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Discussion Starter · #1 ·
A quickie synopsis to remind everyone of their rights in the healthcare system, from Isadore Rosenfeld, MD author of "Power To The Patient: The Treatments to Insist On When You're Sick.""WHAT TO INSIST ON: You have the obligation to yourself, and the right, to particiapte actively in the decisions concerning your healthcare. here are some important rights to keep in mind:1. YOU HAVE THR RIGHT TO SELECT YOUR DOCTOR2. YOU HAVE THR RIGHT TO BE FULLY INFORMED ABOUT YOUR HEALTH STATUS3. YOU HAVE THE RIGHT TO A SECOND OPINION4. YOU HAVE THE RIGHT TO PREVENTIVE MEDICINE5. YOU HAVE THE RIGHT TO KNOW YOUR SURGEON'S AND HOSPITAL'S TRACK RECORD FOR THE PROCEDURE FOR ANY PROCEDURE YOU NEED6. YOU HAVE THE RIGHT TO KNOW ABOUT ANY FINANCIAL RELATIONSHIP BETWEEN YOUR DOCTOR AND YOUR INSURANCE PROVIDER7. YOU HAVE THE RIGHT TO A RAPID MEDICAL-REVIEW PROCESS (RE: Appeal of any denied claims).8. YOU HAVE THE RIGHT TO A SPEEDY TRIAL"WHOOPS sorry, slipped... that last one is not for you...
MNL
 

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Discussion Starter · #4 ·
HAH! SEE I KNEW you were there!! The AntiLurking feature Strikes!!! Check your thread to MNL for my apologies that my email is dead 3 days now, so I was the invisible man until I stopped by here this AM.MNL
 

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Discussion Starter · #5 ·
HAH! SEE I KNEW you were there!! The AntiLurking feature Strikes!!! Check your thread to MNL for my apologies that my email is dead 3 days now, so I was the invisible man until I stopped by here this AM.MNL
 

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Just where do they come from? If they are not federal, then they have to come from the states or localities. If so, they will most likely be different from state to state. Patient bills of rights have been passed in several states.My guess is that only the rich who are paying their own bills have these rights. You insist on your rights, you pay?Tell it to the army, tell it to the navy, tell it to the marines, and tell it to the HMO's.
 

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Just where do they come from? If they are not federal, then they have to come from the states or localities. If so, they will most likely be different from state to state. Patient bills of rights have been passed in several states.My guess is that only the rich who are paying their own bills have these rights. You insist on your rights, you pay?Tell it to the army, tell it to the navy, tell it to the marines, and tell it to the HMO's.
 

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Discussion Starter · #10 ·
Hi ANGERED ONE...In this case, Dr. Rosenfeld has simply set this forth as a guide to what your rights are under the ethical and moral obligations that physicians and health insurance companies have to their patients. Some of it is based on law, primarily It's a way of saying "if your practitioner won't do this for you then you are not in the wrong to demand it or seek other care"In the case, for example, of #7 (Right to a speedy appeal) 41 states and the District of Columbia have laws in place which require health insurance providers to have appeals panels in place and to provide plan memebers a reasonable appeals process. Same with #5. They are OBLIGED to tell you, but you won't find it posted on a bulletin board in the surgical wating room. You have to ask, and the only place to get the data may be to pay Administrtaion a visit. The more of a particular procedure a facility performs generally the higher the competency level.There are many "Bills of Rights". On the flipside here is the BILL OF NO RIGHTS as set forth by Senator Mitchell Kaye, of Georgia: _________________________________ The Bill of No Rights We, the sensible people of the United States, in an attempt to help everyone get along, restore some semblance of justice, avoid any more riots, keep our nation safe, promote positive behavior and secure the blessings of debt-free liberty to ourselves and our great-great-great-grandchildren, hereby try one more time to ordain and establish some common-sense guidelines for the terminally whiny, guilt-ridden and deluded. We hold these truths to be self-evident, that a whole lot of people are confused by the Bill of Rights: Article I: You do NOT have the right to a new car, big-screen TV, the biggest and fastest new computer, or any other form of wealth. This government is not in the business of guaranteeing these luxuries. Article II: You do NOT have the right to never be offended. This country is based on freedom, and that means freedom for everyone -- not just you. You may leave the room, change the channel, express a different opinion, and so on, but the world is full of idiots, and probably always will be. Article III: You do NOT have the right to be free from harm. If you stick a screwdriver in your eye, learn to be more careful. Do not expect the tool manufacturer to make you and all your relatives independently wealthy because of your stupidity or lack of skill. Article IV: You do NOT have the right to free food and lodging. Americans are the most charitable people to be found, and will gladly help anyone in need, but we are growing weary of subsidizing generation after generation of professional couch potatoes, who achieve nothing more than the creation of another generation of couch potatoes. Article V: You do NOT have the right to physically harm other people. If you kidnap, rape, maim or kill someone, don't be surprised if the rest of us want to see you in prison or in the electric chair. Article VI: You do NOT have the right to the possessions of others. If you rob, cheat or coerce away the goods or services of other citizens, don't be surprised if the rest of us get together and lock you up. Article VII: You do NOT have the right to a job regardless of race, creed, sexual preference or religion. Take advantage of the opportunities of education and vocational training laid before you to make yourself useful and self-supporting. Don't expect a free ride from the government or your community. Article VIII: You do not have the right to happiness. Being an American means you have the right to PURSUE happiness. Make your own happiness. Don't sit there and wait for it to be given to you. _______________________________________Yeah, they just come from everywhere!
Eat well. Think well. Be well.MNL
 

