Pittsburgh police taser a reverend who was praying over his dead stepson in the emergency department. His stepson had been shot and was dead. The hospital stated that the reverend was interfering with attempts to revive the patient, but the video shows no such attempts taking place. Now the reverend has filed a lawsuit against the police.
Waits of two days to receive treatment in the emergency department. Frequent misdiagnosis. Lack of resources to treat simple problems like asthma. Hospitals that run out of medications regularly, forcing patients to purchase the medications at private pharmacies. 20% the amount of emergency physicians needed to provide services to patients.
Welcome to health care at King Faisal Specialist Hospital & Research Centre in Saudi Arabia.
Is this the kind of care that we can look forward to with our new “insurance”? We’re already seeing “narrow networks” where insurance companies fail to have sufficient primary care and specialty physicians to care for their patient populations.
Need an MRI and have insurance? That’s great. You still have to pay up front for your testing. With deductibles from $2000 to $5000 on the most common Obamacare plans, hospitals may have difficulty getting deductible payments after procedures have been performed. More hospitals are therefore requiring that patients pay for testing before it is performed.
The good news is that in order to require payment up front, the hospitals have to disclose their charges, which will lead to greater transparency – and hopefully downward market pressure when prices are compared. Up front pricing will also begin demonstrating to many people that medical care comes with a cost that’s more than just a $20 copay.
The bad news is that patients who can’t afford testing may not get necessary health care unless they … go to the emergency department where, by law, hospitals can’t require up front payments.
Thought provoking article on the decline of mental health care in America. The author, a psychiatrist, doesn’t cite his sources, but note that the number of psychiatric beds in the US has shrunk from 340 psychiatric beds per 100,000 population to 11 beds per 100,000 population – a net loss of 1 million psychiatric beds. As a result, 3.5 million severely mentally ill patients remain untreated. Many are arrested and housed in prisons and jails. Others use public libraries as “day care programs.” Cook County Sheriff Thomas Dart noted that with the systematic shut down of so many mental health facilities, his jails have “become the de facto mental health hospital.”
Michigan oncologist pleads guilty to administering unnecessary cancer treatments to patients who were either in remission or who had terminal disease. Government also alleged that he would deliberately misdiagnose patients with cancer in order to justify cancer treatments and would fabricate diagnoses of fatigue and anemia in order to justify unnecessary hematology treatments. He submitted $109 million in Medicare claims between 2007 and 2013.
Your data is safe, really. Healthcare.gov web site reportedly hacked twice earlier this year, but CMS didn’t tell anyone until this month. And the GAO warned that the system still remains fulnerable to unauthorized access, disclosure of confidential data, and data manipulation. Check your credit reports and your medical histories from the MIB. It’s getting to be an every man for himself atmosphere out there.
One member of Parliament when Canada’s health care system was adopted in 1966 ends up waiting in the emergency department on a stretcher for 48 hours before hospital bed opens up. Later dies in the hospital.
One commenter to the article noted that “at least he got to experience the health care system he helped create for us.”
Nice special report in the Seattle Times about the operations in Harborview Medical Center’s emergency department. Some of the pictures are quite thought-provoking.
This article mocks some of the entries in the government’s new ICD-10 coding scheme. For example, “Bizarre personal appearance” is actually a codeable diagnosis. Estimates are that the costs for a doctor’s practice to change to the new coding system will average from $56,000 to $226,000. And sure, being required to differentiate between Orca bites and piranha bites or between first and subsequent run-ins with a lamp post may seem idiotic to most people, but if the coding isn’t accurate, it gives the government the ability to allege that there was false billing and to levy huge fines or even imprisonment. That’s no laughing matter.