Friday, August 12, 2011

my favorite fantasy show

i just finished watching a total fantasy on TV, a world i wish we could all live in...

it's awesome how on the show House MD, anyone regardless of income or insurance can come in, not even give their real name, get a private room, and get the best medical care available from a doctor who doesn't make some exorbitant salary and at 50 has an oncologist for a roommate? this should be considered a SciFi/Fantasy show...

now, back in reality - Doctors deserve to get PAID, and PAID WELL.  they didn't spend 8 years in med school for nothing.

but, why do i need a doctor for check ups when in reality a nurse is going to do most of the work and a physician's assistant is going to oversee most of it.  a PA isn't in school as long, doesn't need to specialize, and more often than not can diagnose and even treat most common basic illnesses.  in some states they can even write prescriptions...

why don't we do that nationwide?  why aren't PA's allowed to fully practice basic general medicine, triage, and prescribe? but, we don't allow them to diagnose or prescribed even though they are licensed.

a good Pharm.D can diagnose a solid amount of common problems by symptom and address those symptoms with pharmacology, their salaries average around $100k, and they don't cost a fortune to insure... but, we don't allow them to diagnose or prescribed even though they are licensed.

and no one bothers to check their medical bils!  they just shuffle things off to the insurance company!  pay attention the next time to how many PA's are in the office, and how many nurses aren't even RN's, and realize you're still paying more for that visit with each year that goes by.

on House MD... all the nurses are RN's.  all the doctors are staff doctors that make a solid but not crazy living.  and everyone wants to help people and be the best, while helping people who on some episodes don't even give up their real name (much less an insurance card).

i don't care who's president, the problem is more than the system, its the regulation, and the customers that allow the caregiver to gouge.

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