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Discussion Starter · #11 ·
Hi ANGERED ONE...In this case, Dr. Rosenfeld has simply set this forth as a guide to what your rights are under the ethical and moral obligations that physicians and health insurance companies have to their patients. Some of it is based on law, primarily It's a way of saying "if your practitioner won't do this for you then you are not in the wrong to demand it or seek other care"In the case, for example, of #7 (Right to a speedy appeal) 41 states and the District of Columbia have laws in place which require health insurance providers to have appeals panels in place and to provide plan memebers a reasonable appeals process. Same with #5. They are OBLIGED to tell you, but you won't find it posted on a bulletin board in the surgical wating room. You have to ask, and the only place to get the data may be to pay Administrtaion a visit. The more of a particular procedure a facility performs generally the higher the competency level.There are many "Bills of Rights". On the flipside here is the BILL OF NO RIGHTS as set forth by Senator Mitchell Kaye, of Georgia: _________________________________ The Bill of No Rights We, the sensible people of the United States, in an attempt to help everyone get along, restore some semblance of justice, avoid any more riots, keep our nation safe, promote positive behavior and secure the blessings of debt-free liberty to ourselves and our great-great-great-grandchildren, hereby try one more time to ordain and establish some common-sense guidelines for the terminally whiny, guilt-ridden and deluded. We hold these truths to be self-evident, that a whole lot of people are confused by the Bill of Rights: Article I: You do NOT have the right to a new car, big-screen TV, the biggest and fastest new computer, or any other form of wealth. This government is not in the business of guaranteeing these luxuries. Article II: You do NOT have the right to never be offended. This country is based on freedom, and that means freedom for everyone -- not just you. You may leave the room, change the channel, express a different opinion, and so on, but the world is full of idiots, and probably always will be. Article III: You do NOT have the right to be free from harm. If you stick a screwdriver in your eye, learn to be more careful. Do not expect the tool manufacturer to make you and all your relatives independently wealthy because of your stupidity or lack of skill. Article IV: You do NOT have the right to free food and lodging. Americans are the most charitable people to be found, and will gladly help anyone in need, but we are growing weary of subsidizing generation after generation of professional couch potatoes, who achieve nothing more than the creation of another generation of couch potatoes. Article V: You do NOT have the right to physically harm other people. If you kidnap, rape, maim or kill someone, don't be surprised if the rest of us want to see you in prison or in the electric chair. Article VI: You do NOT have the right to the possessions of others. If you rob, cheat or coerce away the goods or services of other citizens, don't be surprised if the rest of us get together and lock you up. Article VII: You do NOT have the right to a job regardless of race, creed, sexual preference or religion. Take advantage of the opportunities of education and vocational training laid before you to make yourself useful and self-supporting. Don't expect a free ride from the government or your community. Article VIII: You do not have the right to happiness. Being an American means you have the right to PURSUE happiness. Make your own happiness. Don't sit there and wait for it to be given to you. _______________________________________Yeah, they just come from everywhere!
Eat well. Think well. Be well.MNL
 

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M,Given what you said about the non-legal and non-bindingl basis of good doctor's "rights", I'd like to replace "right" in his statements with:"it is our dream (given infinite time, money and physical resources) that". By the way, our state recently passed a patients bill of rights. In response, my wife's managed care plan eliminated the need for gate-keeping referals. However, they still maintain the two-tier re-embursement schedule. Non-network providers are paid at 20% level. My guess is that they are going to make a bundle by 1) eliminating their referral staff and 2) paying lots of claims at the 20% level since many people will forget to check if Dr. XYZ is in the network. The above plan does allow one to choose their own doctor. In reality, even the old plan allowed choice, since it didn't prohibit you from seeing any MD you wanted.. It is just that you choose and they don't like who, you pay.
 

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M,Given what you said about the non-legal and non-bindingl basis of good doctor's "rights", I'd like to replace "right" in his statements with:"it is our dream (given infinite time, money and physical resources) that". By the way, our state recently passed a patients bill of rights. In response, my wife's managed care plan eliminated the need for gate-keeping referals. However, they still maintain the two-tier re-embursement schedule. Non-network providers are paid at 20% level. My guess is that they are going to make a bundle by 1) eliminating their referral staff and 2) paying lots of claims at the 20% level since many people will forget to check if Dr. XYZ is in the network. The above plan does allow one to choose their own doctor. In reality, even the old plan allowed choice, since it didn't prohibit you from seeing any MD you wanted.. It is just that you choose and they don't like who, you pay.
 

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Discussion Starter · #14 ·
Yeah the problem with any of the in-netwrok vs out of network shenanigans is just absed on the fact that the contract which governs the cash distribution between the provider and the insurance company does not exist betwenne the parties out of network so regardless one is always disincentivezed to go out of network. But at least you do have the option and a choice...fiar or otherwise.Take care, eat well, think well, be well.Off to the (other) Coast! "San Fran-ciso open yer golden gate!" (and turn up the heat).MNL
 

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Discussion Starter · #15 ·
Yeah the problem with any of the in-netwrok vs out of network shenanigans is just absed on the fact that the contract which governs the cash distribution between the provider and the insurance company does not exist betwenne the parties out of network so regardless one is always disincentivezed to go out of network. But at least you do have the option and a choice...fiar or otherwise.Take care, eat well, think well, be well.Off to the (other) Coast! "San Fran-ciso open yer golden gate!" (and turn up the heat).MNL
 
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