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Less Psychs around due to their own incompetence

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Bruce Benson

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Dec 27, 2006, 11:04:01 PM12/27/06
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Per a loser psych who can't run his own business without whining about his own
poor business practices:

"Unfortunately, due to declining reimbursements, collection difficulties and
increasingly shorter lengths of stay, eventually all of the psychiatrists not in
the six-member pool elected to have us treat their patients in the hospital.
Soon, tension began to develop within the group over the amount of on-call
duties (everyone wanted less), and inpatient coverage came to be considered
onerous rather than desirable. Two years after forming, we ended the
relationship with the hospital.
For the last eight months, I have worked as one of two salaried psychiatrists
paid by the hospital. I cover all inpatients, partial-hospital patients and
consultations from the medical hospital. The hospital collects for physician
fees. The maximum number of possible admissions for each doctor is limited by
pre-arranged census.
Even this arrangement has its problems. The extremely rapid turnover of patients
and almost exclusively crisis-management nature of hospital work has removed
much of what I used to enjoy. Under these circumstances, admitted patients come
to be regarded by the staff as potential plaintiffs rather than individuals. The
hospital has already experienced difficulty with the retention and hiring of
psychiatrists; the previously robust medical staff has entirely evaporated."

You notice this guy wants patients to stay in the hospital longterm, as that's
they only way they can make big bucks. Their purpose, as is obvious from above,
is not to quickly get someone cured, but to keep them in treatment as long as
possible (until the insurance runs out, at least)

butterflygrrrl

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Dec 27, 2006, 11:38:48 PM12/27/06
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Trudy Johnson

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Dec 28, 2006, 12:00:39 AM12/28/06
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In article <emvfn...@drn.newsguy.com>, Bruce Benson says...
It is pretty sad when you think about it - a patient can only be "treated" as
long as they have insurance money available for the doctor. How many other
health services do people refuse to pay for when those services are needed? Oh,
I guess that is the answer right there - if someone NEEDS the service, they find
a way to pay for it out of their own pocket. This, however, is not the case
with psychiatry which cures nothing and is truly unnecessary.

Trudy

Chapingo

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Dec 28, 2006, 12:28:44 AM12/28/06
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Wow how does someone ever get their brain as scrambled as you "Bruce"?

How is a physician able to control the management policies of a
hospital?
Physicians who do not own their own practices are subject to the whims
of medical management executives who have very little, if any,
knowledge of actual medicine or patient care.
It is an industry that is there to make money. Like $cientology. Risk
management is a big part of the formula. Like $cientology. The
Physicians do not control pre arranged census limits. Nor do Physicians
have control over the billing codes or pressures put on hospitals from
insurance companies. If a cut rate medical assistant screws up a
medication or physicians orders, the blood thirsty OT lawyers are not
going to go after a candy striper making $6.50 an hour.
The lower or entry level Physicians are often made to work longer to
cover other senior Physicians patients well as their own. The senior
Physician receives payment for the services provided by the junior for
treating their patients. A pyramid scheme of sorts, does it sound
familiar? These are management policies that have absolutely nothing to
do with medical expertise.
Psychiatrists in private practice are doing quite well as are their
patients. But they are left out of your sample group as they dont
conform to your skewd perspective.
Psychiatrists are not incompetent. Medical management is insane like
your reasoning.
Shalom

Chapingo

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Dec 28, 2006, 1:18:34 AM12/28/06
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Damn Trudy that sounds just like $cientology! As long as you can pay to
keep moving up the bridge someone will always make sure you need it.
They will even "help" you get loans. Hell if you're real rich for a lot
of extra money SHAZAM you get special handlers and get your picture on
a magazine cover and get to wear a tuxedo at a dinner in your honor.
What psychiatrist is going to do that for you?
Mental health, who needs it? Lots of really crazy people are
"successful" like Tom Cruise.

butterflygrrrl

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Dec 28, 2006, 1:50:26 AM12/28/06
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antisectes

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Dec 28, 2006, 3:53:25 AM12/28/06
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zeeorger

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Dec 28, 2006, 4:07:42 AM12/28/06
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Oh! you have to love "Trudy" - the busy body scientologist running
the "We are not as bad as the Phychs" routine. That's like saying
"but officer, I was not going as fast as that other car you missed"
<pout and show some leggs>

Nagh! The RPF is not so bad ... you could be stuck in a <gasp>
hospital with trained "medicos" that know nothing about the
advanced PTS-SP/Integrity Processing TECHNOLOGY that the
Cult of Scientology has to offer.

Sorry "Trudy" but when I get ill I would rather see a trained
medico than one of your brainwashed Medical Liasson
Officers that failed to make the grade in medical school.

Z

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