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  Defending the right to rant!

 

 

 

 

Conservative Commentary

eddobloggo - Defending the right to rant in the USA!

by Ed Donath

August 27, 2011

eddobloggo - Conservative Commentary by Ed Donatheddobloggo logo

   Defending the right to rant!


Is there a bureaucrat in the house? (originally published 6/4/10)        click here to subscribe to the eddobloggo RSS feedsubscribe via RSS


Is there a bureaucrat in the house?My wife's doctor is as methodically slow as they come.  Under normal circumstances, as a result of his thoroughness and the near word-for-word recap of the appointment that he recites before dismissing each patient, you can always expect some extensive waiting room seat time prior to the moment that the receptionist finally shakes her head sympathetically and says: "The doctor will see you now."

 

As fidgetingly frustrating as a visit to this particular specialist can be, when you consider his 27 years of practice at the same location, affiliation with the local general hospital and a wall full of diplomas and accolades with skill and knowledge sets to match, the doctor is about as good as it gets here in our neck of the woods. 

 

But now the frustration factor has been kicked up a notch as a result of "procedural changes" that are apparently beyond the doctor's control.  Just prior to my spouse's most recent appointment (to which I tagged along) the office called to inform her that the doctor was no longer seeing patients at his long-time digs; that he had been relocated to a suite in the medical offices wing of the hospital. 

 

We were also informed that the appointment would run even longer than usual (you could see the caller winking on the other end of the line) because "they" were making the doctor enter all of his ongoing appointment info directly into a computer during each and every office visit.  Despite looking as nerdy as anyone we know, the good 60-something doctor turns out to be computer illiterate -- not really so surprising when you consider that he has always employed a staff of nurses and clerks to take care of the minutiae of the office while he does his hands-on thing.

 

The usual fidgetyness of waiting for him was amplified both by the significant amount of extra seat time as well as by greatly increased hustle-and-bustle in his oversized new waiting room that serves about half a dozen diverse specialists.  There were usually never more than a couple of quiet adult patients in the old waiting room, but the huge new reception space, reminiscent of an emergency room triage area with a lot less blood and tears, is about as stress-free as the check-out line at a crowded supermarket on the day after the Social Security and welfare checks hit the mailboxes.

 

To be precise, it was 78 minutes past the appointed time before we were finally waved-in to talk with the doctor. Hovering over him behind his desk was an un-introduced administrative guy making sure that each section of the data base's "template" was being correctly populated by the novice medical bureaucrat with a brand new laptop that he may never know how to boot up let alone de-fragment.

 

On our way out, the office manager, who had already apologized profusely for the long wait, expressed her own frustration over her boss' forced computerization.

 

"This is all about ramping up for Obamacare, isn't it, Georgeanne?" I asked rhetorically. She rolled her eyes and silently nodded in the affirmative.

 

"They're going to have the ability to know exactly where you are and what you and the doctor are discussing...pretty much as it happens," I added.

 

"That's right, Ed."

 

After our lengthy ordeal and in light of the staff's stressful day I bit my tongue and didn't say what I was thinking. But you probably won't have to mull it over for very long to come up with a list of the things that have crossed my mind about the future of health care since our last visit to the bureaucrat's office.

 

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 Comments  (Comments may be edited  for clarity and/or profanity.)

This has been formulated as a hundred-year (probably now 120 year) campaign on the part of hospitals, and now government, to wrest control of the medical care of the patient away from doctors. The switch from ICD-9 to ICD 10 coding systems will precipitate many sales of private medical practices to hospitals. There is no free lunch. This will have consequences for the patient. The patient will rue the day...

 

brerrabbit

Lafayette, LA Daily Advertiser


Good Lord - I got a call today from the heart place that I have to visit next week to make sure that my Primary Care Physician on the computer gets changed to my current PCP doctor since I moved from one state to another. It appears that I might get the bill to personally pay if I do not get it changed immediately like I have control over what my insurance company sends me in the mail?!?! Ed, I spent an hour in a plastic cube to get my lungs checked with no problem and now some other office in the same complex is warning me of possible problems because the reality does not match the computer...

 

the glimmerman

Great Falls, MT Tribune


I love how you blame Obama for everything. Nice try. Long before he made it on the scene laws  regarding privacy and creating an electronic data base were being discussed and planned. It was coming regardless of who  was elected and it was planned in advance as H.I.P.P.A.A.  laws have been revised continuously since it was adopted.

 

Anonymous

[I love how HIPPAA has been sold as a Privacy Act since its inception by Obama's nefarious lefty predecessors -- like Teddy Kennedy who helped launch it because he knew he could never get real socialized medicine passed.  With Big Brother continually watching you (and your providers) it will be anything but private! -ED]


The medical system will be destroyed by a bureaucracy of government. Affirmative action will provide the worst of the worst in government administrative positions and the system will deteriorate to a point of complete and utter failure.

