Doctors Have Trouble with Insurance Companies Too.

May 19, 2006

Wow.  Even doctors have trouble getting the care they need.

It’s easy to imagine that doctors don’t get sick. Surely the hygienic shield of the sterile white coat guards them from ever having to put on the flapping gown and flimsy bracelet, climb meekly into the crisp bed and be at the mercy of the U.S. health-care system. And if somehow they did enter the hospital as a patient, physicians ought to have every advantage: an insider’s knowledge, access to top specialists, built-in second opinions, no waiting, no insane bureaucratic battles and no loss of identity or dignity when you turn into the "bilateral mastectomy in Room 402." But it doesn’t usually work that way. While doctors are often in a better position than most of us to spot the hazards in the hospital and the holes in their care, they can’t necessarily fix them. They can’t even avoid them when they become patients themselves. When Dr. Lisa Friedman felt the lump in her breast in the summer of 2001, she did–nothing. "I just sat on it," she says, "because I clicked into the mode of being physician, not patient, and I thought, ‘Most lumps are not cancer, I’ll just watch this.’" That was her first mistake.

By September Friedman had watched long enough. An internist in a practice that covers much of southern Wisconsin, she went to her radiology department to schedule a mammogram. The administrators turned her down: her HMO paid for routine mammograms every two years, and she’d had one 18 months before. "I said, ‘Wait a minute, I feel a lump. This is not routine.’ They still wouldn’t let me do it."

Read the rest of the Article at Time.

Source:  Time.com


US Senate Fights About Capping Malpractice Recoveries– AGAIN

May 10, 2006

Ian Malone was born with a severe brain injury because the obstetrician gave his mother a drug that had not been approved for inducing labor. His parents settled their legal claim for $2 million.

The injury that left Ian unable to swallow or raise his head until he died from pneumonia at age 4 is Exhibit A for opponents of a measure, already passed by the U.S. House of Representatives, that would limit medical malpractice awards for pain and suffering to $250,000.

Supporters of the limit, meanwhile, cite equally wrenching examples of physicians driven from their practices by skyrocketing insurance premiums, leaving their patients adrift.

The dueling anecdotes were the backdrop for crucial votes Monday on a pair of Senate bills that are variations on the limit passed in the House.

One measure would permit patients to recover $250,000 for each defendant and as much as $750,000 if multiple health providers were held liable; the second would impose the $250,000 limit for obstetricians only. Richard Durbin of Illinois, the second-ranking Senate Democrat, predicted that Republicans, who control the Senate 55-45, would not muster the support of 60 senators needed to approve bringing the measure to the floor for a vote.

The deadlock underscores the lack of a clear solution to compensate legitimate victims of medical mistakes while curbing rising premiums, said Kenneth Abraham, who teaches personal injury law at the University of Virginia in Charlottesville.

Read the full story at the following Link

Source:  International Herald Tribune


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