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A discussion of the ongoing legislative debate on health care. Are we even asking the right questions?

We explore a health care practitioner revolution that would fix health care once and for all. Watch the Facebook Live video and lend your voice in the comments!

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5 Responses to “Just Let Poor People Die Already! | Against Medical Advice 015”

  1. Charlene Cohen

    NO, to the uber ambulance. When someone with a splinter calls an ambulance, it prevents someone in real need the stat transport to an ER. CMS will then deny the bill. The ambulance company will have to absorbe the cost (millions) not the the abuser.
    Even in a capitalistic society, there needs to be accountability & ethical standards among their citizens.

  2. Paula Peterson

    So true–increased utilization does not improve outcomes. I never thought of it like that. Isn’t it true, though, to improve outcomes, patient compliance would be a key factor? This is where I find my biggest challenge. If a patient goes into the hospital, say, with CHF, and all the proper medications are given, the different disciplines have done their part–dietary, MDs, nurses, educational material have been provided, etc; then, this person goes to a crawfish boil the day after discharge and the hospital ends up with a readmission. Somehow, that has become the fault of the health care providers. Patient accountability does not exist in our current system. To increase compliance, it makes sense that we would have to have accountability not only on the provider side, but the patient side as well.

  3. Holly Dawn Ruthven-Main

    Amazing ….I agree…. 100% …. there are so many areas we can help … as health care providers….. You could bring in Community Paramedicine Programs something which focuses in telemedicine. …. what u are reccomending would help us … as health care providers …. not burn out … it gives us back the power …. not just to do no harm as we have promised ….. but to also do good ….. as a health care provider for over 20 years …. it is so hard to just pick patients up and drop them off …. knowing they will not get the care they need…. they will get a bandaid and the only thing I can do is give a bandaid…I so agree!!!!

  4. Holly Dawn Ruthven-Main

    So so so true I live your ideas u can utilize the Community Paramedicine programs and telemedicine programs theres soooooo much out there that can help people …. it would motivate healthcare workers to HELP again instead of put bandaids on it thats all we can do now It is so hard to keep picking patients up and dropping them iff knowing nothing will be done because if the current system … it definately needs a change theres so many many things we can do to fix it and it will take us doing it but maybe we could transition from not just ” Doing no Harm ” as we swore to do but also to ACTUALLY HELPING AND EDUCATING OUR PATIENTS IN THEIR OWN HEALTHCARE !!

  5. Victoria

    I support universal healthcare, and taking insurance out of healthcare completely. There should never be a conversation that goes like this:

    Healthcare Professional: In writing this treatment plan, what do I put as the discharge date? The patient was just admitted, how do we calculate that?

    Supervisor: Look at what insurance the patient has.

    Healthcare Provider: (looking confused/naive) What do you mean?

    Supervisor: Private insurance gets 3 days, Medicaid gets 2 weeks. Oh, and you can’t tell the patient any of this.

    This is SOP in psych hospitals everywhere, and I suspect it’s similar in other types of patient facilities as well. This is not patient-care focused, it’s profit-based.

    Any professional who questions this, or lets the patient/patient’s family know why the patient was discharged when he/she was still clearly psychotic, or made to stay in hospital for 2 weeks even when just in for a med change (and was stable within 3-5 days) is fired. So then no one is left to speak up for the patient.

    Absolutely shameful.