Skip to comments.Doctors call for end to 45 common medical tests
Posted on 04/04/2012 11:22:18 AM PDT by ColdOne
WASHINGTON Old checklist for doctors: order that test, write that prescription. New checklist for doctors: first ask yourself if the patient really needs it.
Nine medical societies, including the American Society of Clinical Oncology and the American College of Cardiology, representing nearly 375,000 physicians are challenging the widely held perception that more health care is better, releasing lists Wednesday of tests and treatments their members should no longer automatically order.
The 45 items listed include:
* Don't repeat colonoscopies within 10 years of a first such test * Don't perform early imaging for most back pain * Don't do brain scans for patients who fainted but didn't have seizures * Don't prescribe antibiotics for mild- to-moderate sinusitis unless symptoms last for seven or more days or worsen * Dont perform stress cardiac imaging or advanced non-invasive imaging in the initial evaluation of patients without cardiac symptoms unless high-risk markers are present * Don't perform PAP smears on women younger than 21 or who have had a hysterectomy for a non-cancer disease * No advanced imaging or bone scans in patients with early-stage breast or low-grade prostate cancer * Dont done bone scan screening for osteoporosis in women younger than 65 or men younger than 70 with no risk factors * Don't perform routine cancer screening on dialysis patients with limited life expectancies * No chemotherapy for sickest cancer patients
(Excerpt) Read more at msnbc.msn.com ...
Funny, they said this wasn’t going to happen.
I would most certainly be dead today if, four years ago, my doctors had followed these “rules.”
I do find it interesting that they seem to be singling out some of the most prevalently occurring cancers (breast and prostate) to make treatment cut backs for. They can argue all they want about how these cut backs are scientifically motivated. However, it looks more like cost-cutting to me.
Oh but I thought it was the Republicans who “want you to die” according to that nutcase Florida ex-congressman.
Hmmm so how do we find the cancer down there since PSA tests are not that reliable? Then again by that point I have already past my most productive years so I should find an ice flow and not be a burden on society.
The truth is that doctors began over-testing and over-treating patients when the lawyers started suing them over alleged failure to properly treat their patients.
Over-testing and over-treating became a defensive option that became a habit and then was discovered to be a profit center, especially when physicians began to own/lease expensive diagnostic machines like Cat-scans, sometimes at the inducement of the machine salesmen.
In every case, in every decision both the attorneys and the physicians can justify what they do as being in the interest of their clients/patients.
And after all, it was free. Either the insurance companies or Medicare/Medicaid paid for all the tests and treatments and we all know those payments came from some free cloud in the sky, not from policyholders premiums or taxpayers.
I look forward to seeing the AMA, etc. Explain this to the Liability Attorneys.
This should be fun.
Mr. Doctor, under the old rules, would Mr. Claimants terminal cancer have been detected early enough for treatment?
I rest my case, your honor. $100 Million Dollars, please!
Should begin with tort reform, so that Doc’s aren’t motivated to order unnecessary tests to protect themselves from lawsuits.
I personally feel we have way, way overdone it with testing and medical procedures, and a lot of what they’ve been doing is unnecessary.
That being said, the choice should be between you and your doctor. Not government’s.
The list, Ping
Let me know if you would like to be on or off the ping list
Before we do a knee-jerk and attack Doctors.....
Having family in the medical profession, I can tell you this is happening largely because Doctors are being told what to charge, even if they lose money on it. An example is the cost of a recent MRI that I had cost $1650. My provider paid $890, leaving $760, of which the Doctor can only charge me $350 as dictated by the provider and the powers that be. The Doctors loss is $450. My family is in Dentistry and they lose money on certain procedures in the same way, but in a smaller scale. So why continue procedures that you lose money on? That is also why cash is still king at the Doctors office.
Are our esteemed members of Congress, cabinet members, upper level government employess, including Barry, his family, and his mother-in-law , going to be denied these tests?
I’ll have what they’re having.
The fact is, the sooner you die, the less of the money you paid into health care they have to pay back.
The Rats turned the lawyers loose on the medical profession to provide vast income to a major constituency and to begin the process of destroying healthcare so they could take it over. Significant tort reform would accomplish the same goal. But, of course, the Rats would not think of it. It does not serve their evil purposes.
I despise ObamaCare but this I agree with. If everyone had a health savings account & had to buy their own designed policy, allowing across state lines provisions with just a few mandates & these lawyers were constrained premiums could be cut probably 40% with some significant co-pays & deductibles.
I agree with you completely-years of nanny government means too many people have forgotten how to manage their own lives, and that leaves the door open to those who take unfair advantage, not to mention malpractice attorneys-none of those people give a damn about anyone as anything but a combination lab rat and cash cow...
I’ve heard of hospitals offering free or low-cost cardiac imaging stress tests to high school athletes who have no symptoms. Tell me this is being driven by medical, rather than legal, concerns.
I see no one asked the malpractice attorneys.
How to fool people.
1) Make a long list with some extra reasonable things that are easy to understand in it and some very unreasonable things that are complex or difficult for ordinary people to understand.
2) Publish a “summary” of the list with just the reasonable things on it. Add a few under-defined unreasonable things.
Example: Physicians should not do the following:
1) Nail their patients feet to the floor.
2) Attempt to cure warts with toads during a full moon.
3) Retroperitoneum laparotomy.
The entire health care field is in utter chaos, run by foreign doctors and foreign staff. It’s not only a major rip off, but extremely dangerous due to the lack of competence and communication. Of course they’ll blame the big insurance mobsters for the extreme costs, and the insurance mobsters will tell ya from their 125 story skyscrapers, they hardly make any money at all.
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