's need to be paid through the system of Medicaid and Medicare a larger amount to compensate for their expenses. Having more testing and services provided by the MD is a sure way to reduce costs within the system overall and the best way to improve patient care.
The reason many clinics are no longer privately owned by MD's who would generally work closer to the community they serve, is because of costs associated with facility expenses and insurance.
If MD's know they are going to get paid enough per patient to cover expenses and have options in clinical treatments and testing they can open clinics, (doctors offices) and start seeing patients in more areas. Thus saving huge amounts of money in insurance payments and expenses within the system while they improve care for the community overall.
Paying MD's more per patient will enable them to provide clinical settings with more services. Services including higher level testing that can be don at the clinic for less money. And with less complexity in scheduling patient visits. Thus, cutting patent vists and saving time and money. The overall cost of treatment and initial consultative visit in a clinical setting is far less expensive than what costs would be incurred in a hospital or specialized care facility.
Dr. Robbins - (That's me.)
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