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Thursday, March 02, 2006

Comments on Expectation vs. Entitlement: Part I
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Thank You:

I want to thank ALL the commenters on this issue. Obviously a nerve has been hit. Excellent!

A couple of important points:

I bring up the issue of expectation and entitlement not as a personal issue but because it obviously is one that occurs daily in medicine.

The analogy to the restaurant, of course, was just a metaphor. The serious differences are obvious.

Starting off with jesusfreaki1965:
"It isn't us versus them, it's us and them working together for health care solutions. There needs to be a change in attitude on BOTH sides."
VERY WISE POINT! It should be Doctors and Patients against insurance companies and corrupt politicians who pander to these special interests.

As far as the personal slurs from vc5937- no problem I can take it. You don't know me and I don't know you.

For the record, my patients in my practice are guaranteed to see me the same day if they insist. All my patients receive my personal cell phone and I am available 24/7 for them through this cell phone. They also get my e-mail. We end hours when the last patient who wants to be seen is seen. If a patient can't get to the office after surgery for staple removal I drive over and do a house call.

I am insurance-blind in my treatment of patients. Patients who can't pay are treated with the respect of all patients and we simply discuss with them what they can pay. If a $6,000.00 operation is too expensive I have, in the past done such surgery for as little as $500.00 on a one year monthly budget. If you are interested in my specific practice you can go to http://www.walkandmove.com.

There is a trade-off though. So you do not have to wait 3 weeks to see me, you may have to wait longer in the office. I don't expect a medal for this. I am not entitled to any awards. It is just the way I CHOOSE to practice.

An important point: Doctors ARE NOT employees of patients. Payment is for services rendered - the doctor-patient relationship is not an employee relationship. You cannot FIRE your doctor...you can simply choose to no longer use his or her services. That is not firing. If you go to Wal-Mart (another metaphor) and do not like the service you no longer patronize that store. You do not fire Wal-Mart.

As per the Patient Bill of Rights: The specific things in that Bill of Rights are excellent. In fact I agree that those specific things that are in that Bill of Rights do represent an entitlement. There are thousands of other things that are not covered in that Bill of Rights that are actually expectations.


To be continued...


Related Topics: Does Pain Keep You Up? Test Your Sleep IQ, The Emotional and Economic Costs of Pain

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Posted by: Doctor K at 1:29 PM

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