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Abuse at the doctor's office - Why do we stand for this kind of "treatment"?
posted 06/25/2009, 03:31PM new!
The abuse I experienced in my doctor’s office the other day was surpassed only by the abuse I witnessed being doled out to another patient, who had been waiting longer than my hour and a half for her appointment. Her cries of possible abandonment were met with such apathy by the staff that it started a conversation in the waiting room.

This is a doctor renowned for mixing alternative medicine with western medicine. His reputation rests on his soothing bedside manor.

I mentioned to the room at large that my record at our pediatrician in Santa Monica was forever marred, a la Elaine’s experience in Seinfeld. I complained, while my feverish daughter was kept waiting for over an hour, that the toys in the waiting room were really dirty and I offered to clean them.

I actually saw the phrase "troublemaker" written in boldface type in my daughter’s file on our next visit. Caught in the act of reading my file, the nurse snatched it from my view, and wrote in it again while glaring at me.

Relating this experience opened a floodgate of similar experiences from the five fellow patients in the waiting room, stories of otherwise assertive people cowering in doctors’ offices for fear of alienating the staff. A Sikh doctor in Beverly Hills apparently has a secret button he pushes when he finds a patient undesirable, and then a turbaned woman escorts them out. There have also been incidents of staff repeatedly canceling a patient’s appointment and rescheduling until he or she just gives up.

There are also stories of parking garage attendants in medical buildings harassing patients for full payment up front when they don’t know exactly how long their car will be parked in the lot. Or there are cases of people brought to their knees in desperation to treat an illness, of more and more forced to pay out of pocket, of those hoping for some kind of reimbursement from insurance companies, or waiting hours for doctors who routinely double-book appointments.

What on earth is going on here? Good medical care is one of the standards that separate us from third world nations. Now, even with the outrageous prices people pay out of pocket, the treatment by staff and doctors themselves seems harried and half-hearted.

When I met with the doctor, the imparted information was crammed into a very short session. That, met with the fatigue of having read every outdated magazine in the waiting room, left me paying my bill in a confused daze, wondering if there was an alternative to the alternative.

A doctor that is a personal friend of mine has quit his business. He makes a better living selling his paintings at local art shows. He confided that being a doctor is no longer a rich man’s profession. The limitations set by his insurance company left him unable to treat patients properly while still making a prosperous living. Finding staff that would work for what he could afford to pay left him with employees that behaved unprofessionally at best.

Canadian, European, and South American doctors attend university for basically the same amount of time as their United States counterparts. Their education is highly subsidized, so they’re not burdened with enormous debt upon graduating. Expectations are lower for future earnings.

Patients will visit doctors referred to them by their local pharmacists, whom they depend on for less serious ailments. Reportedly, while critical care is better in the U.S., office visits are about the same and the patient often doesn’t pay a cent.

There are many baby boomers like myself who find themselves in a quandary after a lifetime blissfully free of medical care needs. Do we take our depleted nest eggs and retire to far-reaching lands where we can age gracefully? Or do we stick it out here in a country that feels like it’s free-falling, while acting indignant when someone suggests a net?

By Faye for Divine Caroline. Republished with permission.

responses (17)

Gatta said to DivineCaroline.com 06/25/2009, 03:31PM new!

My father was an internist (family doctor), and a damned fine one. He never double-booked an appointment in his life, and if his staff had pulled such a stunt, there would have been hell to pay. His patients adored him. He regularly scheduled a fifteen-to-thirty-minute interval at the end of each visit to talk to the patient. He said he learned more about what was really wrong with his patients from those conversations than any number of lab tests could have told him. He earned a decent living, but not a lavish one; his satisfaction came not from wealth but from the affection of his patients and his colleagues. When he died, I think just about everyone who had ever known him came to his memorial service, and left in tears.

There must be doctors like my father out there now. (In fact I go to one. She's wonderful. I did have to slam dunk the head receptionist a couple of times before she got it through her skull that you don't play head games with me; but my doctor backed me up, and I think she did a little slam dunking of her own.) Why does our society attach so much more importance to the almighty dollar than to the emotional bond that links person to person?

