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Subject: Re: Small Town Doctor


Author:
to Cindi
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Date Posted: Sunday, March 28, 2010, 09:03: pm
In reply to: Cindi- to poster 's message, "Re: Small Town Doctor" on Sunday, March 28, 2010, 11:33: am

Yes - medicaid will pay for tylenol if the Doctor writes for it. Medicaid covers it 100%. No copay - no nothing. Just government pays for it. My 86 year old grandmother pays almost $400 for her meds a month and the people on Medicaid pay nothing. This isn't about doctors being greedy or making millions. I see uninsured pts in my rural clinic for a $20 copay. And to answer your other question - I'm not sure where you live, but there are thousands of small community hospitals without cardiologist or any other kind of specialists. there are hospitals without even one surgeon. These people have to be paid, not because they are greedy, but because they have house payments and children to clothe and feed and send to college. If the community can't support the specialist, they won't be there. If someone is having a heart attack they are transferred to a larger hospital in a nearby larger town that has specialists. And -- the specialist in that hospital has to ACCEPT my patient who is having a heart attack. I can't just ship them over - the receiving physician has to accept them before the ambulance or helicopter will leave my hospital. This is not unique to my community. It's everywhere.

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Author:
Leo
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Date Posted: Sunday, April 01, 2012, 02:03: pm

First, I agree with "to Cindi." Medicaid will often pay for OTC meds if you have a script. Second, many good hospitals do not have staff in every sub-speciality, such as neuro-surgery. Some may not have OB or dermatology. At our hospital, we have GI doctors who will not see Medicaid patients, so the fact that a specialist is on the staff doesn't mean he/she will treat you. Third, based on your initial post,. you seem to be arguing that it is preferable to see a doctor who went to the big medical centers to make "mega-bucks" than one willing to serve a small community taht reallly needs him or her, just because the big medical centers have expensive technology which is often over-used raising the cost of medical care.

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