WHY, IN THE USA, ARE THERE PEOPLE WHO CANNOT GAIN ACCESS to the medical care that they need? It’s a simple, yet heartbreaking, question. The answer slaps you in the face: it’s because the primary goal of the American healthcare system is profit. One can pass out from shock and awe when viewing an itemized list of the charges imposed following hospitalization. I count myself fortunate to have coverage from both Medicare and my secondary insurance (for which I pay a ridiculously high price). But many people don’t have this. There’s a reason that the first thing a hospital greeter wants to see is your insurance proof. The receptionist in the doctor’s office immediately asks the same thing. “You want an appointment? Do you have insurance?” Doctors don’t earn large six and seven figure incomes because they’re nice guys. Of course, the doctors too have to have professional insurance… in case they screw up. One way of avoiding error is to order multiple tests, an expensive diagnostic tool. Too often there is no clear medical justification for a test; it is a just-in-case kind of thing. During my last hospitalization for dehydration, notwithstanding that the tech called my EKG “beautiful” and I have no history of heart problems, they made me wear a heart monitor during my stay. How much did they charge for that? I don’t know. The hospital doctor, called a hospitalist, is there, not to worry about your care particularly, but to cover the hospital’s butt in trying to avoid the prospect of subsequent negligence suits. I was astounded that it was the hospitalist, not my own doctor, who had the final say regarding my discharge. Reminds me of a San Francisco band back in the Sixties: Big Brother and the Holding Company.
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