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U.S. Seeks Ways to Reduce Excessive Medical Testing
Insurance Journal ^ | Feb 17, 2012 | Debra Sherman

Posted on 02/17/2012 11:57:29 AM PST by Innovative

A leading group of U.S. doctors is trying to tackle the costly problem of excessive medical testing, hoping to avoid more government intervention in how they practice.

The American College of Physicians (ACP), the largest U.S. medical specialty group, is rolling out guidelines to help doctors better identify when patients should screen for specific diseases and when they can be spared the cost, and potentially invasive procedures that follow.

Many individual U.S. medical centers have launched their own efforts to build a protocol of patient care in fields such as diabetes or obstetrics, but the ACP effort has the potential to influence doctors nationally. ACP members include more than 132,000 physicians, mainly focused on internal medicine.

"Excessive testing costs $200 billion to $250 billion (per year)," Dr. Steven Weinberger, CEO of ACP said in an interview from his office in Philadelphia. "There's an overuse of imaging studies, CT scans for lung disease, overuse of routine electrocardiograms and other cardiac tests such as stress testing."

(Excerpt) Read more at insurancejournal.com ...


TOPICS: Extended News; Government
KEYWORDS: health; medicine; obamacare; rationing; socializedmedicine
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Translation: RATION testing.

Why don't we just withhold medical care from all sick people -- just think how much money THAT will save. (sarcasm, of course)

1 posted on 02/17/2012 11:57:36 AM PST by Innovative
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To: Innovative

Another priceless quote from the article:

“Health economists and other policy advisers question whether doctors can be trusted to make the right calls.”

Yes, we should trust bureaucrats more to make the right decisions about our healthcare, than trained medical doctors! (more sarcasm — but they are actually serious about this!)


2 posted on 02/17/2012 11:59:57 AM PST by Innovative (Weakness is provocative.)
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To: Innovative

It’s all defensive medicine. This is a legal issue, not a medical issue.


3 posted on 02/17/2012 12:01:14 PM PST by 17th Miss Regt
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To: Innovative

“U.S. Seeks Ways to Reduce Excessive Medical Testing”

Uhhh.... Yeah...
A Medical Liability Attorney’s wet dream.


4 posted on 02/17/2012 12:03:13 PM PST by tcrlaf (Election 2012: THE RAPTURE OF THE DEMOCRATS)
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To: Innovative

No, no rationing required. Docs do many unnecessary tests these days out of fear of being sued. Solid tort reform would take care of that problem.

Good luck with that.


5 posted on 02/17/2012 12:05:28 PM PST by green iguana
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To: 17th Miss Regt

So why not reform the legal system and let the doctors practice medicine?

Also — testing saves lives. If you don’t test, many deadly or at least serious diseases are not uncovered until it’s too late, not to mention, that by then the treatments are more expensive and less helpful.

The emphasis should be on testing, to discover diseases early, when they are more treatable, and less expensive to treat. The cost of testing is nothing in comparison to the cost of treatment when diseases are discovered in more advanced stages, because there was no testing early enough.


6 posted on 02/17/2012 12:07:01 PM PST by Innovative (Weakness is provocative.)
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To: 17th Miss Regt
“It’s all defensive medicine. This is a legal issue, not a medical issue”

Exactly, reduce the Medical cost but increase the litigation. Bambi taking care of his Lawyer Homies.

7 posted on 02/17/2012 12:08:49 PM PST by DAC21
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To: Innovative

Its called “DEATH PANELS”.If you’re 90 they’ll make you comfortable, if you’re 75 or over life saving techniques will be limited, if you’re obese, a smoker, diabetic or bad heart, liver or kidney you got big problems. Of course none of these rules will affect the bureaucrats. And sure enough they’ll be rewarded with another four years to further destroy the constitution.


8 posted on 02/17/2012 12:11:46 PM PST by kenmcg (How)
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To: Innovative
Two words:

Tort reform.

Howabout:

Loser Pays.

9 posted on 02/17/2012 12:12:10 PM PST by grobdriver (Proud Member, Party Of No! No Socialism - No Fascism - Nobama - No Way!)
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To: Innovative

It’s not really a Death Panel, it’s just a way of ensuring that tests are allocated to those for whom they are cost effective.


10 posted on 02/17/2012 12:13:00 PM PST by Pollster1 (Natural born citizen of the USA, with the birth certificate to prove it)
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To: Innovative
“I don’t trust professional societies to do it because that’s how they make money – by doing tests and procedures,” said MIT healthcare economist Dr. Jonathan Gruber.

I don't trust MIT economists to make those decisions, because they are flaming leftists. I've taken classes from MIT trained economists, so I know what I'm talking about.

11 posted on 02/17/2012 12:13:31 PM PST by Paleo Conservative
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To: Innovative

Trying to get ahead of the juggernaut.

Of course, today sometimes there is a temptation to over-test because of a different juggernaut. I don’t think Obamacare intends to do anything about that — why should a Ratly plan steal business from shysters? Putting doctors between a rock and a hard place.


12 posted on 02/17/2012 12:13:36 PM PST by HiTech RedNeck (Sometimes progressives find their scripture in the penumbra of sacred bathroom stall writings (Tzar))
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To: Paleo Conservative

MIT produces wonderful technology. Its humanities suck, they are inhumane.


13 posted on 02/17/2012 12:14:58 PM PST by HiTech RedNeck (Sometimes progressives find their scripture in the penumbra of sacred bathroom stall writings (Tzar))
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To: Innovative

This could be solved overnight by tort reform and cracking down on self-referral.


14 posted on 02/17/2012 12:19:09 PM PST by ccmay (Too much Law; not enough Order.)
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To: Innovative
There is a very easy way; kill all the trial lawyers.

And I am not being sarcastic.

15 posted on 02/17/2012 12:20:20 PM PST by Joe the Pimpernel (Should a constitution protect government from the individual, or the individual from government?)
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To: Innovative
For years, spine surgeons treated certain types of back pain by fusing the front and the back of two disks, which for billing purposes were two separate procedures, he said. Today, guidelines recommend fusing either the front or the back of the disks, not both.

Spinal fusion is a last resort operation. It's usually not done unless more conservative options have failed. I'd rather the surgeon make the decision about how to do the operation rather than some think tank and government bureaucrats thousands of miles away.

16 posted on 02/17/2012 12:21:05 PM PST by Paleo Conservative
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To: Innovative

If you get true Tort Reform, they wouldn’t have to test as much.


17 posted on 02/17/2012 12:21:40 PM PST by richardtavor
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To: ccmay; Innovative
This could be solved overnight by tort reform and cracking down on self-referral.

What's wrong with physicians owning testing facilities? Congressman Stark who is a raving lunatic wants physicians to just be serfs who work for the government and don't own anything.

18 posted on 02/17/2012 12:26:49 PM PST by Paleo Conservative
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To: Innovative
It is easy for a patient who is covered by insurance to get pulled into this “therapeutic cascade,” she said. It usually starts with screening and frequently leads to more tests, and often unnecessary medical procedures and drugs.

I have a large annual deductible and an HSA. I don't go to my doctor just for the hell of it. In fact my previous doctor destroyed all my medical records when I didn't see him for 7 years.

19 posted on 02/17/2012 12:35:07 PM PST by Paleo Conservative
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To: Innovative

Tort reform . . .


20 posted on 02/17/2012 12:48:56 PM PST by RatRipper (I'll ride a turtle to work every day before I buy anything from Government Motors.)
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