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  • We need a new RAND study

    The RAND Health Insurance Experiment (see also the complete study and a rebuttal to John Nyman's argument against it) is the gold standard for this type of discussion. Specifically, it found (quoting from the highlights): Averaged across all levels of coinsurance, participants (including both adults and children) with cost sharing made one to ...
    Posted to Medical Examiner by Snarfangel on January 27, 2009
  • ER reform ideas

    Even if it were legal for ERs to turn away non emergency patients, for a practical matter, they wouldn't. The risk of a patient seeming to have a non emergency complaint and then dieing before seeing a physician and the potential malpractice suits (and news stories) is one hell of a deterent. Even if it were a policy in the ER, and there were no ...
    Posted to Medical Examiner by pachessnut on September 16, 2008
  • Have they ever been near an ER ?

    NOT MAKING THIS UP. Ok, let's have a doctor put his HOME NUMBER in the telephone book, have DAILY WALK-in's and 24 hr direct to cell phone service. Size of practice is exactly average. 100 patients a week, easily that many phone calls. about 30-50% of visits are outside of office hours but RARELY at inconvenient times (mostly 5-7pm). ...
    Posted to Medical Examiner by drugdoc on September 12, 2008