Rita@Goldivas said to DivineCaroline.com 06/25/2009, 03:31PM new!

"Good medical care is one of the standards that separate us from third world nations." - Not really. We are below all other developed countries in terms of life expectancy, and we pay the highest per capita cost in the world. That is because healthcare is controlled by insurance companies (who dictate care procedures to providers) and big pharma, and about 30 cents of every dollar we pay for our healthcare goes to overhead expenses. Until we get a single-payer, universal healthcare plan like every other developed country has, this situation will not change. But, even though a MAJORITY of Americans favor such a plan, we are up against huge amounts of money being spent by the insurance companies (yes, funding their lobby efforts comes from money paid by us). We all need to get involved, contact your congresspeople and let them know exactly where you stand on this, and let them know you will be watching how they vote. And, remember that when the primaries come around. Do not support candidates that are in the pockets of the insurance companies.

firstnonna said to Rita@Goldivas 06/25/2009, 03:31PM new!

Yes, something must be done. But a national plan won't work at all. Can you imagine the administrative cost of a medical plan run by the government? It would be worse than welfare is. And if you think that the staff are rude now....

Most people I've talked to don't want a national health care plan.

Rita@Goldivas said to firstnonna 06/25/2009, 03:31PM new!

The administration cost of private insurance is about 30%, while the administration cost of government-administered programs is far less. And, a very large majority of US citizens want a public option. And I think your statement about welfare is off base. I don't know what it has to do with national health care - welfare is administered by the states, not the federal government.

Rita@Goldivas said to firstnonna 06/25/2009, 03:31PM new!

You need to watch this video of Bill Moyers interviewing a former insurance company executive - it's an eye-opener! http://www.pbs.org/video/video/1178899944/program/1113570149

Sue said to Rita@Goldivas 06/25/2009, 03:31PM new!

You really want to see this.  It shows how the insurers can justify rescinding insurance and the many other practices that they do which can kill people.  When you can't see 'um, they aren't there.

firstnonna said to Rita@Goldivas 06/25/2009, 03:31PM new!

Okay, I watched the video. I'm glad that he's seen the light and realizes that so many people don't have insurance. But what is he doing about it?

The Kennedy Health Bill that Obama is pushing won't do what we need it to do. Here is a link that will show you: http://www.nypost.com/seven/07172009/postopinion/opedcolumnists/os_broken_promises_179667.htm

Here is another link where you can download the actual bill and see what is in it.

http://keithhennessey.com/2009/06/08/kennedy-health-bill/

Read the bill, then talk to me.

Daphne said to Rita@Goldivas 06/25/2009, 03:31PM new!

Do you honestly want the same bumbling idiots who administer education, social security, transportation & a myriad of other areas administrating health care too?  Please open your eyes & look around you.  Anything that the Frederal Government gets involved in turns into a shambles.  It is not the job of the government to be involved in these areas to begin with. 

Just recently in a speech before the AMA Obama made the comment that "national health care works PRETTY WELL in other countries so we should expect the same here".  Is this man totally insane?  We, the United States of America, don't work 'PRETTY WELL'.  We've been the best of the rest & now thanks to a bunch of gross incompetents in Washington looking to gain yet another power foothold in the lives of Americans we can look forward to the day when a snotty nurse or receptionist in a doctor's office will be thankfully welcomed. 

Do you honestly want the government to ultimately decide if you should live or die???

Daphne/Las Vegas

 

 

Mistygirl said to Daphne 06/25/2009, 03:31PM new!

So I assume you have never used public schools, never driven on the best highway system in the world, and you plan to never collect social security or use medicare.  So it is ok with you if hospital are not regulated by the government for safety.  No nursing home inspections, no food safety inspections, no polution standard, no police, no fire protection.  No government is perfect but you have no idea what is happening around you.  Hard-working, middle-class people are losing their jobs and their health insureance.  What do you want them to do when they get sick?  Right now an insurance exective is deciding if you live or die based on how it will impact their bonus.  How can you ignore so many people in need?  It is the beginning of the end for greatness in this country when so many people no longer care what happens to their neighbor. 

Kate Marx said to Daphne 06/25/2009, 03:31PM new!

