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Solving the PCP Shortage
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dawgitall Offline
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Post: #81
RE: Solving the PCP Shortage
(06-14-2015 09:41 PM)dfarr Wrote:  
(06-14-2015 08:34 AM)dawgitall Wrote:  
(06-14-2015 07:26 AM)dfarr Wrote:  People crack me up when they think that electronic medical records somehow link together every doctor in the world. I can't tell you how many patients think that I can pull up labs and notes from other offices like there's a big giant Facebook for healthcare providers that we can all access.
It does help greatly if all your medical care is within one network. We have gone from a PCP appointment at 9am, to a cardiologist appointment at 11am and to a 3pm urology appointment and the med changes and prescription updates are there after the first appointment. And the prescriptions are waiting for us at our local drug store (not a part of the network) if we get back home before they close at 6.

I prefer not being part of a group or network that large. I enjoy my nice, small office.

It is Duke University Hospital. It works out for us because her health issues are extensive. We switched from a local PCP to a Duke one at the beginning of the year. This gave us a quarterback to keep everything in perspective that had immediate access to all the information and could coordinate everything.
06-14-2015 10:01 PM
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Hambone10 Offline
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Post: #82
RE: Solving the PCP Shortage
(06-14-2015 06:57 PM)UofMstateU Wrote:  
(06-14-2015 04:54 PM)dawgitall Wrote:  You assume everything I post is politically motivated and thus read more into everything I post than is intended.

Thats because you:

1) Only post inflated, bloated, and manipulated numbers when they are good, but avoid like the plaque numbers that show they arent good.

2) Pull a "this is proof the ACA is a success" quote out of your ass because yo ubelieve people being kicked out of the prior coverage and onto the exchanges qualifies as a success.

3) Talk about how republican states should have expanded medicaid, but dont talk about the democratic states that expanded it having issues now paying for it.

4) Talk about how great OBlundershit is, when you yourself dont have an Oblundershit policy.

5) Get Butthurt when you are proven wrong, time and time again.

Exactly. One of the reasons I so often repeat myself to you is that you so often repeat yourself to us.

I can probably find a dozen threads you've started... or resurrected, touting the 'success' of the ACA based on meaningless numbers...

And you get pissed off when I remind you again and again that those numbers are meaningless.
06-15-2015 10:17 AM
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dawgitall Offline
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Post: #83
RE: Solving the PCP Shortage
(06-15-2015 10:17 AM)Hambone10 Wrote:  
(06-14-2015 06:57 PM)UofMstateU Wrote:  
(06-14-2015 04:54 PM)dawgitall Wrote:  You assume everything I post is politically motivated and thus read more into everything I post than is intended.

Thats because you:

1) Only post inflated, bloated, and manipulated numbers when they are good, but avoid like the plaque numbers that show they arent good.

2) Pull a "this is proof the ACA is a success" quote out of your ass because yo ubelieve people being kicked out of the prior coverage and onto the exchanges qualifies as a success.

3) Talk about how republican states should have expanded medicaid, but dont talk about the democratic states that expanded it having issues now paying for it.

4) Talk about how great OBlundershit is, when you yourself dont have an Oblundershit policy.

5) Get Butthurt when you are proven wrong, time and time again.

Exactly. One of the reasons I so often repeat myself to you is that you so often repeat yourself to us.

I can probably find a dozen threads you've started... or resurrected, touting the 'success' of the ACA based on meaningless numbers...

And you get pissed off when I remind you again and again that those numbers are meaningless.

Yet when UofM repeatedly posts incorrect information about group policy costs and the ACA you just ignore that, in essence legitimizing his comments.
06-15-2015 12:17 PM
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Hambone10 Offline
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Post: #84
RE: Solving the PCP Shortage
(06-15-2015 12:17 PM)dawgitall Wrote:  Yet when UofM repeatedly posts incorrect information about group policy costs and the ACA you just ignore that, in essence legitimizing his comments.

So now I'm responsible for things I didn't say, and didn't respond to?


I don't read every post in every thread. I tend to read those that quote me or seem to be responding to me. I also don't tend to get into the minutiae of anecdotal experiences UNLESS they are mentioned in response to me, or in a quote to me.. I'm not saying I never do... just I don't tend to.


If he's posting his anecdotal experience, I have no reason or grounds to dispute him... and you are providing the counter-argument. My point all along is that for every anecdote, there is a counter. I don't really get into that, other than a few misconceptions.

As an aside, if this is one of the 'misconceptions' you're talking about (I'm not going to go back and read) 'your side' likes to argue now that not all of the changes to group policies are because of the ACA... but that really depends on what you mean by that.

Companies generally offered insurance to their workers as a perk/incentive to work there. The ACA essentially takes away this 'incentive' because now EVERYONE has insurance. They may not have REQUIRED them to make changes, but it certainly gave them an impetus... In fact, it gave them cover to do so by creating an organized 'exchange' where they can dump all those workers. A company offering insurance is no longer worth as much to a worker as before. I'm not saying that is a bad thing, but to act as if the ACA isn't responsible for this just isn't factually true.
(This post was last modified: 06-15-2015 12:53 PM by Hambone10.)
06-15-2015 12:41 PM
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blunderbuss Offline
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Post: #85
RE: Solving the PCP Shortage
so many hurt feelings.
06-15-2015 12:59 PM
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dawgitall Offline
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Post: #86
RE: Solving the PCP Shortage
(06-15-2015 12:59 PM)blunderbuss Wrote:  so many hurt feelings.
Yea, I still remember that "taker" comment.05-nono
06-15-2015 04:20 PM
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dfarr Offline
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Post: #87
RE: Solving the PCP Shortage
(06-14-2015 10:01 PM)dawgitall Wrote:  
(06-14-2015 09:41 PM)dfarr Wrote:  
(06-14-2015 08:34 AM)dawgitall Wrote:  
(06-14-2015 07:26 AM)dfarr Wrote:  People crack me up when they think that electronic medical records somehow link together every doctor in the world. I can't tell you how many patients think that I can pull up labs and notes from other offices like there's a big giant Facebook for healthcare providers that we can all access.
It does help greatly if all your medical care is within one network. We have gone from a PCP appointment at 9am, to a cardiologist appointment at 11am and to a 3pm urology appointment and the med changes and prescription updates are there after the first appointment. And the prescriptions are waiting for us at our local drug store (not a part of the network) if we get back home before they close at 6.

I prefer not being part of a group or network that large. I enjoy my nice, small office.

It is Duke University Hospital. It works out for us because her health issues are extensive. We switched from a local PCP to a Duke one at the beginning of the year. This gave us a quarterback to keep everything in perspective that had immediate access to all the information and could coordinate everything.

Oh I understand. I used to work at UAB so I've been in that type of setting. I just prefer my small practice to a huge medical center.
06-15-2015 04:55 PM
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