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  • Concierge medicine

    I thought this was interesting
    http://www.physicianspractice.com/in...&zip=ETMC75169

  • #2
    Can guests post?

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    • #3
      Medicare's Position on Concierge Practices

      American Medical News
      Bigdoc

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      • #4
        I think so.
        The FDA has not evaluated my safety or efficacy...

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        • #5
          Are guests limited to a certain number of posts or should they be, including posting options, such as HTML links? I'm thinking that otherwise it will be chaos in here.

          Sorry, dear guest of above, this is not directed at you personally; actually your link was most interesting. It's more of a matter of house-keeping, because this site is growing so fast, that IMHO it will be necessary to implement some organization rules sooner rather than later. What do the moderators and Site Administrator think about this matter?

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          • #6
            Originally posted by Anon_3b215c
            Are guests limited to a certain number of posts or should they be, including posting options, such as HTML links? I'm thinking that otherwise it will be chaos in here.

            Sorry, dear guest of above, this is not directed at you personally; actually your link was most interesting. It's more of a matter of house-keeping, because this site is growing so fast, that IMHO it will be necessary to implement some organization rules sooner rather than later. What do the moderators and Site Administrator think about this matter?
            Guests cannot post, this posters name IS guest
            Bigdoc

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            • #7
              Brilliant, Guest.
              Last edited by TRockcress; 04-24-2004, 02:22 AM.
              Did-a-chick? Dum-a-chum? Dad-a-cham? Ded-a-check?

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              • #8
                Oh...I think I was mostly fooled because under his/her "number of posts" it says "n/a", so I REALLY thought he was a real guest, and that's why his posts aren't being counted...or something like this if it makes any sense!

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                • #9
                  The n/a thing had me thinking also. My hypothesis was it was a gremlin in the server who has access to the... to the... whatsits and thingamagiggers.
                  Did-a-chick? Dum-a-chum? Dad-a-cham? Ded-a-check?

                  Comment


                  • #10
                    nah, the server's "water-tight" Hdblackburn, what an Avatar, I'm going to run the poll again
                    Bigdoc

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                    • #11
                      I think we lost sight of the post here....

                      Concierge/botique medicine, whatever you want to call it. From my POV, it's sort of like the new resident hours thing - some are dead set against it, others see it as the fairway and their way out of the rough (or trees if you hit like me).

                      What are the thoughts here? In a physician laden group, it would be interesting to hear what you have to say.

                      I think there are lots of downsides to this sort of alternative, most of which the article alluded to. The upside, however, is both obvious and lucrative.

                      Regardless as to how I feel about it - I think such forms of medical care will be popping up with great regularity in the coming years. I think we're we are on the slow growth phase of what will become exponential growth soon. This, taken as a whole, is a good thing. Not because it will make it more difficult for those with less money to get care - but because that sort of crisis - and I don't think that to be an exaggeration - may finally be the thing to tip the scales to bring about reform and begin to mend the reasons doctors started going that direction in the first place.

                      My father in law's doc started this up about a year and a half ago for about the same amount of cash as this article. I hear subspecialties have done the same thing for quite a bit more money. From a surgical POV, talk about being able to select your surgical candidates... wow. What's that, the last time he was operated on he had 2 readmissions for wound infections? Hmm, don't invite him to join this little party....

                      Anyway, a very interesting topic and a very real issue. I think it will be divisive in the medical community, but will grow nonetheless.

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                      • #12
                        I think these practices are here to stay, I don't think money is the main motivation, more to do with lifestyle; from what I've read, most physicians take a paycut when they convert to cash-only practice, at least initially.
                        B
                        Bigdoc

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                        • #13
                          Boutique or Elitist?

                          Please read my response to Oz in thepractice mgmt thread.

                          I am most intrigued, tho, by Dr. Cohen's decision not to start boutique practice b/c he would lose too many of his oldie-goldie pts.

                          A true physician. My main concern also. Practicing elitist medicine that is rewarding personally satisfying and...selfish.

                          Who takes care of the 3K other pts that the boutique kicks out? and if the boutique does not kick them out you have set up a de facto two tiered system of care, which I personally find repugnant. The Boca guys in the article had set up the waiting room for the reainer pts with coffee, juice bagels and another section for the "regular " pts. Like first class and economy. I could not do that to a human being, just b/c s/he can't pay.
                          Docshrink

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                          • #14
                            That's a down side

                            Originally posted by docshrink
                            I am most intrigued, tho, by Dr. Cohen's decision not to start boutique practice b/c he would lose too many of his oldie-goldie pts.

                            A true physician. My main concern also. Practicing elitist medicine that is rewarding personally satisfying and...selfish.
                            That is real issue but there is answers tho..
                            You can work via a non profit who can " manage " all the third party pay patients. You work for the non profit on an hourly rate..

                            Boutique door 1
                            Copay down the street door 2

                            Either way the patient can see you the only difference is convience and cost.
                            And as altruistic as you want to be there will always be divides You decide how far the divide will be ....

                            The system is split 4 ways now
                            gov funded
                            insurance funded
                            wallet funded
                            not funded

                            So it not like any practice change will create another split the greater ..
                            Question is how to make the practice work with the schisms
                            snip
                            Practicing elitist medicine that is rewarding personally satisfying and...selfish
                            snip
                            Practicing religion is rewarding personally satisfying and...selfish
                            doh..

                            oz

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                            • #15
                              gotta tell ya, ozman, every time you say "snip" I have this "visceral" reaction like I am getting a vas deferens make over.....

                              What does "fud" stand for?

                              Interesting way to look at finances somebody or nobody is gonna pay...Thots to chew on while I recover from thesnip snip
                              Docshrink

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