 

deserttrek

Palm Springs, CA Desert Sun


Having worked IT in primary healthcare we knew there was no way in he!! to automate the doctors, but I'm not surprised that the administration is requiring it. I'm only surprised it took this long.

Having watched the movie Sicko this week, I'm thinking if I ever get really sick that I will be moving to Cuba or France. That's something that should make the conservative-Americans real happy. I wonder if it will make the Mexican-Americans more tolerable...

 

rainbowed

Great Falls, MT Tribune


I don't think they would allow you to "move" to Cuba or France. They enforce their immigration laws. If I get really sick, I want to stay in the good old USA where I can get the best care for my disease, not the best care the government can afford to give me.

 

mightyright

Great Falls, MT Tribune


Find a new doctor if you are unhappy with the service provided. You may have to pay upfront, because more and more good Drs will not deal with the paperwork forced upon them by insurance companies or Medicare. My doc takes no insurance. None. Period. He will submit the paperwork, but I have to take whatever the insurance company judges as fair (!), or fight them myself. This is the way it will be until we have uniform criteria for reimbursement and uniform paperwork. Probably not in my lifetime. And, I am young (relatively)!

 

bsinps

Palm Springs, CA Desert Sun

[We may be forced to find a new, probably less capable, doctor when the current one decides he doesn't need the brain damage involved in being more of a bureaucrat than a medico.  Your cash-and-carry doctor will also be forced to stay or go once Obamacare takes full effect. -ED]


eddo, great blog as usual. You never disappoint. But the real issue goes deeper than just being tracked in real time at the doctor's office. Every time we whip out our debit or credit cards with the Visa or Mastercard logos, we're being tracked in real time as to where we are, what we're buying, etc and so forth. Food stamp recipients with the EBT cards are being tracked. What's odd is that the Canadian banks don't issue debit cards with Visa and Mastercard logos, meaning businesses in the US that don't directly contract with each of the Canadian banks can't take them for payment.

I've decided that when I really care not to be tracked as to purchases or location, I whip out the cash. And if I really don't want the Feds or even the global powers that be to know where I am and what I'm purchasing, I go to the bank and get out the cash before I shop.

I sure am getting sick and tired of having my every move in this old world tracked. I feel better in some small way by circumventing their little systems. Over twenty-five years ago I worked for one of the biggest check printers in the world and higher management spoke constantly of the cashless society then. What control will be had when everything is done in real time, on computers. Already the exit-polling numbers conducted by media don't match the votes purportedly cast--enough so that the lamestream media has all but quit conducting exit polls.

 

novelator

Great Falls, MT Tribune


I've seen no estimate of how many additional staffers will be required in a doctors office, but I'm sure they are all wrong. Then there will be additional government workers (Marx called them workers of the world).

Will it be an inflationary depression or a deflationary depression? I'm betting on a deflationary depression. Watching the money disappear.

 

GreyCaravel

Montgomery, AL Advertiser


Adages:

- If you buy a sleep system, rather then a bed, you paid too much!
- If you go to a "Suite", rather then an office, you will be billed too much!

 

mostlymalarkey

Wausau, WI Daily Herald

[An overhaul will always cost a lot more than a fix! -ED]


Sorry Ed, I actually disagree with you for a change (unusual for me) I work in a hospital that's gone fully computerized and while the initial startup may have been a PIA actually working with it is the best thing I've experienced in 20 years. We converted before Obama made it "cool."


Access to medical records should something come up and they're needed for another facility is quite easy and transfer is even easier. It also helps from duplicating some services I'm dead set (should I say that when talking health care) against Obamacare but computerized health records really is the way to go...

 

bikerider5

Wausau, WI Daily Herald

[If you want to disagree with me you'll have to check in at the reception desk and wait about 78 minutes...there are quite a few patients ahead of you.  Even if I didn't believe that this "overhaul" is the most nefariously Big Brotheristic thing ever perpetrated in the USA, I'd still be opposed to health care people having instant access to my records for their own convenience. In my business the state inspectors are handing out fines ($10k and up) if they find a car deal folder anywhere in plain sight. God forbid you get caught outside of the "secure documents room" with a credit application in your hand and if digital info isn't stored in a secure server. Forgive me but I don't trust folks in the medical profession any more than most folks trust car salesmen and loan bankers. -ED]


...What are you talking about. Bureaucracy solves every problem. i thought you knew that. Inefficiencies in Medicare, More Bureaucracy. Inefficiencies in Social Security, More Bureaucracy. Inefficiency in anything...more bureaucracy.

They way we are going, "The Brave New World" is upon us. Now all raise your goblets and give a toast to Aldous, thanking him for his vision forward. He truly saw, for a man who could barely see.

 

spebak

Palm Springs, CA Desert Sun


I'm with you on this one, eddo. I've been a licensed nurse for 20 years and the medical field has been ruined by gubmint intrusion.

 

Matlock61

Lafayette, LA Daily Advertiser



 

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