Your lack of knowledge about the purpose of, and benefits provided to you by, the federal government is astonishing. Likewise, you conflate the relationship of the powerful health care insurance companies with the elected officials who serve their interests based on campaign contributions. Turn off your Rush Limbaugh radio and FOX television and read a real newspaper. Better yet, talk to your doctor - get some informed insight about how your level and quality of care might be affected by the various proposals. And good luck as you grow older - hope you never need to collect social security, or access Medicare. 

Iluvtennessee said to Daphne 06/25/2009, 03:31PM new!

Daphne,

I spent 33 years of my life working for the Social Security Administration, the last 15 years of that in upper management.  There are many caring people who gave their very best to serve the American public and ensure they received the benefits they were entitled to.  It saddens me to be called a "bumbling idiot".

iluvtennessee

Ellen Gibs said to Daphne 06/25/2009, 03:31PM new!

Since the advent of managed care (compliments of HMO's) the cost of medical care has skyrocketed.  The private sector has made the acess to medical care more difficult and more expensive.  Not that I think that the Federal Gov't is really and answer, but private sector has certainly not been effective either.   

AustinJulie said to Daphne 06/25/2009, 03:31PM new!

First of all, I think you're taking that quote out of context.  None of the proposed bills is "National Health Care" only the VA is that.  If you're referring to a public option, we need one to offset the health insurance conglomerates stranglehold. 

Social Security is one of the most effective and helpful programs our country has ever enacted.  Education is handled overwhelmingly at the state and local school board level.  Granted under the Bush Administration, half the service areas were run incompetently but that's because toadies were put in charge (Heck of a job, Brownie.) 

The vast majority of Medicare recipients are pleased with their health care.  That is a government health care option.  No one tells Medicare recipients to die.  Ask one. 

In short, I would rather trust my health care insurance to our own government rather than a for-profit insurance company who seeks to make a profit by denying me coverage.  Last year, I was denied by BC/BS a test my doctor needed.  I had to get a lawyer to get it.  That's private insurance, Ma'm. 

Anu said to DivineCaroline.com 06/25/2009, 03:31PM new!

I find it interesting that you mention a "Sikh" doctor and his "turbanned" assistant.  What difference does his religious affiliation make?  Would it have been any different if he had been a Christian or a Muslim?  How about if his assistant was to wear a hat or some kind of scarf?  I agree that doctors and their staff can be very rude and inconsiderate, but I think it is out of place to bring religious orientation into the equation, as if that is the cause of the problem.

Rita@Goldivas said to Anu 06/25/2009, 03:31PM new!

You are correct, race or religion is irrelevant to the issue.

Lynnette said to DivineCaroline.com 06/25/2009, 03:31PM new!

I want a healthcare bill.  Affordable healthcare should be a right of every American Citizen.   I see people everyday that will not go to the doctor because they do no have the money.  It is too expensive.  Please!!! Any other country in the world, even those that are poorer than us, have this.  I cannot understand why people are opposed to this.  I have insurance through my employer.  In 1998 when i joined this company the healthcare plan was excellent... $20.00 per visit, maybe $50 for a specialist, and the xcripts if you sent it in via the 90 mail option was very inexpensive.  11 years later we have a $5000.00 deductible, $65.00 per visit, $90.00 for a specialist and $150.00 for first time visit to a Specialist.  The Plan is so outrageous that every doctor's office i visit they all gather around my medical card.  I am told my plan is for catastrophic purposes.  This is insane.  So why are you people fighting this?  Are you so rich that you can pay all those fees and do not care about the rest of the American people?  Do you know the meaning of compassion for those that cannot pay the above mentioned fees?  What has happened to us?

Rita@Goldivas said to Lynnette 06/25/2009, 03:31PM new!

I think you've nailed it, Ley - those who oppose universal healthcare seem to be so terrified of the possibility of increased cost, that they can't look at this logically. Yes, there is a breath-taking lack of compassion - an attitude of "I've got mine, F-U". These people ignore basic facts, and slander the many competent, caring government employees who do a great job. I think these people have never been in the position of having a serious illness and being denied necessary treatment by their insurance company, they can't imagine this could happen to them.

Pure and Natural