[lit-ideas] Re: Here's a new spin on preventative medicine

  • From: wokshevs@xxxxxx
  • To: lit-ideas@xxxxxxxxxxxxx, Eric Yost <mr.eric.yost@xxxxxxxxx>
  • Date: Sat, 31 May 2008 14:34:33 -0230

Quoting Eric Yost <mr.eric.yost@xxxxxxxxx>:


> Simultaneously true and false! 

But not in the same respect - as the Macedonian philosopher was wont to say. No
statement can be both true and false in the same sense, including this one. 

Continuing to lead the contemplational life by stirring up another dram of the
restorational stuff on a beautifully sunny afternoon on the Avalon,

Walter O.
Who should be at the Congress in Vancouver

American medical guidelines, if properly 
> followed, are a set of treatment "tree branches" designed so that 
> doctors will not be sued. Following the guidelines, a doctor can say, "I 
> did X and Y and Z. I'm clear." Sometimes, as Bush states, these steps 
> involve several unnecessary procedures.
> Another way in which the Bush statement is true: good doctors will avoid 
> working in primitive facilities because the risk of being sued 
> increases, even if the patient is referred to a larger hospital elsewhere.
> There are many scams in medicine, and some are actually abetted by its 
> being so highly regulated. There are scams at the provider level and 
> scams at the institutional level. There are even scams at the federal 
> level with Pete Stark's laws, which allow sponsors to enslave foreign 
> doctors.
> For an institutional scam example: if hospital X has a cardiac-cath lab 
> (an expensive but lucrative facility) they may "tend" to perform stress 
> tests that lead their patients to the cardiac-cath lab at their 
> hospital. Big surprise here: if you hang around a barbershop, you might 
> end up with a haircut.
> For a provider scam example: if a doctor owns his or her clinic and has 
> a conspiring cardiologist, he or she may run bogus stress tests at the 
> clinic that "tend" to send people to the conspiring cardiologist for 
> consult. The cardiologist may then send the poor patients for another 
> stress test at hospital X (above) where ... ooops ... they get a cardiac 
> cath.
> Cardiac caths are not always perfectly performed, and so the patient may 
> get infected or worse. See Paddy Chayefsky's _The Hospital_ for other 
> scenarios. "At 7:30 a.m. a patient named Guernsey was admitted to the 
> hospital..."
> Yours in limited knowledge of the subject,
> The Paraclete of Kaborka
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