Sunday, February 06, 2005

Concierge Service

In Newsweek, which is a really really shitty magazine these days, they have an article about concierge doctors. It's interesting, to me, to note that they have to pay the usual lip service to inequities within health care in America. That section is here:

"Health-care experts who fret that too many medical resources are already being spent on too few say the new trend only makes matters worse. Forty-five million Americans live without health insurance. The growth in high-end medicine "is yet another stark inequity in an already unequal system," says David Magnus, a biomedical ethicist from Stanford University."

Well, guess what, poor people need lawyers too. Should lawyers be forced to serve the poorest populations? I don't see Johnnie Cochrane busting his ass to defend poor people accused of murder. He, and thousands of lawyers like him, makes oodles of money by following the money. Ensuring the fairest of fair trials for OJ, Martha, and Michael Jackson. Do these guys have to put up with someone like David Magnus speaking ill of them? Do they even have a legal ethics department at Stanford University? I could only find one as part of the psychiatry department. And, despite what most surgeons believe, psychiatry is part of medicine.

These fucking sanctimonious people (who are actually sometimes MDs) dare sit and judge forward thinking and business minded doctors? During their residency these doctors treated, probably, thousands of indigent patients. I know I did. I stitched up drunks, drained heroin abscesses, and waited out DTs.


Blogger Crazy Blonde Bombshell said...

I actually needed up going off on a Doctor at my work because of the way he treated a patient.
The patient just got DX with Cancer and something else, can't remember. Well, this doctor sure did walk into the patients room and inform her. That he doesn't help people with no insurance. Wasn't really sure what she should do but he would not take her case. I was in the room and told him that I wanted to talk in the lounge. At first he looked at me in disbelief but could see the anger. I gave him a piece of my mind and after I was done informed the hospital supervisor of what happened. Thinking that I was going to get into alot of shit with my bosses and that doctor. A couple days later, I recieved some flowers with a gift certificate to the GAP and a little sorry note from the doctor. Thought it was really awesome about how passionate I was for my patients but to never talk to him like that ever again.
The doctor is still not very talkive to me but he does say HI.

8:57 PM  
Blogger Sepra said...

You know, I read that same article. I often find that Newsweek caters to this upper middle class lifestyle. "Yeah, 45 million without insurance, but look at what doctors are doing for rich people!" I mean, the tip sheet is the same: stuff I certainly can't afford! Interesting how you saw it as lip service and so did I and we were both annoyed for different reasons.

While I agree with your point that lawyers get off easier, I have to disagree that people "need" them. People are entitled to one in a criminal case because the Supreme Court said so, and they get one in civil only if the lawyer will make enough money off them. It makes sense that most doctors want to make more money with less patients, but I don't see how anyone is automatically entitled to that just because they had a difficult training program. If that was the case, teachers would make much more money than they do now. Or, they should have more ethics. Isn't that what the law is for?

Anyway, I went through your blog, and I found the other stuff interesting too. It's not a perspective I am familiar with. I find that with a lot of these public jobs like teaching, medicine seems like a job where you get a lot of shit for little satisfaction.

9:40 PM  
Blogger Gothamimage said...

I disagee- we must continue to subsidize the red states-other wise they will become dangerous.

6:20 AM  
Blogger Doc NOS said...

Yeah, like being a doctor is so much more important than being a lawyer. That's just arrogance. Lawyers are more vital.

7:59 PM  
Blogger marybishop said...

"So Perenic signed on with Dr. John Blanchard. For a $5,000 annual fee, Blanchard provides Perenic with a yearly three-hour physical, same-day appointments and his personal cell number."
quoted from the article) -

I say cheap cheap cheap, and I don't need the cell number, but a plain old fashioned answering service would do....

Two years ago, "dentists" collected 9 thousand dollars from my husband and myself for real or imagined tooth problems ( not what we thought, what they thought) and we both still have shitty teeth.

We had zero insurance so that means we deducted $9000 from our annual income.

$5000 for an on-call health advocate, never mind licensed MD with the ability to prescribe drugs? A free lunch so to speak.

6:36 PM  

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